Speaking with a Unified Voice: Recommendations for the Collection of Aggregated Outcome Data in NurseManaged Centers

Abstract

Although nurse-managed centers have been instrumental in serving the underserved since the 1800s, little is known about their capacity to serve as effective primary health care providers. Nurse-managed centers also provide unique clinical opportunities for nursing students to learn about serving vulnerable populations, with an emphasis on attaining cultural competency. As more Americans seek their services, it is imperative that nurse-managed centers become more visible and pragmatic in their approaches to document their successes in improving health care access to those in most need. This article describes a meeting with representatives from nurse-managed centers throughout the United States, in an effort to recommend a uniform set of aggregate outcome data. This outcome data will provide policy makers and the general public with information that clearly supports nurse-managed centers as key safety net providers of accessible and effective primary health care.

A Unique Set of Interactions: The MSU Sustained Partnership Model of Nurse Practitioner Primary Care

“…Environmental characteristics. Even factors such as the architectural characteristics of the clinic facility, the prevalent community atmosphere, and the implemented medical records and documentation systems have been shown to shape the manner in which NPs and clients tend to interact (Anderko & Kinion, 2001;Lundeen, 1999;Nolan, Dickinson, & Boltin, 1999;Oros et al, 2001). Structural components of this type will need to be identified and evaluated in each setting, and it is important for NPs and NP students to understand how these factors may affect the way their clients perceive their relationship with them.…”

“…Nurse practitioners (NPs) have provided primary health care services in community settings since 1965, frequently caring for clients who have been underserved or uninsured (Anderko & Kinion, 2001;Institute of Medicine, 2000). Still, the nursing literature provides very little in the way of a conceptual framework describing the fundamental processes of care that occur as NPs interact with their clients.…”

Measuring Quality in Nurse-Managed Centers Using HEDIS Measures

“…Yet the types of outcome or quality assessment measure approaches used with NPs and in NMCs have been h t e d . The vast majority of research has been descriptive and focused on the service characteristics of academic NMCs or on one clinical service or disease entity (Anderko & Kinion, 2001;Matas, Brown, & Holman, 1996;Riesch, 1992;Watson, 1996).…”

Nurse practitioners in academic nurse managed centres: A new and emergent opportunity for Australian nurses

“…In developing the minimum data set consideration should be given to collecting patient demographics, medical diagnoses, nursing diagnoses, services offered, nursing interventions, nursing outcomes, and student and faculty data. 55,56 Quality indicators such as patient satisfaction, student evaluation, and practitioner satisfaction will also prove valuable sources of informa-tion in shaping and growing the ANMC. [57][58][59] Collection of such data not only contributes to building the evidence behind evidence-based practice, it ensures healthcare data is used to increase visibility through publication and pro-vides support for further applications for funding at the state and federal level.…”

“…[57][58][59] Collection of such data not only contributes to building the evidence behind evidence-based practice, it ensures healthcare data is used to increase visibility through publication and pro-vides support for further applications for funding at the state and federal level. 49,55,57 Further, strategically, recruit-ing ED Nurse Practitioners and other Nurse Practitioners with specialties in line with the National Healthcare Strategy priorities will enable health outcome measures to be reported that directly address national benchmarks. 60 …”