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Nursing Administration Quarterly

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https://www.readbyqxmd.com/read/27918410/lessons-in-leadership-from-3-nurse-practitioners-at-the-boston-health-care-for-the-homeless-program
#1
Melinda Thomas
Nurse practitioners play an integral role in the care of patients in underserved areas. At the Boston Health Care for the Homeless Program, many nurses have been promoted into leadership positions. Three nurse practitioners were asked to discuss their career paths, talk about leadership in the context of their career trajectory, and do so while considering how their training and clinical work prepared them to take on leadership roles.
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918409/a-system-approach-to-advanced-practice-clinician-standardization-and-high-reliability
#2
Susan Okuno-Jones, Alice Siehoff, Jennifer Law, Patricia Juarez
Advanced practice clinicians (APCs) are an integral part of the health care team. Opportunities exist within Advocate Health Care to standardize and optimize APC practice across the system. To enhance the role and talents of APCs, an approach to role definition and optimization of practice and a structured approach to orientation and evaluation are shared. Although in the early stages of development, definition and standardization of accountabilities in a framework to support system changes are transforming the practice of APCs...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918408/full-practice-authority-for-nurse-practitioners
#3
Deborah Dillon, Faye Gary
Implementation of the Affordable Care Act (2010) enabled more than 30 million people to have new access to primary care services. On the basis of current utilization patterns, demand for primary care providers is expected to grow more rapidly than physician supply. This imbalance is expected to worsen, as the aging population requires more health care resources. In addition, more patients are requiring critical care services and physician numbers are not keeping with this growing need. Restrictions on resident physician practice hours have impacted inpatient care as well...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918407/pioneering-a-national-advanced-practice-leadership-council-to-enhance-care-delivery-in-a-large-19-state-health-system
#4
Dixie Harms, Julianne Z Ewen, Matt Metsker, Jay Swanson, Kimberly H Oas
This article describes an innovative approach to enhancing the capacity of advanced practice clinicians (APCs) in a large faith-based health system consisting of multiple markets across the United States. With the challenges in health care today, promotion of advanced practice is vital to increasing quality and access to care while maintaining cost-effectiveness. The development of a national Advanced Practice Leadership Council led by the Vice President of Advanced Practice at Catholic Health Initiatives has been a progressive approach in mitigating the challenges facing APCs in today's health care arena...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918406/the-advanced-practice-clinical-nurse-specialist
#5
Ann M Mayo, Melinda Mercer Ray, Tracy B Chamblee, Linda D Urden, Rachel Moody
The clinical nurse specialist (CNS), one of the 4 advanced practice registered nurse (APRN) categories, has a unique role to play in contributing to high-quality patient care and system-level change across multiple health care settings. CNS practice requires advanced knowledge and skills, including specialty expertise, the ability to integrate new knowledge and innovation into the system of care, the ability to consult and collaborate with all health professions, and the mentoring of nursing staff to support and fully implement that new knowledge...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918405/certified-registered-nurse-anesthetist-perceptions-of-factors-impacting-patient-safety
#6
Susan P McMullan, Charlotte Thomas-Hawkins, Maria R Shirey
Certified registered nurse anesthetists (CRNAs) provide more than 40 million anesthetics each year in the United States. This article describes a study that investigates relationships among CRNA organizational structures (CRNA practice models, work setting, workload, level of education, work experience), CRNA ratings of patient safety culture, and CRNA adverse anesthesia-related event (ARE) reporting. This is a cross-sectional survey study of 336 CRNAs randomly selected from American Association of Nurse Anesthetists database...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918404/entrepreneurship-assessing-the-readiness-of-the-new-jersey-apn-workforce
#7
Edna Cadmus, Mary L Johansen, Phyllis Arn Zimmer, David L Knowlton
There is an unprecedented opportunity to move advanced practice nurses (APNs) into primary care settings at a steady rate over the next 5 to 8 years. In addition, the opportunity for nurse-owned or nurse-led practices has never been greater. However, many APNs currently work in a structured environment where the employer focuses on the business aspects of the practice and the APN focuses primarily on clinical care. Often APNs are unaware of the entrepreneurial contribution they make to the practice. A Needs Assessment Survey was developed to better understand business and practice management knowledge and skills of APNs in New Jersey...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918403/new-hampshire-nurse-practitioners-take-the-lead-in-forming-an-accountable-care-organization
#8
Wendy L Wright
In 2012, New Hampshire nurse practitioners (NPs), along with Anthem Blue Cross/Blue Shield, formed the first Patient Centered Shared Savings Program in the nation, composed of patients managed by nurse practitioners employed within NP-owned and operated clinics. In this accountable care organization (ACO), NP-attributed patients were grouped into one risk pool. Data from the ACO and the NP risk pool, now in its third year, have produced compelling statistics. Nurse practitioners participating in this program have met or exceeded the minimum scores for 29 quality metrics along with a demonstrated cost-savings in the first 2 years of the program...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918402/leading-dnp-professionals-practice-competencies-for-organizational-excellence-and-advancement
#9
Kathy Malloch
