Open Forum

Good day,

I want to advance nursing in ambulatory care and am wondering if anyone has had success with nurse led annual wellness visits. We are working with HCC scores and trying to increase revenue in primary care, and looking for guidance.

I'm also interested in this topic. I'm currently focusing on how we can report the added value that nursing brings to primary care on a monthly basis. It seems that nursing is often viewed more as a cost. Does anyone have metrics they report monthly that could help highlight this value? These two topics intertwine.

We have developed a RN led annual wellness program that has been quite successful. Currently we have one nurse who does annual wellness visits as her primary role and several others who do them as part of their role. The RN does the scheduling, communicates with the patient directly about the visit, does the visit and any needed follow up. The note is forwarded to the primary provider for signature. The signing provider must be in the office the day of the visit. If the primary is not available, the covering provider signs. 

Michele Vigue RN

Director of Practice Management

Skowhegan, Maine

We plan to begin nurse led AWV next month. Do you incorporate HCC documentation or CDI prompting in this process?

Hello,

Our Organization has recently stood up a nurse-led Medicare AWV program. The program has been instrumental in improving health outcome, SDOH and provider access in addition to addressing care Gaps. We have had some success with a few nurse-led programs such as nurse visits for chronic disease management, Medicare AWV and Anticoagulation.