
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
- Identification2020_NEC_NDIssueNovember/December 2020This 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.
Speaker
Rachel E. Start, PhD, RN, NEA-BC, FAANAssociate VP, MBE Services, Rush University Medical CenterAuthors
Ann Marie Matlock, DNP, RN, NE-BCDiane Storer Brown, PhD, RN, FNAHQ, FAAN - Identification2020_NEC_MAIssueMarch/April 2020Using 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.
Authors
Laurel More, MS, RN, NPD-BC, CPNClinical Education Specialist, Children's Hospital ColoradoLinda Parsons, MSN, RN, NPD-BC - Identification2020_NEC_JAIssueJuly/August 2020Equipping 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.
Speakers
Rachel E. Start, PhD, RN, NEA-BC, FAANAssociate VP, MBE Services, Rush University Medical CenterMary E. Blankson, DNP, APRN, FNP-C, FAANChief Nursing Officer, Community Health Center, Inc.Authors
Diane Storer Brown, PhD, RN, FNAHQ, FAANNancy May, DNP, RN-BC, NEA-BC2015-2016 AAACN PresidentSharon K. Quinlan, MSN, MBA, RN, NEA-BCSara Russell Rodriguez, MSN, MPH, RNAnn Marie Matlock, DNP, RN, NE-BC - Identification2019_NEC_Swan_MAIssueMarch/April 2019The 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.
Authors
Beth Ann Swan, PhD, RN, FAANRegina Conway-Phillips, PhD, RNSheila A. Haas, PhD, RN, FAANMarcella Niehoff School of Nursing at Loyola UniversityLaura De La Pena, MSN, RNC, C-EFM - Identification2019_NEC_NDIssueNovember/December 2019Lack 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.
Authors
Beth Ann Swan, PhD, RN, FAANSheila A. Haas, PhD, RN, FAANMarcella Niehoff School of Nursing at Loyola UniversityAnne T. Jessie, DNP, RNSenior Director for Population Health Management and Clinical Innovations, Gorman Health - Identification2019_NEC_MJIssueMay/June 2019In 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.
Speaker
Rachel E. Start, PhD, RN, NEA-BC, FAANAssociate VP, MBE Services, Rush University Medical CenterAuthors
Sheila A. Haas, PhD, RN, FAANMarcella Niehoff School of Nursing at Loyola UniversityRegina Conway-Phillips, PhD, RNBeth Ann Swan, PhD, RN, FAANLaura De La Pena, MSN, RNC, C-EFMDiane Storer Brown, PhD, RN, FNAHQ, FAAN - Identification2019_NEC_JFIssueJanuary/February 2019The American Academy of Ambulatory Care Nursing convened an Invitational Summit of national leaders to assist with strategic planning for promulgation of the care coordination and transition management (CCTM™) model. The conference was devoted to CCTM and the roles of registered nurses (RNs) across the care continuum to ensure safety and quality health care. The specific emphasis was on embedding the CCTM RN in healthcare policy and payment reform, as well as integration into academic and ongoing education across all care settings and specialties.
Authors
Sheila A. Haas, PhD, RN, FAANMarcella Niehoff School of Nursing at Loyola UniversityBeth Ann Swan, PhD, RN, FAAN - Identification2018_NEC_SOIssueSeptember/October 2018
Nurses have the potential to positively impact patient outcomes and make changes in care delivery models to improve care and decrease cost. Registered nurses are the ideal team members to expand the capacity in primary care; however, their true impact and utilization has been underutilized. To show the impact nurses can have, nurse leaders and researchers must leverage nursing-sensitive indicators (NSIs) and make comparisons with demographic and role information. To make these comparisons and provide the most cost-effective, efficient, and high-quality care to patients in the ambulatory care setting, nurse leaders and healthcare leaders need to gather data on the various NSIs for benchmarking. The more data that can be gathered, the better comparisons can be made and staffing models can be modified.
Speaker
Rachel E. Start, PhD, RN, NEA-BC, FAANAssociate VP, MBE Services, Rush University Medical CenterAuthors
Ann Marie Matlock, DNP, RN, NE-BCDiane S. Brown, PhD, RN, FNAHQ, FAANHarriet Aronow, PhDLynn Soban, PhD, MPH, RN - Identification2018_NEC_ND_02IssueNovember/December 2018The growth of ambulatory care nursing as a profession and how it is delivered has evolved over time. The specialty’s theoretical professional growth began in 1998 with the development of the first conceptual model. Conceptualizing professional ambulatory care nursing has been an exciting challenge for the past 2 decades. The journey participants included multiple registered nurses from numerous settings whose intellectual efforts and contributions advanced professional ambulatory care practice to this present state of conceptual understanding. Future leaders will continue the journey to keep this specialty practice clearly delineated conceptually, building on the work already accomplished.
Author
Margaret F. Mastal, PhD, MSN, RN - Identification2018_NEC_ND_01IssueNovember/December 2018Team-based care is needed across all ambulatory sites to provide care that is collaborative, patient-centered, timely, efficient, and equitable. This project clearly defined two distinct bodies of work present in every ambulatory setting across network practice sites: synchronous work and asynchronous work. Prior to this analysis, most practice sites were using the same staff to complete both types of work, resulting in fragmentation of work and inefficiencies in timely completion. Pilot studies were completed in a sampling of practice sites to test if assigning staff to specific types of work would result in better efficiencies and timely completion of work. In all pilots, this theory was upheld, leading to major changes in how work was separated and assigned.
Author
Aislynn Moyer, DNP, RN