Results of an Immunization Audit

PEDIATRICS ◽  
1977 ◽  
Vol 60 (4) ◽  
pp. 547-547
Author(s):  
JOHN E. BLOOM

To the Editor: The provocative article by McDaniel et al. (Pediatrics 56:504, October 1975) regarding private practice immunization stimulated me to carry out our own audit, following the authors' criteria as closely as possible. Ours is a three-pediatrician, urban group which utilizes three full-time pediatric nurse practitioners. We reviewed 400 “active” cases (at least one office contact in the past year). Forty-seven patients had incomplete immunizations,giving us an 87.3% completeness record according to the

PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 878-887
Author(s):  
Alfred Yankauer ◽  
Sally Tripp ◽  
Priscilla Andrews ◽  
John P. Connelly

The costs of training and the dollar income generation yields have been calculated for 26 graduates of the Pediatric Nurse Practitioner Program of the Bunker Hill Health Center of the Massachusetts General Hospital employed in private practice settings. Training costs were estimated from the program experience. Income generated by the nurse was estimated from data reported by nurse and employer 6 months or more after graduation from the program. Direct educational costs were estimated at $1,410 per nurse, institutional overhead at $346 per nurse, production losses (associated with the training time of 17 weeks) at $1,442 per nurse. Total cost of training was $3,197 per nurse. The average annual salary paid 26 pediatric nurse practitioners in private practice settings was $9,100 per year and the average number of "nurseonly" face-to-face patient encounters of all types, projected for full-lime employment, was 65 per week. Net income generation potential over and above salary averaged $2,500 per nurse per year with 14 of the 26 nurses capable of generating more than $3,000 per year over and above their current net salaries. These estimates must be interpreted with caution, but they suggest that the private sector of medicine can defray training costs in full in cases where the paying demand for its services is greater than physicians can supply themselves.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 824-825
Author(s):  
John L. Green

I liked Dr Pappelbaum's presentation a lot. My response? Read it; reread it; understand it; adjust to its doctrines; follow its prescriptions and program plan and be flexible and resilient. I totally concur with Dr Pappelbaum's belief that managed care need not be an end to one's pediatric career, but a program that can and must continue to work for our patients. Managed care will not go away; it is chronic, and we must adapt to it. The theme of both Dr Pappelbaums's article and of this meeting—as a whole and for every part of it—is that change is the "here and now," and that we must adapt to it. The constant message is that pediatricians must go forward in their communities with all the peer help and all the consultative help that each can muster. They must work within the structure and boundaries of change, striving for the most benefit for the patients they care for and for themselves. Dr Nazarian, whose presentation was equally excellent, has a good view of medicine now and medicine in the future. I have no challenge to his views or conclusions. Like Dr Nazarian and like Dr Elsa Stone, who spoke yesterday, I employ pediatric nurse practitioners (PNPs) in my clinical practice. I am the senior partner of an eight-physician (four male and four female) practice in an academic community. We have two full-time PNPs and one physician assistant associated in our practice. As valued and contributing members of our health care team, they are true physician extenders.


1981 ◽  
Vol 28 (4) ◽  
pp. 893-895
Author(s):  
Ruth Z. Bachman ◽  
Kathleen M. DiGaudio ◽  
Margaret T. Menninger

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