Paper
Saturday, 22 July 2006
This presentation is part of : Creative Use of Technology
Building the Evidence for an Innovative Nurse-Managed Healthcare System
Julie C. Novak, DNSc, RN, MA, CPNP, FAANP, School of Nursing, Purdue University, West Lafayette, IN, USA
Learning Objective #1: assess computing needs related to the provision of healthcare to community populations by APN faculty and students in academic nursing centers.
Learning Objective #2: assess computing needs related to research data identification, storage, retrieval, and presentation for research related to APN practice in academic nursing centers.
Over the past 25 years, Purdue University School of Nursing has been developing, implementing, and evaluating a viable alternative to the failing, mismanaged US health care delivery system. Five nurse-managed clinics (two rural and three urban) are currently in operation with two new clinics in developmental phase. Client visits at these unique sites will exceed 10,000 in 2006.  The clinics are sustained through a mosaic of support from sliding scale client revenues, Medicaid and Medicare billing, state and foundation grants, the United Way, private donors, annual community fundraisers, local hospitals, a local church, and Purdue University. A federal grant application for support of the clinic network is in process.  Each clinic has been developed based upon community request, a local needs assessment, and potential for sustainability.  Health promotion, disease prevention, client, family, and community education, self-care emphasis, acute, episodic illness care, and management of stable chronic conditions are provided at each of the sites by School of Nursing advanced practice nurses and undergraduate and graduate students.  The clinics are learning laboratories for senior leadership and capstone courses at the undergraduate level and the pediatric and adult nurse practitioner, and Doctor of Nursing Practice (DNP) programs.   DNP cognate and health policy residencies and DNP clinical projects enhance the design, implementation, and evaluation of existing clinics and decisions related to the selection of new clinic sites.  The network maintains a strong focus on care of the vulnerable and underserved, including the growing Hispanic population in Indiana (27%-50% respectively at our rural clinics).

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