Wright Wendy L
Wright & Associates Family Healthcare @ Amherst and @ Concord, Bedford, New Hampshire.
Nurs Adm Q. 2017 Jan/Mar;41(1):39-47. doi: 10.1097/NAQ.0000000000000205.
In 2012, New Hampshire nurse practitioners (NPs), along with Anthem Blue Cross/Blue Shield, formed the first Patient Centered Shared Savings Program in the nation, composed of patients managed by nurse practitioners employed within NP-owned and operated clinics. In this accountable care organization (ACO), NP-attributed patients were grouped into one risk pool. Data from the ACO and the NP risk pool, now in its third year, have produced compelling statistics. Nurse practitioners participating in this program have met or exceeded the minimum scores for 29 quality metrics along with a demonstrated cost-savings in the first 2 years of the program. Hospitalization rates for NP-managed patients are among the lowest in the state. Cost of care for NP-managed patients is $66.85 less per member per month than the participating physician-managed patients. Data from this ACO provide evidence that NPs provide cost-effective, quality health care and are integral to the formation and sustainability of any ACO.
2012年，新罕布什尔州的执业护士与Anthem蓝十字/蓝盾保险公司共同组建了美国首个以患者为中心的共享节约计划，该计划涵盖由在执业护士拥有并运营的诊所中受雇的执业护士管理的患者。在这个 accountable care organization（ACO）中，由执业护士负责的患者被纳入同一个风险池。来自该ACO和执业护士风险池（现已进入第三年）的数据产生了令人信服的统计结果。参与该计划的执业护士达到或超过了29项质量指标的最低分数，并且在该计划的前两年显示出成本节约。由执业护士管理的患者的住院率是该州最低的之一。与参与计划的由医生管理的患者相比，由执业护士管理的患者每月每人的护理成本低66.85美元。来自这个ACO的数据表明，执业护士提供具有成本效益的优质医疗服务，并且对于任何ACO的形成和可持续发展都不可或缺。
