Abstract

To address the current challenge in the United States of increasing access to high quality healthcare, healthcare systems must analyze and understand the value of their resources in terms of patient outcomes achieved per dollar expended (Kaplan & Porter, 2011). A review of the literature supports that advanced practice nurses (APN) are not only in a position to increase access to healthcare, but capable of improving patient care outcomes. There is little available evidence, however, that the APN decreases costs, or impacts value, in healthcare. For this retrospective, longitudinal study, the transparent methodology of Time-Driven Activity-Based Costing (TDABC), guided by the Participatory, Evidenced-based, Patient-focused Process for Advanced practice nursing (PEPPA) framework was used. This analysis was completed in conjunction with the SHBC/TDABC Analysis Study, to assess the value of care provided to a group of patients cared for by an interprofessional team of APN and physician, as compared to 2 different groups of patients, where each was cared for by a physician working alone. The results of this study support the inclusion of APNs on interprofessional teams and may objectively support healthcare policies and regulations impacting the APN's ability to practice to the full extent of their education, ultimately affecting patient access to quality healthcare in the United States.

Author Details

Melissa M. Davis, RN, MSN, ANP-BC, CNS, CNOR, RNFA, mmdavis16@gmail.com.

Sigma Membership

Unknown

Lead Author Affiliation

Northern Arizona University, Flagstaff, Arizona, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Outcomes Research

Research Approach

Quantitative Research

Keywords:

Transparency, Advanced Practice Nurse, Value, Interprofessional, Time-Driven Activity-Based Costing, TDABC, Patient Care Team

Advisor

Crouch, Laura

Second Advisor

Nogueras, Debra J.

Third Advisor

Blackstone, Robin

Degree

DNP

Degree Grantor

Northern Arizona University

Degree Year

2014

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

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