The use of national collaborative to promote advanced practice registered nurse-led high-value care initiatives.
BACKGROUND: High-value healthcare focuses on improving healthcare to produce cost effective care, however limited information on the role of advanced practice registered nurses (APRNs) exists.
PURPOSE: This descriptive report describes APRN-led initiatives implemented as part of a national collaborative promoting the Choosing Wisely® campaign and high-value care measures.
METHOD: An APRN national collaborative focuses on developing and implementing high-value care initiatives. Monthly calls, podcasts, and a file sharing platform are used to facilitate the work of the national collaborative.
FINDINGS: A total of 16 APRN teams from 14 states are participating and have implemented a number of initiatives to reduce unnecessary testing and treatments, promote appropriate antibiotic use, and promote optimal clinical practices such as mobility for hospitalized elderly patients, among others.
DISCUSSION: A national collaborative has proven to be a successful way to engage APRN teams to focus on targeting high-value care and promoting evidence-based practices in clinical care.
Advanced practice registered nurse; Choosing Wisely campaign; Collaborative; High value care
Kleinpell, R., Kapu, A., Abraham, L., Alexander, C., Andrews, T. D., Booth, S., Campos, G., Cartwright, C., Chaney, A., Johnson, M. C., Cook, C., Fedyna, O., Franco, P., Gibson, J., Grek, A., Heitschmidt, M., Kamm, A., Khichi, M., Mullen, T., Oliver, L., Onka, C., Ream, K., Riccioni, M., Rodgers, J., Rose, M. Q., Saiki, R., Staffileno, B., Vance, E., Wu, Y. The use of national collaborative to promote advanced practice registered nurse-led high-value care initiatives. Nursing outlook 68, 626-636 (2020).