Managing Your Practice: A Guide for Advanced Practice Nurses / Edition 1

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Overview

Designated a Doody's Core Title!

Are you establishing a solo or collaborative health care practice? This concise reference book is designed to provide the basic business and management skills you need. It is packed with practical information, from writing your mission statement to preparing and implementing a business plan, to marketing and legal considerations. Three sample business plans are included as an appendix.

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Editorial Reviews

Doody's Review Service
Reviewer: Faith H Howarth, MSN, EdM (Johns Hopkins University School of Nursing)
Description: "This is a thorough presentation of all of the relevant elements of practice development and initial management for advanced practice nurses. There is some duplication of topics and I would emphasize a bit more the immense importance of scoping the market, obtaining physician and administrative support and, perhaps, partnering with colleagues. There could be more information on navigating loan or grant application processes and using SBA, SCORE resources. For minority owned enterprises, there are many opportunities for financial support and RFP type services available that should be detailed. "
Purpose: The purpose is to provide "...a basic reference for the APN" and "...to answer initial questions relating to establishing and maintaining an APN practice." This is a worthy (and timely) objective in this rapidly changing healthcare environment. This book essentially meets its objectives and does so by using knowledgeable contributors.
Audience: The book is written for the APN contemplating independent practice and seems to be primarily for the NP in clinical practice. Some elements address CNS options or interweave them as relevant. A graduate student could use this as a springboard to study or investigate
Features: "The book covers all the elements which must be pondered in designing and establishing a practice, including different models and relationships. The best characteristics are that it provides an overview of all these elements, some quite detailed. Authors make it clear that a business plan is essential, an element that is often overlooked by healthcare practitioners. Not only do they often fail to have one, if they do have one, they often do one that is incomplete or unfavorable to their purposes. The writing generally flows well, but editors could have filtered out repetition or footnoted elements that will be covered in more detail in other chapters, such as the critical importance of computers and the correct hardware to facilitate record keeping, coding, and billing. The appendixes are quite good. Some of the mathematical forecasts are not detailed enough to suit me, but I really like the presentation on business philosophy, values, and ethics. Nurses are relationship-oriented and often need assistance in merging business plans and these softer elements so critical to our practice. "
Assessment: The book meets the authors" purposes in a crisp, no-nonsense fashion. I know of no other publications like this..
From The Critics
Reviewer: Faith H Howarth, MSN, EdM (Johns Hopkins University School of Nursing)
Description: This is a thorough presentation of all of the relevant elements of practice development and initial management for advanced practice nurses. There is some duplication of topics and I would emphasize a bit more the immense importance of scoping the market, obtaining physician and administrative support and, perhaps, partnering with colleagues. There could be more information on navigating loan or grant application processes and using SBA, SCORE resources. For minority owned enterprises, there are many opportunities for financial support and RFP type services available that should be detailed.
Purpose: The purpose is to provide "...a basic reference for the APN" and "...to answer initial questions relating to establishing and maintaining an APN practice." This is a worthy (and timely) objective in this rapidly changing healthcare environment. This book essentially meets its objectives and does so by using knowledgeable contributors.
Audience: The book is written for the APN contemplating independent practice and seems to be primarily for the NP in clinical practice. Some elements address CNS options or interweave them as relevant. A graduate student could use this as a springboard to study or investigate
Features: The book covers all the elements which must be pondered in designing and establishing a practice, including different models and relationships. The best characteristics are that it provides an overview of all these elements, some quite detailed. Authors make it clear that a business plan is essential, an element that is often overlooked by healthcare practitioners. Not only do they often fail to have one, if they do have one, they often do one that is incomplete or unfavorable to their purposes. The writing generally flows well, but editors could have filtered out repetition or footnoted elements that will be covered in more detail in other chapters, such as the critical importance of computers and the correct hardware to facilitate record keeping, coding, and billing. The appendixes are quite good. Some of the mathematical forecasts are not detailed enough to suit me, but I really like the presentation on business philosophy, values, and ethics. Nurses are relationship-oriented and often need assistance in merging business plans and these softer elements so critical to our practice.
Assessment: The book meets the authors" purposes in a crisp, no-nonsense fashion. I know of no other publications like this..

