A Feasibility Study to Implement a Family Nurse Practitioner into a Rescue Mission

6.00
Hdl Handle:
http://hdl.handle.net/10755/620438
Title:
A Feasibility Study to Implement a Family Nurse Practitioner into a Rescue Mission
Other Titles:
Improving Outcomes in Vulnerable Populations
Author(s):
Basara, Mary
Lead Author STTI Affiliation:
Non-member
Author Details:
Mary Basara, RN, dbasara@grantham.edu
Abstract:
Session presented on Monday, September 19, 2016: A Feasibility Studey to Implement Family Nurse Practitioners in a Rescue Mission. Abstract: The purpose of this project was to conduct a feasibility study showing the advantages and costs of placing family nurse practitioners in the rescue mission’s homeless programs one day per week. Homeless people experience greater health complications from chronic diseases and early mortality due to a lack of ongoing treatment.  This study noted that homeless people often depend on emergency departments for episodic care, which promotes poor access and ineffective utilization of primary care providers. Family Nurse Practitioners or FNPs would likely provide early diagnosis of, and ongoing treatment for, chronic diseases. Further, a partnership between a rescue mission and an intercity hospital with FNPs on staff may reduce emergency department costs for the hospital, improve access, and promote continuity of care for the homeless. This study utilized primary data from a community needs assessment conducted by an inter-city safety net hospital, Public Health Department, and evidenced-base  literature review.  Analysis of the data was done utilizing feasibility studies which described the project, market assessment, technical assessment, financial/economic assessment, and the organizational/managerial feasibility.  The study analyzed the conclusions and assumptions that would determine the course of action to pursue, either the adoption of a business plan or rejection of the project. The conclusion reached was that the cost of care currently being provided by the safety net hospital exceeded the cost of the FNP by $821,205. This figure represents bad debt for the healthcare organization. With the implementation of the FNP to serve the Rescue Mission homeless population, the healthcare organization experiences cost savings and decreased incidence of inappropriate use of the Emergency Department. In the 21st century, nursing is uniquely positioned to meet future healthcare needs in the United States. Nurses, by virtue of their numbers, evidence-based practice, and adaptability in providing primary care outside the acute-care setting, will create new ways to meet future healthcare challenges (Institute of Medicine [IOM], 2012). One such challenge is caring for the healthcare needs of the homeless. The chronic care delivery model for this population, for example, could be refocused from the emergency department to the community setting. Utilization of FNPs to provide access and preventive treatment for the homeless may improve quality and life expectancy while decreasing healthcare costs. Purpose Statement: The purpose of this project was to conduct a feasibility study, to show the advantages and costs of placing a family nurse practitioner in a rescue mission’s homeless programs one day per week. FNPs may provide homeless clients with access and continuity of healthcare that could reduce the cost and improve the quality of healthcare for the homeless at the rescue mission. The provision of health care services, client navigation, assistance for obtaining medications, procedures, and specialty treatment for chronic diseases was evaluated in this project.
Keywords:
Homeless healthcare; Advanced Practice Nurses; Community Outreach Settings
Repository Posting Date:
16-Sep-2016
Date of Publication:
16-Sep-2016
Other Identifiers:
LEAD16K03
Conference Date:
2016
Conference Name:
Leadership Connection 2016
Conference Host:
Sigma Theta Tau International
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.titleA Feasibility Study to Implement a Family Nurse Practitioner into a Rescue Missionen
dc.title.alternativeImproving Outcomes in Vulnerable Populationsen
dc.contributor.authorBasara, Maryen
dc.contributor.departmentNon-memberen
dc.author.detailsMary Basara, RN, dbasara@grantham.eduen
dc.identifier.urihttp://hdl.handle.net/10755/620438-
dc.description.abstractSession presented on Monday, September 19, 2016: A Feasibility Studey to Implement Family Nurse Practitioners in a Rescue Mission. Abstract: The purpose of this project was to conduct a feasibility study showing the advantages and costs of placing family nurse practitioners in the rescue mission’s homeless programs one day per week. Homeless people experience greater health complications from chronic diseases and early mortality due to a lack of ongoing treatment.  This study noted that homeless people often depend on emergency departments for episodic care, which promotes poor access and ineffective utilization of primary care providers. Family Nurse Practitioners or FNPs would likely provide early diagnosis of, and ongoing treatment for, chronic diseases. Further, a partnership between a rescue mission and an intercity hospital with FNPs on staff may reduce emergency department costs for the hospital, improve access, and promote continuity of care for the homeless. This study utilized primary data from a community needs assessment conducted by an inter-city safety net hospital, Public Health Department, and evidenced-base  literature review.  Analysis of the data was done utilizing feasibility studies which described the project, market assessment, technical assessment, financial/economic assessment, and the organizational/managerial feasibility.  The study analyzed the conclusions and assumptions that would determine the course of action to pursue, either the adoption of a business plan or rejection of the project. The conclusion reached was that the cost of care currently being provided by the safety net hospital exceeded the cost of the FNP by $821,205. This figure represents bad debt for the healthcare organization. With the implementation of the FNP to serve the Rescue Mission homeless population, the healthcare organization experiences cost savings and decreased incidence of inappropriate use of the Emergency Department. In the 21st century, nursing is uniquely positioned to meet future healthcare needs in the United States. Nurses, by virtue of their numbers, evidence-based practice, and adaptability in providing primary care outside the acute-care setting, will create new ways to meet future healthcare challenges (Institute of Medicine [IOM], 2012). One such challenge is caring for the healthcare needs of the homeless. The chronic care delivery model for this population, for example, could be refocused from the emergency department to the community setting. Utilization of FNPs to provide access and preventive treatment for the homeless may improve quality and life expectancy while decreasing healthcare costs. Purpose Statement: The purpose of this project was to conduct a feasibility study, to show the advantages and costs of placing a family nurse practitioner in a rescue mission’s homeless programs one day per week. FNPs may provide homeless clients with access and continuity of healthcare that could reduce the cost and improve the quality of healthcare for the homeless at the rescue mission. The provision of health care services, client navigation, assistance for obtaining medications, procedures, and specialty treatment for chronic diseases was evaluated in this project.en
dc.subjectHomeless healthcareen
dc.subjectAdvanced Practice Nursesen
dc.subjectCommunity Outreach Settingsen
dc.date.available2016-09-16T14:26:13Z-
dc.date.issued2016-09-16-
dc.date.accessioned2016-09-16T14:26:13Z-
dc.conference.date2016en
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.en
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