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Delivers a wealth of information for nurses who wish to open and manage their own health clinics Public health nursingwith its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilitieshad its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy,…mehr
Delivers a wealth of information for nurses who wish to open and manage their own health clinics
Public health nursingwith its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilitieshad its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of servicesincluding primary care, health promotion, disease prevention, and behavioral health careto residents of underserved communities throughout the United States.
The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample bylaws, and a managed-care contracting toolkit.
KEY FEATURES:
Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center
Addresses the pros and cons of a variety of business models for nurse-led care
Identifies the most common clinical services offered
Presents quality metrics, best-practice models, and case studies
Includes state and federal policy and regulatory challenges and opportunities
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Inhaltsangabe
Contents Contributors Foreword Loretta Ford, RN, PNP, EdD, FAAN, FAANP Foreword Sandra Festa Ryan, MSN, RN, CPNP, FCPP, FAANP, FAAN Preface Introduction Susan B. Hassmiller, PhD, RN, FAAN SECTION I: INTRODUCING NURSE-MANAGED MODELS Tine Hansen-Turton 1. Anatomy of a Nurse-Led Clinic: An Introduction to the Model of Care Tine Hansen-Turton, Brian Valdez, Jamie M. Ware, and Eunice S. King Background: Origins of the NMHC Model of Care The Role of the Division of Nursing in the Development of NMHCs What Is an NMHC? 2. The Independence Foundation’s Contributions to the Nurse-Managed Health Center Movement Eunice S. King Background and History of Interest in Nursing The History of IF-Funded Nurse-Managed Health Centers: 1993–2013 The NNCC: Laying the Groundwork for the Growth and Recognition of NMHCs Glossary 3. Building a Nurse-Managed Clinic Donna L. Torrisi and Tine Hansen-Turton How to Start a Nurse-Managed Health Center Initial Planning Financial Operations Policies and Procedures Continuous Quality/Performance Improvement Information Systems 4. Nurse-Managed Health Centers and Sustainability Bonita Ann Pilon and Tine Hansen-Turton Strategies for Sustaining Nurse-Managed Clinics: A Balancing Act Conclusion 5. The Role of the Collaborative Team in Nurse-Managed Health Centers Nancy L. Rothman and Donald B. Parks CRNPs: Leading Interdisciplinary/Interprofessional Collaborative Teams Collaboration and Patient-Centered Medical Homes 6. Quality Kathryn Fiandt and Nancy L. Rothman Quality of Health Care in the United States Quality Processes The National Nursing Center NMHC Certification Initiative A Case Study Conclusion 7. Patient Satisfaction With Care Received in Nurse-Managed Primary Care Clinics: The Numbers and the Stories Eunice S. King and Nancy L. Rothman The Focus Group Conclusion 8. Providing Behavioral Health Care Within Nurse-Managed Health Clinics: A Journey Toward Full Integration—The Abbottsford Falls Community Health Center Donna L. Torrisi 1992: A Commitment to Behavioral Health From the Start 1994–2000: The Growth of Outpatient BH Services 2000–2009: The Depression Collaborative 2010: The BH Consultant Model Sustainability Conclusion SECTION II: BEST PRACTICE MODELS AND NURSE-MANAGED PRIMARY CARE Geraldine Bednash Nurse-Managed Centers—An Avenue for Change and Health 9. Joining Hands With a Vulnerable Community: The Family Practice and Counseling Network Donna L. Torrisi and Jessie Torrisi The Godmother (June 1991) Reclaiming Piper’s Row (July 1992) The Unsteady Steps of Expansion (1994 and 1995) The Political Pitfalls of Change (March 1995) A Lesson in Humility (January 1997) Shootings and Sorrows (1997 and 1998) Joys (May 1998) Bringing Behavioral Health Into the Exam Room (2009) Our First Rural Health Center (2012) Twenty-Two Years Into the Journey (February 2014) 10. 