PMID- 37540113
OWN - NLM
STAT- MEDLINE
DCOM- 20231102
LR  - 20231115
IS  - 1550-3267 (Electronic)
IS  - 0148-9917 (Linking)
VI  - 46
IP  - 4
DP  - 2023 Oct-Dec 01
TI  - An "Engage to Sustain" Intervention to Improve Process Performance Measures in 
      Ambulatory Care.
PG  - 284-297
LID - 10.1097/JAC.0000000000000474 [doi]
AB  - In ambulatory care, monitoring process performance measures (PPMs) is essential 
      to meet regulatory requirements, establish targets for care, seek reimbursement, 
      and evaluate patient care responsibilities. We implemented a comprehensive 
      program, "Engage to Sustain," for licensed practical nurses (LPNs) and certified 
      medical assistants (CMAs) to practice at the top of their 
      licensure/certification. Screening rates for 4 key PPMs (depression screening, 
      fall risk screening, and tobacco use screening and counseling) markedly increased 
      following this intervention across 18 ambulatory departments with more than 2 
      million patient visits. These results suggest that shifting responsibilities for 
      patient screening from physicians and advanced practitioners to LPNs and CMAs may 
      improve screening rates.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Miller, Angela
AU  - Miller A
AD  - Penn Medicine Clinical Practices of the University of Pennsylvania, Philadelphia 
      (Drs Miller and Fitzpatrick and Mss Prior and Pitt); Penn Medicine Medical Group, 
      Penn Primary Care & Penn Specialty Practices, Philadelphia, Pennsylvania (Mr 
      Skoranski); Corporate Information Services (Dr Brown McGlotten), Penn Medicine, 
      Philadelphia, Pennsylvania (Mss Morgan and Hepschmidt); Hospital of the 
      University of Pennsylvania, Philadelphia (Ms Smith); Primary Care and Penn 
      Specialty Practices, Bala Cynwyd, Pennsylvania (Mr Cella); and University of 
      Pennsylvania School of Nursing, Philadelphia (Dr Polomano).
FAU - Skoranski, Allen K
AU  - Skoranski AK
FAU - Prior, Barbara
AU  - Prior B
FAU - Fitzpatrick, Rebecca
AU  - Fitzpatrick R
FAU - Morgan, Cindy
AU  - Morgan C
FAU - Hepschmidt, Philynn
AU  - Hepschmidt P
FAU - Smith, Beth A
AU  - Smith BA
FAU - Cella, Michael
AU  - Cella M
FAU - Brown McGlotten, Dawn
AU  - Brown McGlotten D
FAU - Pitt, Kenya
AU  - Pitt K
FAU - Polomano, Rosemary C
AU  - Polomano RC
LA  - eng
PT  - Journal Article
DEP - 20230807
PL  - United States
TA  - J Ambul Care Manage
JT  - The Journal of ambulatory care management
JID - 7802876
MH  - Humans
MH  - *Ambulatory Care
MH  - *Allied Health Personnel
MH  - Certification
MH  - Process Assessment, Health Care
COIS- All authors report no conflict of interest related to this article.
EDAT- 2023/08/04 13:09
MHDA- 2023/08/04 13:10
CRDT- 2023/08/04 09:53
PHST- 2023/08/04 13:10 [medline]
PHST- 2023/08/04 13:09 [pubmed]
PHST- 2023/08/04 09:53 [entrez]
AID - 00004479-990000000-00030 [pii]
AID - 10.1097/JAC.0000000000000474 [doi]
PST - ppublish
SO  - J Ambul Care Manage. 2023 Oct-Dec 01;46(4):284-297. doi: 
      10.1097/JAC.0000000000000474. Epub 2023 Aug 7.