Adapting to a prospective payment system: a research study of visiting nurses.
Individual interviews were conducted with twelve visiting home care nurses in three home care agencies in a Midwest state to determine how they adapted to the Prospective Payment System (PPS) of 2000. Strategies used by the nurses included organization, understanding the documentation, financial awareness, greater emphasis on discharge planning, patient accountability, greater emphasis on teaching, and team work.
Simones
Joyce
J
St. Cloud State University, St. Cloud, Minnesota 56301, USA. jm-simones@stcloudstate.edu
D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000458:organization & administration*; D004282:Documentation; D018574:Home Care Agencies / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D015146:Midwestern United States; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D009936:Organizational Innovation; D010351:Patient Discharge; D010353:Patient Education as Topic; D011445:Prospective Payment System / Q000458:organization & administration*; D011795:Surveys and Questionnaires