11th Street Family Health Services of Drexel University: A University–Community Partnership Patricia Gerrity Background The Recipe Differentiating Ingredients Sampling the Cake: Data, Outcomes, and Model Effectiveness The Recipe Evolves: The Development of a Health Campus Conclusion 11. The Senior House Calls Program M. Christina R. Esperat, Linda McMurry, and Sally Coates History Services Provided Challenges and Issues Client Responses 12. Convenient Care Clinics: Lessons Learned From Consumer-Driven Health Care Sandra Festa Ryan and Sarah Rosenberg Overview of the Industry What Are CCCs? The Role of Consumers in Validating the Industry Conclusion SECTION III: NURSE-MANAGED WELLNESS CENTERS AND PROGRAMS Tine Hansen-Turton 13. Overview of Nurse-Managed Wellness Centers and Wellness Programs Integrated Into Nurse-Managed Primary Care Clinics Lenore K. Resick, Mary Ellen T. Miller, and Maureen E. Leonardo Healthy People 2020 Organizational Frameworks Sustainability Wellness Centers and Integrated Wellness Programs in Traditional Primary Care Models: Filling the Health Care Gap 14. The 19130 Zip Code Project: A Journey to Our Neighborhood Andrea Mengel and M. Elaine Tagliareni Preparing Students for the 19130 Zip Code Project Clinical Experience Providing Health Promotion and Disease Prevention Services in Our Community Sustainability and Replicability SECTION IV: NURSE-MANAGED HEALTH CENTERS AND POLICIES FOR THE FUTURE Frances Hughes 15. Workforce Trends and the Growth of the Advanced Practice Nurse Role Sarah Hexem, Brian Valdez, and Jamie L. Ware The NP in Primary Care: Looking Ahead The NP Workforce by the Numbers Federal Policies to Advance the Advanced Practice Nursing Workforce Conclusion 16. The Future of Nurse-Managed Care and National Policy Efforts Brian Valdez, Sarah Hexem, and Jamie M. Ware The ACA and Its Relevance for NMHCs The IOM’s The Future of Nursing Report and Its Impact on NMHCs Future Directions Conclusion 17. Health Care Transformations and The Future of Nursing: Campaign for Action Susan B. Hassmiller Appendix A: Nurse-Managed Health Clinic Start-Up Checklist Appendix B: Sample Nurse-Managed Health Clinic Bylaws Appendix C: The National Nursing Centers Consortium Managed Care Contracting Toolkit Tine Hansen-Turton Index
Contents Contributors Foreword Loretta Ford, RN, PNP, EdD, FAAN, FAANP Foreword Sandra Festa Ryan, MSN, RN, CPNP, FCPP, FAANP, FAAN Preface Introduction Susan B. Hassmiller, PhD, RN, FAAN SECTION I: INTRODUCING NURSE-MANAGED MODELS Tine Hansen-Turton 1. Anatomy of a Nurse-Led Clinic: An Introduction to the Model of Care Tine Hansen-Turton, Brian Valdez, Jamie M. Ware, and Eunice S. King Background: Origins of the NMHC Model of Care The Role of the Division of Nursing in the Development of NMHCs What Is an NMHC? 2. The Independence Foundation’s Contributions to the Nurse-Managed Health Center Movement Eunice S. King Background and History of Interest in Nursing The History of IF-Funded Nurse-Managed Health Centers: 1993–2013 The NNCC: Laying the Groundwork for the Growth and Recognition of NMHCs Glossary 3. Building a Nurse-Managed Clinic Donna L. Torrisi and Tine Hansen-Turton How to Start a Nurse-Managed Health Center Initial Planning Financial Operations Policies and Procedures Continuous Quality/Performance Improvement Information Systems 4. Nurse-Managed Health Centers and Sustainability Bonita Ann Pilon and Tine Hansen-Turton Strategies for Sustaining Nurse-Managed Clinics: A Balancing Act Conclusion 5. The Role of the Collaborative Team in Nurse-Managed Health Centers Nancy L. Rothman and Donald