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Quality and Safety in Primary Care



Enhancing Nurse Roles in Community Health (ENRICH): Undergraduate and Workforce Training and Education in Primary Care. 


Goal 1. Recruit and integrate the BSN students into the VA CoEPCE Interprofessional Academic PACT and community based clinics to enhance RN primary care competency.

Goal 2.  Enhance staff RN competence in the expanded role of the RN in primary care to prepare RN preceptors to teach and role model working at the top of the RN license.

Goal 3. Improve and expand the teamwork and collaboration of the existing Cleveland VA clinic Patient Aligned Care Teams (PACT) to include all learners.

Goal 4. Enhance the existing BSN curriculum, student competence and faculty competence on the expanded role of the RN in primary care at the Frances Payne Bolton School of Nursing.


The Case Western Reserve University Frances Payne Bolton School of Nursing (SON) will partner with established community-based veteran’s affairs (VA) primary care providers to provide undergraduate nursing students and licensed registered nurses with the education and training experiences necessary to practice primary care at the full extent of their license.

The proposed project enhances an existing academic-clinical partnership between the SON and the VA Transforming Outpatient Care (TOPC) Center of Excellence in Primary Care Education (CoEPCE) program.

The TOPC CoEPCE is an interprofessional academic patient centered medical home model that includes learners from graduate programs in medicine, nurse advanced practice nursing, psychology, pharmacy and social work who learn and deliver contemporary evidence-based primary care services.

Broad ranging opportunities such as health promotion education and coaching, chronic disease management, population health management, care coordination, mental health integration, and telehealth will be emphasized.

A rigorous evaluation plan will ensure that process and outcomes are continually measured and data are used to make improvements to ensure programmatic improvement and sustainability.

The SON and the VA CoEPCE TOPC team will contribute the content of an implementation kit that will be used to spread the initiative. The ENRICH Program meets the funding preference as students will train at the VA Northeast Ohio Healthcare System.

  • This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $2,187,305.00 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit

article titled "case western reserve university and cleveland va team up to train more nurses for primary care"

HRSA announced more than $94 million in awards to train the next generation of health care providers. These grants support education and training to help enhance health care delivery and improve access to high-quality care.

The purpose of this four-year training program is to recruit and train nursing students and current registered nurses (RNs) to practice to the full scope of their license in community-based primary care teams 

 Susanne Hahn, Wade Park, PC Manager and   Wade Park, PC  Academic Director

Rebecca Mitchell, DNP, MSN, APRN; Project Liaison

Patricia Burant, EdD, MA; Project Manager

Shannon Wong, CPNP, MSN, BSN, RN;  Faculty Community Nursing

Rita Sfiligoj DNP, NPA, RN

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