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Defining the Role of the RN in Primary Care Rosemarie Polemi, MSN, - - PowerPoint PPT Presentation
Defining the Role of the RN in Primary Care Rosemarie Polemi, MSN, - - PowerPoint PPT Presentation
Leadership Challenges Defining the Role of the RN in Primary Care Rosemarie Polemi, MSN, RN Debbie Zuege, MS, RN Leaders in Action! Leadership Influencing others actions to achieve the most desirable outcomes possible Why is having
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Leadership
Influencing others’ actions to achieve the
most desirable outcomes possible
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Why is having the RN be the designated leader of the ambulatory healthcare team so important?
Reality: PC availability and access is a challenge There is a shortage of PC physicians* Ambulatory patients have become more
complex with diverse needs
Technology provides many avenues for care Achieving the Quadruple Aim (patient experience
(quality & satisfaction), population health, cost, staff work life)
*Association of American Medical Colleges. (2018). The Complexities of Physician Supply and Demand: Projections from 2016-2030 (Final Report). Washington D.C.: HIS Markit LTD.
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Why Should an RN be the ”Leader” of the Primary Care (PC) health care team?
Triaging and setting priorities Leading the healthcare team – coach, mentor,
direct
Utilizing RN skills to leverage the RN as a
provider
Coordinating care and navigating systems
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Microcosmic Pilot
Literature review Observation of model in practice (LaClinica, Denver) Conducted 6 month pilot with 2 PC physicians in
medical office setting (selected MDs and RN)
Developed standard work for each member of the
health care team
Defined RN/MD collaborative visit Identified metrics to measure and evaluate Collected baseline data for metrics
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Outcomes
Nearly a quarter of provider visits done via RN/MD
collaborative visit
2 to 3 visits were done independently by RN Provider time with patient per visit decreased by
half
Increased physician same day appointment capacity Patient engagement in care and satisfaction
increased
Physician, RN, LPN, MA “teamlet” job satisfaction
increased
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Learnings/Conclusions
RN as leader of healthcare “teamlet”:
More effectively utilized each team members skills
and increased their job satisfaction
Reduced the physician’s time per patient, thereby
increasing capacity to see more patients and focus on more complex patients
Provide more continuity for patients and engage with
patient as lifelong coach
Developing standard work for each role reduces
redundancy and increases team efficiency
Improved team relationships improves overall
patient relationship and satisfaction
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Challenges
Develop metrics to ensure quality of care
for patient is not affected (e.g. visit with RN not
adequate and results in a 2nd visit for patient to see physician)
Ensure that long term evaluation
demonstrates an increase in savings to
- ffset the cost of RN
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Questions ???
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Break Out Exercise What issue/problem/project might you use the “nursing process” to address?
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Leadership and Learning
“Leadership and learning are indispensable to each
- ther.”
(John F
. Kennedy, 35th President of the United States)
“We now accept the fact that learning is a lifelong
process of keeping abreast of change. And the most pressing task is to teach people how to learn.”
(Peter Drucker, American management consultant, educator, author)
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Pick a favorite quote?
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