3 Stars from Doody
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Product Details

  • ISBN-13: 9780826119346
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 1/1/2003
  • Series: Springer Series on Nursing Management and Leadership
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 248
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.63 (d)

Meet the Author

Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, is the Elizabeth Brooks Ford Professor of Nursing, Frances Payne Bolton School of Nursing at Case Western Reserve University in Cleveland, Ohio, where she was Dean from 1982 through 1997. She has received numerous honors and awards including the American Journal of Nursing Book of the Year Award 18 times. Dr. Fitzpatrick is widely published in nursing and health care literature, is senior editor for Springer's revived Nursing Leadership and Management Series and just stepped down as senior editor for Springer's Annual Review of Nursing Research Series. Her most recent Springer books are The Doctor of Nursing Practice and Clinical Nurse Leader: Essentials of Program Development and Implementation for Clinical Practice; 201 Careers in Nursing; Encyclopedia of Nursing Research 3e, and Psychiatric Mental Health Nursing: An Interpersonal Approach (with Jones & Rogers).

Beverly Ann Glasgow, RN, BSN, MS, MSN, is a Family Nurse Practitioner (FNP) at the Family Medicine Clinic of Oxford in Mississippi. She received a BS and Masters degree in Health Care Administration from the University of Mississippi, a BSN from Union University, and a MSN form the University of Tennessee. She is a doctoral candidate in the Case Western Reserve University Bolton School of Nursing Doctor of Nursing Program for advanced practice nurses. She has an extensive background in both nursing education and nursing practice. She has been Director of a Primary Care Clinic for 6 years and FNP for 2 years. Her doctoral research is focused on FNP's adherence to clinical practice guidelines. Her future goal is to establish a rural health care center in Mississippi and obtain certification as Emergency Nurse Practitioner to work in the initial telemedicine rural emergency rooms in Mississippi.

Jane N. Young, RN, MSN, CRNP, is President of Family Health Care in Boise, Idaho. She received undergraduate degrees from both Boise State University and Montana State University, and a MSN degree from the University of Portland. She completed the Nurse Practitioner certificate program at the University of Washington and is certified as a Pediatric, Adult, and Family Nurse Practitioner. She currently is a doctoral candidate in the Case Western Reserve University Bolton School of Nursing Program for advanced practice nurses. She was among the first nurse practitioners in the northwest, and currently owns and manages her own practice, Family Health Care. She has over 25 years in practice as an advanced practice nurse. Her doctoral research is focused on trust in the nurse practitioner patient relationship. Her future goal is to continue to serve her community and her patients through an integrated mind/body approach to health care.

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Table of Contents

  1. Preface
  2. Managing Your Practice as an APN: The Basics, J.J. Fitzpatrick, A. Glasgow, T. Goudie, and J. Young
  3. New Practice Models for APNs: Thinking Outside the Box, M.K. Bailey and E.B. Gross
  4. Strategic Planning, T. Goudie
  5. Merging the Professional and Business Models for APN Practice, A. Glasgow
  6. Credentialing and Continuing Education, A. Glasgow
  7. Financing the Practice, J.C. Thomas
  8. Developing a Marketing Strategy, A. Glasgow
  9. Negotiation: Getting What You Need, B.L. Kennedy
  10. Effective Leadership in Practice Management, A. Glasgow
  11. Collaborative APN Practice, A. Wolff
  12. Practice and Information Management, J. Young
  13. Quality Management, C.W. Thompson
  14. Risk Management and Legal Issues, S. Comstock
  15. Ethical Issues Relative to APN Practice, A. Glasgow

  16. Bibliography
    Appendix 1: Certifying Boards for Specific Practice Areas
    Appendix 2: State Licensing Agencies
    Appendix 3: Patient Survey of Health Care for a Practice
    Appendix 4: Leadership Self Assessment
    Appendix 5: State Positions on Prescriptive Authority for Nurse Practitioners
    Appendix 6: Ethical Decision-Making Worksheet
    Appendix 7: Quality Health Unlimited: A Sample Strategic Plan, E.B. Gross
    Appendix 8: Time Out for Wellness: A Sample Business Plan, J. Thanavaro
    Appendix 9: A Greenup Well Family Care Center: A Sample Business Plan, A. England, N. Fagan, B. Henrichon, B. Keller, and J. Thomas
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