CUCNPH Nursing Improving Access to Primary Care

Posted: January 25th, 2023

CUCNPH Nursing Improving Access to Primary Care Paper
Description
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

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YOU ARE NOW EMPLOYED AS AN NP IN PRIMARY CARE. CHOOSE ONE PERFORMANCE MEASURE FROM ONE OF THE SIX DOMAINS OF CARE, I.E. ADULT BMI ASSESSMENT, PRENATAL AND POSTPARTUM CARE, ETC.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and health care cost savings?

How can these interventions result in improved NP patient ratings?

Explanation & Answer: 2 pages
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Title: Improving Patient Outcomes and Health Care Cost Savings through Effective Primary Care Interventions in an APN Practice
Introduction:
As an Advanced Practice Nurse (APN) in primary care, the measurement of productivity is important for determining reimbursement and salary. In fee-for-service practices, a set number of patients per day is required to maintain productivity. In capitated practices, the focus is on controlling costs through effective primary care that is accessible, convenient for patients and has a method of measuring the quality of care. In this paper, we will focus on one performance measure, adult body mass index (BMI) assessment, and discuss three different patient interventions for this measure. We will also discuss how these interventions can result in improved patient outcomes and health care cost savings, as well as improved NP patient ratings.
Patient Intervention 1: Education and Counseling on Healthy Eating and Physical Activity
The first intervention for improving adult BMI assessment is to provide education and counseling on healthy eating and physical activity. This can be done through one-on-one counseling sessions, group classes, or online resources. The goal of this intervention is to provide patients with the knowledge and skills they need to make healthier choices and increase their physical activity levels.
Implementation:
The education and counseling sessions will be provided by the APN during regular check-ups, and can be scheduled as needed by the patients.
Patients will be provided with information on healthy eating and physical activity, including recommended daily calorie and nutrient intake, as well as tips for reducing sedentary behaviors.
Patients will be encouraged to set goals for themselves and track their progress over time.
The APN will also provide support and guidance to help patients achieve their goals.
Measurement of Outcomes:
The APN will measure the outcomes of this intervention by monitoring the patients’ BMI and weight over time.
Patients will also be asked to complete surveys to evaluate their satisfaction with the education and counseling provided and the level of change in their lifestyle.
Patient Intervention 2: Referral to Community-Based Programs
The second intervention for improving adult BMI assessment is to refer patients to community-based programs that provide support for healthy eating and physical activity. These programs can include weight loss support groups, fitness classes, and nutrition programs.
Implementation:
The APN will identify community-based programs that align with the patients’ needs and preferences.
Patients will be referred to these programs by the APN and provided with information on how to access the programs.
Patients will be encouraged to attend the programs regularly and to participate in the activities offered.
Measurement of Outcomes:
The APN will measure the outcomes of this intervention by monitoring the patients’ BMI and weight over time.
Patients will also be asked to complete surveys to evaluate their satisfaction with the community-based programs and the level of change in their lifestyle.
Patient Intervention 3: Medication Management
The third intervention for improving adult BMI assessment is to provide medication management for patients who are struggling to achieve a healthy weight. This can include the use of weight loss medications and/or appetite suppressants.

Implementation:
Patients will be referred to the APN for medication management if they are struggling to achieve a healthy weight despite following the other interventions.
The APN will work with the patient to determine the best medication options, including any potential side effects and interactions.
Patients will be provided with instructions on how to use the medications and will be monitored for any adverse reactions.
Measurement of Outcomes:
The APN will measure the outcomes of this intervention by monitoring the patients’ BMI and weight over time