Each year, Nurse.com calls upon our readers to nominate exceptional nurse colleagues for our Nursing Excellence program. For more than a decade, we have received thousands of entries that contain stories of phenomenal nurse leaders, mentors and clinicians. This year has proven no different. The nurses nominated for our 2013 Nursing Excellence program have proven true nursing excellence is alive and well.
ADVANCING AND LEADING THE PROFESSION
Angela R. Coladonato, RN, MSN, NEA-BC, senior vice president of nursing and CNO, The Chester County Hospital and Health System, West Chester, Pa.
A gifted transformational leader who is exceptionally skilled in articulating vision, facilitating change, gaining consensus and minimizing conflict in a way that creates and sustains a positive and proactive nursing culture, Coladonatos success stems from her genuine interest in people and relationships and her openness to creative ideas. She instills passion in others to create positive change, ensures that resources are available and fearlessly tackles roadblocks. With her direct reports, Coladonato is an excellent coach, finding meaningful time for each when needed. She is transparent in her communications, inspiring trust in staff, physicians and colleagues. Coladonato has been instrumental in facilitating a revolutionary change in the visibility and voice of nursing at TCCHHS. The percentage of certified nurses climbed from 12% in 2007 to 28% in 2012. The percentage of BSN nurses has risen from 36% in 2008 to 49% in 2012.
Ruth Crothers-Spitko, RN-BC, PhD, ACNS-BC, GCNS-BC, CNOR, clinical nurse specialist gerontology, St. Mary Medical Center, Langhorne, Pa.
Responsible for the development and delivery of all nursing and allied health education programs that focus on the elderly patient, Crothers-Spitko also is responsible for overseeing the Nurses Improving Care for Healthsystem Elders program, meaning she is working to make certain the work environment and patient care setting is senior friendly. She also works in the clinical educator role. She serves as a mentor to other nurse educators; hosts rounding vendors, colleges and universities; creates educational programs on topics other than gerontology; counsels staff nurses about professional development opportunities; assists nurses in writing research questions and proposals; secures speakers and programs for events; and provides direct support to nurses who are in school by proctoring for exams and by bolstering their confidence. Crothers-Spitko has established herself as the go-to gerontology clinician and is viewed as someone who is always approachable, helpful, and committed.
Susan G. Lorenz, RN, DrNP, NEA-BC, EDAC, CNO and vice president of patient care services, Princeton Healthcare System, Plainsboro, N.J.
A visionary leader who works closely with her directors in mentoring them to succeed in their professional goals, Lorenz has weekly meetings with each one separately to discuss issues, concerns, initiatives and future growth. It was her transformational leadership with directors, managers and direct care staff that guided UMCPP through the Magnet journey and finally to designation in November 2012. Her leadership style promotes professional growth through constant mentorship. Lorenz also meets monthly with the Nursing Executive Council to collaborate on strategies to advance nursing practice. She also leads a monthly Patient Care Services Leadership Committee meeting. Lorenz successfully advocates for and obtains human, fiscal and technological resources to support the mission and goals of exemplary patient care. In 2010, Lorenz budgeted for a new full-time employee so an advanced practice nurse could help create and drive this initiative.
Roberta Waite, RN, EdD, APRN, CNS-BC, FAAN, associate professor and assistant dean of faculty integration and evaluation of community programs, Drexel University, Philadelphia
A dedicated leader and scholar, Waite primarily is responsible for teaching in the doctoral program. She independently has incorporated mentoring faculty, students and colleagues into her role. She also serves as the track coordinator for the executive DrNP students and provides executive leaders with evidence-based educational experiences to catapult their leadership potential to the next level. Waite recognizes the importance of teaching leaders how to remain fluid in an ever-changing healthcare environment. She speaks with purpose and has the special ability to unleash the soul of achievement in fellow colleagues. She is a lifelong learner and contributor to the profession of nursing. Waite is devoted to increasing underrepresented populations in nursing leadership. She developed and implemented the Macy Undergraduate Leadership Fellows Program. This innovative program has set the ground work for measurable research surrounding leadership from a holistic perspective.
Norine Watson, RN, MSN, NEA-BC, director of nursing excellence, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Del.
