Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment
- Rachel Start, MSN, RN, NE-BC
- Ann Marie Matlock, DNP, RN, NE-BC
- Peg Mastal, PhD, MSN, RN
How do you quantify ambulatory care nurse value with metrics?
What Nurse-Sensitive Indicators (NSIs) are you using in ambulatory care?
As patients and families in ambulatory care settings often need care coordination, transition management, health promotion, and access to community resources, the role of the RN as a leader in this setting is increasingly vital. How do you quantify the impact of the ambulatory care RN role on patient care and outcomes?
In spring 2013, the AAACN Board of Directors commissioned a task force to identify and define nurse-sensitive indicators specific to the ambulatory care setting. Nurse-sensitive indicators (NSIs) articulate the value of nursing’s contributions by measuring elements of patient care and patient outcomes that are directly affected by nursing practice.
The task force created the evidence-based Ambulatory Care Nurse-Sensitive Indicator Industry Report: Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment. This landmark document explores:
- The evidence behind NSIs in ambulatory care.
- Existing NSIs with recommended changes for more meaningful use in ambulatory care.
- 13 newly proposed measures that uniquely reflect the role of the RN in the ambulatory care setting.
Readers are able to use the Industry Report as a stepping stone to enhance quality reporting and benchmarking to drive nursing excellence in ambulatory care settings. The Industry Report is available to everyone and a complimentary copy can be downloaded below.
NSI Task Force members represented all geographic regions and a broad range of ambulatory care settings, as well as development experts from the Collaborative Alliance for Nursing Outcomes (CALNOC) and the Press Ganey National Database for Nursing Quality Indicators (NDNQI)/Press Ganey, Inc.
NSI Industry Report Table of Contents
- Section 1: Overview of Information Affecting Quality Measurement in Ambulatory Care Nursing
- Section 2: Review of Existent Endorsed Ambulatory Care Nurse-Sensitive Indicator Measures
- Section 3: AAACN NSI Task Force Proposed Indicators for Development and Endorsement: Existent Health Care Measures Adapted and Recommended as Ambulatory Care Nurse-Sensitive Indicator Measures
- Section 4: AAACN NSI Task Force Proposed Indicators for Development and Endorsement: Original Measures Recommended as Ambulatory Care Nurse-Sensitive Indicator Measures
- Section 5: Current Exemplars in Ambulatory Care Nurse-Sensitive Indicator Measurement
- Section 6: Glossary of Definitions and Supportive Statements
- Section 7: References and Additional Readings
More resources and information
- AAACN/CALNOC Call For Participants in Nurse-Sensitive Measurement Development
- Access the FREE Archived Webinar - Ambulatory Care Nurse-Sensitive Indicators: State of the Industry. Recorded Monday, June 20, 2016. 1.0 contact hour.
- Role of the Registered Nurse in Ambulatory Care Position Statement
- Press Release
- CALNOC Ambulatory Service Lines and Measures
- From Nursing EconomicS - Ambulatory Care Nurse-Sensitive Indicators Series:
- Capturing the Role of Nursing in Ambulatory Care – The Case for Meaningful Nurse-Sensitive Measurement
- Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments
- Starting with Low-Hanging Fruit: Proposing the Adaptation Of Health Care Measures to the Role of the Nurse in Ambulatory Care
- Patient Engagement as a Nurse-Sensitive Indicator In Ambulatory Care
- Nursing Leader Describes Positive Impact of Ambulatory Care Nurses - The increasingly vital role of ambulatory care nurses in health care today is the focus of this interview with Rachel E. Start, MSN, RN, Director of Ambulatory Care Nursing at Rush Oak Park Hospital.
Download the free Report
This report is freely available to any AAACN member, and/or an AAACN account holder. If you do not have an AAACN account, you will be prompted to create one when you click the button below. There is no cost for creating an account.