Resource Management in Primary Care
Week 7: Discussion Question 2 - Resource Management in Primary Care Points: 20 | Due Date: Week 7, Day 5 & 7 | CLO: 4 | Grade Category: Discussions Discussion Prompt Select a care environment where advanced practice registered nurses (APRNs) may practice. Some examples to choose from may include: Rural health clinic Emergency department Urgency care Community health center Family practice Pediatric Clinic Using the conditions listed in Box 11.1 in the Joel textbook, identify and discuss two different conditions that may have a significant impact on revenue in the care setting. Describe how these conditions might affect how APNs provide care in these settings?Resource Management in Primary Care
Characteristics of the Care Environments in Which Advanced Practice Registered Nurses (APRNs) Practice and How These May Impact Revenue
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Advanced practice registered nurses such as nurse practitioners practice in diverse settings. One of these settings is a community health center where the nurse practitioner basically offers primary health care services to the surrounding community. These are basic healthcare services for common diseases that do not require complicated management. This paper examines two conditions in a community health center that may affect revenue and how the APRN provides care in the setting.Resource Management in Primary Care
The first condition is that majority of the community members that receive healthcare services at the health center are covered by the Centers for Medicare & Medicaid Services (CMS). They are patients who are beneficiaries of the Patient Protection and Affordable Care Act 2010. As such, the amount of reimbursement for any care received by these community members from this health center is based on the quality of the service received as per the pay-for-performance policy. The problem is that as a community health center, the facility may not have all the equipment or resources that would enable the NP to provide the best of care. As a result, the revenues will not be as high as would be expected. The ability of the APRN to give only the best care is thus compromised (Joel, 2009).
The second condition in this care setting is that it is a point of first access or primary health care facility. This means that the range of services that can be provided in the community health center is limited. Because of this, the amount of revenue that can be generated by the limited services offered at this health center will also be limited. The APRN is impacted in how she can provide care in this setting in that she has to refer upwards to better equipped facilities any cases that she may not handle because of finite resources.
References
Joel, L.A. (2009). Advanced practice nursing: Essentials for role development, 2nd ed. Philadelphia, PA: F.A. Davis Company. Resource Management in Primary Care