The Financial Impact of Nursing-Home-Based Geriatric Nurse Practitioners

An Evaluation of the Mountain States Health Corporation GNP Project

by Joan L. Buchanan, Sharon B. Arnold, Robert M. Bell, Christina Witsberger, Robert L. Kane, Judith Garrard


Full Document

FormatFile SizeNotes
PDF file 5.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback152 pages $30.00 $24.00 20% Web Discount

Insufficient physician attention to nursing home patients and the need for higher quality of care within these homes are problems that have been extensively documented. One solution may lie in the introduction into nursing homes of new midlevel providers known as geriatric nurse practitioners (GNPs). This report presents findings on the cost implications of nursing-home-based GNPs trained through the Mountain States Health Corporation program. The authors found no evidence that GNPs significantly increased or decreased per diem operating costs in nursing homes, nor did they find evidence that GNPs significantly affected per diem profits. GNPs had no effect on per diem imputed expenditures for medical services for patients who were residents at the beginning of the study; but for patients who were admitted during the course of the study, the authors found some evidence that GNPs could in fact reduce costs. Analysis of the composition of medical services used provided good evidence that GNPs reduced hospital use.

This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.