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Carondelet St. Mary's nursing enterprise
1Patient Care Services, Carondelet St. Mary's Hospital and Health Center, Tucson, AZ.
The Nursing Clinics of North America
|March 1, 1992
Summary
This nursing enterprise integrated fee-for-service and capitation models to provide community nursing services. The approach focused on holistic care, empowering patients and demonstrating cost-effective, high-quality health management.
Area of Science:
- Nursing
- Healthcare Management
- Public Health
Background:
- Traditional nursing departments often do not bill separately for services.
- A need exists to enhance nursing contributions to healthcare delivery.
- Integrating nursing services beyond hospital walls is an evolving area.
Purpose of the Study:
- To describe the development and implementation of a comprehensive nursing enterprise.
- To explore innovative reimbursement models for nursing services.
- To assess the impact of a nursing enterprise on patient self-management and healthcare outcomes.
Main Methods:
- Initiated fee-for-service nursing within a hospital setting.
- Expanded services through a nursing network utilizing Nurse Care Managers (NCMs).
- Developed a nursing Health Maintenance Organization (HMO) for community-based, capitation-reimbursed services.
Main Results:
- The nursing enterprise successfully expanded services both within and beyond the hospital.
- The nursing HMO demonstrated the capacity for high-quality, cost-effective care for at-risk populations.
- Patient-centered, holistic care aligned with expressed health needs was prioritized.
Conclusions:
- A nursing enterprise, balancing service and business principles, can effectively orchestrate professional nursing services.
- Empowering patients in managing their health concerns is a key outcome of this holistic approach.
- Nursing's role in healthcare can be significantly enhanced through innovative service delivery and reimbursement models.