NU 502 Discussion 5 A

NU 502 Discussion 5 A

  1. Explore and research retail care clinic

Retail care clinics provide fast access to primary health care services for minor conditions and illnesses like sore throats or skin conditions, immunizations, pregnancy testing and preventive care like routine lab tests and screening for diabetes. As an innovative model of primary care, retail care clinics are located in convenient locations and areas that include retail stores, out of pharmacies and grocery stores. Nurse practitioners with expanded scope of practice deliver care in these settings but some have physicians and nurse assistants (Polinski et al., 2017). The typical retail care clinic entails fast service provision as they are mainly walk-in areas that offer convenient and same-day care to meet the healthcare needs for both adults and children. It is estimated that there are over 2,800 retail care clinics in the country. An example of these clinics in my location is the CVS Minute Clinics.

  1. Pros and Cons of the Existence of Retail Care Clinics

    NU 502 Discussion 5 A

    NU 502 Discussion 5 A

Many believe that these clinics are more convenient, cost-effective and a critical component of improving primary care provision. These clinics offer a cost-saving alternative to physician offices and hospital emergency departments and allow individuals to access fast service to address their health needs. Further, they are an attractive alternative to staying home and suffering through minor illnesses (Hoff & Prout, 2019). The facilities are increasing the expansion of services that providers can offer in these clinics to enhance primary care outcomes.

Critics, especially medical associations are concerned about the quality of care delivered in these models that include over prescription of antibiotics, lost chances for preventive care and the disruption to the existing patient-physician relationships that these entities cause.

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  1. Regulatory and Reimbursement Barriers for APRNs in Retail Care Clinics

The American Association of Nurse Practitioners (AANP) there are concerns about the conditions and regulatory

NU 502 Discussion 5 A

NU 502 Discussion 5 A

framework as well as reimbursement of Advanced Practice Registered Nurses (APRNs) who work in these settings. Many of the APRNs working in these facilities face regulatory barriers and reimbursement issues due to the nature of the retail care clinics. The implication is that APRNs working here must be full registered with their scope of practice clear and should be reimbursed based on existing protocols and requirements at state and federal levels (NCSL, 2017). These clinics should have effective reimbursement protocols for nurses working in them for effective care delivery.

References

American Association of Nurse Practitioners (AANP) (2020).  Standards for Nurse

Practitioner Practice in Retail-based Clinic. Retrieved from https://www.aanp.org/advocacy/advocacy-resource/position-statements/standards-for-nurse-practitioner-practice-in-retail-based-clinics

Hoff, T., & Prout, K. (2019). Comparing Retail Clinics with Other Sites of Care. Medical

      care, 57(9), 734-741.

National Conference of State Legislatures (NCSL) (2017). Retail Health Clinics: State

Legislation and Laws. Retrieved from https://www.ncsl.org/research/health/retail-health-clinics-state-legislation-and-laws.aspx

Polinski, J. M., Harmon, S. L., Henderson, K. J., Barker, T., Sussman, A., & Gagliano, N. J.

(2017, September). Antibiotic stewardship in the retail clinic setting: Implementation in 1100 clinics nationwide. In Healthcare (Vol. 5, No. 3, pp. 89-91). Elsevier.