Medicine and Health Sciences Commons^™

The American Academy Of Ambulatory Care Nursing's Invitational Summit On Care Coordination And Transition Management: An Overview, Sheila Haas, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

The American Academy of Ambulatory Care Nursing convened an Invitational Summit of national leaders to assist with strategic planning for promulgation of the care coordination and transition management (CCTM™) model. The conference was devoted to CCTM and the roles of registered nurses (RNs) across the care continuum to ensure safety and quality health care. The specific emphasis was on embedding the CCTM RN in healthcare policy and payment reform, as well as integration into academic and ongoing education across all care settings and specialties.

Leveraging National Reports To Transform Ambulatory Care Practice, Anne T. Jessie, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

• Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls.
• The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs).
• Partnerships between academia and clinical practice are critical to expanding learning opportunities beyond traditional acute care settings.
• Development of primary care expertise in nursing faculty and adjunct faculty, in collaboration with primary care and ambulatory care nursing leaders, is essential.
• Academic-practice partnerships must advocate for removing regulatory and practice barriers to …

Making Nursing-Sensitive Quality Indicators Real In Ambulatory Care, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

Pay for performance initiatives are changing the quality landscape.

Gaps exist in quantifying and linking ambulatory care quality indicators to care provided by nurses in ambulatory care.

Ambulatory care quality indicators that are sensitive to nursing care, standardized, and tested need to be identified and adopted by ambulatory care nurses, ambulatory care provider organizations, professional organizations, and endorsed by a consensus organization.

Transitioning From Acute Care To Ambulatory Care, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

Trends in health care financing and changes in care delivery from the hospital to outpatient settings have caused an unprecedented demand for registered nurses in ambulatory care.

Nurses transition to ambulatory care expecting to use the same knowledge base and skill set used in their acute care practice.

While some knowledge and skills may be transferable, competencies (and additional knowledge and skills) needed by acute care nurses and ambulatory care nurses are not the same.

The purpose of this article to is describe and dispel myths associated with ambulatory care nursing practice and discuss the knowledge, skills, and competencies that …

Demonstrating The Value Of The Rn In Ambulatory Care, Beth Ann Swan, Regina Conway-Phillips, Karen F. Griffin

College of Nursing Faculty Papers & Presentations

During 2003, an estimated 906 million visits were made to physician offices in the United States (Hing, Cherry, & Woodwell, 2005).

Overall, 42% of visits to outpatient settings were attended by a registered nurse (Middleton & Hing, 2005).

Despite ambulatory care being the fastest growing site for care, it is the least studied.

The purpose of this article is to provide an overview of the role of the RN in ambulatory care and describe the direct and indirect economic value of RNs in ambulatory care settings.

Linking Nursing Workload And Performance Indicators In Ambulatory Care, Karen F. Griffin Msn, Rn, Cnaa, Beth Ann Swan Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

More and more ambulatory care organizations are using nursing report cards to monitor and evaluate the quality and effectiveness of nursing care in the ambulatory setting.

Nurse staffing levels is usually one of the items included in a nursing report card and the one most scrutinized by ambulatory care administrators.

One strategy employed by the nursing leadership at the South Texas Veterans Healthcare System to justify nurse staffing levels is linking administrative staffing monitors with nurse-sensitive outcomes via workload and performance indicators.

Through this approach, nurse leaders are able to justify nurse staffing level changes, needed technology changes, process improvements, …

Measuring Nurse Workload In Ambulatory Care, Beth Ann Swan Phd, Crnp, Karen F. Griffin Msn, Rn, Cnaa

College of Nursing Faculty Papers & Presentations

Nurses and adequate nurse staffing are critical to the delivery of safe, cost-effective, and quality patient care in every health care setting.

This has been proven time and again through various research studies and recognized by various accrediting bodies such as JCAHO.

However, the information available on required or optimal ambulatory care nurse staffing is limited and varies across ambulatory care settings.

An overview of instruments for measuring nursing workload in ambulatory care, a critical prerequisite when identifying best nurse staffing models for diverse ambulatory care settings, is provided.