Nurse-Led Health Clinics: Operations, Policy, and Opportunities

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
1136844482
Nurse-Led Health Clinics: Operations, Policy, and Opportunities

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
44.99 In Stock
Nurse-Led Health Clinics: Operations, Policy, and Opportunities

Nurse-Led Health Clinics: Operations, Policy, and Opportunities

Nurse-Led Health Clinics: Operations, Policy, and Opportunities

Nurse-Led Health Clinics: Operations, Policy, and Opportunities

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Overview

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

Product Details

ISBN-13: 9780826128034
Publisher: Springer Publishing Company
Publication date: 03/16/2015
Sold by: Barnes & Noble
Format: eBook
Pages: 250
File size: 2 MB

About the Author

Tine Hansen-Turton, MGA, JD, FCCP, FAAN, is the chief strategy officer of Public Health Management Corporation (PHMC), where she develops and supports PHMC's overall strategy and leads partnership development around new and emerging business opportunities.


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.

Table of Contents

"Contents

Contributors

Foreword Loretta Ford, RN, PNP, EdD, FAAN, FAANP

Foreword Sandra Festa Ryan, MSN, RN, CPNP, FCPP, FAANP, FAAN

Preface

Introduction Susan B. Hassmiller, PhD, 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 McMurry, 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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