Susan M. Antol, PhD, MS, RN

Susan M. Antol, PhD, MS, RN
  • Director, Wellmobile and School-Based Wellness Programs
    Partnerships, Professional Education, and Practice
  • Assistant Professor
    Partnerships, Professional Education, and Practice
Location:
Room 425B, School of Nursing Building
Phone:
410-706-5145
Email:
antol@umaryland.edu

Education

  • MS, Community Health Nursing, University of Maryland Baltimore, 1979
  • BS, Nursing, Carlow College, 1975
  • PhD, Public Health, University of Maryland College Park, 2016

Contracts, Fellowships, Grants, and Sponsored Research

  • Date:
    2013 - 2018
    Title:
    Predictors of Patient Activation among Underserved Patients in a Nurse-managed Health Center- a Pilot Study
    Sponsoring Organization:
    MHEC NSP II Nurse Education Dissertation Grant (NEDG)
    Role:
    Principal
  • Date:
    2015 - 2019
    Title:
    Bridging Interprofessional Practice and Education with Integrated Care Through a Medical Neighborhood
    Sponsoring Organization:
    HRSA Bureau of Health Professions Division of Nursing NEPQR
    Role:
    Principal
  • Date:
    2017 - 2019
    Title:
    Feasibility of Faculty and Professional Development to Prepare Nurses to Lead Primary Care Initiatives.
    Sponsoring Organization:
    NSP II Marylnd Higher Education Commission (MHEC)
    Role:
    Principal
  • Date:
    2017 - 2019
    Title:
    A Patient-Centric Innovation to Care: Meeting Patients Where They Live.
    Sponsoring Organization:
    Maryland Community Health Resource Commission
  • Date:
    2016 - 2017
    Title:
    MHEC FY 2017 Governor's Wellmobile
    Sponsoring Organization:
    Legislative allocation through the Maryland Higher Education Commision (MHEC)
    Role:
    Principal
  • Date:
    2017 - 2019
    Title:
    HRSA NEPQR Administrative Supplement
    Sponsoring Organization:
    Health Resources and Services Administration

Research Interests

  • Patient Activation and self-management Health Behavior Theory/ Self-Determination Theory Care management, care coordination, and care transitions Nursing roles in ambulatory / primary care practices Immigrant and new citizen health Rural Health and health Care Systems Interprofessional Practice

