Effectiveness of an Advanced Practice Model of Care on Post-Acute Outcomes in a Transitional Care Unit

2017 ◽  
Vol 18 (3) ◽  
pp. B22
Author(s):  
Lynn Freeman ◽  
Lynn Freeman ◽  
Natalie Leland ◽  
Alan Wang
Keyword(s):  
Transitional Care ◽  
Advanced Practice ◽  
Model Of Care ◽  
Practice Model

Practice Model for Advanced Practice Providers in Oncology

2017 ◽  
pp. 40-43
Author(s):  
Jamie Cairo ◽  
Mary Ann Muzi ◽  
Deanna Ficke ◽  
Shaunta Ford-Pierce ◽  
Katrina Goetzke ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Professional Growth ◽  
Physician Assistants ◽  
Advanced Practice ◽  
Quality Improvements ◽  
Collaborative Relationships ◽  
Practice Model ◽  
Patients With Cancer

According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attrition. According to the American Academy of Nurse Practitioners, it has been well demonstrated that, when nurse practitioners are allowed to work to the full scope of their education and preparation, there are notable cost reductions and quality improvements in patient care. The focus of APP education and training is on health promotion, disease prevention, and primary care medical management, but most APPs have limited exposure to management of cancer in patients. With this in mind, Aurora Cancer Care developed a practice model for APPs who work in oncology. The goal of the model is to enhance the quality of care delivered to patients and provide a stimulating work environment that fosters excellent collaborative relationships with oncologist colleagues, supports professional growth, and allows APPs to practice to the full extent of their licensure.

scholarly journals A Qualitative Analysis of an Advanced Practice Nurse-Directed Transitional Care Model Intervention

2011 ◽  
Vol 52 (3) ◽  
pp. 394-407 ◽  
Author(s):  
C. Bradway ◽  
R. Trotta ◽  
M. B. Bixby ◽  
E. McPartland ◽  
M. C. Wollman ◽  
...  
Keyword(s):  
Qualitative Analysis ◽  
Practice Nurse ◽  
Transitional Care ◽  
Advanced Practice ◽  
Advanced Practice Nurse ◽  
Care Model

Diagnosis and management of chronic hip and knee pain in a Tasmanian orthopaedic clinic: a study assessing the diagnostic and treatment planning decisions of an advanced scope physiotherapist

2019 ◽  
Vol 25 (1) ◽  
pp. 60 ◽  
Author(s):  
Dave Jovic ◽  
Jonathan Mulford ◽  
Kathryn Ogden ◽  
Nadia Zalucki
Keyword(s):  
Knee Pain ◽  
Conversion Rate ◽  
Clinical Effectiveness ◽  
Weighted Kappa ◽  
Orthopaedic Surgeon ◽  
Advanced Practice ◽  
Model Of Care ◽  
Orthopaedic Clinic ◽  
Orthopaedic Care ◽  
Planning Decisions

The aim of this study is to investigate the clinical effectiveness of an advanced practice physiotherapist triaging patients referred from primary care to the orthopaedic clinic with chronic hip and knee pain. An exploratory study design was used to assess 87 consecutive patients referred from general practice in Northern Tasmania. Patients were assessed by both an advanced practice physiotherapist and a consultant orthopaedic surgeon. Diagnostic and treatment decisions were compared, with the orthopaedic consultant decision defined as the gold standard. By using these decisions, over and under referral rates to orthopaedics could be calculated, as well as the surgical conversion rate. Conservative care of patients referred to the orthopaedic clinic with hip and knee pain was limited. The diagnostic agreement between the advanced scope physiotherapist and the orthopaedic surgeon was almost perfect (weighted kappa 0.93 (95% CI 0.87–1.00)), with treatment agreement substantial (weighted kappa 0.75 (95% CI 0.62–0.89)). Under a physiotherapist-led triage service, the surgical conversion rate doubled from 38% to 78%. An advanced physiotherapist assessing and treating patients with chronic hip and knee pain made decisions that match substantially with decisions made by an orthopaedic consultant. A model of care utilising an advanced physiotherapist in this way has the potential to support high-quality orthopaedic care in regional centres.

Community Care Management: Advanced Practice Nurses as Care Managers

2000 ◽  
Vol 2 (3) ◽  
pp. 148-152 ◽  
Author(s):  
Christine M. Waszynski ◽  
Wendy Murakami ◽  
Mary Lewis
Keyword(s):  
Health Care ◽  
High Risk ◽  
Primary Care Physicians ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Model Of Care ◽  
Practice Nurses ◽  
Coordination Model ◽  
Hospital Days ◽  
Care Costs

A group of advanced practice nurses partnered with a major insurer in the design and implementation of a care coordination model for high-risk older adults. This article will discuss the process of such an undertaking, highlighting the successes and barriers encountered. The key elements of this program included early identification and regular reassessment of each member’s acuity level; fostering close partnerships between individual or teams of APRNs and groups of physicians; and uninterrupted clinical management of high-risk members across the health care continuum. This model was designed to achieve the following outcomes: to support the physician management of high-risk, chronic individuals; to increase or maintain the health of members; and to reduce health care costs. Outcome studies have demonstrated a substantial net savings by decreasing acute care admissions by 54%, reducing hospital days by 42%, and trimming primary care physicians’ and specialists’ visit costs by 37%. There was a 33% reduction in the overall costs of health care for members enrolled in this program. Physicians and members both rated their satisfaction with the APRN-based model of care as very high.

Practice Model for Advanced Practice Providers in Oncology

2017 ◽  
Vol 37 ◽  
pp. 40-43
Author(s):  
Jamie Cairo ◽  
Mary Ann Muzi ◽  
Deanna Ficke ◽  
Shaunta Ford-Pierce ◽  
Katrina Goetzke ◽  
...  
Keyword(s):  
Advanced Practice ◽  
Practice Model

The Role of Advanced Practice Nurses in a Shared Care Diabetes Practice Model

2001 ◽  
Vol 27 (4) ◽  
pp. 492-502 ◽  
Author(s):  
Anne W. Brown ◽  
Kathleen L. Wolff ◽  
Tom A. Elasy ◽  
Alan L. Oraber
Keyword(s):  
Advanced Practice Nurses ◽  
Shared Care ◽  
Advanced Practice ◽  
Practice Model ◽  
Practice Nurses
Sign in / Sign up

Export Citation Format

Share Document