Rising U.S. health-care costs have resulted in mandates to reform the health system. Payors are closely scrutinizing care delivery and have empowered themselves as gatekeepers for consumer health-care access. In the late 1980s, outcomes management emerged as an interdisciplinary process advocating the measurement of health outcomes among populations undergoing medical care. Outcomes management provides a mechanism to foster development of patient-driven health services aimed to impact clinical quality through intermediate and long-term outcome analysis. Outcomes measurement facilitates ongoing enhancement of interdisciplinary health-care delivery, enabling determination of “best” practice and identification of opportunities for practice improvement. The advanced practice nurse’s unique educational preparation provides a framework for development of the prerequisite leadership qualities necessary to cultivate an outcomes management program
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Outcomes Management| February 01 1996
Outcomes Management: An Interdisciplinary Search for Best Practice
Anne W. Wojner, RN, MSN, CCRN
From Neuroscience & Emergency Services, St. Luke’s Episcopal Hospital, Houston, Texas.
Reprint requests to Anne W. Wojner, RN, MSN, CCRN, CNS/Outcomes Manager, Neuroscience & Emergency Services, St. Luke’s Episcopal Hospital, 6720 Bertner, MC 4-278, Houston, TX 77030.
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AACN Adv Crit Care (1996) 7 (1): 133–145.
Anne W. Wojner; Outcomes Management: An Interdisciplinary Search for Best Practice. AACN Adv Crit Care 1 February 1996; 7 (1): 133–145. doi:
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