Responsible for departmental budget development, planning and implementing a robust continuing education program and coordination of all affiliate schools of nursing clinical experiences, Watson also led the organization in its successful pursuit of Magnet designation, including development of appropriate timelines and goals to facilitate this mission. Watson builds trust and promotes professional engagement within the teams she leads through innovative team-building activities and retreats. Despite her numerous responsibilities, she maintains an open-door policy and has served as a mentor to hundreds of nurses in the organization. She is the consummate nursing professional who demonstrates an image of nursing that is impeccable. Watson serves as an abstract reviewer and panel discussion moderator for the National Database of Nursing Quality Indicators National Conference. She also is past president of the Delaware Nurses Association and is an American Nurses Credentialing Center Magnet appraiser.
CLINICAL NURSING, INPATIENT
Christine Cascone, RN, CCRN, staff nurse, Thomas Jefferson University Hospital, Philadelphia
Through her extensive experience, Cascone has developed a sound knowledge base in managing the critically ill trauma patient. Her vast knowledge, keen assessment of patients and genuine compassion make her exceptional in every way. Physicians feel very confident with their patients in her care. She is able to recognize the early warning signs of trouble and works diligently to prevent further deterioration in a patients condition. During a patient crisis, she is the nurse you want nearby. As hard as she works to help save a patients life, she is equally caring for the patient and family when end-of-life is inevitable. Cascone is quick to assist with fundraising events to benefit health-related programs and research. She is a regular participant in hospital-sponsored heart, stroke and diabetes walks. Most recently, she also initiated a fundraiser on the unit to assist a co-worker with expenses related to the loss of a home from Hurricane Sandy.
Patricia M. Cranston, RN, labor and delivery nurse, Kennedy Health System, Turnersville, N.J.
A valuable member of the obstetrical department and team, Cranston is both competent and professional in the care she provides to patients. She has a genuine interest in her patients and makes every effort to provide them with the highest quality of care delivered in the safest manner. Her enduring commitment to her patients, coworkers, parish and her own values has distinguished her as one of the dearest and brightest at the hospital. She received the prestigious Power of One Award at the hospital last year. This award is presented to a person who exemplifies passion, dedication and a willingness to make a profound impact within the profession of nursing. Cranston has assisted many parents through the most amazing, wonderful and joyous birthing experiences as well as through the saddest and most difficult losses. Yet, her care and concern for her patients shines through no matter what situation she faces.
Shelly L. Haas, RN, BSN, CWOCN, certified wound ostomy continence nurse, The Chester County Hospital and Health System, West Chester, Pa.
Remarkable for her customer service, skills, knowledge, professionalism and dedication to evidence-based practice, Haas provides comprehensive clinical and consultative care for patients of all ages from neonates to older adults with needs for skin care, complex wounds, incontinence and ostomies. For each patient, she develops an individualized care plan that includes treatment, evaluation, patient education and discharge planning. Haas provides education for nursing personnel at the bedside and orientation, competencies and continuing education. She is respected by physicians who appreciate her knowledge and state-of-the-art interventions that improve healing. Haas is sought out by nursing faculty from programs affiliated with the hospital. She demystifies complex procedures such as negative pressure wound therapy, fecal management systems and ostomies. Nurses are enthusiastic to learn from her treatment of complex patients.
Kristine Longo, RN, CRRN, staff nurse, Bryn Mawr Rehab Hospital, Malvern, Pa.
A highly engaged, knowledgeable expert in rehabilitation nursing, Longos calm demeanor, caring attitude and positive outlook create an environment where a trusting relationship is developed so patients and their families feel safe and well cared for. She empowers them with encouragement and hope and reminds them healing of brain injuries is a slow, gradual process and each step is important. Longo continually is working to enhance the lives of patients with brain injuries and their families. She is responsible for the implementation of an evidence-based protocol designed to improve the hydration of patients who are on aspiration precautions. Longo attended a national conference and learned about the protocol, and then she approached leaders about potentially implementing it at the hospital. After an additional literature review, she brought together an interdisciplinary team and implemented the protocol along with metrics to determine efficacy.
Kimberley Pollag, RN, BSN, ONC, administrative coordinator, Riddle Hospital/Main Line Health, Media, Pa.
