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Development and Evaluation of a Nurs...

Cruz, Jennifer L.

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Development and Evaluation of a Nurse Practitioner Directed Home-Based Primary Care Practice and Its Impact on Emergency Room Visits, Observation Unit Stays, and Hospital Admissions.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Development and Evaluation of a Nurse Practitioner Directed Home-Based Primary Care Practice and Its Impact on Emergency Room Visits, Observation Unit Stays, and Hospital Admissions./
Author:	Cruz, Jennifer L.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	74 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: B.
Contained By:	Dissertations Abstracts International85-10B.
Subject:	Gerontology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31237997
ISBN:	9798382319766

Development and Evaluation of a Nurse Practitioner Directed Home-Based Primary Care Practice and Its Impact on Emergency Room Visits, Observation Unit Stays, and Hospital Admissions.
Cruz, Jennifer L.

Development and Evaluation of a Nurse Practitioner Directed Home-Based Primary Care Practice and Its Impact on Emergency Room Visits, Observation Unit Stays, and Hospital Admissions. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 74 p.

Source: Dissertations Abstracts International, Volume: 85-10, Section: B.

Thesis (D.N.P.)--Wilmington University (Delaware), 2024.

The availability of Home-Based Primary Care HBPC is increasing. HBPC is an efficient delivery model for the Center for Healthy Aging patients who are no longer able to visit the office. The United States Department of Health and Human Services (2013) reports that this effort aligns with the Affordable Care Act by adding an innovative medical care delivery method designed to lower healthcare costs by providing optimal care in the most appropriate setting. Obtaining health care in the traditional brick-and-mortar setting can become burdensome with advancing medical complexity and frailty. There must be an accessible and efficient model of care for such high-risk homebound patients. This DNP project aims to answer the question: In complex, homebound, geriatric patients, do Home-Based Primary Care visits, with access to an interprofessional team reduce hospitalization use over 6 weeks? Implementing an HBPC practice with access to an interprofessional team consultation increases the opportunity for proactive need identification and intervention. The 4M Model of Age-Friendly Care assesses matters, medications, mentation, and mobility. It will provide a framework for evaluation and intervention. Patients needing collaborative intervention will be presented to the interprofessional care team for input. Hospitalization use including emergency room, observations, and admissions will be assessed as measurable outcomes. The anticipation is that HBPC with interprofessional team access will reduce hospitalization use.

ISBN: 9798382319766Subjects--Topical Terms:

533633
Gerontology.
Subjects--Index Terms:

Complex care

Development and Evaluation of a Nurse Practitioner Directed Home-Based Primary Care Practice and Its Impact on Emergency Room Visits, Observation Unit Stays, and Hospital Admissions.
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