Experts recommend strategies for strengthening the use of advanced practice nurses in nursing homes

Mathy Mezey, Sarah Greene Burger, Harrison G. Bloom, Alice Bonner, Mary Bourbonniere, Barbara Bowers, Jeffrey B. Burl, Elizabeth Capezuti, Diane Carter, Jacob Dimant, Sarah A. Jerro, Susan C. Reinhard, Marilyn Ter Maat

Research output: Contribution to journalReview articlepeer-review

35 Scopus citations


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.

Original languageEnglish
Pages (from-to)1790-1797
Number of pages8
JournalJournal of the American Geriatrics Society
Issue number10
StatePublished - Oct 2005


  • Advanced practice nursing
  • Advanced practice nursing caseloads
  • Advanced practice nursing models
  • Nursing homes


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