The Role of the Advanced Practice Nurse in Actualizing the Best Quality Cost Effective Health Care in the Acute Care Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/164210
Category:
Abstract
Type:
Presentation
Title:
The Role of the Advanced Practice Nurse in Actualizing the Best Quality Cost Effective Health Care in the Acute Care Setting
Author(s):
Mangan, Deborah
Author Details:
Deborah Mangan, MS, RN, CNS, Mayo Clinic, Saint Mary's Hospital, Rochester, Minnesota, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: 1) To describe a patient model which incorporates the advanced practice nursing (APN) role and interventions of the Clinical Nurse Specialist (CNS) for high risk, complex patients. 2) Describe clinical, cost/financial and process/system outcome measures for patient status and a health care system. Significance: Increased chronic illness, expansion of technology, shorter lengths of hospital stay and complexity of care have resulted in constant change and challenges for health care delivery. Background/Design: Demand to control rising cost of health care and changes in reimbursement to a fixed payment system necessitate provision of the most cost effective quality care. Methods: A patient model was developed by the author for high risk, complex patients. This then lead to the identification of intervention foci directed at antecedents of perception, coping, supports, function and individual context (attitudes, beliefs and values) within the patient/family illness trajectory. The need and value of the APN in the role of CNS addressing multiple ethical issues and personal experience with specific integrative therapies in clinical practice is incorporated. Findings: Research outcomes have been identified, as well as application of the patient model, with a CNS as clinical case manager for high risk complex patients with congestive heart failure. Measurement of clinical, cost/financial, and process/system outcomes have been delineated as measures of patient status, potential CNS role outcomes, and impact on the health care system. Conclusions: Advocacy for the value of the advanced practice CNS for high risk complex patients and a challenging imperative quality-cost health care system is extremely important. The CNS a) role can be described, b) interventions and foci can be delineated and C) potential impact on clinical, financial and system outcomes can be identified. Implications for Practice: The APN role of the CNS and potential impact is extremely valuable in our health care system. Advanced practice CNS activities, services, interventions and impact need to be described. Key potential aspects for the role of the CNS in health care include a) quality improvement and b) the development and measurement of clinical, system and financial outcomes for health care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
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.titleThe Role of the Advanced Practice Nurse in Actualizing the Best Quality Cost Effective Health Care in the Acute Care Settingen_GB
dc.contributor.authorMangan, Deborahen_US
dc.author.detailsDeborah Mangan, MS, RN, CNS, Mayo Clinic, Saint Mary's Hospital, Rochester, Minnesota, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164210-
dc.description.abstractPurpose: 1) To describe a patient model which incorporates the advanced practice nursing (APN) role and interventions of the Clinical Nurse Specialist (CNS) for high risk, complex patients. 2) Describe clinical, cost/financial and process/system outcome measures for patient status and a health care system. Significance: Increased chronic illness, expansion of technology, shorter lengths of hospital stay and complexity of care have resulted in constant change and challenges for health care delivery. Background/Design: Demand to control rising cost of health care and changes in reimbursement to a fixed payment system necessitate provision of the most cost effective quality care. Methods: A patient model was developed by the author for high risk, complex patients. This then lead to the identification of intervention foci directed at antecedents of perception, coping, supports, function and individual context (attitudes, beliefs and values) within the patient/family illness trajectory. The need and value of the APN in the role of CNS addressing multiple ethical issues and personal experience with specific integrative therapies in clinical practice is incorporated. Findings: Research outcomes have been identified, as well as application of the patient model, with a CNS as clinical case manager for high risk complex patients with congestive heart failure. Measurement of clinical, cost/financial, and process/system outcomes have been delineated as measures of patient status, potential CNS role outcomes, and impact on the health care system. Conclusions: Advocacy for the value of the advanced practice CNS for high risk complex patients and a challenging imperative quality-cost health care system is extremely important. The CNS a) role can be described, b) interventions and foci can be delineated and C) potential impact on clinical, financial and system outcomes can be identified. Implications for Practice: The APN role of the CNS and potential impact is extremely valuable in our health care system. Advanced practice CNS activities, services, interventions and impact need to be described. Key potential aspects for the role of the CNS in health care include a) quality improvement and b) the development and measurement of clinical, system and financial outcomes for health care.en_GB
dc.date.available2011-10-27T11:44:04Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:04Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_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.en_US
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