TY - JOUR
T1 - Experts recommend strategies for strengthening the use of advanced practice nurses in nursing homes
AU - Mezey, Mathy
AU - Burger, Sarah Greene
AU - Bloom, Harrison G.
AU - Bonner, Alice
AU - Bourbonniere, Mary
AU - Bowers, Barbara
AU - Burl, Jeffrey B.
AU - Capezuti, Elizabeth
AU - Carter, Diane
AU - Dimant, Jacob
AU - Jerro, Sarah A.
AU - Reinhard, Susan C.
AU - Ter Maat, Marilyn
PY - 2005/10
Y1 - 2005/10
N2 - 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' participation in the care of nursing home residents.
AB - 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' participation in the care of nursing home residents.
KW - Advanced practice nursing
KW - Advanced practice nursing caseloads
KW - Advanced practice nursing models
KW - Nursing homes
UR - http://www.scopus.com/inward/record.url?scp=30944442410&partnerID=8YFLogxK
U2 - 10.1111/j.1532-5415.2005.53556.x
DO - 10.1111/j.1532-5415.2005.53556.x
M3 - Review article
C2 - 16181181
AN - SCOPUS:30944442410
SN - 0002-8614
VL - 53
SP - 1790
EP - 1797
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 10
ER -