B. Parks CRNPs: Leading Interdisciplinary/Interprofessional Collaborative Teams Collaboration and Patient-Centered Medical Homes 6. Quality Kathryn Fiandt and Nancy L. Rothman Quality of Health Care in the United States Quality Processes The National Nursing Center NMHC Certification Initiative A Case Study Conclusion 7. Patient Satisfaction With Care Received in Nurse-Managed Primary Care Clinics: The Numbers and the Stories Eunice S. King and Nancy L. Rothman The Focus Group Conclusion 8. Providing Behavioral Health Care Within Nurse-Managed Health Clinics: A Journey Toward Full Integration—The Abbottsford Falls Community Health Center Donna L. Torrisi 1992: A Commitment to Behavioral Health From the Start 1994–2000: The Growth of Outpatient BH Services 2000–2009: The Depression Collaborative 2010: The BH Consultant Model Sustainability Conclusion SECTION II: BEST PRACTICE MODELS AND NURSE-MANAGED PRIMARY CARE Geraldine Bednash Nurse-Managed Centers—An Avenue for Change and Health 9. Joining Hands With a Vulnerable Community: The Family Practice and Counseling Network Donna L. Torrisi and Jessie Torrisi The Godmother (June 1991) Reclaiming Piper’s Row (July 1992) The Unsteady Steps of Expansion (1994 and 1995) The Political Pitfalls of Change (March 1995) A Lesson in Humility (January 1997) Shootings and Sorrows (1997 and 1998) Joys (May 1998) Bringing Behavioral Health Into the Exam Room (2009) Our First Rural Health Center (2012) Twenty-Two Years Into the Journey (February 2014) 10. 11th Street Family Health Services of Drexel University: A University–Community Partnership Patricia Gerrity Background The Recipe Differentiating Ingredients Sampling the Cake: Data, Outcomes, and Model Effectiveness The Recipe Evolves: The Development of a Health Campus Conclusion 11. The Senior House Calls Program M. Christina R. Esperat, Linda McMurry, and Sally Coates History Services Provided Challenges and Issues Client Responses 12. Convenient Care Clinics: Lessons Learned From Consumer-Driven Health Care Sandra Festa Ryan and Sarah Rosenberg Overview of the Industry What Are CCCs? The Role of Consumers in Validating the Industry Conclusion SECTION III: NURSE-MANAGED WELLNESS CENTERS AND PROGRAMS Tine Hansen-Turton 13. Overview of Nurse-Managed Wellness Centers and Wellness Programs Integrated Into Nurse-Managed Primary Care Clinics Lenore K. Resick, Mary Ellen T. Miller, and Maureen E. Leonardo Healthy People 2020 Organizational Frameworks Sustainability Wellness Centers and Integrated Wellness Programs in Traditional Primary Care Models: Filling the Health Care Gap 14. The 19130 Zip Code Project: A Journey to Our Neighborhood Andrea Mengel and M. Elaine Tagliareni Preparing Students for the 19130 Zip Code Project Clinical Experience Providing Health Promotion and Disease Prevention Services in Our Community Sustainability and Replicability SECTION IV: NURSE-MANAGED HEALTH CENTERS AND POLICIES FOR THE FUTURE Frances Hughes 15. Workforce Trends and the Growth of the Advanced Practice Nurse Role Sarah Hexem, Brian Valdez, and Jamie L. Ware The NP in Primary Care: Looking Ahead The NP Workforce by the Numbers Federal Policies to Advance the Advanced Practice Nursing Workforce Conclusion 16. The Future of Nurse-Managed Care and National Policy Efforts Brian Valdez, Sarah Hexem, and Jamie M. Ware The ACA and Its Relevance for NMHCs The IOM’s The Future of Nursing Report and Its Impact on NMHCs Future Directions Conclusion 17. Health Care Transformations and The Future of Nursing: Campaign for Action Susan B. Hassmiller Appendix A: Nurse-Managed Health Clinic Start-Up Checklist Appendix B: Sample Nurse-Managed Health Clinic Bylaws Appendix C: The National Nursing Centers Consortium Managed Care Contracting Toolkit Tine Hansen-Turton Index
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