Archives: Articles
An Incentive Pay Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes
Advanced practice registered nurses (APRNs) are integral to the provision of quality, cost-effective health care throughout the continuum of care. To promote job satisfaction and ultimately decrease turnover, an APRN incentive plan based on productivity and quality was formulated. Clinical productivity in the incentive plan was measured by national benchmarks for work relative value units […]
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Development of the Role of Director of Advanced Practice Nursing
Advanced practice nurses (APNs) are integral to cost-effective delivery of health care in large health care organizations. Development of the leadership position of director of advanced practice nurses in a large teaching institution provides leadership to APNs in various settings, contributes to staff satisfaction, facilitates increased professional growth, and provides improved quality and fiscal outcomes. […]
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Reimbursement for Acute Care Nurse Practitioner Services
Until the passage of the Balanced Budget Act of 1997, acute care nurse practitioners could not be directly reimbursed for inpatient services provided to Medicare patients. With the enactment of this legislation, acute care nurse practitioners may now be directly compensated for care provided. The historical and contextual issues that surround reimbursement for nursing and […]
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Clinical Role Clarification: Using the Delphi Method to Establish Similarities and Differences between Nurse Practitioners and Clinical Nurse Specialists
This article is based on the Department of Health’s (England) funded pluralistic evaluation of Nurse Practitioner preparation, ‘Realizing Specialist & Advanced Nursing Practice: establishing the parameters of and identifying competencies for “Nurse Practitioner” roles and evaluating programmes of preparation’ (RSANP). During this 27-month project, which began in 1996, one of the research methods used, the […]
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Patient Satisfaction with Primary Care: Does Type of Practitioner Matter?
The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO). We conducted a retrospective observational study of 41,209 patient satisfaction surveys randomly sampled from visits provided by the pediatrics and adult medicine departments from 1997 […]
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Use of Midlevel Practitioners to Achieve Labor Cost Savings in the Primary Care Practice of an MCO
Objective. To estimate the savings in labor costs per primary care visit that might be realized from increased use of physician assistants (PAs) and nurse practitioners (NPs) in the primary care practices of a managed care organization (MCO). StudySetting/DataSources. Twenty-sixcapitatedprimarycarepracticesofagroup model MCO. Data on approximately two million visits provided by 206 practitioners were extracted from […]
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Increasing Physician Productivity using a Physician Extender: A Study in an Outpatient Group Practice at the Mayo Clinic
Physician extenders (PE) can perform some tasks usually performed by a physician. Time recouped by physicians using a PE may increase physician productivity and physician professional satisfaction. A prospective study was completed using a PE in an outpatient general medical group practice setting to reduce physician indirect patient care, such as responding to patient telephone […]
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The Development and Evaluation of the Role of an Advanced Nurse Practitioner in Dementia–An Action Research Project
This action research project developed a new role of Advanced Nurse Practitioner (ANP) in dementia from first principles in response to the needs and requirements of the healthcare professionals already working in the service. In Phase 1 of the project, 42 workers were interviewed to determine their needs, hopes and fears of the role, from […]
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