Research Activity

  • Duration:
    2015 - 2016
    Title:
    Predictors of Patient Activation Among Underserved Patients in a Nurse-managed Health Center: A Pilot Study
    Description:
    The study will examine the relationship between Self-determination Theory constructs (autonomy support, autonomous motivation) and patient activation in an underserved nurse-managed primary care clinic (NMHC) population. Patient activation is a self-reported measure of self-management positively related to engaging in healthy behaviors and improved health outcomes. Autonomy support and autonomous motivation are posited to activate patients for self-management. Study findings will guide nurse practitioner (NP) interventions and staff education to improve patient activation. Patients (N=127) will complete an on-line (Qualtrics®) 38-item survey using a computer in a clinic exam room. Questions address perceptions of self-management and NP support and motivation for health behaviors and demographics. Participation is voluntary; refusal will not affect care received. A flier posted in the clinics describing the study and nurse care manager (CM) script describing the study and asking for their participation will be used to recruit eligible English speaking patients 18 years and older. Signed paper consent will be obtained prior to accessing the on-line survey using randomly generated “survey user IDs”. Privacy will be protected through on-line survey self-administration or assisted on-line administration with on-site data entry in Qualtrics®. Data are encrypted in transit and storage and are stored in a password protected computer servers under the protections of the University of Maryland Schools of Public Health and Nursing will protect confidentiality. HP-00061645 Dissertation defense completed May 25, 2016. Writing Journal article
    Status:
    Complete
  • Duration:
    2016 - Current
    Title:
    Governor's Wellmobile Interprofessional Collaborative Practice
    Description:
    This investigation is measuring impact on patient outcomes and 2 psychometric measures of patient experience of care and overall functional status based on care by a nurse-managed interprofessional team. It also measures experiences of faculty, staff, and students providing primary care in an interprofessional practice environment. Project is funded by HRSA Nurse Education, Practice, Quality, and Retention Cooperative Agreement. IRB # HP-00069091
    Status:
    On-Going
  • Duration:
    2017 - Current
    Title:
    An Exploration of Practice Structure and Registered Nurses’ Role Within Primary Care Practices in Maryland
    Description:
    Contemporary healthcare delivery system forces highlight the significance of practice transformation to increase quality and efficiency in primary care. Registered nurses (RNs) have been identified as important members of primary care teams. Moreover, the extent to which primary care incorporates RNs as care team members is not yet known nor fully understood. Evidence supports that practices with RNs working at the"top of their license" have demonstrated enhanced patient experience of care, improved population health, cost reduction, and care team well-being (Quadruple Aim; Bodenheimer & Sinsky, 2014). Furthermore, information is lacking regarding the critical nature of actual and potential roles for RNs in primary care and associated skills to enable RNs to practice at the top of their license in Maryland. The purpose of this project is to understand Maryland’s primary care practice environment and how RNs currently or potentially may function within primary care. In addition, information generated will inform curriculum changes across multiple levels of nursing education and professional development. Findings may be applied to better prepare primary care teams to meet the challenges of practice transformation. IRB HP 00079515
    Status:
    On-Going
  • Duration:
    2018 - 2019
    Title:
    Impact of Interprofessional Collaboration on Diabetes Care on the Governor's Wellmobile
    Description:
    Dr. Pincus is PI on this IRB (HP-00078460), which is Melanie Slaby's (SOP Pharm D candidate) Capstone. Safety net clinics provide health care and a range of other services for the underserved and underinsured, populations that experience racial, ethnic and socioeconomic disparities in diabetes prevalence and outcomes. The Governor’s Wellmobile Program runs such a clinic in Maryland: a mobile, nurse-managed primary care clinic that serves a largely uninsured, non-English speaking patient population. A large proportion of the patients seen on the clinic are diagnosed with diabetes. Numerous barriers to care would suggest difficulty in meeting standards of care in diabetes management in this type of clinic. However, there is growing evidence that interdisciplinary team-based processes improve the quality of care as well as the outcomes achieved in many chronic conditions including diabetes, even in underserved populations. In 2016, the Wellmobile developed an interprofessional collaborative practice (IPCP) team to address the needs of complex patients. Previously, patients were managed by nurse practitioners assisted by a social worker, bilingual community health workers, and an office-based nurse care manager. The IPCP integrated a family medicine physician and clinical pharmacist in a new team-based approach to case management, realized through interprofessional team meetings and in-clinic care implementation. Patients were referred for management by the IPCP at the discretion of the nurse practitioner, and referrals were not limited by disease states or clinical parameters. The purpose of this research study is to examine the population of patients referred to the IPCP and assess the quality of care with respect to the proportion of standards of care met within the IPCP and the general patient population seen on the Wellmobile. This research would reveal the potential benefits of an interprofessional practice model in the management of diabetes in a complex, uninsured population.
    Status:
    Complete

Publications

  • Publication Year:
    2001
    Title:
    Community-based nursing centers: Challenges and opportunities in implementation and sustainability
    Journal Name:
    Policy, Politics, and Nursing Practice
  • Publication Year:
    2016
    Title:
    Predictors of Patient Activation among Underserved Patients in a Nurse-managed Health Center: A Pilot Study
    Journal Name:
    ProQuest
  • Publication Year:
    2017
    Title:
    Interprofessional Practice Measurement and Evaluation
  • Title:
    The relationship between Autonomy Support and Patient Activation
    Journal Name:
    Journal of he American Association of Nurse Practitioners

