Call to action: APRNs in U.S. nursing homes to improve care and reduce costs

Nursing Outlook

Volumn 65, Issue 6, 2017, Pages 689-696

  Rantz, Marilyn J ^a   Birtley, Nancy M ^a   Flesner, Marcia ^a   Crecelius, Charles ^a   Murray, Cathy ^a  

^a UNIVERSITY OF MISSOURI   (United States)

Author keywords

Long term care facilities; Medicare; Missouri Quality Initiative; Nurse practitioners

Indexed keywords

ADULT; EMERGENCY WARD; HOSPITALIZATION; HUMAN; MEDICARE; MISSOURI; NURSE PRACTITIONER; NURSING HOME PATIENT; PATIENT SATISFACTION; REGISTERED NURSE; ADVANCED PRACTICE NURSING; HEALTH CARE COST; HEALTH CARE QUALITY; MODEL; NURSE ATTITUDE; NURSING HOME; UNITED STATES;

ADVANCED PRACTICE NURSING; HEALTH CARE COSTS; HOSPITALIZATION; HUMANS; MISSOURI; MODELS, NURSING; NURSE'S ROLE; NURSING HOMES; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 85030652533     PISSN: 00296554     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.outlook.2017.08.011     Document Type: Article

References (43)

1. Aigner, M.J., Drew, S., Phipps, J., A comparative study of nursing home resident outcomes between care provided by nurse practitioners/physicians versus physicians only. Journal of the American Medical Directors Association 5 (2004), 16–23.
2. Alexander, G.L., Rantz, M., Galambos, C., Vogelsmeier, A., Flesner, M., Popejoy, L.L., Elvin, M., Preparing nursing homes for the future of health information exchange. Applied Clinical Informatics 6 (2015), 248–266.
3. Baker, A.S., Billing and coding in long term care: Basic billing and coding in long term care—Part 1. A Webnar series by the American Medical Directors’ Association. 2010 Handouts Retrieved from http://www.amda.com/cmedirect/webinars/11-17-10_Handout.pdf.
4. Burl, J.B., Bonner, A., Rao, M., Demonstration of the cost-effectiveness of a nurse practitioner/physician team in long-term care facilities. HMO Practice 8:4 (1994), 157–161.
5. Burl, J.B., Bonner, A., Rao, M., Khan, A.M., Geriatric nurse practitioners in long-term care: Demonstration of effectiveness in managed care. Journal of the American Geriatrics Society 46:4 (1998), 506–510.
6. Galambos, C., Starr, J., Rantz, M., Petroski, G., Analysis of advance directive documentation to support palliative care activity in nursing homes. Health and Social Work 41:4 (2016), 228–234.
7. Hampton, J.K., Reiter, T., Doerr, J., Popejoy, L., Using FOCUS PDA to improve antipsychotic medication management. Journal of Nursing Care Quality 29:4 (2014), 295–302.
8. Horrocks, S., Anderson, E., Salisbury, C., Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British Medical Journal 324:6 (2002), 819–823.
9. Indeed. (2017). Nurse practitioner salary in Missouri. Retrieved from http://www.indeed.com/salary/q-Nurse-Practitioner-l-Missouri.html.
10. Ingber, M.J., Feng, Z., Khatutsky, G., Wang, J.M., Bercaw, L.E., Zheng, N.T., Segelman, M., Initiative to reduce avoidable hospitalizations among nursing facility residents shows promising results. Health Affairs 36:3 (2017), 441–450.
11. Institute of Medicine. Retooling America's health care workforce: Building the health care work force. 2008 Retrieved from https://www.nationalacademies.org/hmd/Reports/2008/Retooling-for-an-Aging-America-Building-the-Health-Care-Workforce.aspx.
12. Johnson, C.J.G., Stone, D.L., Bell, K.T., Skilled nursing facility economic outcomes: A comparison of two non-physician practitioner service models. 2007 Retrieved from http://www.shcmedicalpartners.com/wp-content/uploads/2012/03/IntegritasWhitePaper_SNFOutcomes_2007.pdf.
13. Nurse Journal. Nurse practitioner salary by state. 2017 Retrieved from http://nursejournal.org/nurse-practitioner/nurse-practitioner-salary-statistics/.
14. Laurant, M., Reeves, D., Hermens, R., Braspenning, J., Grol, R., Sibbald, B., Substitution of doctors by nurses in primary care (review). Cochrane Database of Systematic Reviews(2), 2005.
15. Lentz, E.R., Mundinger, M.O., Kane, R.L., Hopkins, S.C., Lin, W.X., Primary care outcomes in patients treated by nurse practitioners or physicians: Two-year follow up. Medical Care Research and Review 61:3 (2004), 332–351.
16. Missouri General Assembly. Revisor of Statutes. 2015 Chapter 334 physicians and surgeons—Therapists—Athletic trainers—Health care providers, Section 334.104.1. Retrieved from http://revisor.mo.gov/main/OneSection.aspx?section=334.104&bid=17763&hl=.
17. Missouri Secretary of State. Code of State Regulations, Title 20 Department of Insurance, Financial Institutions, and Professional Registration, Division 2200—State Board of Nursing. 2015 Chapter 4—General Rules. Retrieved from http://www.sos.mo.gov/cmsimages/adrules/csr/current/20csr/20c2200-4.pdf.
18. Missouri Secretary of State. Code of State Regulations, Title 20 Department of Insurance, Financial Institutions, and Professional Registration, Division 2150—State Board of Registration for the Healing Arts. 2010 Chapter 5– General Rules. Retrieved 3/1/17 from http://www.sos.mo.gov/cmsimages/adrules/csr/current/20csr/20c2150-5.pdf.
19. Newhouse, R.P., Stanik-Hutt, J., White, K.M., Johantgen, M., Bass, E.B., Zangaro, G., Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics 29:5 (2011), 1–22.
20. Oliver, G.M., Pennington, L., Revelle, S., Rantz, M., Impact of nurse practitioners on health outcomes of Medicare and Medicaid patients. Nursing Outlook 62 (2014), 440–447.
