The Advanced Practice Nurse Managed Clinic
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Transcript The Advanced Practice Nurse Managed Clinic
The Advanced Practice
Nurse Managed Clinic:
Nurses Responding to Change
Rosemary Goodyear Ed.D, APRN-BC,
FAANP
APN Managed Clinics:
Nurses Responding to Change
Identify the professional requirements
for operating an APN managed clinic
List the social, cultural and legal
implications of establishing an APNMC
Discuss the potential of this method of
providing health care within the
nation’s current health care system
APN Managed Clinics
Foundational
elements of a APN
Managed clinic:
Mission/Purpose/Philosophy
Leadership
and Management
Fiscal support
Professional standards and/or
regulations
Professionals prepared as APNs
Consumer/patient marketing
APN Managed Clinics
MissionPurpose-
Philosophy-
APN Managed Clinics
Leadership
Management
APN Managed Clinics
Fiscal
Support
APN Managed Clinics
Professional
Regulations
Standards
APN Managed Clinics
APN
Preparation
APN Managed Clinics
Consumer/Patient
Marketing
APN Managed Clinics
History of nurses managing health care
independently and interdependently:
In home during child birth and plagues
In wars caring for the soldiers
In public/community health during
epidemics
APN Managed Clinics
Professional
Requirements
Education
Knowledge
worker
Qualified workforce
APN Managed Clinics
Education
Moved
from hospitals to universities -beyond post-basic
Scientific advances created knowledge
gaps
Expanded role requires life long learning
APN Managed Clinics
Nurses became “knowledge
workers”*
Harnessing
the power of theoretical and
analytical knowledge
Technology enhanced business and
networking
Health care consumer is poorly served
Workforce is redesigned
*White, K. & Begun, J. 1998, Nursing entrepreneurship in an era of
chaos and complexity, Nrs. Admin. Q. 22, (2); 40-47.
APN Managed Clinics
Qualified
workforce
Qualified students for enrollment
Qualified faculty and approved curriculum
Health care system open for APNs
APN role legitimized
Fiscal support for education
Patient acceptance of APN role
APN Managed Clinics
Social,
Cultural & Legal
Contexts
Social implications
Women’s
role in society
Trends of health in nation
Direction of health policy
APN Managed Clinics
Cultural
influences
Perceived
role of nurse
Employee versus independent provider
Risk taking and assertiveness
APN Managed Clinics
Legal
context
Legitimate role and Credibility
Scope
of practice and title
Professional and/or Regulatory
competence
APN Managed Clinics
“If
you have the foresight,
you’re blessed, but if you
have insight, you’re a
thousand times blessed.”
APN Managed Clinics
Foundational
elements of a APN
Managed clinic:
Mission/Purpose/Philosophy
Leadership
and Management
Fiscal support
Professional standards and/or
regulations
Professionals prepared as APNs
Consumer/patient marketing
APN Managed Clinics
Methods
for implementing APN
Managed Clinics
Business approaches:
Entrepreneur
or Intrapreneurs
Collaborative practice
Corporations
APN Managed Clinics
Entrepreneur
or Intrapreneurs
Starting
a business focused on
health care, alone or with a partner
Starting
a business within an existing
health care facility such as a hospital
APN Managed Clinics
Collaborative
Working
practice
alongside or in partnership
with another professional in the
business of health care
APN Managed Clinics
Corporations
Independently
contract to
establish a health service within
and existing non-health related
corporation
APN Managed Clinics
Infrastructure
for Implementation
of N-MC.
Know
the trends influencing health
care
Identify consumer’s unmet health
needs
Follow the scientific advances
Oversight of fiscal viability
Monitor health policy changes
APN Managed Clinics
Infrastructure
Know
for implementation
the trends influencing health
care
Demographic
shift of population
Burden of illness shift
Provider ratio disparities
Pandemics
APN Managed Clinics
Infrastructure
Consumer’s
Individual
for implementation
unmet health needs
patient
High Risk populations
Target groups
Community
APN Managed Clinics
Infrastructure
Scientific
New
for implementation
Discoveries
procedures and medications
Current research
Opportunities for focal providers
Caseload management
APN Managed Clinics
Infrastructure
Fiscal
for implementation
viability
Securing
and assuring funds for
operation and advancement of clinics
Research the outcomes of health care
Cost-effectiveness of APNs
Budget and accounting
APN Managed Clinics
Infrastructure
Monitor
for implementation
health policy changes
Involvement
in policy process
Monitor trends in governmental
resource allocation
Policy implications for nursing practice
Policy changes that affect patient care
APN Managed Clinics
The future of APN Managed Clinics
depends on all these factors and the
individual commitment to bring about
change. Barriers exist, but they can be
overcome through leadership,
knowledge and collaboration. Success
relates to the efforts and energies of all
nurses in your community/nation
working together to make change.
APN Managed Clinics
Thank
you
Rosemary Goodyear Ed.D, APRN-BC,
FAANP
[email protected]