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Yale University

Promoting Patient-Centered Team-Based Care: An Advocacy Toolkit

Abstract

dc:description.abstract

<p>The high performing patient care team is now widely recognized as an essential model for constructing a more patient-centered, coordinated, and effective system of health care delivery. In order to achieve these goals, health care teams need diverse members with flexible leadership. Unfortunately, too many members of the health care team are burdened by unnecessary supervision requirements, and efforts to reform scope of practice laws have met with resistance from organized medicine. In 2014, the American Medical Association (AMA) launched, “Physician-led Team Based Care”, a campaign that espouses a model of team-based care where physicians oversee advanced practice registered nurse (APRN) practice, as well as all other members of the health care team. This campaign has confused the popular model of team-based health care with individual licensure authority in the legislative arena, which has prevented lifting regulatory barriers to APRN practice in some states. Furthermore, the AMA seeks to legislate the leadership, supervision, and control of the health care team. This paper describes the scholarly process of creating a toolkit that will enhance advocacy at the state level and better prepare state nursing organizations, advocates, and legislators in promoting full practice authority (FPA) for APRNs and a model of team-based health care that effectively utilizes all members of the team.</p>

Degree

thesis:*
Name thesis:degree_name
Doctor of Nursing Practice (DNP)
Level thesis:degree_level
Open Access Thesis
Discipline thesis:degree_discipline
Yale University School of Nursing
Year
2016

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Schmerge, Michelle
Contributors dc:contributor
  • Lisa Summers

Subjects

dc:subject × 1

Identifiers

dc:identifier.*
Repository record dc:identifier
https://elischolar.library.yale.edu/ysndt/1075
OAI identifier oai:identifier
oai:elischolar.library.yale.edu:ysndt-1074

Chain of custody

source
Harvested from
Yale University
Base URL
elischolar.library.yale.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Schmerge, Michelle. Promoting Patient-Centered Team-Based Care: An Advocacy Toolkit. Open Access Thesis thesis, 2016. https://elischolar.library.yale.edu/ysndt/1075