Aaacn.org

AAACN 38th Annual Title: Nurse Visits: Linking Patients to Better Health Outcomes
Conference
Author: Sue Ling Lee RN, MPA
Objectives:
1. Describe the benefits and role of Nursing Visits in Data (Results/Outcomes):
promoting better patient health outcomes 2. Identify barriers and challenges in implementation of • Overall nurse visits increased from 4,268 in 2010 to 6,497 in 2012. • Coumadin visits increased from 1,839 to 2,762 • Increased access and availability in their appointment template Background
• Influenza injection only increased from 2,041 to 2,607 • Co-managed patients for better outcomes • Other visits included injections (Vitamin B12 for anemia), blood pressure Did not lose productivity visit numbers Largest Diagnostic & Treatment Center(D&TC) of the checks, medication refills and counseling and education Gotham Federally Qualified Health Center (FQHC) under the New York City Health & Hospitals • Average reimbursement of $100/visit translates to about $487,000 revenue • Empowered and engaged with patient care NYCHHC is one of the largest public health networks in the nation consisting of 11 acute care hospitals, 6 D&TC, 5 long term care facilities and a Home Health Nurse Visit Type by Year
• Able to access education and counseling Annual visits of 276,123 in 2012 with 16,332 managed care enrollees and 7,254 new patient registrants • 4,394 patients diagnosed with hypertension and 3,969 • Employs 22 FTE physicians/PA/NP and 40 nursing Facility revenue if 75% of visits were billed at $100
staff (RN/LPN/PCA) in the Medical Practice per visit, by year
PROGRAMS
The healthcare industry has re-focused from a physician/provider model of care to focusing on quality care and patient outcomes. Research shows high expenditures in healthcare without any correlation to good patient outcomes for chronic diseases or population health. Patient satisfaction surveys show poor access to health care as a major Nurses are a crucial link in the health care system between patients and the providers/health care systems and long recognized as an essential member of the health care team with insight into navigating the system and de-mystify the clinical experience. Nursing utilizes assessment, plan, implementation and evaluation skills to monitor and improve the health care of individual patients and communities. Nurse NEXT STEPS
Improve patient outcomes in our high risk populations • Expand standing orders for adult vaccinations to Pneumococcal, • Promote preventive health through vaccination visits • Use hypertension model and spread to diabetic population. • Provide chronic injection therapy for anemia • Natural prelude in transforming the nurse from their Caregiver role to the Care Coordinator role to comply with Patient Centered Medical Special thanks to the Medicine Nurses especially Clara Tsui Head Nurse
and Dr. David Stevens (not pictured), our physician champion

Source: http://www.aaacn.org/sites/default/files/members/ConfPosters/2013/M15_Lee.pdf