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Experts recommend strategies for strengthening the use of advanced practice nurses in nursing homes.

By Mathy Mezey, Sarah Greene Burger, Harrison G Bloom, Alice Bonner, Mary Bourbonniere, Barbara Bowers, Jeffrey B Burl, Elizabeth Capezuti, Diane Carter, Jacob Dimant, Sarah A Jerro, Susan C Reinhard and Marilyn Ter Maat

Abstract

In 2003, The John A. Hartford Foundation Institute for Geriatric Nursing, New York University Division of Nursing, convened an expert panel to explore the potential for developing recommendations for the caseloads of advanced practice nurses (APNs) in nursing homes and to provide substantive and detailed strategies to strengthen the use of APNs in nursing homes. The panel, consisting of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care, developed six recommendations related to caseloads for APNs in nursing homes. The recommendations address educational preparation of APNs; average reimbursable APN visits per day; factors affecting APNs caseload parameters, including provider characteristics, practice models, resident acuity, and facility factors; changes in Medicare reimbursement to acknowledge nonbillable time spent in resident care; and technical assistance to promote a climate conducive to APN practice in nursing homes. Detailed research findings and clinical expertise underpin each recommendation. These recommendations provide practitioners, payers, regulators, and consumers with a rationale and details of current advanced practice nursing models and caseload parameters, preferred geriatric education, reimbursement strategies, and a range of technical assistance necessary to strengthen, enhance, and increase APNs\u27 participation in the care of nursing home residents

Topics: Aged, Education, Nursing, Graduate, Geriatric Nursing, Homes for the Aged, Humans, Medicare, Nurse Clinicians, Nurse Practitioners, Nursing Homes, Personnel Selection, Professional Competence, Reimbursement Mechanisms, Specialization, United States, Medicine and Health Sciences, Nursing
Publisher: Jefferson Digital Commons
Year: 2005
OAI identifier: oai:jdc.jefferson.edu:nursfp-1027

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