Original Research| Volume 17, ISSUE 6, P712-717, June 2021

Nurse-Managed Health Centers: Financial Sustainability, Community Benefit, and Stakeholders


      • Collaborations or partnerships maintain 80% of nurse-managed health centers’ (NMHCs’) financial sustainability.
      • Program funding (62.5%)/government reimbursement (45%) support many NMHC services.
      • NMHCs report 1 to 5 stakeholders, such as universities and community organizations.
      • Metrics reported to community include number of clients served and the services provided.
      • NMHCs view increase in services as an indicator of community benefit excellence.


      This study determined the metrics and methods that nurse-managed health centers (NMHCs) use to measure excellence in the areas of financial sustainability and community benefit, as well as identified NMHCs’ stakeholders. A descriptive survey sent to NMHC nurse leaders provides initial information on financial metrics used to report and maintain financial sustainability. Results also include metrics reported regarding the benefit of NMHCs to the community and the definition of excellence in community benefit. These sets of information are critical to the development of a dashboard that can depict relevant indicators that are easily understood by NMHCs’ diverse stakeholders.


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      Jean Dowling Dols, PhD, RN, NEA-BC is a professor, University of the Incarnate Word, San Antonio, TX and can be contacted at [email protected]


      Holly A. Dileo, PhD, APRN, FNP-BC is an assistant professor and Director UTW Nursing Cardinal Wellness Center, University o the Incarnate Word, San Antonio, TX.


      Diana Beckmann-Mendez, PhD, APRN, FNP-BC is associate professor and DNP Program Director, Graduate Nursing Program Chair, University of the incarnate Word, San Antonio, TX.