The Vanderbilt University experience.
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.
Spitzer
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Vanderbilt University, Nashville, Tennessee, USA.
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