Centralizing Prescription Renewal Management: A Nurse-Led Model in Primary Care

Ambulatory care practice is of critical interest to healthcare executives, nurse leaders, and patients. Total medical expense can be managed through the full deployment of ambulatory care staff with a focus on ensuring patients are receiving the right medical care at the right time in their health and wellness trajectory. This is essential as the cost of health care remains top of mind for executives, providers, and nurses alike. This interprofessional approach to practice in the ambulatory setting of care ensures all members of the care team are aligned reducing unnecessary care, diagnostics, and hospitalizations. All members of the care team must be optimized to provide consistent high-quality care in the right settings at the right time. This discussion will leave the participant with concrete thought leadership and tools as to how to leverage and excite the nursing workforce in their care delivery models in ambulatory care medicine.

The discussion will begin with a focus on organizational governance and optimized clinical structural coordination within a system matrix . It will then examine what an assessment of ambulatory care staffing mix and nursing engagement entails. This will lead to a discussion of the development of innovative roles to facilitate patient throughput, care coordination, and drive excellence in clinical quality outcomes and population health.

Some of the tactical opportunities in the evolution of ambulatory care practice include clinical staff alignment with a reporting structure that supports and is accountable for clinical competence and team-based care. In this model, population health management and at-risk payment models are also aligned with clinical knowledge and outcomes management. This panel discussion will describe best practice in the approach to these goals.

This program will provide a rapid facilitated discussion on assessment and evaluation of organizational governance and its alignment with operational goals, introduce a well-thought-out assessment process to better understand the critical strengths and weaknesses in their operational efficiency and patient experience, show how innovative and emerging leadership roles can optimize skill sets and facilitate operational evolution deep into an organization, give participants examples and tools for utilization in their own organization and show how alignment of clinical care team members in an ambulatory care setting with thoughtful change management tactics can help an organization excite and optimize their clinical care team. Additionally, the presentation will focus on how to drive population health management from clinical quality outcomes perspective, leveraging organized efforts specific to disease areas exhibiting an integration between primary care and specialties.

The use of an actual case studies will provide thought provoking content, including practical tactics for immediate use.

Learning objectives: 1) Understand why the current healthcare landscape affects ambulatory care structure, need for innovative roles, and alignment with clinical leadership, 2) understand the best practices for alignment of clinical care team members in an ambulatory care setting with thoughtful change management tactics, and 3) draw implications of how to interweave population health practices through the care team to achieve excellence in clinical quality outcomes.