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The purpose of applying the productivity performance standard to measure quality is to drive a Nurse Practitioner (NP) to create excellent work or to encourage them to serve a large number of patients. Assessing productivity, on the other hand, is a tough undertaking because it might vary depending on the setting and type of payment to the practice (Hamric et al, 2014). A prolific NP is the one who sees a large number of patients in practice settings where remuneration is based on fee-for-service. In a 99213 stage or higher, it is the NP who charges a lot for supplementary services that generate revenues. In a practice that obtains mostly payments that are capitated, it would be an NP who competently handles a significant group of patients using little of the resources of the practice. There are additional models of evaluation procedures that are applied according to how each organization runs its programs.
In Rhodes et al. (2015) article, the advanced practice registered nurse (APRN) performance incentive is a performance quantifier that is used for NP productivity. This incentive is similar to the productivity gauge that encourages productivity amongst the NP workforce. The incentive payment for care mostly depends on the organization. There are different types of practices that revolve around the performance measure. The NP is incented depending on the quality or magnitude of their work (Bupert, 2015). External motivators such as money considering that cash influences human character, thereby putting the patients’ lives at risk (Kao, 2015). The main reason for this is that the NP works with a money-minded mentality as opposed to a service-mentally. On the other hand, the pay-for-volumes measure contributes to increased revenue for both the NP and organizations.
Rhodes, C. A., Bechtle, M., & McNett, M. (2015). An incentive pay plan for advanced practice registered nurses: impact on provider and organizational outcomes. Nursing Economics, 33(3), 125.
Buppert, C. (2015). Measuring Nurse Practitioner Performance. In Nurse Practitioner’s Business Practice and Legal Guide (5th Ed.) (469 - 478). Burlington, MA: Jones & Bartlett.
Hamric, A., Hanson, C., Tracy, M. & Grady, E. (2014). Advanced practice nursing: an integrative approach. St. Louis, Missouri: Elsevier/Saunders.
Kao, A. C. (2015). Driven to care: Aligning external motivators with intrinsic motivation. Health services research, 50(S2), 2216-2222.)
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