Preliminary conceptual ideas surrounding this paper were presented at the Gerontological Society of America Annual Meeting, November 2004. Data were never presented or published.
Experts Recommend Strategies for Strengthening the Use of Advanced Practice Nurses in Nursing Homes
Article first published online: 30 AUG 2005
Journal of the American Geriatrics Society
Volume 53, Issue 10, pages 1790–1797, October 2005
How to Cite
Mezey, M., Greene Burger, S., Bloom, H. G., Bonner, A., Bourbonniere, M., Bowers, B., Burl, J. B., Capezuti, E., Carter, D., Dimant, J., Jerro, S. A., Reinhard, S. C. and Ter Maat, M. (2005), Experts Recommend Strategies for Strengthening the Use of Advanced Practice Nurses in Nursing Homes. Journal of the American Geriatrics Society, 53: 1790–1797. doi: 10.1111/j.1532-5415.2005.53556.x
- Issue published online: 21 SEP 2005
- Article first published online: 30 AUG 2005
- advanced practice nursing;
- nursing homes;
- advanced practice nursing caseloads;
- advanced practice nursing models
In 2003, The John A. Hartford Foundation Institute for Geriatric Nursing, New York University Division of Nursing, convened an expert panel to explore the potential for developing recommendations for the caseloads of advanced practice nurses (APNs) in nursing homes and to provide substantive and detailed strategies to strengthen the use of APNs in nursing homes. The panel, consisting of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care, developed six recommendations related to caseloads for APNs in nursing homes. The recommendations address educational preparation of APNs; average reimbursable APN visits per day; factors affecting APNs caseload parameters, including provider characteristics, practice models, resident acuity, and facility factors; changes in Medicare reimbursement to acknowledge nonbillable time spent in resident care; and technical assistance to promote a climate conducive to APN practice in nursing homes. Detailed research findings and clinical expertise underpin each recommendation. These recommendations provide practitioners, payers, regulators, and consumers with a rationale and details of current advanced practice nursing models and caseload parameters, preferred geriatric education, reimbursement strategies, and a range of technical assistance necessary to strengthen, enhance, and increase APNs' participation in the care of nursing home residents.