Embodying the spirit and passion of Florence Nightingale in the 21st century, Pollag looks for every opportunity to advance the nursing profession and provide safe, quality patient care. She implements structures and processes to foster knowledge development, dissemination and enculturation of evidence-based practices and performance improvement all while embracing a culture of safety on her unit. Pollag collects department-specific data and produces the orthopedic quality dashboard for her unit. She is in constant collaboration with the nurse practitioners and physician assistants who cover medical care on the unit. In this role, she partners with the NPs, PAs, nurses and patients to facilitate the daily plan of care. Attention to this initiative helps to decrease the length of stay, improve discharge outcomes and prevent readmissions. Pollag consistently pays attention to the needs of her co-workers and peers, believing that happy staff will lead to happy patients.
EDUCATION AND MENTORSHIP
Dyane Bunnell, RN-BC, MSN, CPON, AOCNS, clinical nurse specialist, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Del.
Bunnell provides direct and indirect care to patients and their families, promotes nursing professional development, disseminates and conducts research and collaborates with interdisciplinary teams. She directly affected the organizations Magnet designation through her contributions to advancing nursing practice, improving the patient care environment and evaluating outcomes. Bunnell has created a culture of nursing excellence through the professional development and advancement of the nurses. As a role model, teacher and mentor, Bunnell actively consulted with direct care nurses from four practice areas to provide skills fairs. Her goal was to enhance the learning activity of more than 100 direct care nurses by creating a team-learning experience. She challenged the nurses creating the fair to reconsider the typical poster reading skills fair and change the learning activities to a model clinical practice.
Stephanie C. Pennington, RNC, BSN, staff nurse, newborn/infant ICU, The Childrens Hospital of Philadelphia
A valuable preceptor and clinical resource nurse who is well respected for her clinical expertise within the unit, Pennington is able to incorporate family centered care in her daily practice and collaborates efficiently with the multidisciplinary team when planning care. Pennington inspires new nurses to seek out answers to clinical questions. She shares any new knowledge she learns as she helps troubleshoot many different clinical situations. Pennington has precepted many new nurses and always manages to make each experience unique to that individual. She never tires of questions and comprehensively reviews nursing standards, policies and procedures throughout orientation. She takes time to listen to concerns, offer suggestions for improvement and clearly explain the pathophysiology of unique diagnoses and the rationale for the plan of care. Pennington patiently will guide a new nurse through a new task without taking over during the procedure.
Andrea Rost, RN, BSN, director of staff education and professional development, Hahnemann University Hospital, Philadelphia
An active member of a myriad committees and councils, Rost encompasses all the qualities of a successful educator and mentor. She brings ideas to the table and collaborates with a team to form and implement a plan of action, leading to professional development of nurses. Rost revamped hospitalwide shared governance to meet on a particular day, in a central location, ultimately allowing nurses the opportunity to stay involved in the decision-making process. She also started the Walk a Day in my Shoes program, which allowed nurses from one area to shadow a nurse in a different area. Nurses who participated reported positive experiences and rated the program as valuable. Rost also spearheaded the implementation of Bedside Hand-Off, which promotes the nurse-patient relationship and strengthens teamwork. She worked with fellow directors and staff nurses to create a video showing the correct and incorrect way of providing bedside report.
Deborah L. Selm-Orr, RN, BSN, MS, CRNP, AOCN, nurse practitioner, medical oncology, Cancer Treatment Centers of America at Eastern Regional Medical Center, Philadelphia
Always open to feedback and constructive criticism, Selm-Orrs meticulous attention to detail allows her to elicit early detection of complications, ensuring better outcomes for her patients. Education of her patients is a valuable key component to the success of managing cancer and cancer treatment-related side effects. To the nursing staff, Selm-Orr has been an invaluable resource. With more than 30 years of oncology experience, her knowledge base is used in multiple arenas. She has functioned as a clinical preceptor and mentor for multiple graduate students. In collaboration with others, she developed the Oncology Lecture Series. From this series, the Cancer Basics Course was developed. Selm-Orr partnered with the infusion department to provide her expertise and evidence-based practice results in managing chemotherapy-related infusion reactions. She also is a member of a committee that is evaluating palliative care.
