國立虎尾科技大學 |

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:	Language materials, manuscript : 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.
Description:	1 online resource (74 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: B.
Contained By:	Dissertations Abstracts International85-10B.
Subject:	Gerontology. -
Online resource:	click for full text (PQDT)
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. - 1 online resource (74 pages)

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

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

Includes bibliographical references

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.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382319766Subjects--Topical Terms:

559846
Gerontology.
Subjects--Index Terms:

Complex careIndex Terms--Genre/Form:

554714
Electronic books.

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.
LDR:03073ntm a22004097 4500 001 1151546
005 20241112095348.5
006 m o d
007 cr mn ---uuuuu
008 250605s2024 xx obm 000 0 eng d
020 $a 9798382319766
035 $a (MiAaPQ)AAI31237997
035 $a AAI31237997
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Cruz, Jennifer L. $3 1478338
245 1 0 $a 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.
264 0 $c 2024
300 $a 1 online resource (74 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-10, Section: B.
500 $a Advisor: Lyons, Denise;Mitchell, Anne.
502 $a Thesis (D.N.P.)--Wilmington University (Delaware), 2024.
504 $a Includes bibliographical references
520 $a 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.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Gerontology. $3 559846
650 4 $a Medicine. $3 644133
650 4 $a Nursing. $3 563081
650 4 $a Medical personnel. $3 789541
653 $a Complex care
653 $a Home-Based Primary Care
653 $a Hospital readmissions
653 $a Interdisciplinary teams
653 $a Nurse practitioners
655 7 $a Electronic books. $2 local $3 554714
690 $a 0351
690 $a 0564
690 $a 0569
690 $a 0207
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Wilmington University (Delaware). $b College of Health Professions. $3 1194584
773 0 $t Dissertations Abstracts International $g 85-10B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31237997 $z click for full text (PQDT)