Date of Award

5-8-2017

Degree Name

Nursing (D.N.P.)

Department

College of Nursing

First Advisor

Dianne Conrad

Second Advisor

Marie VanderKooi

Third Advisor

Kimberly Fenbert

Abstract

Healthcare expenditures in the United States far exceed the spending that occurs in other high-income countries (Squires & Anderson, 2015). However, the healthcare outcomes are poorer in the U.S. on multiple key health care measures including life expectancy and the prevalence of chronic illnesses and comorbid conditions (Squires & Anderson, 2015). New care models not only focus on improvement of key health outcomes, but also on healthcare providers to reduce fragmented care with care coordination. This DNP scholarly project addresses the need for financial stability within a Midwest nurse managed center. This center would benefit from utilization of a new care model such as the Patient-Centered Medical Home (PCMH) model supported financially by the monies from the Meaningful Use (MU) incentive program. The Donabedian model was used as a conceptual framework to explore the potential positive impacts on financial stability of the Midwest nurse managed center and the PARiHS model was used to guide project implementation. The purpose of this project was to address PCMH and MU within the current practice to improve healthcare outcomes and establish necessary financial stability. This was achieved by creating educational in-services for staff and providers, a patient portal protocol, PCMH toolkit, and business case analysis. The overall outcome of this project is a plan for the Midwest nurse managed center to continue successful attestation of MU while re-engineering the workflow to successfully become recognized as a PCMH Level 1. As an outcome of the project, the Midwest nurse managed center has the tools necessary to initiate and maintain the process of capturing necessary data to receive needed incentive dollars for financial stability.

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