Cathleen W. Vandenbraak, RN, BSN, MHA/MBA, CEN, CCRN, CFRN, nursing supervisor, Paoli (Pa.) Hospital
Vandenbraaks administrative responsibilities require a fine balance of communicating safe delegation of nursing practices, while encouraging the concept of self-empowerment to each staff member, which fosters positive outcomes for the patients. Her extensive clinical proficiency is mirrored within the humanistic outreach to patients families on a daily basis. She participates in and develops presentations and educational programs to educate nurses. Vandenbraak embodies the contemporary nursing professional transcending numerous roles, which have tremendous positive effects on the superior patient care experience within the current healthcare delivery system. She developed a PowerPoint presentation regarding procedural protocols for management of airway emergencies. Educational sessions for the ED staff demonstrate her proactive and creative approach to promote nursing quality of care.
HOME, COMMUNITY AND AMBULATORY CARE
Jean M. Meck, RN, BSN, CPN, staff nurse, The Childrens Hospital of Philadelphia, King of Prussia, Pa.
Besides being highly competent in technical procedures, Meck assesses the family unit and addresses any barriers to learning and completing care in the home that were not uncovered in the hospital setting. She treats every family and visit as her only focus when she is assisting them to be independent with care or supporting them by getting assistance for social needs. She works with families and doesnt leave them until they feel confident about the care or a plan is put in place to assist them. She draws pictures for those with language barriers or minimal comprehensive concerns. She will stay with the family, sometimes for several hours, while they learn the care. She puts her personal needs last because she is willing to do what it takes to make sure the patient receives care safely at home. She loves the opportunity to spotlight the work done by home care and what the patient and family needs for a successful discharge to home.
Joann Elizabeth Moore, RN, BSN, OCN, staff nurse, Cancer Center of Paoli (Pa.) Hospital
Unique because she has unending patience, Moore puts her patients at ease. She is in the moment with her patients and has great listening skills. Her patients feel free to talk to her about their concerns, their fears and their hopes. She has an infectious laugh that resonates throughout the room. She can calm a patient who might be experiencing anger at his or her disease, and she can help a confused, elderly patient feel loved and safe. Moore has a reassuring manner and evokes confidence with her skillfulness and her knowledge base. She was instrumental in providing her unit with yellow arm bracelets for patients at high risk of falling and yellow tags for the IV poles to alert staff members that the patient is at risk for falls. Moore was key in helping with research about senior oncology patients and the effects of chemotherapy on their cognition, nutrition and psychosocial aspects of life. She helps her unit stay up to date with safety issues.
Kathleen A. Romine, RN, team lead, new patient intake, Cancer Treatment Centers of America at Eastern Regional Medical Center, Philadelphia
Beyond her job description as a nurse, Romine is empowered to identify patient needs and communicate with other members of the team to address those needs. In addition to her vast clinical skills, she uses her warmth and compassion to comfort anxious patients arriving to a new hospital for the first time. She provides patient education for self-injections, diabetic glucose monitoring and many other aspects of care. Romine has made an immeasurable difference to patients and staff. One particular process she initiated was a program to obtain breakfast for new patients arriving at CTCA for their initial visit. Romine worked with the education team to equip nurses with the tools necessary to educate patients about the need for influenza vaccination. She also helped with the process to appropriately document patients vaccination statuses in the electronic medical record.
Tracy Swartz, RN, BSN, CEN, clinical manager/trauma educator, Hahnemann University Hospital, Philadelphia
As the outreach coordinator, Swartz has offered many educational programs for the EMS community. She does a fantastic job ensuring the topics include global such as EMT trauma overview and trauma transport triage and specific programs, such as traumatic brain injury or chest and abdominal injuries. Many of the programs are presented at the squads buildings or training centers and are free of charge. Swartz has made a significant difference in the interdepartmental relationships involved in the care of trauma patients. She worked with members of the ED and trauma department to develop a collaborative effort to reach out to prehospital providers and members of the community. Swartz organized and designed simulated traumas that were provided for ED staff, trauma residents and other members of the trauma team to clearly define the various roles and expectations during the resuscitation process.
Margaret Trainer, RN, BSN, clinical charge nurse, Thomas Jefferson University Hospital, Philadelphia
Adept at communicating, Trainer is a skilled and compassionate caregiver who is exceptional in many ways. One way she sets herself apart is in her ability to connect with patients, always treating them with respect and remaining calm in stressful situations. Trainers individualized approach to each patient and her sense of humor help break down barriers. As a result, patients respond well to her and are more willing to participate in their care and work toward treatment goals. She is highly regarded by all members of the healthcare team. She makes each and every person feel important, from her patients and their families to physicians and nursing colleagues. Using her assessment skills, she is able to identify needs and develop individualized approaches and strategies for the treatment and care of each of her patients. Trainer sets reasonable and attainable goals for her patients and is successful in helping them make progress.
