Improving the Delivery of Clinical Preventive Services Among Health Plan Clinicians

2.50
Hdl Handle:
http://hdl.handle.net/10755/163369
Category:
Abstract
Type:
Presentation
Title:
Improving the Delivery of Clinical Preventive Services Among Health Plan Clinicians
Author(s):
Ayres, Cynthia; Griffith, Hurdis M.
Author Details:
Cynthia Ayres, Ph.D., RN, Assistant Professor, Rutgers University, College of Nursing, Newark, New Jersey, USA, email: cgayres@rutgers.edu; Hurdis M. Griffith, Ph.D., RN, FAAN
Abstract:
Purpose: The purpose of this study was to inform clinicians about clinical preventive services (CPS) identified by health plan (HP) medical directors as priority for implementation, determine their readiness in support of these guidelines, and identify facilitators and barriers to their implementation. Theoretical Framework: Background: Clinicians contract with varying HPs which provide conflicting guidelines for preventive care. Lack of a consistent approach to the delivery of clinical preventive practices may be a contributing factor to NJ's HP's rate of delivery of CPS below state and national goals. To address this concern, medical directors of the largest NJ HPs identified a consistent set of priority CPS guidelines for implementation. Methods (Design, Sample, Setting, Measures, Analysis): Descriptive study design was used. Three focus groups were conducted (N=29), consisting of clinicians, including nurse practitioners, directly involved in delivering preventive services. Sessions were held across New Jersey, ensuring geographic sampling that represented statewide dispersion of clinicians. The Moderator facilitated discussion to identify facilitators and barriers to guideline implementation, as well as methods to eliminate barriers and to increase facilitators. Content analysis was performed on the transcriptions of the focus groups. Results: Themes revealed barriers and facilitators regarding cost and reimbursement issues, time constraints, legal issues, inconsistency among HPs tools, tracking issues, internalization of guidelines, and issues affecting the patient-clinician relationship. Conclusions and Implications: Methods in this study provided the means to obtain valuable feedback and to assess clinician readiness to implement this consistent set of CPS guidelines in the effort to improve the delivery of CPS in their practices. The momentum is increasing in support of evidence-based practice that will improve the quality of patient care and decrease the morbidity and mortality of preventable diseases. The information collected at these sessions provides the groundwork necessary to support clinicians in the delivery of CPS. Nurses need organizational and HP support in order to best implement these preventive care practices.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving the Delivery of Clinical Preventive Services Among Health Plan Cliniciansen_GB
dc.contributor.authorAyres, Cynthiaen_US
dc.contributor.authorGriffith, Hurdis M.en_US
dc.author.detailsCynthia Ayres, Ph.D., RN, Assistant Professor, Rutgers University, College of Nursing, Newark, New Jersey, USA, email: cgayres@rutgers.edu; Hurdis M. Griffith, Ph.D., RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/163369-
dc.description.abstractPurpose: The purpose of this study was to inform clinicians about clinical preventive services (CPS) identified by health plan (HP) medical directors as priority for implementation, determine their readiness in support of these guidelines, and identify facilitators and barriers to their implementation. Theoretical Framework: Background: Clinicians contract with varying HPs which provide conflicting guidelines for preventive care. Lack of a consistent approach to the delivery of clinical preventive practices may be a contributing factor to NJ's HP's rate of delivery of CPS below state and national goals. To address this concern, medical directors of the largest NJ HPs identified a consistent set of priority CPS guidelines for implementation. Methods (Design, Sample, Setting, Measures, Analysis): Descriptive study design was used. Three focus groups were conducted (N=29), consisting of clinicians, including nurse practitioners, directly involved in delivering preventive services. Sessions were held across New Jersey, ensuring geographic sampling that represented statewide dispersion of clinicians. The Moderator facilitated discussion to identify facilitators and barriers to guideline implementation, as well as methods to eliminate barriers and to increase facilitators. Content analysis was performed on the transcriptions of the focus groups. Results: Themes revealed barriers and facilitators regarding cost and reimbursement issues, time constraints, legal issues, inconsistency among HPs tools, tracking issues, internalization of guidelines, and issues affecting the patient-clinician relationship. Conclusions and Implications: Methods in this study provided the means to obtain valuable feedback and to assess clinician readiness to implement this consistent set of CPS guidelines in the effort to improve the delivery of CPS in their practices. The momentum is increasing in support of evidence-based practice that will improve the quality of patient care and decrease the morbidity and mortality of preventable diseases. The information collected at these sessions provides the groundwork necessary to support clinicians in the delivery of CPS. Nurses need organizational and HP support in order to best implement these preventive care practices.en_GB
dc.date.available2011-10-27T11:06:19Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:19Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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