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Transition toward a nurse practitioner-managed clinic.

Katherine K Gambino¹, Loretta Planavsky, Heather Gaudette

¹Preventive Cardiology and Rehabilitation and Women's Cardiovascular Center, Cleveland Clinic, Ohio, USA. gambink@ccf.org

The Journal of Cardiovascular Nursing

|February 27, 2009

Summary

Advanced practice nurses (APNs) effectively manage cardiovascular risk factors, improving patient outcomes and satisfaction. This APN-led clinic model offers a cost-effective healthcare solution for conditions like dyslipidemia and hypertension.

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Area of Science:

Cardiovascular Medicine
Nursing Practice
Preventive Healthcare

Background:

Prevalence of dyslipidemia, diabetes, and hypertension necessitates efficient healthcare models.
Advanced Practice Nurses (APNs) demonstrate effectiveness in managing chronic conditions.
The Cleveland Clinic Preventive Cardiology and Rehabilitation program transitioned to an APN-managed model.

Purpose of the Study:

To evaluate the transition and outcomes of an APN-managed cardiology clinic.
To assess patient satisfaction and clinical results in an APN-led care setting.
To determine the efficiency and cost-effectiveness of APN-provided cardiovascular risk reduction.

Main Methods:

Transition from a physician-based model to an APN-managed clinic starting in 2002.
Implementation of APN continuity, independent billing, and joint algorithm development.
Data collection on patient satisfaction, billing revenue, and clinical laboratory results.

Main Results:

High patient satisfaction scores (83%-96%) for APN care.
2,522 APN visits generated $476,031 in independent billing over one year.
Significant improvements in lipid profiles and C-reactive protein levels observed.

Conclusions:

APNs provide effective and efficient cardiovascular risk reduction.
APN-managed care emphasizes medical management, lifestyle, and patient education.
This model represents a valuable approach to preventive cardiology.