Is There a Nurse in the House? Evaluating a Nurse-Run Primary Care Practice
From 1997 through 1998, Columbia University School of Nursing developed a plan and instruments to evaluate Columbia Advanced Practice Nurse Associates, a nurse practitioner-run primary health care practice based in Manhattan that it sponsors.
During the grant period, Columbia University School of Nursing accomplished the following:
- Established a patient database.
- Pilot tested two satisfaction surveys on 93 patients.
- Developed a plan to measure visit-specific satisfaction, following a group of patients after initial and follow-up visits.
- Conducted fact-finding chart reviews that showed that the most common reasons patients visited the practice were for general physical exams and preventive health care measures.
- Adopted a quality improvement approach to measuring and improving patient care.
- Developed a plan for the full evaluation based on formative evaluation and quality improvement methodologies.