APRNs: Demonstrate Your Impact on High-Value Care

A patient’s hospital stay often involves numerous tests, procedures and treatments. By taking a high-value approach to patient care, healthcare providers, including advanced practice registered nurses (APRNs), can eliminate unnecessary measures, improve outcomes and reduce costs.

“Healthcare that is focused on the patient’s perception of value — what matters to the patient — is more apt to promote better outcomes,” said Ruth M. Kleinpell, director of the Center for Clinical Research and Scholarship at Rush University Medical Center in Chicago. “Most often, patients value care that is accessible, affordable and reliable in terms of service and clinical quality.”

Kleinpell and April Kapu, director of the Office of Advanced Practice at Vanderbilt University Medical Center in Nashville, Tennessee, presented “Showcasing APRN Value Through Initiatives Targeting High-Value Care,” on Monday.

“APRNs can influence high-value healthcare through a number of initiatives, including enhancing continuity of care, promoting adherence to best practices and guidelines, and by developing APRN-led initiatives showcasing impact,” Kleinpell said.

For example, APRNs can focus on a recommendation from the Choosing Wisely initiative, such as reducing antibiotic use for sinusitis, or lead a telephone follow-up program to improve the patient care experience after hospitalization.

And, with a new APRN collaborative from Vanderbilt University, APRNs can receive assistance with implementing Choosing Wisely recommendations, tracking data and evaluating outcomes, and publishing and presenting results. “This remains a priority area for APRNs to provide specific examples of how APRN care adds value,” Kleinpell said.

“Targeting high-value care can help showcase the impact of the APRN role,” she added. “APRNs can work to better position themselves in their healthcare institutions to showcase the impact they are making on quality of care, costs of care and outcomes that matter to patients.”