PATIENT AND STAFF MANAGEMENT
Marjorie H. Lehigh, RN, BSN, MHA, MHEd, CHES, nurse manager, addiction services, Penn Presbyterian Medical Center, Philadelphia
Responsible for the units financial budget, hiring and employee time management, Lehighs ability to skillfully manage a budget allows the unit to obtain the things it needs to run effectively and smoothly. She is known for high employee satisfaction through her visibility and leadership. Lehigh is called on to meet with staff, patients or even family members to focus or refocus energies in resolution, goal-setting, planning or just for support. In these areas, she leads by example. She respects her staff as professionals, empowering and motivating them to solve problems. She will call in the hospitals patient advocate and administration to successfully resolve the situation. With her good sense of humor, she uses her wit to calm those involved while respecting the seriousness of the situation. Additionally, because of her experience on the hospitals ethics committee, she frequently is tapped as a professional ethics resource.
Barbara A. Mahoney, RN, BSN, MHA, NE-BC, nurse manager, Bryn Mawr (Pa.) Hospital
A natural and enthusiastic leader, Mahoney enjoys seeing staff nurses grow professionally and academically. She is involved in the strategic and operational goals of the unit from the initial phases through completion. Mahoney has an ability to recruit and retain excellent staff. This ability, along with her strength in recognition, is an important part of stewardship for the organization and contributes to the overall success of the facility. It also makes for a happy workplace with cohesive adherence to policy and procedure, strong skill sets and nurses with mature insights into the needs of their patients and families. Mahoney promotes specialty certification of her staff by encouraging attendance at certification review courses. She helped form the units first certification review course in 2002. She designed and mobilized a specialty-specific patient satisfaction survey.
Michele Otto, RN, BSN, PCCN, clinical nurse 4, Hospital of the University of Pennsylvania, Philadelphia
Managing a group of 63 nurses and nursing assistants without having any formal management title, Ottos knowledge and hard work shine time and again. She always leads the unit through her own example. For instance, she was the first nurse on the unit to become a progressive care certified nurse, and since then another 10 nurses have received advanced certification. When peer review and accountability were implemented, she led the way by having a new-to-practice nurse audit her charting. Otto worked on a project to decrease the risk for deep vein thromboses, which required collaboration with physicians, nurse practitioners, pharmacists, nurses and patients. She recently cared for a patient who had not been able to eat for more than a month and spent hours assisting him with his transition back to foods. The amount of education and emotional support this patient needed was immense, but she jumped at the challenge and managed to make him and his family as informed and comfortable as possible.
Marie Strouse, RN, BSN, CEN, nurse manager, Kennedy University Hospital, Stratford, N.J.
A proven leader who has a significant impact on every aspect of clinical nursing practice in the ED, Strouse has worked collaboratively with members of the transdisciplinary healthcare team to create an environment that fosters the use of evidence-based practice measures to achieve optimal patient outcomes. Strouses exceptional leadership ability also is recognized by other healthcare professionals both within and outside the hospital setting. Recently, she enthusiastically accepted an invitation for a medical research study to be performed in her ED. Not only will this effort support medical research, but it also supports clinical nursing research and contributes to nursing science. This initiative extends beyond the doors of the ED by including a collaborative effort with healthcare professionals at an extended care facility. Strouse has inspired the nursing staff to be proactive and work together to achieve institutional, professional and personal goals.
Robin Taylor, RN-BC, BSN, nurse manager, South Jersey Healthcare, Elmer, N.J.
Recognized as both manager of the quarter and leader of the year for the entire South Jersey Healthcare organization, Taylors commitment to total nursing excellence has been recognized not only within South Jersey Healthcare but also throughout the region. She led the organization in the development of several key initiatives that support a culture encouraging and facilitating breast-feeding. Taylor takes an active role in promoting the satisfaction and engagement of her staff and her patient. Under her leadership, nurses in her unit remain engaged in their roles and satisfied with their working environment. In addition to an exemplary performance as a nursing leader, Taylor is a force for quality improvement and professional development at both Elmer Hospital and South Jersey Healthcare. She recognizes and promotes the value of professional nursing organization membership and specialty certification.
