Asunto(s)
Servicios de Salud Comunitaria/organización & administración , Relaciones Interprofesionales , Preceptoría/organización & administración , Estudiantes del Área de la Salud/psicología , Estudiantes de Enfermería/psicología , Educación en Enfermería/métodos , Empleos en Salud/educación , Humanos , Aprendizaje , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Investigación Metodológica en EnfermeríaRESUMEN
PURPOSE: Since 1998, Integrated Health Care (IHC), an academic nurse-managed center of the University of Illinois at Chicago College of Nursing, has delivered primary and mental health care to people with serious and persistent mental illness who are enrolled in psychosocial rehabilitation. DATA SOURCES: Federal guidelines and experiences of the steering group. This article reports our journey of transformation to a achieve the status of a Federally Qualified Health Center (FQHC). CONCLUSIONS: Nurse-managed clinics (NMCs) have become important in the U.S. healthcare system with well documented positive impact. However, financial issues have placed may NMCs at risk for closure. Achieving FQHC status is seen as a viable option to increase revenue and therefore financial stability. IMPLICATIONS FOR PRACTICE: This discussion of the benefits of FQHC status, an overview of some common compliance issues with FQHC requirements, and the report of lessons learned along the way in meeting FQHC standards that we encountered can provide support and guidance for other NMCs in similar situations.
Asunto(s)
Enfermería de Práctica Avanzada/legislación & jurisprudencia , Atención a la Salud/legislación & jurisprudencia , Política de Salud/legislación & jurisprudencia , Hospitales Federales/legislación & jurisprudencia , Calidad de la Atención de Salud/legislación & jurisprudencia , Enfermería de Práctica Avanzada/normas , Atención a la Salud/normas , Regulación Gubernamental , Hospitales Federales/normas , Humanos , Calidad de la Atención de Salud/normas , Estados UnidosRESUMEN
The completion of the sequencing of the human genome in 2003 signaled the onset of the genomic era in health care. The knowledge gleaned from the Human Genome Project has led to the understanding that every health problem has a genetic component and that clinicians should include the application of genetic information in all aspects of health care. This article describes the genetic competencies essential for all health care professionals in primary care. Health care professionals should augment their current practice by obtaining a multigenerational genetic family history for each patient, assessing all patients for potentially heritable conditions, providing referrals to genetic health professionals as needed, offering genetic testing when indicated, and considering an individual's genetic makeup in the selection of medications and treatments for that person. Finally, all health care professionals ought to be prepared to address the complex personal, cultural, theological, ethical, legal, and social issues associated with genetic testing and other genetic issues commonly encountered in clinical practice.