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Related Concept Videos

Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

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Related Experiment Video

Updated: May 7, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients
03:47

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

A new model for nurse practitioner utilization in primary care: increased efficiency and implications.

Nan Liu1, Stacey R Finkelstein, Lusine Poghosyan

  • 1Nan Liu, PhD, is Assistant Professor, Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York. E-mail: nl2320@columbia.edu. Stacey R. Finkelstein, PhD, is Assistant Professor, Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York. E-mail: sf2559@columbia.edu. Lusine Poghosyan, PhD, MPH, RN, is Assistant Professor, Columbia University School of Nursing, New York.

Health Care Management Review
|September 18, 2013
PubMed
Summary

Hiring medical assistants (MAs) to support nurse practitioners (NPs) in primary care significantly boosts productivity and lowers patient care costs by 9%-12%. This finding highlights the necessity of MA assistance for optimal NP utilization.

Related Experiment Videos

Last Updated: May 7, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients
03:47

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

Area of Science:

  • Healthcare Management
  • Primary Care Delivery
  • Health Services Research

Background:

  • Nurse practitioners (NPs) are vital in primary care, yet their optimal utilization and support needs are not fully understood.
  • NPs in primary care settings often lack the ancillary personnel support readily available to physicians.
  • Organizational processes for maximizing NP contributions to care delivery require further investigation.

Purpose of the Study:

  • To compare the productivity and cost-efficiency of nurse practitioner (NP) utilization models.
  • To evaluate the impact of medical assistant (MA) support on NP productivity and cost-efficiency in primary care.

Main Methods:

  • Queueing models were developed to represent NP utilization scenarios.
  • Model parameters were derived from existing literature and government data.
  • Sensitivity analyses were performed to assess the robustness of findings across different practice environments.

Main Results:

  • Models with MA support demonstrated significant improvements in NP productivity and cost efficiency.
  • Hiring MAs to support NPs reduced average patient care costs by 9%-12%.
  • Increasing the provider service rate was more effective for productivity gains than reducing service time variability.

Conclusions:

  • Medical assistant (MA) support is essential for containing costs in primary care.
  • MA assistance is necessary to improve the effective utilization of nurse practitioners (NPs).