VOLUNTEERISM AND SERVICE
Kasey Church, RNC, BSN, registered nurse, The Childrens Hospital of Philadelphia
A conscientious, mature and self-motivated clinician, Church always has brought a spirit of inquiry and learning to CHOP as a professional nurse. In the recent past, she has participated as a member of an Operation Smile team mission in Kenya. She also traveled with a CHOP pediatrician to Botswana, focusing on bedside education in a local intensive care nursery and training with nursing and medical staff. Her passion for working with others also affects the local community because she works with the homeless population of Philadelphia on an ongoing basis. She is an exemplary interdisciplinary team member and an advocate for nursing education. Her tireless enthusiasm for nursing excellence is independent of the resources at hand. She recently demonstrated her amazing dedication to her unit and hospital through her involvement in shared governance as the NICU chair of the coordinating council.
John H. Cibenko, RN, BSN, CNOR, ONC, specialty team supervisor, orthopedics, Thomas Jefferson University Hospital, Philadelphia
Instrumental in allaying patient and family anxiety during the preop phase, Cibenko provides ongoing updates to the family while the patient is in the OR. He readily takes on projects and initiatives with little direction, meets deadlines and is committed to the highest quality care for patients. Cibenko has been on more than 37 medical missions throughout the world, and upcoming missions this year include Vietnam and Singapore. His service as an orthopedic nurse on these medical missions has resulted in numerous physically, emotionally and socially positive outcomes for patients primarily with orthopedic conditions. He continues his medical missions primarily through Operation Walk Chicago, a volunteer medical organization that provides comprehensive, state-of-the-art free hip and knee replacements for impoverished patients with debilitating joint disease. When he is not participating in a medical mission, he is a regular volunteer for St. Lukes Soup Kitchen.
Kathryn M. Donley, RN, BSN, CCRN, CNRN, stroke program coordinator, Kennedy Health System, Cherry Hill, N.J.
Actively involved in many committees and evidence-based initiatives across the system, Donleys passion, commitment and leadership are evident in her drive to improve quality, patient outcomes and patient safety. Donley is an advocate for patients with neurological disease and brain disorders. She has been a leader in changing the image of the health system in the area of stroke management. She demonstrates incredible energy and relentless motivation for stroke education and prevention. Her involvement in community education, stroke awareness and health screenings is well recognized by the public, the medical community and EMS. She offers lectures through hospital mailings, publications and the Kennedy website. She developed and presented a one-hour program for community EMS members about stroke care. Donley also delivers a Stroke presentation to groups of senior citizens on a regular basis.
Marion Leary, RN, BSN, assistant director of clinical research, Center for Resuscitation Science, University of Pennsylvania, Philadelphia
As a part of her clinical care role, Leary responds to cardiac arrest events within the University of Pennsylvania Health System, helping physicians and nurses in their care of complex post-cardiac arrest patients by assisting with decision-making, implementation and maintenance of these patients through discharge. While working in the ICU she would continually hear stories from family members whose loved ones were struggling not only with catastrophic illnesses, but also to determine how they would pay for the care they so desperately needed. It deeply troubled her, and she was moved to act to make a difference in the lives of these patients. She founded Sink or Swim Philadelphia, a nonprofit helping uninsured or underinsured with medical costs. She has become a national leader in the field of resuscitation science. She has trained thousands of healthcare providers in therapeutic hypothermia after cardiac arrest and has been integral in the care of hundreds of patients at Penn.
Wanda Rogers, RN, AAS, registered nurse, Pennsylvania Hospital, Philadelphia
During the past two years, Rogers has taken it upon herself to reach out to her surrounding community to provide much-needed nursing services to disadvantaged populations. With efforts including orchestrating two successful and well-attended health fairs at a high-risk community center, working with drug-addicted women to fund a safehouse and on-site life skills education sessions, and providing weekly health screenings at her church, Rogers has touched the lives of many in need, always performing from the heart and in her own free time. She has undertaken all of these projects not for the glory, but because she feels passionate about using her gift of nursing to lift up her community members and improve their lives. Her weekly health screenings and the two health fairs have identified undiagnosed medical conditions such as hypertension and elevated glucose in attendees who did not have health insurance.