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PACT APRN Practice

Personalized, patient-centered care in a variety of settings

PACT Primary Care has been awarded the 2019 Safe Passage Award from the Connecticut Coalition to Improve End-of-Life Care

In Connecticut, nurse practitioners are state-licensed as advanced practice registered nurses and nationally certified as nurse practitioners. They are educated and trained to diagnose and treat acute illness and chronic conditions. They are qualified to treat medical conditions independently and they usually practice in ambulatory, acute and long-term care as primary or specialty care providers.

PACT Primary Care a part of Hartford Healthcare includes more than 50 nurse practitioners who specialize in managing patients in medical offices, hospitals, skilled nursing facilities, assisted living facilities and in the comfort of a patients’ home. These nurse practitioners also collaborate with physicians to support patients through transitions of care by providing continuity of care, reducing medical costs and avoiding unnecessary hospital readmissions. These nurse practitioners take a patient-centered team approach to patient care, focusing on patient quality of life in skilled nursing facilities and assisted living facilities throughout Connecticut.

PACT Primary Care nurse practitioner-physician team can provide patients with the face-to-face medical attention needed for quality medical care, including chronic issues and urgent care, in the following settings:

Medical offices

In the medical office setting, PACT Primary Care’s nurse practitioners provide high-quality, patient-centered care by managing acute and chronic medical conditions and focusing on the patient as a whole person. The nurse practitioner works with the primary care physician to manage the patient’s state of health and coordinates care to create a resource for the patient to refer back to as they transition through care.

Skilled nursing facilities

In skilled nursing facilities, nurse practitioners manage acute and chronic illness in collaboration with the healthcare team. The advanced clinical assessment and intervention provided by the nurse practitioner for sub-acute rehabilitation patients helps shorten the length of stay for these patients. Long-term patients benefit from individualized health assessments focused on maintaining daily living activities and quality of life. In addition, wound care certified nurse practitioners conduct wound rounds with a holistic approach. Nurse practitioners provide education to patients, families and staff on end-stage disease process and expected outcomes at end of life. Nurse practitioners play an extensive role in helping patients, their families and facility staff through transitions with palliative care services.

Assisted living facilities

Patients residing in assisted living facilities are at higher risk for frailty, weakness and having limited mobility, making these adults more vulnerable to falls, chronic disease and disability. The role of the nurse practitioner in the assisted living facility setting is to assist patients to maintain wellness, screen for risk factors that would indicate risk of decline and intervene to maintain patients at their highest level of functioning to maintain them in the assisted living facility setting as long as possible.

Home Care

Nurse practitioners help patients who are homebound and extend the National Committee for Quality Assurance’s Level 3 Patient-Centered Medical Home model of care to the community. (This model is a formalized approach to organizing primary care that emphasizes care coordination and communication to transform primary care into what patients want and need.) And while these nurse practitioners frequently work with PACT Primary Care’s physicians to provide continuity of care, they can also collaborate with other physicians around Connecticut.

Wound care and other services

PACT Primary Care’s nurse practitioners are trained on the physiology of wound healing, factors that inhibit or enhance wound healing, wound assessment, measuring, prevention and etiology (determining the cause of a condition). These nurse practitioners can also manage pressure, vascular, arterial and diabetic ulcers and are trained in management, selection and utilization of topical therapy. Nurse practitioners can also educate patients and family members on wound care and utilizing standards of care.

PACT Primary Care’s nurse practitioner-physician team provides the following medical services :

  • Wound care
  • Medication management
  • Face-to-face visits for home care services to be initiated or renewed
  • Sick visits to treat the patient in his or her home
  • Management of chronic health conditions
  • Evaluation of condition stability and goals of care
  • Palliative care evaluation
  • Patient-centered discussion regarding advanced directives
  • Home safety assessments
  • Evaluation of acute changes in condition
  • Transition of care between home, hospital, skilled nursing facilities, assisted living facilities and medical office settings
  • Annual physicals
  • Patient and family education

PACT Primary Care’s full-time APRNs are :

Donna Montesi, DNP, APRN – Executive Director
Rebecca Herter, APRN – Clinical Manager
Faith Meloling, MBA – Manager
David Booth, APRN Michelle Brassington, APRN
Bridget Brown, APRN Wendy Carlson-Quirk, APRN
Anne Cicale, APRN Nicole Colline, APRN
Xiuling Guo, APRN Margaret Hansley, APRN
Daniel Huntley, APRN Yongmei Jin, APRN
Minori Korn, APRN Nelson Leach, APRN
Jennifer Lee, APRN Alison LoRusso, APRN
Carole MacLellan, APRN Lisa Magistro, APRN
Stacey-Jo Murray, APRN Janice Myers, APRN
Julie Nguyen, APRN Maryam Oshomah, APRN
Liz Russo, APRN Brooke Samuelson, APRN
Stephanie Smerglinolo, APRN Elizabeth Souza, APRN
Kathleen Thompson, APRN Blossom Valda, APRN
Deborah VanDerMaelen, APRN Joanna Yaconiello, APRN
Wentao Yang, APRN

PACT Primary Care’s part-time APRNs are :

Stephanie Borjas, APRN Galina Braylyan, APRN
Ophelia Empleo-Frazier, APRN Maria Anna Go, DNP, APRN
Debbie Gould, DNP, APRN Susan Kamovitch, APRN
Cynthia O’Sullivan, PHD, APRN Jade Paradis, APRN
Holly Penkacik, DNP, APRN Aleshia Rousseau, APRN
Madelyn Ziino, APRN

PACT Primary Care’s per diem APRNs are :

Meredith Edwards, APRN

PACT Primary Care’s home visit APRNs are :

Galina Braylyan, APRN Deborah Gould, APRN
Cynthia O’Sullivan, APRN Holly Penkacik, DNP, APRN
Madelyn Ziino, APRN

For more information on PACT Primary Care’s nurse practitioner services, contact the Managing APRN; Donna Montesi via E-mail: dmontesi@pactmd.com or call 203-932-6481 x 161.