Delivers a wealth of information for nurses who wish to open and manage their own health clinics
Public health nursing—with its focus on compassionate, holistic care and services to the poor, the aged, those suffering from social injustice, and those without adequate health facilities—had its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services—including primary care, health promotion, disease prevention, and behavioral health care—to residents of underserved communities throughout the United States.
The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample bylaws, and a managed-care contracting toolkit.
KEY FEATURES:
- Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center
- Addresses the pros and cons of a variety of business models for nurse-led care
- Identifies the most common clinical services offered
- Presents quality metrics, best-practice models, and case studies
- Includes state and federal policy and regulatory challenges and opportunities
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Contents
Contributors
Foreword Loretta Ford, RN, PNP, Ed D, FAAN, FAANP
Foreword Sandra Festa Ryan, MSN, RN, CPNP, FCPP, FAANP, FAAN
Preface
Introduction Susan B. Hassmiller, Ph D, RN, FAAN
SECTION I: INTRODUCING NURSE-MANAGED MODELS
Tine Hansen-Turton
1. Anatomy of a Nurse-Led Clinic: An Introduction to the Model of Care
Tine Hansen-Turton, Brian Valdez, Jamie M. Ware, and Eunice S. King
Background: Origins of the NMHC Model of Care
The Role of the Division of Nursing in the Development of NMHCs
What Is an NMHC?
2. The Independence Foundation’s Contributions to the Nurse-Managed Health Center Movement
Eunice S. King
Background and History of Interest in Nursing
The History of IF-Funded Nurse-Managed Health Centers: 1993–2013
The NNCC: Laying the Groundwork for the Growth and Recognition of NMHCs
Glossary
3. Building a Nurse-Managed Clinic
Donna L. Torrisi and Tine Hansen-Turton
How to Start a Nurse-Managed Health Center
Initial Planning
Financial Operations
Policies and Procedures
Continuous Quality/Performance Improvement
Information Systems
4. Nurse-Managed Health Centers and Sustainability
Bonita Ann Pilon and Tine Hansen-Turton
Strategies for Sustaining Nurse-Managed Clinics: A Balancing Act
Conclusion
5. The Role of the Collaborative Team in Nurse-Managed Health Centers
Nancy L. Rothman and Donald B. Parks
CRNPs: Leading Interdisciplinary/Interprofessional Collaborative Teams
Collaboration and Patient-Centered Medical Homes
6. Quality
Kathryn Fiandt and Nancy L. Rothman
Quality of Health Care in the United States
Quality Processes
The National Nursing Center NMHC Certification Initiative
A Case Study
Conclusion
7. Patient Satisfaction With Care Received in Nurse-Managed Primary Care Clinics: The Numbers and the Stories
Eunice S. King and Nancy L. Rothman
The Focus Group
Conclusion
8. Providing Behavioral Health Care Within Nurse-Managed Health Clinics: A Journey Toward Full Integration—The Abbottsford Falls Community Health Center
Donna L. Torrisi
1992: A Commitment to Behavioral Health From the Start
1994–2000: The Growth of Outpatient BH Services
2000–2009: The Depression Collaborative
2010: The BH Consultant Model
Sustainability
Conclusion
SECTION II: BEST PRACTICE MODELS AND NURSE-MANAGED PRIMARY CARE
Geraldine Bednash
Nurse-Managed Centers—An Avenue for Change and Health
9. Joining Hands With a Vulnerable Community: The Family Practice and Counseling Network
Donna L. Torrisi and Jessie Torrisi
The Godmother (June 1991)
Reclaiming Piper’s Row (July 1992)
The Unsteady Steps of Expansion (1994 and 1995)
The Political Pitfalls of Change (March 1995)
A Lesson in Humility (January 1997)
Shootings and Sorrows (1997 and 1998)
Joys (May 1998)
Bringing Behavioral Health Into the Exam Room (2009)
Our First Rural Health Center (2012)
Twenty-Two Years Into the Journey (February 2014)
10. 11th Street Family Health Services of Drexel University: A University–Community Partnership
Patricia Gerrity
Background
The Recipe
Differentiating Ingredients
Sampling the Cake: Data, Outcomes, and Model Effectiveness
The Recipe Evolves: The Development of a Health Campus
Conclusion
11. The Senior House Calls Program
M. Christina R. Esperat, Linda Mc Murry, and Sally Coates
History
Services Provided
Challenges and Issues
Client Responses
12. Convenient Care Clinics: Lessons Learned From Consumer-Driven Health Care
Sandra Festa Ryan and Sarah Rosenberg
Overview of the Industry
What Are CCCs?
The Role of Consumers in Validating the Industry
Conclusion
SECTION III: NURSE-MANAGED WELLNESS CENTERS AND PROGRAMS
Tine Hansen-Turton
13. Overview of Nurse-Managed Wellness Centers and Wellness Programs Integrated Into Nurse-Managed Primary Care Clinics
Lenore K. Resick, Mary Ellen T. Miller, and Maureen E. Leonardo
Healthy People 2020
Organizational Frameworks
Sustainability
Wellness Centers and Integrated Wellness Programs in Traditional Primary Care Models: Filling the Health Care Gap
14. The 19130 Zip Code Project: A Journey to Our Neighborhood
Andrea Mengel and M. Elaine Tagliareni
Preparing Students for the 19130 Zip Code Project Clinical Experience
Providing Health Promotion and Disease Prevention Services in Our Community
Sustainability and Replicability
SECTION IV: NURSE-MANAGED HEALTH CENTERS AND POLICIES FOR THE FUTURE
Frances Hughes
15. Workforce Trends and the Growth of the Advanced Practice Nurse Role
Sarah Hexem, Brian Valdez, and Jamie L. Ware
The NP in Primary Care: Looking Ahead
The NP Workforce by the Numbers
Federal Policies to Advance the Advanced Practice Nursing Workforce
Conclusion
16. The Future of Nurse-Managed Care and National Policy Efforts
Brian Valdez, Sarah Hexem, and Jamie M. Ware
The ACA and Its Relevance for NMHCs
The IOM’s The Future of Nursing Report and Its Impact on NMHCs
Future Directions
Conclusion
17. Health Care Transformations and The Future of Nursing: Campaign for Action
Susan B. Hassmiller
Appendix A: Nurse-Managed Health Clinic Start-Up Checklist
Appendix B: Sample Nurse-Managed Health Clinic Bylaws
Appendix C: The National Nursing Centers Consortium Managed Care Contracting Toolkit
Tine Hansen-Turton
Index
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Susan E. Sherman, MA, RN, FAAN, FCPP is President and CEO of the Independence Foundation, a private philanthropy dedicated to supporting programs in Philadelphia and surrounding Pennsylvania counties that provide services to people who ordinarily do not have access to them.
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