Improving outcomes through care coordination: Measuring care coordination of nurse practitioners

Journal of the American Association of Nurse Practitioners
Kristine RuggieroRichard Antonelli

Abstract

Gaps in care coordination (CC) between inpatient and outpatient settings for children with medical complexity (CMC) can result in treatment delays, gaps in communication, missed appointments, medication discrepancies, and ultimately impacts the provision of quality care. As care for pediatric patients with medical complexity moves into community settings, various ambulatory settings, including infusion settings, are caring for patients who would otherwise often require inpatient hospitalization to receive their care. To better accommodate this growing demand, nurse practitioners (NPs) have been used to support these nurse-led infusion programs. The purpose of this quality improvement (QI) project was to quantify and describe the outcomes of CC by NPs in this ambulatory setting. A quantitative design was used. We captured nonreimbursable CC activities provided by NPs and associated outcome(s) among pediatric patients seen in two ambulatory infusion clinics, at Boston Children's Hospital between January and April 2017, and generated summary statistics for this QI project. There were 259 nonreimbursable CC encounters. Most of the CC activities prevented delays in treatment (38%), adverse reaction to medicine because of medication ...Continue Reading

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Citations

Feb 24, 2021·Journal of Pediatric Nursing·Patricia R LawrenceRegena Spratling
Jul 28, 2020·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Nicole HuangYong-Fang Kuo

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