How EverCare Nurse Practitioners Spend Their Time

Kane, Robert L; Flood, Shannon; Keckhafer, Gail; Rockwood, Todd

doi:10.1046/j.1532-5415.2001.4911249.x

Cited by 47 publications

(38 citation statements)

References 7 publications

(6 reference statements)

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“…Much of the empiric evidence regarding the link between APN nursing home practice and positive resident outcomes relies on multiple reports of a single study of the EverCare demonstration project in five geographic locations, using administrative data in large part (Kane et al, 2001;Kane et al, 2002;Kane et al, 2004). Some studies were limited by the use of retrospective chart review (Burl, Bonner, Rao, & Khan, 1998) or by a survey that failed to report reliability or validity of the survey instrument (Abdallah, 2005).…”

Section: Outcomes Of Apn Indirect Carementioning

confidence: 98%

“…In-service education, rounding with physicians, staff, and other health care teams, consultation, and administrative responsibilities constituted 50% of the total time APNs spent in nursing homes; yet none of these services were billable (Kane, Flood, Keckhafer, & Rockwood, 2001). Similarly, EverCare APNs spent time coaching and teaching nursing home staff, communicating with families, and coordinating care (Abdallah, Fawcett, Kane, Dick, & Chen, 2005).…”

Section: Outcomes Of Apn Indirect Carementioning

confidence: 98%

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Expanding the Knowledge Base of Resident and Facility Outcomes of Care Delivered by Advanced Practice Nurses in Long-Term Care

Bourbonniere

Mezey

Mitty

et al. 2009

Policy, Politics, & Nursing Practice

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In 2003, a panel of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care convened to examine and make recommendations about care quality and safety issues related to advanced practice nurses (APNs) in nursing home practice. This article reports on the panel recommendation that addressed expanding the evidence base of resident and facility outcomes of APN nursing home practice. A review of the small but important body of research related to nursing home APN practice suggests a positive impact on resident care and facility outcomes. Recommendations are made for critically needed research in four key areas: (a) APN nursing home practice, (b) relative value unit coding, (c) outcomes related to geropsychiatric and mental health nursing services, and (d) outcomes related to geriatric specialization. The APN role could be significantly enhanced and executed if its specific contribution to resident and facility outcomes was more clearly delineated through the recommended rigorous research.

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Section: Outcomes Of Apn Indirect Carementioning

confidence: 98%

Section: Outcomes Of Apn Indirect Carementioning

confidence: 98%

Expanding the Knowledge Base of Resident and Facility Outcomes of Care Delivered by Advanced Practice Nurses in Long-Term Care

Bourbonniere

Mezey

Mitty

et al. 2009

Policy, Politics, & Nursing Practice

View full text Add to dashboard Cite

show abstract

“…Evaluation of the demonstration project provides empirical data needed for decisions about continued governmental support of collaborative models of care delivery for long‐stay nursing home residents. Previous studies of the EverCare demonstration project have focused on how the NPs spend their time (Fama & Fox, 1997; Kane, Flood, Keckhafer, & Rockwood, 2001), nursing home residents’ satisfaction with the EverCare program (Kane, Flood, Keckhafer, Bershadsky, & Lum, 2002), and effects on medical care utilization (Kane et al, 2003) and quality (Kane, Flood, Bershadsky, & Keckhafer, 2004). Ryan (1999) identified roles performed by EverCare NPs, but she did not validate these roles empirically.…”

Section: Introduction/backgroundmentioning

confidence: 99%

Development and psychometric testing of the EverCare Nurse Practitioner Role and Activity Scale (ENPRAS)

Abdallah¹,

Fawcett²,

Kane³

et al. 2005

Journal of the American Academy of Nurse Practitioners

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The ENPRAS can be used to measure similarities and differences in NP practice activities performed by EverCare NPs working at different EverCare program sites and to compare practice activities performed by EverCare NPs and other NPs. The EverCare program is sponsored by United Health Care, which leads the field in collaborative NP/MD primary care in nursing homes. Future studies should be directed toward testing the generalizability of the ENPRAS with NPs working in other collaborative models, as well as NPs in noncollaborative models of care delivery in the long-term care setting.

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“…In general, a NP has a caseload of about 90 residents spread over two nursing homes. About one‐third of their time is spent in direct patient care 11 . They visit each home several times a week.…”

mentioning

confidence: 99%

Nursing Home Residents Covered by Medicare Risk Contracts: Early Findings from the EverCare Evaluation Project

Kane

Flood

Keckhafer

et al. 2002

J American Geriatrics Society

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EverCare appears to be a model of managed care worth tracking. It is producing care that is at least comparable with what is available in the fee-for-service environment, with evidence that families seem to appreciate the added attention. There is some suggestion that it has enrolled a less disabled but more demented population. Pending results on the effects of this care on hospitalization and emergency care should shed useful light.

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How EverCare Nurse Practitioners Spend Their Time

Abstract: NPs' activities are varied. Much of their time is spent communicating with vital parties, an important function that supports the physicians' primary care role and should enhance families' satisfaction with care.

Cited by 47 publications

References 7 publications

Expanding the Knowledge Base of Resident and Facility Outcomes of Care Delivered by Advanced Practice Nurses in Long-Term Care

Expanding the Knowledge Base of Resident and Facility Outcomes of Care Delivered by Advanced Practice Nurses in Long-Term Care

Development and psychometric testing of the EverCare Nurse Practitioner Role and Activity Scale (ENPRAS)

Nursing Home Residents Covered by Medicare Risk Contracts: Early Findings from the EverCare Evaluation Project

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