The Buccaneer (1988), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1070/thumbnail.jpg

The Buccaneer (1989), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1071/thumbnail.jpg

The Buccaneer (1990), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1072/thumbnail.jpg

Continuity of Care has long been known to be of critical importance in primary care and is a major component in the Patient Centered Medical Home. With the increasing importance of scheduling availability and Patient Centered Medical Home access requirements, it is important to determine to what degree patients are able to schedule appointments with Primary Care Providers (PCPs) - Family Physicians and Nurse Practioners - and what moveable barriers restrict access. Objectives: 1. Determine the frequency appointments are initially scheduled with Primary Care Provider. 2. Determine any systematic difference for patients unable to schedule with identified Primary Care Provider. 3. Use the findings of the study to plan a future intervention to increase access to PCPs. Human Subjects Review: Database analysis only, not considered human subjects research. Design: Clinic Electronic Health Record (EHR) review. Setting: appointments made in four rural South-Central Appalachian primary care clinics. Patients or Other Participants: all appointments recorded in clinic EHR databases for 2010 and 2011. Intervention/Instrument: database analysis from eClinical works, AllScripts, and Centricity EHRs. Outcome Measures: Summary assessment of Primary Care Provider accessibility. Anticipated Results: 1. It is expected that the frequency of appointments initially scheduled with PCP will be under 60% based upon preliminary data from one clinic. 2. It is anticipated that patients may have been unable to schedule with a PCP because appointments were not available or because there was no PCP identified. 3. Identification of systematic barriers to Primary Care Provider Access in order to improve same day appointment availability. Conclusions- An accurate picture of ability to schedule appointments with Primary Care Providers would be useful in ensuring continuity of care and success of a Patient Centered Medical Home.

"Sisson's Kingdom" uses a community study paradigm to offer an interpretation of the Confederate homefront collapse of Floyd County, Virginia. The study focuses primarily on residents' conflicting loyalty choices during the war, and attempts to explain the myriad of ways that their discord operated to remove Floyd County as a positive portion of the Confederate homefront. The study separates the "active Confederate disloyalty" of Floyd County's Unionist inhabitants from the "passive Confederate disloyalty" of relatives or friends of local Confederate deserters. It then explores the conflicting loyalties of the county's pro-Confederates, Unionists, and passive disloyalists, seeking to understand better the wide variety of loyalty choices available to residents as well as the consequences of their choices. To determine some of the significant factors contributing to the Floyd County community's response to the Confederacy and Civil War, this thesis documents the various ways residents' reactions took shape. Chapter One examines the roots of these decisions, exploring briefly Floyd County's entrance into Virginia's market economy during the 1850s and its residents' conflicting choices during Virginia's secession crisis. In the aftermath of secession, many Floyd residents embraced their new Confederate government and enlisted by the hundreds in its military units. The decision by some county soldiers to desert their units and return to Floyd caused loyalty conflicts between their supporters and the county's pro-Confederates. This conflict, and the effects of deserters living in the Floyd community, are both explored in Chapter Two. Floyd's Unionist population and its loyal Confederate residents clashed violently throughout much of the war, hastening the disintegration of the Floyd homefront. Their discord is examined in Chapter Three. / Master of Arts

The Buccaneer (1966), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1048/thumbnail.jpg

The Buccaneer (1967), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1049/thumbnail.jpg

The Buccaneer (1968), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1050/thumbnail.jpg

The Buccaneer (1969), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1051/thumbnail.jpg

The Buccaneer (1970), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1052/thumbnail.jpg