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Although the civil rights movement in the United States occurred more than 50 years ago, voter suppression, as witnessed in the 2012 election, for diverse groups of people continues. The information presented in this article supports the teaching and learning of social studies within early childhood and elementary grades as teachers and students consider and examine issues and problems concerning those who have been disenfranchised as voters within the United States. The use of historic role models, artwork, musical lyrics, and primary documents are various ways to assist young learners as they analyze and confront controversial issues such as discrimination within a pluralistic society. Through research, young learners can construct narratives from the present to make meaning from historical figures, events, and places of the past. Children’s understandings of historical people and events that took action against discriminatory practices and opportunities to expand learning about the topic may enable them to take the lead to make our democracy a reality for life, liberty and happiness.

The purpose of this study is to identify best practices for innovative primary care models and to describe a potential future primary care (PC) model for Texas to address the burden of chronic disease in a population-based approach.

A systematic literature review was conducted and identified 1,880 published records through PubMed using 26 search terms. After abstract and full-text review, 70 articles remained as potential models.

Although there is already a severe shortage of physicians in Texas, emerging practice patterns and choices among physicians are likely to erode access to primary care services in the state. Health-care leaders are encouraged to consider models such as complex adaptive systems for team-based care, pharmacist hypertension care management program and combined nurse-led care management with group visit structure.

As with any study, this research has its limitations; for example, models that might work in one state, or under a unique state-funded academic medical center, might not be “do-able” in another state within the nuances of a different funding mechanism.

Results of this research provide a model for implementing IPCM for the state of Texas first and will guide IPCM planning and implementation in other states.

This study is “land grant-centric” and focused on carrying out the mission of a major, top-tier research university with an emerging college of medicine at an academic medical center.