Lessons in Retrospect

Baccalaureate community health education often includes clinical practice in home care agencies. Complexity with securing home care agency practice sites has led to the proliferation of alternative models for community health clinical. Nurse-managed wellness centers (NMWCs) are one such alternative...

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Bibliographic Details
Published in:Home health care management & practice 2017-02, Vol.29 (1), p.3
Main Authors: Thompson, Cheryl W, Bucher, Julia A, Bell, Theodore
Format: Article
Language:English
Subjects:
Clinical experience
Clinical medicine
Community health
Emergency services
Financial support
Health education
Health facilities
Health services utilization
Home health care
Hospitalization
Integrated care
Nurse led care
Sustainability
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Summary:Baccalaureate community health education often includes clinical practice in home care agencies. Complexity with securing home care agency practice sites has led to the proliferation of alternative models for community health clinical. Nurse-managed wellness centers (NMWCs) are one such alternative that provides robust clinical experience for students and valuable home health services for vulnerable population groups. Despite anecdotal evidence of the value of the NMWC home care service, sustainability was dependent on the ability to report outcomes. An effort to quantify emergency department and hospital cost and utilization outcomes was unsuccessful. This resulted in failure to obtain financial support, and NMWC services were terminated in one community. In retrospect, the NMWC model was identified as having potential for integration into home care agency services.
ISSN:1084-8223
1552-6739
DOI:10.1177/1084822316658471