Pamela R. Cromer has received widespread regional/national/international media attention for her work as Director of Costa Layman International Outreach for Hispanic farmworkers in the southeast since 2006. With a coalition of academic and community stakeholders, her work has helped to decrease disparity and transform rural health service access and costs among this population. She received the 2016 AANP State Practice Award, the 2017 College of Nursing Distinguished Alumna Award, the 2020 Graduate Faculty Award, and the inaugural 2024 Augusta University Excellence in Service-Learning Award for community engagement and is a Fellow of the American Association of Nurse Practitioner (FAANP). With thirty years’ experience as an APRN healthcare provider, interprofessional training is emphasized in her work. As principal investigator for Augusta University’s Healthy Grandparents Program, support services to grandparents raising their grandchildren in parent-absent homes address the unique needs of kinship care while providing a wide range of at home and integrated community-based services/networks. These have increased access and resources for 638 families, 881 grandparents, and 1,325 grandchildren to date. Sustained demonstrations of improved family functioning, prevention of child abuse/neglect, family stability and permanency in children’s lives while maintaining family ties and culture are evidentiary outcomes among these intergenerational families.