The advanced practice nurse & home care.
Home care providers are experiencing higher acuity of patients in a climate of restricted reimbursement for care. This results in an increased need to develop more efficient systems and to employ staff with expert skills. One way to fill this need is to use nurses with advanced preparation at a graduate-degree level. However, Medicare regulations must change before patients and providers can take advantage of these professionals in the home care setting.
Craven
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RF
Department of Biobehavioral Nursing, University of Washington School of Nursing, Seattle, Washington, USA. ruthc@uwashington.edu
Keene
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TL
D000368:Aged; D002983:Clinical Competence; D003152:Community Health Nursing / Q000193:education* / Q000592:standards; D004511:Education, Nursing, Graduate; D006699:Home Care Services / Q000592:standards; D018577:Homebound Persons; D006801:Humans; D006278:Medicare; D009722:Nurse Practitioners / Q000193:education / Q000592:standards*; D019467:Subacute Care / Q000592:standards; D014481:United States; D000078329:Workforce