title: The Vanderbilt University experience.
abstract: The four models that form the University Community Health Services (UCHS) group practice include (1) Primary Care Centers, (2) Physician Partnerships, (3) Outsourcing of Nurse Practitioners, and (4) Employee-Based Health Care. Success is demonstrated by the following: UCHS practitioners deliver quality health care at 23% below the average cost of all other primary care providers, UCHS hospital inpatient rate is 21% below the average of all other primary care providers; the UCHS lab utilization rate is 24% below the other primary care providers; prescription drug utilization is 42% below average; and the latest patient satisfaction survey suggests that 82% of all patients (respondents) are very satisfied with their quality of care and on a scale of 1 to 4 (4 being the best) UCHS patients averaged services at 3.56. All the data suggest that UCHS providers have demonstrated above-average performance in cost-efficiency while delivering top quality health care.
authors.affiliation: Vanderbilt University, Nashville, Tennessee, USA.
authors.forename: R
authors.initials: R
authors.lastname: Spitzer
mesh_terms: D000046:Academic Medical Centers; D003152:Community Health Nursing / Q000458:organization & administration*; D006801:Humans; D009722:Nurse Practitioners / Q000458:organization & administration*; D009734:Nursing Faculty Practice / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D013333:Student Health Services / Q000458:organization & administration*; D013714:Tennessee