Evaluation of a Psychiatric NP Residency Program in Integrated Care. Presenters. APNA 30th Annual Conference Session 3033: October 21, 2016.

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1 Evaluation of a Psychiatric NP Residency Program in Integrated Care APNA 30 th Annual Conference Hartford, CT Session #3033 October 21, 2016 Presenters B. Jamie Stevens, MSN, APRN, PMHNP BC Community Health Center, Inc., CT Joyce Shea, DNSc, APRN, PMHCNS BC Fairfield University, CT Sarah Freiberg, MSN, APRN, PMHNP BC Community Health Center, Inc., CT Speakers have no conflicts of interest or commercial support to disclose for this presentation. Unless indicated otherwise, all graphics used in the following slides were accessed free of charge through the ClipArt program (Microsoft, 2014). Stevens 1

2 OBJECTIVES 1) Describe the structure of a PMHNP Residency in Integrated Care. 2) Evaluate data associated with the first year of a PMHNP Residency in Integrated Care. 3) Recognize the value of a PMHNP Residency in Integrated Care in relation to advanced practice psychiatric nursing. Development of NP Residency Programs Advanced Practice Nursing Education Established within University settings Development of National Certifications LACE Model NP Residency Programs Identified Needs: How prepared are/were you? Goals of first NP Residency Program Development of NP Residency Programs Current programs available Numbers Foci (FNP, PMHNP, etc.) Support from Healthcare Policy Leaders IOM/ Future of Nursing State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses completion of a transition to practice program (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas. Stevens 2

3 Establishing a Psychiatric NP Residency in a Federally Qualified Health Center (FQHC) Community Health Center, Inc. Waterbury, CT Definitions FQHC (Federally Qualified Health Center) 1. Receive grants under Section 330 of PHSA 2. Receive enhanced reimbursements from Medicare/ Medicaid 3. Must serve underserved area or population 4. Provide comprehensive services 5. Ongoing quality assurance program 6. Governing board of directors Definitions PCMH (Patient Centered Medical Home) 1. Comprehensive care 2. Patient Centered 3. Coordinated Care 4. Accessible Services 5. Quality and Safety ( pcmh, accessed 8/26/2015) Safety Net Provider A mission driven health care agency dedicated to providing care and services to the most vulnerable populations, poor, marginalized, underinsured, within a defined service area ( accessed 8/26/2015) Stevens 3

Patients served: >120,000 Establishing a Psychiatric NP Residency in Integrated Care Structure Management Resources Organizational Fit Process Needs/Demand Assessment Planning and Coordination

4 Patients served: >120,000 Establishing a Psychiatric NP Residency in Integrated Care Structure Management Resources Organizational Fit Process Needs/Demand Assessment Planning and Coordination Supports Fiscal Clinical Academic Evaluating a Psychiatric NP Residency in Integrated Care Improving Patient Outcomes Patient Satisfaction surveys Enhancing Primary Care Providers Satisfaction Survey of Primary Care Provider colleagues of the Psychiatric NP Resident Increasing the Psychiatric NP Residents Self Efficacy Dreyfus Proficiency Scale (2009) Stevens 4

5 Evaluation: From the Organization s Perspective Costs versus Revenue Generation Recruitment opportunities Sustainability Other Challenges Faced Evaluation: From the Academic Partner s Perspective What needs were we able to meet for the NP Resident? The organization? How did the partnership fit with our institution s goals/mission/vision? Major concerns: Was this a good match? Can it be sustained? Moving forward. Evaluation: From the Psychiatric NP Resident s Perspective Benefits Further skill development Interprofessional collaboration Increased knowledge about community resources Challenges Complexity of cases Bureaucratic restrictions regarding access to resources Regulatory requirements Stevens 5

Value of a Psychiatric NP Residency in Integrated Care For new Psychiatric

mentoring and collaboration For Healthcare Organizations Increased satisfaction

practice psychiatric nursing Addresses questions about transition to practice

integrated care settings Questions?? THANK YOU!

6 Value of a Psychiatric NP Residency in Integrated Care For new Psychiatric Mental Health Nurse Practitioners Dedicated support system Expanded access to mentoring and collaboration For Healthcare Organizations Increased satisfaction for current employees Source of highly trained future employees For advanced practice psychiatric nursing Addresses questions about transition to practice Can improve retention rates Highlights the unique skills of Psychiatric APRNs in integrated care settings Questions?? THANK YOU!! Contact Information Jamie Stevens: stevenb@chc1.com Joyce Shea: jshea@fairfield.edu Sarah Freiberg: freibes@chc1.com Stevens 6

Forces Shaping Integrated Care. Presenters OBJECTIVES. Care Coordination in Integrated Care: Development of a Role for Psychiatric RNs

Forces Shaping Integrated Care. Presenters OBJECTIVES. Care Coordination in Integrated Care: Development of a Role for Psychiatric RNs Care Coordination in Integrated Care: Development of a Role for Psychiatric RNs APNA 29 th Annual Conference Lake Buena Vista, Florida Session #3022 October 30, 2015 Presenters Joyce Shea, DNSc, PMHCNS