Presentations

  • Year:
    2016
    Title:
    Predictors of Patient Activation among Underserved Patients in a Nurse-managed Health Center- a Pilot Study.
    Conference/Meeting Name:
    Fostering Innovation, Sustaining Transformation: The Future of Nurse-led Care
    Sponsoring Organization:
    National Nurse-led Care Consortium
    Location:
    Philadelphia PA United States
  • Year:
    2017
    Title:
    Engaging Interprofessional Team Member Participation to Improve Outcomes of Complex Nurse-managed Health Center Clinic Patients
    Conference/Meeting Name:
    The Nexus Summit, Learning Together at the Nexus: Provocative Ideas for Practical IPE
    Sponsoring Organization:
    The National Center for Interprofessional Practice and Educationd
    Location:
    Minneapolis MN United States
  • Year:
    2017
    Title:
    Leadership Opportunities for Nurses in Care Transitions and Primary Care Practice Transformation
    Conference/Meeting Name:
    SHANL Lectorship
    Sponsoring Organization:
    Sinai Hospital
    Location:
    Baltimore MD United States
  • Year:
    2017
    Title:
    Preparing a Community Public Health Nurse Workforce to Lead Primary Care Initiatives
    Conference/Meeting Name:
    2017 ACHNE Annual Institute: Developing and Supporting Leadership in Public Health Nurse Practice and Education
    Sponsoring Organization:
    Association of Community Health Nursing Educators
    Location:
    Baltimore MD United States
  • Year:
    2017
    Title:
    Preparing Future Providers for Interprofessional Care of Underserved Populations.
    Conference/Meeting Name:
    Collaborating Across Borders (CAB) VI: Exploring New Heights
    Sponsoring Organization:
    American Interprofessional Health Collaborative
    Location:
    Banff AL Canada
  • Year:
    2017
    Title:
    The Relationship between Autonomy Support by the Nurse Practitioner and Self-management in a Nurse-Managed Mobile Primary Care Clinic
    Conference/Meeting Name:
    Issues in Urban Primary Care: 2nd Annual UMSOM Department of Family Medicine Primary Care Day
    Sponsoring Organization:
    UMSOM Department of Family Medicine and John Hopkins University School of Medicine
    Location:
    Baltimore MD United States
  • Year:
    2018
    Title:
    Exploratory Analysis of Roles and Related Skills and Expertises of Registered Nurses in Maryland Primary Care Practices
    Conference/Meeting Name:
    40th Anniversary ACHNE Annual Institute: Celebrating the Past, Envisioning the Future,
    Sponsoring Organization:
    Association of Community Health Nurse Educators
    Location:
    New Orleans LA United States
  • Year:
    2018
    Title:
    Impact of interprofessional collaboration on diabetes care on the Governor's Wellmobile.
    Conference/Meeting Name:
    American Society of Health-System Pharmacists Midyear Clinical Meeting
  • Year:
    2019
    Title:
    An Exploration of Practice Structure and Registered Nurses’ Roles and Related Skills and Expertise in Primary Care Practices in Maryland
    Conference/Meeting Name:
    Culture of Health: Equity Thrives on Diversity
    Sponsoring Organization:
    ACHNE
    Location:
    Phoenix AZ United States
  • Year:
    2019
    Title:
    Fostering Interprofessional Team Member Collaboration to Improve Outcomes of Complex Nurse-managed Health Center Mobile Clinic Patients
    Conference/Meeting Name:
    Maintaining Resiliency in Primary Care
    Sponsoring Organization:
    Johns Hopkins University and University of Maryland
    Location:
    Baltimore MD United States

Areas of Specialization

  • Nurse-managed health centers and interprofessional collaborative practice

Primary Teaching Areas

  • Rural Health; Interprofessional Education and Practice; Health Policy, Leadership and Quality Improvement

Honors/Awards

  • Name:
    Psychiatric Nurse Training Grant
    Sponsoring organization:
    Federal Bureau of Nursing
    Date:
    September 1974
  • Name:
    Advanced Nursing Training Grant
    Sponsoring organization:
    Federal Bureau of Nursing
    Date:
    1978
  • Name:
    Phi Beta Kappa Honor Society
    Sponsoring organization:
    Phi Beta Kappa
    Date:
    May 1979
  • Name:
    2017 UMB Public Servant of the Year
    Sponsoring organization:
    UMB President's Office
    Date:
    October 2017

Academic and Professional Activities

University

  • Date:
    2002 - Current
    Organization:
    University of Maryland Medical Center Credentialing Committee
    Role:
    Commmittee member
  • Date:
    2003 - 2016
    Organization:
    Baltimore Schweitzer Fellows
    Role:
    Board member
  • Date:
    2016 - Current
    Organization:
    UMSON Climate Change Workgroup
    Role:
    Workgroup member
  • Date:
    2017 - Current
    Organization:
    UMB Faculty Senate
    Role:
    UMSON Senator
  • Date:
    2018 - Current
    Organization:
    Governance Council
    Role:
    Council member
  • Date:
    2019 - Current
    Organization:
    UMSON Faculty Council
    Role:
    Committee member/ UMB faculty Senate liaison
  • Date:
    2018 - Current
    Organization:
    Council of University System Faculty (CUSF)
    Role:
    UMB Faculty Senator

Professional

  • Date:
    2014 - 2015
    Organization:
    Maryland Rural Health Assoction
    Role:
    Attendee, Meeting
  • Date:
    2017 - 2017
    Organization:
    Journal of Professional Nursing
    Role:
    Manuscript Reviewer/Referee
  • Date:
    2017 - 2017
    Organization:
    National Nurse-led Care Consortium
    Role:
    Nurse Planner
  • Date:
    2018 - Current
    Organization:
    Association of Community Health Nursing Educators
    Role:
    Committee Member
  • Date:
    2019 - Current
    Organization:
    American Academy of Ambulatory Care Nursing
    Role:
    Academic-Practice Partnership Guidelines Task Force member