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Sunday, November 1, 2009
Learning Objective 1: The learner will be able to describe the purpose of nurse-managed clinics and their role in the health care system.
Learning Objective 2: The learner will be able to describe policy barriers APN practice.h
The purpose of this study is to assimilate evidence regarding health care policy barriers and their affect on nurse-managed clinic (NMC) viability; quality of care received at NMCs, particularly a pediatric NMC; and identification of gaps in access to health care for underserved populations and the role the NMCs play in filling that gap. Assessment of health care policy barriers includes a review of current literature. Assessment of quality of care includes reports of patient satisfaction through survey results and chart reviews at a pediatric NMC. Chart reviews collected quality data and compared it to selected national benchmark pediatric Health Care Effectiveness and Data Information Set (HEDIS) quality indicators as well as targets set by the Office of Medicaid and Policy Planning (OMPP) in Indiana . Findings suggest that NMCs have a high level of satisfaction of care among survey subjects, meet or exceed national HEDIS benchmark standards of care and targets set by OMPP, and increase access to underserved populations. This study confirms that NMCs provide high quality of care and fill gaps in access to care for medically underserved populations. This study also confirms the importance of removal of restrictive health care policy barriers to NMC practice.