Author:
Fox Kelly,Shillam Casey R.,Henry April
Abstract
Purpose:
Research demonstrates that aging in place is the goal of most adults aged >50 years. Unfortunately, multiple barriers to aging in place continue to exist, especially for vulnerable populations. Achieving this goal will require innovative nurse-led models of care and new policies for RN reimbursement. The current article describes a nurse-led clinic implemented in one community.
Method:
Using an evidence-based nurse-led model of care, a team of university faculty, students, and a family nurse practitioner designed and implemented a nurse-led clinic for a religious community in the Pacific Northwest.
Results:
Today, the nurse-led clinic offers care coordination and primary care to support aging in place and is one example of a nurse-led model well-positioned to address the aging in place needs of vulnerable populations.
Conclusion:
Replication and sustainability of this nurse-led model requires sweeping policy change, including consideration of requiring all nurses to attain a National Provider Identification number to expand RN reimbursement and ultimately increase access to care. [
Journal of Gerontological Nursing, 50
(3), 13–17.]
Reference17 articles.
1. Supporting Aging-in-Place Well: Findings From a Cluster Analysis of the Reasons for Aging-in-Place and Perceptions of Well-Being
2. Concept development of “Aging in place”: Application of hybrid model
3. Bodenheimer, T., & Mason, D. (2017). Registered nurses: Partners in transforming primary care. Proceedings of the Josiah Macy Jr. Foundation Conference on Preparing Nurses for Enhanced Roles in Primary Care, Atlanta, GA.
4. Centers for Disease Control and Prevention. (2013). Healthy places terminology: Aging in place. http://www.cdc.gov/healthyplaces/terminology.htm
5. Centers for Medicare & Medicaid Services. (2022). NPI: What you need to know. Medicare Learning Network Booklet. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/NPI-What-You-Need-To-Know.pdf