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Early lessons from a capitated community-based nursing model

G S Lamb

    Nursing Administration Quarterly
    |January 1, 1995
    PubMed
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    The Community Nursing Organization (CNO) demonstration is a Medicare program testing a new nurse-managed care system. Early experiences from Carondelet Health Care in Tucson highlight the implementation of this innovative community practice model.

    Area of Science:

    • Nursing Practice
    • Health Services Research
    • Healthcare Management

    Background:

    • Medicare is implementing a three-year demonstration program focused on Community Nursing Organizations (CNOs).
    • This initiative aims to develop, manage, and evaluate a novel capitated, nurse-managed system for community and ambulatory care.
    • Four national sites have initiated CNOs since February 1994.

    Purpose of the Study:

    • To share early experiences in designing and implementing a new community practice model.
    • To provide insights into the practical application of the CNO demonstration program.
    • To evaluate the effectiveness of nurse-managed ambulatory care systems.

    Main Methods:

    • The study focuses on the early experiences of one CNO site at Carondelet Health Care in Tucson, Arizona.

    Related Experiment Videos

  • It involves the design and implementation of a community practice model.
  • The methodology encompasses the development and management of a capitated, nurse-managed care system.
  • Main Results:

    • Early experiences in designing and implementing a new community practice model are shared.
    • The implementation of a capitated, nurse-managed system for community and ambulatory care is underway.
    • The CNO demonstration program is actively being managed and evaluated across four national sites.

    Conclusions:

    • The Carondelet Health Care CNO provides valuable early insights into implementing nurse-managed community care.
    • The CNO demonstration program represents a significant shift towards capitated, community-based nursing services.
    • Further evaluation is needed to fully assess the impact and sustainability of this new practice model.