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Related Experiment Videos

Demonstrating APN value in a capitated market

R J Schaffner1, J Bohomey

  • 1Associate Faculty for Clinical Nursing, University of Rochester Medical Center, NY, USA.

Nursing Economic$
|May 21, 1998
PubMed
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Advanced Practice Nurses (APNs) can prove their value in healthcare reform by documenting cost-effective care. A simplified cost analysis demonstrated savings from APN consultations for home Total Parenteral Nutrition (TPN) services.

Area of Science:

  • Health Services Research
  • Nursing Economics

Background:

  • Advanced Practice Nurses (APNs) are crucial for healthcare reform but often lack documented value.
  • APNs need to demonstrate cost-effectiveness beyond direct revenue generation.
  • Quantifying APN contributions to improved outcomes and efficiency is essential.

Purpose of the Study:

  • To examine the cost savings generated by APN consultations and follow-up for home Total Parenteral Nutrition (TPN) patients.
  • To propose a simplified methodology for cost analysis of APN services.

Main Methods:

  • A simplified cost analysis was employed in Rochester, NY.
  • Data collection involved bundled costs, simple consultation details, and community surveys for market prices.
  • The analysis followed basic steps: item listing, cost examination, data collection/estimation, assumption listing, and total cost calculation.

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Main Results:

  • APN consultations and follow-up for home TPN patients resulted in demonstrable cost savings.
  • A simplified cost analysis framework can effectively capture the financial value of APN services.

Conclusions:

  • APNs can be recognized as valuable resources in healthcare reform by documenting their cost-effectiveness.
  • Simplified cost analysis methods are feasible for assessing APN contributions to healthcare efficiency and savings.