Implementing shared medical appointments for heart failure patients in a community cardiology practice: A pilot study |
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| Authors: | Sara Paul Karen S Yehle Kathryn Wood Suzanne Wingate Brian Steg |
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| Institution: | 1. Heart Function Clinic, Catawba Valley Cardiology, Hickory, NC, USA;2. Purdue University School of Nursing, College of Health and Human Sciences, W. Lafayette, IN, USA;3. Duke University School of Nursing, Durham, NC, USA;4. Kaiser Permanente Mid-Atlantic States, Silver Spring, MD, USA;5. Catawba Valley Cardiology, Hickory, NC, USA |
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| Abstract: | ObjectiveTo examine patient and staff satisfaction, billing charges, and programmatic feasibility of shared medical appointments (SMA) in a nurse practitioner-managed heart failure (HF) clinic in a community cardiology practice.MethodsTwenty patients were scheduled among four SMAs for this pilot study. All aspects of a usual clinic appointment were utilized during the SMA, but an additional 20-minute teaching session was presented. All patients completed a satisfaction questionnaire. The office staff completed satisfaction questionnaires about the SMA. Billing charges, cancellations and missed appointments without cancellation for SMAs were compared to usual clinic appointment days.ResultsSatisfaction was high among patients and office staff. Rates for no-shows were similar for SMAs versus usual appointments (15% versus 5.5%), but there were fewer cancellations among SMAs (0% versus 28%). This may be a reflection of the personalized appointment reminder calls that were made to the patients scheduled for SMAs. Billing charges were not significantly different for SMAs versus usual appointments.ConclusionSMAs are a feasible option in a community cardiology practice. |
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| Keywords: | Cardiology Heart failure Shared medical appointment Patient education Patient satisfaction Revenue Nurse practitioner |
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