The Advanced Practice Nurse Managed Clinic: Nurses Responding to Change

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The Advanced Practice Nurse Managed Clinic
Nurses Responding to Change

• Rosemary Goodyear Ed.D, APRN-BC, FAANP

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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 nations current health
  care system

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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

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APN Managed Clinics

• Mission-
• Purpose-
• Philosophy-

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APN Managed Clinics

• Leadership
• Management

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APN Managed Clinics

• Fiscal Support

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APN Managed Clinics

• Professional Standards
• Regulations

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APN Managed Clinics

• APN Preparation

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APN Managed Clinics

• Consumer/Patient Marketing

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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

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APN Managed Clinics

• Professional Requirements
• Education
• Knowledge worker
• Qualified workforce

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APN Managed Clinics

• Education
• Moved from hospitals to universities --beyond
  post-basic
• Scientific advances created knowledge gaps
• Expanded role requires life long learning

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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.

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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

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APN Managed Clinics

• Social, Cultural Legal Contexts
• Social implications
• Womens role in society
• Trends of health in nation
• Direction of health policy

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APN Managed Clinics

• Cultural influences
• Perceived role of nurse
• Employee versus independent provider
• Risk taking and assertiveness

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APN Managed Clinics

• Legal context
• Legitimate role and Credibility
• Scope of practice and title
• Professional and/or Regulatory competence

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APN Managed Clinics

• If you have the foresight, youre blessed, but
  if you have insight, youre a thousand times
  blessed.

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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

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APN Managed Clinics

• Methods for implementing APN Managed Clinics
• Business approaches
• Entrepreneur or Intrapreneurs
• Collaborative practice
• Corporations

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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

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APN Managed Clinics

• Collaborative practice
• Working alongside or in partnership with another
  professional in the business of health care

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APN Managed Clinics

• Corporations
• Independently contract to establish a health
  service within and existing non-health related
  corporation

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APN Managed Clinics

• Infrastructure for Implementation of N-MC.
• Know the trends influencing health care
• Identify consumers unmet health needs
• Follow the scientific advances
• Oversight of fiscal viability
• Monitor health policy changes

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APN Managed Clinics

• Infrastructure for implementation
• Know the trends influencing health care
• Demographic shift of population
• Burden of illness shift
• Provider ratio disparities
• Pandemics

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APN Managed Clinics

• Infrastructure for implementation
• Consumers unmet health needs
• Individual patient
• High Risk populations
• Target groups
• Community

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APN Managed Clinics

• Infrastructure for implementation
• Scientific Discoveries
• New procedures and medications
• Current research
• Opportunities for focal providers
• Caseload management

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APN Managed Clinics

• Infrastructure for implementation
• Fiscal viability
• Securing and assuring funds for operation and
  advancement of clinics
• Research the outcomes of health care
• Cost-effectiveness of APNs
• Budget and accounting

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APN Managed Clinics

• Infrastructure for implementation
• Monitor health policy changes
• Involvement in policy process
• Monitor trends in governmental resource
  allocation
• Policy implications for nursing practice
• Policy changes that affect patient care

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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.

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APN Managed Clinics

• Thank you
• Rosemary Goodyear Ed.D, APRN-BC, FAANP
• rtgoodyear_at_roadrunner.com