优化NP和PA角色以改善学术医疗中心的护理准入:一个组织案例研究
Chris Ferron1, Wendy Franklin, Hope Sellars
1At the University of Tennessee Medical Center in Knoxville, TN, Chris Ferron is director of advanced practice, Wendy Franklin is an advanced practice nurse, Hope Sellars is an NP, James Shamiyeh is executive vice president and chief operating officer, and Sandy Leake is senior vice president and chief nursing officer. At SullivanCotter, Inc., in Chicago, IL, Lacey Buckler is consulting principal, Jaime Lough is managing consultant, Amy Noecker is managing principal, and Zachary Hartsell is managing principal. Zachary Hartsell is a member of the JAAPA editorial board and a JAAPA clinical editor. The authors have disclosed no other potential conflicts of interest, financial or otherwise, although SullivanCotter was engaged in a consulting relationship with the University of Tennessee Medical Center for the duration of this project.
学术医疗中心可以通过重新设计护理模式来改善患者的准入和收入. 这涉及到利用高级实践提供者,如执业护士和医生助理,以提高医疗保健提供和运营效率.
科学领域:
- 医疗保健管理的管理
- 临床操作 临床操作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健行业面临着平衡患者获取与成本管理的挑战.
- 高级实践提供者,包括执业护士和医生助理,是改善护理准入的关键资源.
- 学术医疗中心必须适应不断变化的医疗保健环境.
研究的目的:
- 描述一个在学术医疗中心的整体护理模式的数据驱动的重新设计.
- 为了证明这种重新设计如何改善患者获得服务的机会.
- 报告重新设计模型对组织收入的影响.
主要方法:
- 一个有意的,数据驱动的过程被用来重新设计护理模式.
- 重新设计的重点是学术医疗中心内的三个专业领域.
- 该研究使用了组织案例报告格式来记录这些变化.
主要成果:
- 重新设计的整体护理模式成功改善了患者的接入.
- 这一举措使医疗中心的收入明显增加.
- 先进实践提供者在实现这些结果方面发挥了关键作用.
结论:
- 重新设计护理模式,专注于先进实践提供者,可以提高患者的准入.
- 整体护理模式的战略实施可以对医疗保健组织的收入产生积极影响.
- 数据驱动的方法对于成功优化医疗保健系统至关重要.
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