21. Popejoy, L.L., Vogelsmeier, A., Galambos, C., Flesner, M., Alexander, G., Lueckenotte, A., Rantz, M., The APRN role in changing nursing home quality: The Missouri Quality Improvement Initiative. Journal of Nursing Care Quality 32:3 (2017), 196–201 PAP 5/12/17.
22. Rantz, M., Alexander, G., Galambos, C., Vogelsmeier, A., Popejoy, L., Flesner, M., Zwygart-Stauffacher, M., Initiative to test a multidisciplinary model with advanced practice nurses to reduce avoidable hospitalizations among nursing facility residents. Journal of Nursing Care Quality 29:1 (2014), 1–8.
23. Rantz, M.J., Flesner, M.K., Franklin, J., Galambos, C., Pudlowski, J., Pritchett, A., Lueckenotte, A., Better care, better quality: Reducing avoidable hospitalizations of nursing home residents. Journal of Nursing Care Quality 30:4 (2015), 290–297.
24. Research Triangle Institute (RTI) International. Evaluation of the initiative to reduce avoidable hospitalizations among nursing home facility residents: Annual Report, Project Year 4. 2017 Retrieved from https://innovation.cms.gov/Files/reports/irahnfr-finalyrfourevalrpt.pdf.
25. Research Triangle Institute (RTI) International. Evaluation of the initiative to reduce avoidable hospitalizations among nursing home facility residents: Final Annual Report Project Year 3. 2016 Retrieved from https://innovation.cms.gov/Files/reports/irahnfr-finalyrthreeevalrpt.pdf.
26. Rosenfeld, P., Kobayashi, M., Barber, P., Mezey, M., Utilization of nurse practitioners in long-term care: Findings and implications of a national survey. Journal of the American Medical Directors Association 5 (2004), 9–15.
27. Ryan, J.W., Collaboration of the nurse practitioners and physician in long-term care. Lippincott's Primary Care Practice 3:2 (1999), 127–134.
28. Sackett, D.L., Spitzer, W.O., Gent, M., Roberts, R.S., Hay, W.I., Lefroy, G.M., McAuley, R.G., The Burlington randomized trial of nurse practitioner: Health outcomes of patients. Annals of Internal Medicine 80:2 (1974), 137–142.
29. Swan, M., Furguson, S., Chang, A., Larson, E., Smaldone, A., Quality of primary care by advanced practice nurses: A systematic review. International Journal for Quality in Health Care 27:5 (2015), 396–404.
30. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Avoiding Medicare fraud and abuse: A roadmap for physicians. 2016 Retrieved from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Avoiding_Medicare_FandA_Physicians_FactSheet_905645.pdf.
31. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Medicare Claims Processing Manual: Chapter 12 Physician/non-physician practitioners. 2016 Retrieved from https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf.
32. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Recovery Audit Program. 2016 Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/index.html.
33. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Fact sheet: CMS initiative to reduce avoidable hospitalizations among nursing facility residents. 2015 Retrieved from https://innovation.cms.gov/initiatives/rahnfr/.
34. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Medicare Information for Advanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician Assistants. 2015 Retrieved from https://www.cms.gov/site-search/search-results.html?q=APRN%20reimbursement.
35. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Physician Fee Schedule Lookup Tool. 2015 Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PFSlookup/index.html.
36. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (USDHSS, CMS). Nursing Facility Services (Codes 99304-99318). 2012 Retrieved from https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/mm4246.pdf.
37. U.S. Department of Health and Human Services, Office of Inspector General (USDHHS, OIG). Medicare nursing home resident hospitalization rates merit additional monitoring. 2013 Retrieved from https://oig.hhs.gov/oei/reports/oei-06-11-00040.pdf.
38. U.S. Department of Labor, Bureau of Labor Statistics. Occupational employment statistics: May 2016 state occupational employment and wage estimates Missouri, 2016 Retrieved from https://www.bls.gov/oes/current/oes_mo.htm#29-0000.
39. U.S. Government Publishing Office (USGPO). 42 CFR Part 483. 2011 Retrieved from https://www.gpo.gov/fdsys/pkg/CFR-2011-title42-vol5/pdf/CFR-2011-title42-vol5-part483.pdf.
40. University of Minnesota. Nursing home regulations plus. Retrieved from http://www.hpm.umn.edu/nhregsplus/NH%20Regs%20by%20Topic/Topic%20Physician%20Services.html, 2012.
41. University of Missouri–Columbia, Sinclair School of Nursing. (2016). Summary of the Missouri Quality Initiative for Nursing Homes (MOQI)—A 4-year demonstration, Sinclair School of Nursing, funded by the Centers for Medicaid and Medicare [sic] Services (CMS). Retrieved from http://nursinghomehelp.org/moqi/MOQITalkPts.pdf.
42. Venning, P., Durie, A., Roland, M., Roberts, C., Leese, B., Randomized controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. British Medical Journal 320:15 (2000), 1048–1053.
43. Vogelsmeier, A., Popejoy, L., Rantz, M., Flesner, M., Lueckenotte, A., Alexander, G., Integrating advanced practice registered nurses into nursing homes: The Missouri Quality Initiative experience. Journal of Nursing Care Quality 30:2 (2015), 93–98.