Does the "Office Nurse" Level of Training Matter in the Family Medicine Office?

Delegation of Work Within a Patient-Centered Medical Home

“…Roles for RNs in ambulatory care in multiple settings include chronic disease management and care coordination. [1][2][3][4] Registered nurses have been instrumental in improving care quality in ambulatory care settings [5][6][7] ; however, how RN roles are operationalized in these settings remains unclear. 8,9 Implementation of team-based models of care such as the patient-centered medical home (PCMH) has led to a greater emphasis on defining the role of the RN in ambulatory settings.…”

“…Roles for RNs in ambulatory care in multiple settings include chronic disease management and care coordination 1-4 . Registered nurses have been instrumental in improving care quality in ambulatory care settings 5-7 ; however, how RN roles are operationalized in these settings remains unclear 8,9 …”

A Typology of Primary Care Workforce Innovations in the United States Since 2000

“…13 Clinicians focused on delivering the care, whereas staff members were not actively involved in actual care delivery. [14][15][16][17][18][19] This practice structure has largely endured despite significant changes in the expectations for what a primary care practice does for its patients, the introduction of electronic medical records, the increasing complexity of managing patients with multiple chronic illnesses, and the rapid proliferation of new medical technologies and pharmaceutical drugs. Instead medical assistants (MAs) are increasingly relied upon for both patient care and administrative support functions.…”