The Journal for Nurse Practitioners
Volume 6, Issue 2 , Pages 132-139, February 2010

Medical Home and the Nurse Practitioner: A Policy Analysis

  • Andrea Parsons Schram

      Affiliations

    • Andrea Parsons Schram, MS, RN, FNP-BC, is a clinical instructor at the University of Texas at Arlington's School of Nursing, chair of the 2009 American College of Nurse Practitioners Education Committee, and a doctor of nursing practice student at Johns Hopkins University School of Nursing.

Abstract 

As chronic disease and health care costs escalate, nurse practitioners (NPs) are in a pivotal position to participate in the Medicare Medical Home Demonstration Project (2006) that allows for NP-led patient-centered medical home practices to be reimbursed for coordination of chronic care, specifically for those complex patients with multiple chronic conditions. This policy analysis reviews the evidence for three potential patient-centered practice design alternatives, to evaluate the most viable patient-centered medical home practice design alternative for NPs. Strategies are included for NPs to actively participate in this endeavor.

Keywords:  chronic disease , health policy , nurse practitioner , patient-centered medical home

 

 In compliance with national ethical guidelines, the author reports no relationships with business or industry that would pose a conflict of interest.

PII: S1555-4155(09)00247-5

doi:10.1016/j.nurpra.2009.04.014

The Journal for Nurse Practitioners
Volume 6, Issue 2 , Pages 132-139, February 2010

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