The following articles were published in the Perspectives in Ambulatory Care department of the Nursing Economic$ journal and authored by members of the American Academy of Ambulatory Care Nursing. The PIAC column captures the essence and makes sense of today's changing ambulatory care market.
Identification: 2021_NEC_MJ
Issue: May/June 2021
Credits: None available.
As in many areas of healthcare delivery, ambulatory care practice is being transformed by technological advances such as artificial intelligence (AI). Registered nurses (RNs) are challenged to integrate these new technologies into practice. As RNs are integral to care delivery, they must be knowledgeable about AI. In addition to nursing practice, nursing education will need to identify the knowledge, skills, and competencies required to practice with AI. In this study, the knowledge and attitudes of nursing students, practicing nurses, and nursing faculty about AI in nursing and health care were assessed.
Author(s):Identification: 2021_NEC_MA
Issue: March/April 2021
Credits: None available.
As health care shifts from an acute, disease, and episodic-based model to one of health, community intervention, and continuum focused interventions, the ambulatory care nurse is essential in this transformation and its success. Leveraging the ANCC Magnet® Model as a blueprint to improved patient outcomes and care of the nursing workforce can ensure that transformation is achieved.
Author(s):Identification: 2021_NEC_JF
Issue: January/February 2021
Credits: None available.
Case management has been effective in improving cost and quality outcomes for at-risk populations. The majority of case management studies have been performed on older Medicare populations and lacked standard financial outcome estimates. A telephonic case management program’s clinical and economic effectiveness was assessed on a commercial population, including return on investment (ROI). The centralized program resulted in statistically significant lower emergency department visits and inpatient admissions with a significant ROI.
Author(s):Identification: 2021_NEC_JA
Issue: July/August 2021
Credits: None available.
Creation of best practice care delivery models will influence registered nurses' participation as an equal partner in the interprofessional team. The Ambulatory Nursing Excellence Dashboard provides care teams meaningful, actionable data to inform care processes and drive improvements.
Author(s):Identification: 2020_NEC_ND
Issue: November/December 2020
Credits: None available.
This article is the second in a series supporting the business case for care coordination and transition management (CCTM) in health care. The series will support nurses in building business cases that create a positive return on investments and leverage nurses in CCTM or other roles within the healthcare continuum. A business case template was developed to support nurses seeking to transform care and serve as a guide for creating a business case for CCTM.
Author(s):Identification: 2020_NEC_MA
Issue: March/April 2020
Credits: None available.
Using evidence-based frameworks and theories provides the foundation required to implement and evaluate comprehensive education. Providing theory-based education in addition to ongoing audits of daily work promotes the knowledge, skills, and attitudes of medical assistants in providing safe patient care.
Author(s):Identification: 2020_NEC_JA
Issue: July/August 2020
Credits: None available.
Equipping nurse leaders in all roles and settings is vital for achieving improved population health. Organizations leveraging the role of the registered nurse in care coordination and transition management must study and disseminate their results to expand the evidence to support future business cases. It is imperative to realize the full economic value of nurses across all settings and the unique contributions nurses, practicing to the full extent of their license, bring to the transformation of health care and achieving the Quadruple Aim in the United States.
Author(s):Identification: 2019_NEC_Swan_MA
Issue: March/April 2019
Credits: None available.
The purpose of this descriptive qualitative study was to explore nurse and healthcare leaders' experiences and perceptions of care coordination and transition management (CCTM®). Four barriers emerged that added insight into the lack of adopting and integrating CCTM knowledge, skills, and attitudes in nursing education in the following categories: curriculum redesign, silos of care settings and care providers, knowledge gap, and faculty development/resistance. Recommendations and implications for education, for both nursing students and practicing nurses, are described.
Author(s):Identification: 2019_NEC_ND
Issue: November/December 2019
Credits: None available.
Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored.
Author(s):Identification: 2019_NEC_MJ
Issue: May/June 2019
Credits: None available.
In this descriptive qualitative study, nurse and healthcare leaders' experiences, perceptions of care coordination and transition management (CCTM®), and insights as to how to foster adoption of the CCTM RN role in nursing education, practice across the continuum, and policy were explored. Twenty-five barriers to recognition and adoption of CCTM RN practice across the continuum were identified and categorized. Implications of these findings, recommendations for adoption of CCTM RN practice across the care continuum, and strategies for reimbursement policies are discussed.
Author(s):