Neonatal Nurse Practitioners Provide Quality, Cost-Effective Care

2003 ◽  
Vol 32 (9) ◽  
pp. 577-583 ◽  
Author(s):  
Donna M Geiss ◽  
Terri A Cavaliere
Keyword(s):  
Nurse Practitioners ◽  
Cost Effective ◽  
Quality Cost ◽  
Effective Care ◽  
Neonatal Nurse Practitioners

Response to Dr Stone

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 850-851
Author(s):  
Howard A. Pearson
Keyword(s):  
Nurse Practitioners ◽  
Cost Effective ◽  
The United States ◽  
Health Maintenance Organizations ◽  
Quality Health Care ◽  
Quality Cost ◽  
Health Maintenance ◽  
Effective Care ◽  
Quality Health

Dr Elsa Stone, in her usual organized and lucid fashion, has presented the case for inclusion of pediatric nurse practitioners (PNPs) in private pediatric practices. She bases her conclusions on her nearly 10 years of positive experience with a PNP in her own practice in Connecticut. Dr Stone describes the PNP population and demography, describes the training curriculum of PNPs, and discusses the scope of work of these individuals. She concludes that "there is substantial evidence that PNPs provide quality health care and that collaborative teams of pediatricians and PNPs can provide high-quality, cost-effective care to a broader spectrum of children than can be served by either profession alone." The American Academy of Pediatrics (AAP) has insisted for several years that there is a shortage of pediatricians to meet the expanding needs of the children of the United States. Furthermore, pediatricians—because of system changes—will be expected increasingly to provide a variety of time-intensive services. Dr Stone believes that many of these services can be well provided by PNPs. Within the AAP, there have been some concerns about the role of PNPs. Of particular worry seems to be the possibility that PNPs might decide to practice independently, leading to a lower quality of care for their patients. Less often stated, but clearly an issue, is that PNPs are viewed by some pediatricians as potential competitors. Dr Stone's demographic analysis of what PNPs are currently doing is relevant to these concerns. One third of PNPs work in private pediatric practices or health maintenance organizations.

Acute Care Nurse Practitioners in Transplantation: Adding Value to Your Program

2011 ◽  
Vol 21 (4) ◽  
pp. 278-283 ◽  
Author(s):  
Janel Tedesco
Keyword(s):  
Acute Care ◽  
Nurse Practitioners ◽  
Clinical Decision Making ◽  
Cost Effective ◽  
Clinical Decision ◽  
Certification Examination ◽  
Care Nurse ◽  
Effective Care ◽  
Shortage Of Physicians ◽  
The 1960S

Nurse practitioners are nurses who are prepared at the graduate level. They exercise autonomy in clinical decision making, perform physical examinations and obtain health histories, diagnose and treat a variety of illnesses, provide education and counseling to patients, perform procedures, and ultimately provide cost-effective care. The role of the nurse practitioner evolved in the 1960s, when nurse practitioners filled a void in response to the nationwide shortage of physicians. Today, nurse practitioners specialize both by degree and by certification examination. There are several types of nurse practitioners, including acute care, adult, family practice, and pediatric. The incorporation of acute care nurse practitioners (ACNPs) in transplant programs is an emerging field and varies across the country from center to center. The goals of this article are to (1) identify implications for ACNPs in transplant, (2) discuss the value of using ACNPs in practice, and (3) explore billing and regulatory aspects of ACNPs in transplant programs.

scholarly journals Managing the economic challenges in the treatment of heart failure

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ileana L. Piña ◽  
Larry A. Allen ◽  
Nihar R. Desai
Keyword(s):  
Heart Failure ◽  
Digital Health ◽  
Cost Effective ◽  
Cost Of Care ◽  
Quality Cost ◽  
Bundled Payment ◽  
Reward Delivery ◽  
Effective Care ◽  
Care Health ◽  
Care Improvement

Abstract Background Treatment of heart failure is complex and inherently challenging. Patients traverse multiple practice settings as inpatients and outpatients, often resulting in fragmented care. The Center for Medicare and Medicaid Services is implementing payment programs that reward delivery of high-quality, cost-effective care, and one of the newer programs, the Bundled Payment for Care Improvement Advanced program, attempts to improve the coordination of care across practices for a hospitalization episode and post-acute care. The quality and cost of care contribute to its value, but value may be defined in different ways by different entities. Conclusions The rapidly changing world of digital health may contribute to or detract from the quality and cost of care. Health systems, payers, and patients are all grappling with these issues, which were reviewed at a symposium at the Heart Failure Society of America conference in Philadelphia, Pennsylvania on September 14, 2019. This article constitutes the proceedings from that symposium.

Removal of femoral sheaths by registered nurses: issues and outcomes

1996 ◽  
Vol 16 (2) ◽  
pp. 32-36 ◽  
Author(s):  
S Schickel ◽  
SN Cronin ◽  
A Mize ◽  
C Voelker
Keyword(s):  
Critical Care ◽  
Knowledge Base ◽  
Cost Effective ◽  
Critical Care Nurses ◽  
Quality Cost ◽  
Adequate Knowledge ◽  
Effective Care ◽  
Margin Of Safety ◽  
Competency Evaluation ◽  
Removal Technique

The results of this evaluation indicate that specially trained critical care nurses can remove femoral sheaths with an acceptable margin of safety. As a result, these nurses can provide quality, cost-effective care to angioplasty patients. However, before this procedure is included as part of the RN's responsibility, written protocols are needed to identify appropriate patients, proper removal technique, and specific actions to take if complications occur. In addition, plans must be developed for initial education and ongoing competency evaluation to ensure that each nurse involved maintains an adequate knowledge base and skill level.

scholarly journals Understanding the predictors of services use in older people to plan for and provide quality cost effective care

2019 ◽  
Vol 19 (4) ◽  
pp. 161
Author(s):  
Greg Stewart ◽  
Tony Jackson ◽  
Margo Barr ◽  
Lou-Anne Blunden ◽  
Katherine Clinch ◽  
...  
Keyword(s):  
Older People ◽  
Cost Effective ◽  
Quality Cost ◽  
Effective Care ◽  
Services Use
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