Transparency and Advanced Practice Nurse Value on an Interprofessional Team by Time-Driven Activity-Based Costing

12.33
Hdl Handle:
http://hdl.handle.net/10755/316657
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Outcomes Research
Research Approach:
Quantitative Research
Title:
Transparency and Advanced Practice Nurse Value on an Interprofessional Team by Time-Driven Activity-Based Costing
Author(s):
Davis, Melissa M.
Additional Author Information:
Melissa M. Davis, RN, MSN, ANP-BC, CNS, CNOR, RNFA, member STTI. For additional information, please contact the primary author at: mmdavis16@gmail.com.
Advisors:
Crouch, Laura; Nogueras, Debra J.; Blackstone, Robin
Degree:
DNP
Degree Year:
2014
Grantor:
Northern Arizona University
Abstract:

Abstract

To address the current challenge in the United States of increasing access to high quality healthcare, healthcare systems must analyze and understand the value of their resources in terms of patient outcomes achieved per dollar expended (Kaplan & Porter, 2011). A review of the literature supports that advanced practice nurses (APN) are not only in a position to increase access to healthcare, but capable of improving patient care outcomes. There is little available evidence, however, that the APN decreases costs, or impacts value, in healthcare. For this retrospective, longitudinal study, the transparent methodology of Time-Driven Activity-Based Costing (TDABC), guided by the Participatory, Evidenced-based, Patient-focused Process for Advanced practice nursing (PEPPA) framework was used. This analysis was completed in conjunction with the SHBC/TDABC Analysis Study, to assess the value of care provided to a group of patients cared for by an interprofessional team of APN and physician, as compared to 2 different groups of patients, where each was cared for by a physician working alone.  The results of this study support the inclusion of APNs on interprofessional teams and may objectively support healthcare policies and regulations impacting the APN’s ability to practice to the full extent of their education, ultimately affecting patient access to quality healthcare in theUnited States.

 

Keywords:
transparency; advanced practice nurse; value; interprofessional; Time-Driven Activity-Based Costing; TDABC
MeSH:
Advanced Practice Nursing; Patient Care Team; Cost-Benefit Analysis
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2014-05-09T13:26:55Z
Date of Publication:
2014-05-09

Full metadata record

DC FieldValue Language
dc.contributor.advisorCrouch, Laura-
dc.contributor.advisorNogueras, Debra J.-
dc.contributor.advisorBlackstone, Robin-
dc.contributor.authorDavis, Melissa M.-
dc.date.accessioned2014-05-09T13:26:55Z-
dc.date.available2014-05-09T13:26:55Z-
dc.date.issued2014-05-09-
dc.identifier.urihttp://hdl.handle.net/10755/316657-
dc.description.abstract<p align="center">Abstract</p> <p>To address the current challenge in the United States of increasing access to high quality healthcare, healthcare systems must analyze and understand the value of their resources in terms of patient outcomes achieved per dollar expended (Kaplan & Porter, 2011). A review of the literature supports that advanced practice nurses (APN) are not only in a position to increase access to healthcare, but capable of improving patient care outcomes. There is little available evidence, however, that the APN decreases costs, or impacts value, in healthcare. For this retrospective, longitudinal study, the transparent methodology of Time-Driven Activity-Based Costing (TDABC), guided by the Participatory, Evidenced-based, Patient-focused Process for Advanced practice nursing (PEPPA) framework was used. This analysis was completed in conjunction with the SHBC/TDABC Analysis Study, to assess the value of care provided to a group of patients cared for by an interprofessional team of APN and physician, as compared to 2 different groups of patients, where each was cared for by a physician working alone.  The results of this study support the inclusion of APNs on interprofessional teams and may objectively support healthcare policies and regulations impacting the APN’s ability to practice to the full extent of their education, ultimately affecting patient access to quality healthcare in theUnited States.</p> <p align="center"> </p>en_GB
dc.language.isoen_USen
dc.subjecttransparencyen_GB
dc.subjectadvanced practice nurseen_GB
dc.subjectvalueen_GB
dc.subjectinterprofessionalen_GB
dc.subjectTime-Driven Activity-Based Costingen_GB
dc.subjectTDABCen_GB
dc.subject.meshAdvanced Practice Nursingen_GB
dc.subject.meshPatient Care Teamen_GB
dc.subject.meshCost-Benefit Analysisen_GB
dc.titleTransparency and Advanced Practice Nurse Value on an Interprofessional Team by Time-Driven Activity-Based Costingen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsMelissa M. Davis, RN, MSN, ANP-BC, CNS, CNOR, RNFA, member STTI. For additional information, please contact the primary author at: mmdavis16@gmail.com.en_GB
thesis.degree.year2014en
dc.type.categoryFull-texten_GB
dc.evidence.levelOutcomes Researchen
dc.research.approachQuantitative Researchen
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