The doctorate in nursing practice (DNP) role is quickly emerging across the United States in numerous practice settings, especially in hospitals, outpatient services, and academic institutions. There is now a need for guidelines to evaluate the enactment of the standards used to create DNP education and practice, competencies expected in practice, and the outcomes and value created by this role. This article presents a DNP Performance Demonstration and Impact template created on the basis of the AACN (American Association of Colleges of Nursing), NONPF (National Organization of Nurse Practitioner Faculties), and AONE (American Organization of Nurse Executives) standards to assist leaders in evaluating DNP performance from a standards-driven perspective...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918401/establishing-a-viable-workforce-pipeline-of-primary-care-nurse-practitioners-benefits-of-a-health-system-and-academic-partnership
#10
Billie Madler, Mary Helland
Maldistribution and shortages of primary care providers, changing reimbursement structures, movement from inpatient to community-based models of care, an aging population, and health care reform lead to increased numbers of patients seeking care. All of these phenomena have a part in creating a health care landscape that requires industry leaders enlist innovative strategies to meet the health care needs of their communities. Delivery of high-quality, efficient care by qualified providers is essential for the success of any health care system...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918400/a-strategic-approach-for-developing-an-advanced-practice-workforce-from-postgraduate-transition-to-practice-fellowship-programs-and-beyond
#11
Dennis A Taylor, Britney S Broyhill, Allison M Burris, Mary Ann Wilcox
The healthcare provider landscape is rapidly changing. Given the imminent retirement of baby boomer physicians, implementation of the Affordable Care Act, and the increased utilization of health care services by an ever-aging population, the supply of providers cannot keep pace with the demand for services. This has led to an increased utilization of advanced clinical practitioners (ACPs). This article shows how one large highly-matrixed health care system approached identifying this workforce, and how thought leaders worked collaboratively with physicians, administrators, and ACPs to meet a growing demand for providers...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918399/the-evolution-of-the-new-provider-team-driving-cultural-change-through-data
#12
Trish Anen, Debra McElroy
Nursing executives are continually challenged to address a rapidly evolving health care system. Every aspect of care delivery is being scrutinized, yet the constant requirement remains assurance of high-quality, highly reliable care that is cost-effective and easily accessible. The nursing workforce remains visible in traditional roles as well as in new and innovative capacities, whereas nurse executives experience expanded realms of focus and responsibility. As health systems continue to adapt to the changing environment, the ability to leverage the role and scope of the advanced practice registered nurse (APRN) as a health care provider is emerging as an essential business and care strategy...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918398/guest-editorial-advanced-practice-leadership-and-innovation
#13
Michelle L Edwards, Tim Porter-O╩╝Grady
No abstract text is available yet for this article.
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918397/from-the-editor
#14
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584900/health-system-mergers-and-future-demands-on-the-nursing-workforce
#15
Randall Hudspeth
No abstract text is available yet for this article.
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584899/bayesian-cost-effectiveness-analysis-of-falls-risk-assessment-tools-falls-sensitivity-and-specificity-asking-for-decision-support-changes
#16
Douglas S McNair, Roy L Simpson
No abstract text is available yet for this article.
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584898/on-boarding-a-new-chief-nursing-officer-to-lead-a-magnet-redesignation-visit-the-value-of-relationships
#17
Kathy Cantu, Joyce A Batcheller
The chief nursing officer (CNO) is a critical senior executive in a hospital and serves as the architect of patient care. Recruiting, hiring, and on-boarding a new CNO present a challenge for any facility. Stakes are higher when the facility is replacing a CNO in the midst of its Magnet redesignation. How does a facility ensure success under these circumstances? This case study demonstrates how one organization was successful in meeting this challenge.
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584897/unpacking-macra-the-proposed-rule-and-its-implications-for-payment-and-practice
#18
Camille Haycock, Michelle L Edwards, Christopher S Stanley
The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that details a consolidated pay-for-performance provider payment system within the Medicare Access and CHIP Reauthorization Act. This proposed rule establishes policy for the new provider Merit-Based Incentive System and Alternative Payment Models. While the rule is extremely complex, and not yet finalized, there are significant implications for nursing and advanced practice providers. This proposed rule intends to drastically change the current provider payment system and reward providers who demonstrate better quality outcomes at a lower cost...
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584896/first-person-account-what-i-have-learned-from-mergers-and-acquisitions
#19
Roy L Simpson
No abstract text is available yet for this article.
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27584895/affiliation-and-its-benefits-to-the-hospital-and-community
#20
Maureen Schneider
As a result of the Affordable Care Act, innovative strategies must be developed and initiated to work with the Affordable Care Act in order to diminish fragmentation of care delivery and thereby improve quality and reduce costs. It is imperative for health care organizations to explore options from mergers and acquisitions to affiliation agreements in order to prepare for business transformation. Since financial strength combined with independent governance and retention of cultural identity may be optimal, a legal transactional structure such as an affiliation is sometimes the best course of action for a health system...
October 2016: Nursing Administration Quarterly
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