Centralized resources for nurse practitioners: common early experiences among leaders of six large health systems.

Purpose: This article describes common experiences of institutions that have pioneered the work of integrating nurse practitioners (NPs) into complex hospital environments and addresses effective strategies in achieving a centralized leadership model.

Data Sources: We conducted an informal, written survey and focus group discussions comparing experiences of leaders who were first in the position of centralizing resources and providing leadership for NPs in a hospital-based setting. Experiences were compared and common practices summarized.

A model for extending physician-specific process measures to the advanced practice nurses.

Many institutions have developed mechanisms to measure quality indicators for their physician providers based on commonly reported process measures and outcomes. In preparation for interventions to improve quality, we discuss a model that we created to extend our institutions algorithms and electronic database queries against our electronic health record's (EHR) clinical data repository. The algorithms and queries in the model are used to measure indicators for our physician extenders, specifically the advanced practice nurses (APNs).