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

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

      Highlights

      • 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.

      Abstract

      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.

      Keywords

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      References

        • National Nursing Centers Consortium
        Nurse managed health centers (NMHCs). 2010.
        (Accessed December 17, 2020)
        • Kovner C.
        • Walan S.
        Nurse Managed Health Centers (NMHCs). Research Brief. Robert Wood Johnson Foundation Nursing Research Network.
        • Bowman W.
        Financial capacity and sustainability of ordinary nonprofits.
        Nonprofit Manage Leadership. 2011; 22: 37-51
        • Sontag-Padilla L.M.
        • Staplefoot L.
        • Morganti K.G.
        Research report: financial sustainability for nonprofit organizations: a literature review.
        RAND Health and RAND Education. RAND Corp, 2012
        • Dean N.
        • Trocchio J.
        • Community benefit: what it is and isn’t
        Health Progress.
        Catholic Health Association of the United States, 2005
        • Dols J.D.
        • Beckmann-Mendez D.
        • DiLeo H.A.
        • Weis K.L.
        • Medina-Calvo M.
        Nurse-managed health centers: measures of excellence.
        J Nurse Pract. 2018; 14: 613-619
      1. National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set and Performance Measurement. 2020.
        • Ely L.T.
        Nurse-managed clinics: barriers and benefits toward financial sustainability when integrating primary care and mental health.
        Nurs Econ. 2015; 33: 193-203
        • Nowicki M.
        Introduction to the financial management of healthcare organizations.
        Health Administration Press, 2018
        • Harkless G.
        • Vece L.
        Systematic review addressing nurse practitioner reimbursement policy: part one of a four-part series on critical topics identified by the 2015 nurse practitioner research agenda.
        J Am Assoc Nurse Pract. 2018; 30: 673-682
        • Chapman S.A.
        • Wides C.D.
        • Spetz J.
        Payment regulations for advanced practice nurses: implications for primary care.
        Policy Politics Nurs Pract. 2010; 11: 89-98
        • Buppert C.
        How to bill for nurse practitioner services: the basics.
        Medscape Business Med. 2020;
        • Phillips S.
        32nd Annual APRN Legislative Update: improving access to high-quality, safe, and effective healthcare.
        Nurse Pract. 2020; 45: 28-55
        • Austria J.L.
        Urging a practical beginning: reimbursement reform, nurse managed health clinics, and complete professional autonomy for primary care nurse practitioners.
        DePaul J Health Care Law. 2015; 17 (Article 3)
        • Hinton E.
        • Rudowitz R.
        • Diaz M.
        • Singer N.
        10 things to know about Medicaid managed care. Kaiser Family Foundation.
      2. Medicaid. Managed care. 2020.
        • Bellot J.
        • Valdez B.
        • Altdoerffer K.
        • Quiaoit Y.
        • Bronzell-Wynder T.
        • Cunningham P.
        Does contracting with managed care organizations remain a barrier for nurse practitioners?.
        Nurs Econ. 2017; 35: 57-63
        • American Association of Nurse Practitioners [AANP]
        State practice environment.
        • Poyss L.F.
        Collaborating physicians. Fitzgerald Health Education Associates. 2021.
        (Accessed January 10, 2021)
        • Catholic Healthcare Association of the United States
        A guide for planning & reporting community benefit.
        • Williams S.D.
        • Phillips J.M.
        Thirteen: Eliminating health inequities through national and global policy.
        in: Patton R.M. Zalon M.L. Ludwick R. Nurses Making Policy: From Bedside to Boardroom. 2nd ed. Springer Publishing, New York, NY2014
        • Internal Revenue Serves
        Charitable Hospitals—General Requirements for Tax-Exemption Under Section 501(c)(3). Charities & Nonprofits. September 19, 2020.
        • Gillespie K.N.
        • Homan K.B.
        • Homan S.M.
        • Measuring the impact of community benefit
        Health Progress.
        Catholic Health Association of the United States, 2008
        • Groah L.K.
        • Hader A.L.
        Six: setting the agenda.
        in: Patton R.M. Zalon M.L. Ludwick R. Nurses Making Policy: From Bedside to Boardroom. 2nd ed. Springer Publishing, 2019
        • Parasuraman S.R.
        • Johnson S.L.
        • Magnusson D.
        • King T.
        Meeting quality measures for adolescent preventive care: assessing the perspectives of key stakeholders.
        Jt Comm J Qual Patient Saf. 2018; 44: 146-154
        • Hansen-Turton T.
        • Ritter A.
        Nurse-managed health centers.
        in: Mason D.J. Leavitt J.K. Chaffee M.W. Policy and Politics in Nursing and Health Care. 6th ed. Saunders, 2012
        • Schell S.F.
        • Luke D.A.
        • Schooley M.W.
        • et al.
        Public health program capacity for sustainability: a new framework.
        Implementation Sci. 2013; 8: 1748-1752

      Biography

      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]

      Biography

      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.

      Biography

      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.