
Nursing Economic$
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.
Articles
- Identification2023_NEC_MAIssueMarch/April 2023
The American Academy of Ambulatory Care Nursing (AAACN) Board of Directors appointed the Diversity, Equity, and Inclusion (DEI) Task Force, and charged them with engaging the AAACN membership in a larger DEI conversation and creating a safe space for open discussion and education. The task force administered a survey to give voice to and gain understanding of the current state of member demographics and opinions on the topic of DEI. The survey was developed using an evidence-based approach to collecting diversity information in a non-confrontational, open, and honest way. Using results of the survey, the task force has taken steps to build an initial platform for DEI dialogue and education.
Speaker
Amy Cadoret, MHA, MSN, NEA-BC, AMB-BCAssociate Nursing Officer, Vanderbilt UniversityAuthors
Kimberly Regis, DNP, RN, NEA-BC, CPNP-PC, BCCVice President of Operations and Chief Nurse Executive of Ambulatory Care Services, Nationwide Children’s HospitalQuyen Phan, DNP, APRN, FNP-BCAssistant Clinical Professor, Emory UniversityNancy Parker, MSN, RN, PHN, CNLBeth Ann Swan, PhD, RN, FAAN - Identification2023_NEC_JFIssueJanuary/February 2023
The "Future of Nursing Report 2020-2030: Charting a Path to Achieve Health Equity" presents an overarching framework for advancing health equity over the next decade. Given their knowledge and experience, ambulatory care nurses informed the report development; however, they must embrace opportunities for further action. Examples of ambulatory care nurses' innovative work and practice are showcased as they lead efforts across diverse settings with multiple partners. Ambulatory care nurses have the expertise, tools, and leadership for decisive action. They must continue to activate other nurses, their organizations, and collaborators to achieve the report's vision.
Authors
Kathy Mertens, DNP, MN, MPH, RNAssociate Chief Nurse for Ambulatory Care and Population Health, University of Washington Medicine - Harborview Medical CenterKristene K. Grayem, MSN, APRN, AMB-BCChief Population Health Officer, Akron Children's HospitalKelly Mattar, MHA, RN, CMSRNJenelle M. Zambrano, DNP, CNS, RN, CCNSStorm Morgan, DBA, MBA, MSN, RNRegistered Nurse and Clinical Program Manager, VA Central Office (ONS)Natalie Bycenski, MSN, RNLaurie Graaff, MBA, MS-ISM, RNMary Myers, MSN, RN, PCCNAdrian Jonas, BSN, RN - Identification2023_NEC_JAIssueJuly/August 2023
Payment for primary care remains predominantly fee-for-service. Billing regulations are complex and often not a part of nursing curriculum. This leads to confusion and a lack of understanding. When nurses are employed by primary care practices, their nursing services that contribute to context, as well as the systems they serve and impact the RN’s billable services, are not clearly identified. This article describes frequently used codes, regulatory requirements for use, and opportunities for future payment models.
Speaker
Stephanie Witwer, PhD, RN, NEA-BC, FAANIndependent Nurse ConsultantAuthors
Angela Mattson, DNP, RN, NE-BCAnne T. Jessie, DNP, RNSenior Director for Population Health Management and Clinical Innovations, Gorman Health - Identification2022_NEC_MJIssueMay/June 2022
This article describes findings from an extensive literature review and subject matter expert survey. Barriers to successful partnerships and strategies for success are highlighted, and examples from different types of successful partnerships are provided.
Speakers
Stephanie Witwer, PhD, RN, NEA-BC, FAANIndependent Nurse ConsultantElizabeth Fritz, PhD, RN, NPDA-BC, EBP-CSSM Health, RN Program ManagerAuthors
Susan M. Antol, PhD, MS, RNStephanie Bilskis, MBA, MSM, BSN, RN, NEA-BC - Identification2022_NEC_MAIssueMarch/April 2022
Development of academic-practice partnerships (APPs) provides the foundation to build a sustainable partnership between academia and practice settings. APPs provide academic, practice, and mutual benefits to advance ambulatory care nursing. Those who engage in partnerships can achieve mutual respect and understanding, a shared vision with mutual goals and outcomes, and agreed-upon evaluation strategies. Part 1 of a 3-part series.
Authors
Vanessa M. DeBiase, MSN, Med, RN, NPD-BCCaroline V. Coburn, DNP, APRN, ANP-BCAssociate Clinical Professor, Emory UniversityLaurel More, MS, RN, NPD-BC, CPNClinical Education Specialist, Children's Hospital ColoradoLinda Parsons, MSN, RN, NPD-BC - Identification2022_NEC_JAIssueJuly/August 2022
Academic practice partnerships play a key role in preparing nurses to care for diverse patients in clinical settings. Evidence-based academic practice partnership guidelines for ambulatory care were created to facilitate student clinical placements that ensure competency of new nurses entering ambulatory care settings.
Authors
Mary DiGiulio, DNP, ANP-BC, FAANPDirector, Adult Gerontology Primary Care NP Program, Rutgers UniversityDiana Alemar, DNP, AMB-BC, NPD-BC, NEA-BC, CNLProgram Director, New York Presbyterian HospitalAnnette S. Hamlin, MSN Ed, AMB-BC, RNNursing Professional Development Specialist, Akron Children's HospitalLillian J. Jones-Bell, MSN Ed, RN, PHNEducation Consultant, California Health Impact State Nursing WorkforceLaurel More, MS, RN, NPD-BC, CPNClinical Education Specialist, Children's Hospital Colorado - Identification2021_NEC_MJIssueMay/June 2021As 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
Beth Ann Swan, PhD, RN, FAANGeneral - Identification2021_NEC_MAIssueMarch/April 2021
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.
Speaker
Rachel E. Start, PhD, RN, NEA-BC, FAANAssociate VP, MBE Services, Rush University Medical CenterAuthor
Rebecca Graystone, PhD, MBA, RN, NE-BC - Identification2021_NEC_JFIssueJanuary/February 2021
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.
Authors
Sara Russell Rodriguez, MSN, MPH, RNSteve Pirlot, BS - Identification2021_NEC_JAIssueJuly/August 2021Creation 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.
Authors
Rebecca Alley, MS, BSN, RNElizabeth Carreira, MBA, BSN, RN, CPPS, AMB-BC, NEA-BCCynthia Wilson, MSN, BS, RNKatelin Pickard, MSM, BSN, RN