Driving high-functioning clinical teams: An advanced practice registered nurse and physician assistant optimization initiative.

Background: Rapid changes in the health care marketplace are driving health care systems to modify operations by which the advanced practice registered nurse (APRN) and physician assistant (PA) clinicians serve patients. By identifying more effective and efficient utilization workflows, organizations can meet these demands resulting in high-functioning clinical teams.

Local Problem: With the growing number of APRNs and PAs within a large academic medical center, there was a recognized need to establish effective and efficient utilization practices for these health care providers.

Driving high-functioning clinical teams: An advanced practice registered nurse and PA optimization initiative.

Background: Rapid changes in the healthcare marketplace are driving healthcare systems to modify operations by which advanced practice registered nurses (APRNs) and physician assistants (PAs) serve patients. By identifying more effective and efficient utilization workflows, organizations can meet these demands, resulting in high-functioning clinical teams.

Local Problem: With the growing number of APRNs and PAs in a large academic medical center, there was a recognized need to establish effective and efficient utilization practices for these healthcare providers.

Demonstrating advanced practice provider value: Implementing a new advanced practice provider billing algorithm.

Background: Rapid changes in health care are driving the adjustment of work flow by which providers serve patients in team-based care. Specifically, there is a need to develop more effective and efficient utilization with accurate attribution of advanced practice providers' (APPs) productivity.

Local Problem: The Directors of the APP-Best Practice Center conducted assessments of each clinical area at MUSC Health, a large academic medical center.

Demonstrating advanced practice provider value: Implementing a new advanced practice provider billing algorithm.

Background: Rapid changes in healthcare are driving the adjustment of work flow by which providers serve patients in team-based care. Specifically, there is a need to develop more effective and efficient utilization with accurate attribution of advanced practice providers' (APPs) productivity.

Local Problem: The directors of the APP-Best Practice Center conducted assessments of each clinical area at the Medical University of South Carolina (MUSC) Health, a large academic medical center.

Postoperative delirium in elderly patients.

Nearly 40% of all surgeries in the United States are performed on adults ages 65 and older. One of the most common surgical complications in this population is postoperative delirium, which is associated with extended lengths of stay, higher patient care costs, increased morbidity, and greater risk of death. This review evaluates risk factors for postoperative delirium in elderly patients, discusses screening and assessment instruments, and examines intervention strategies.