Evaluation and Outcomes of a Four University Consortium and their Nine Nurse Managed Centers

2.50
Hdl Handle:
http://hdl.handle.net/10755/159394
Type:
Presentation
Title:
Evaluation and Outcomes of a Four University Consortium and their Nine Nurse Managed Centers
Abstract:
Evaluation and Outcomes of a Four University Consortium and their Nine Nurse Managed Centers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Pohl, Joanne
Contact Address:Office for Community Partnerships, 400 North Ingalls, Room 1343, Ann Arbor, MI, 48109-0482, USA
Co-Authors:V.H. Barkauskas; Lynn Breer; Paul Hughes-Cromwick; Clare Tanner; Nancy George
Purpose: To evaluate the model of academic nurse managed primary care centers (ANMCs), whose providers are advanced practice nurses (APNs), along three dimensions - quality of care, patient satisfaction and financial performance at nine clinics; curriculum impact of novel, cross-university educational modules, and the benefits of educating students in the ANMCs; and an assessment of organizational collaboration across four universities. Conceptual Framework: Using a broad evidenced based evaluation and outcomes focus this four-year research and demonstration project evaluated student, patient, faculty, community stakeholders, and consortium members involving four universities and their nine ANMCs. Method: Patient charts were audited regarding eight quality measures. A cost and utilization instrument gauged financial sustainability at the clinics. Data collection using Consortium-standardized instruments and focus groups, was university-based; however, the Michigan Public Health Institute, a fifth project partner, spearheaded evaluation design, statistical analyses and data warehousing. Results: More than 4,000 evaluations were completed in the process. The Consortium succeeded but distance and organizational complexities require time-consuming efforts to accomplish goals. Educational modules have been implemented for: understanding managed care; business components of ANMCs; and cultural competency. Students have increased knowledge of practicing under managed care, and cultural competence. Student experiences in the ANMCs have been overwhelmingly positive. Patient satisfaction is extremely high. Clinics have performed well on HEDIS-oriented quality assessment measures. Clinics experienced improved financial prospects with greater visit volume, increased reimbursement and better management. Challenges to sustainability remain when serving large uninsured populations and when health care policies prevent full participation by APNs. Conclusions: This project provides detailed evidence that ANMCs provide high-quality, cost-effective care to extremely satisfied patients and are critical learning laboratories for students. AN: MN030156
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation and Outcomes of a Four University Consortium and their Nine Nurse Managed Centersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159394-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation and Outcomes of a Four University Consortium and their Nine Nurse Managed Centers </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pohl, Joanne</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Office for Community Partnerships, 400 North Ingalls, Room 1343, Ann Arbor, MI, 48109-0482, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">V.H. Barkauskas; Lynn Breer; Paul Hughes-Cromwick; Clare Tanner; Nancy George </td></tr><tr><td colspan="2" class="item-abstract">Purpose: To evaluate the model of academic nurse managed primary care centers (ANMCs), whose providers are advanced practice nurses (APNs), along three dimensions - quality of care, patient satisfaction and financial performance at nine clinics; curriculum impact of novel, cross-university educational modules, and the benefits of educating students in the ANMCs; and an assessment of organizational collaboration across four universities. Conceptual Framework: Using a broad evidenced based evaluation and outcomes focus this four-year research and demonstration project evaluated student, patient, faculty, community stakeholders, and consortium members involving four universities and their nine ANMCs. Method: Patient charts were audited regarding eight quality measures. A cost and utilization instrument gauged financial sustainability at the clinics. Data collection using Consortium-standardized instruments and focus groups, was university-based; however, the Michigan Public Health Institute, a fifth project partner, spearheaded evaluation design, statistical analyses and data warehousing. Results: More than 4,000 evaluations were completed in the process. The Consortium succeeded but distance and organizational complexities require time-consuming efforts to accomplish goals. Educational modules have been implemented for: understanding managed care; business components of ANMCs; and cultural competency. Students have increased knowledge of practicing under managed care, and cultural competence. Student experiences in the ANMCs have been overwhelmingly positive. Patient satisfaction is extremely high. Clinics have performed well on HEDIS-oriented quality assessment measures. Clinics experienced improved financial prospects with greater visit volume, increased reimbursement and better management. Challenges to sustainability remain when serving large uninsured populations and when health care policies prevent full participation by APNs. Conclusions: This project provides detailed evidence that ANMCs provide high-quality, cost-effective care to extremely satisfied patients and are critical learning laboratories for students. AN: MN030156 </td></tr></table>en_GB
dc.date.available2011-10-26T21:58:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:58:27Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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