A path to nursing excellence : the Columbia experience / Mary O'Neil Mundinger.

Print version record.

Cover; Title; Copyright; Contents; Preface; Acknowledgment; Vartan Gregorian; Tibetan Words and Symbols; Cover-Success; Dedication-Golden Fishes; A Path to Excellence-Awakening; Section I-Crisis; Section II-Courage; Section III-Strength; Section IV-Confidence; Section V-Harmony; Section VI-Excellence; The Path to Excellence: A Letter From the Author; Section I: Survival-The Ultimate Challenge: 1985-1990; Chapter 1: Avoiding Failure; First Challenge; Second Challenge; Third Challenge; Chapter 2: Faculty Practice: The Essential Cornerstone of Our Future; Structuring the Faculty Practice Model.

Developing the Financial Model for Faculty PracticeProviding the Rationale for Clinical Sites to Hire Columbia Faculty Practitioners; Creatively Navigating the Faculty Practice Model; Chapter 3: Developing the Three Dimensions of Professional Contributions; Committee 1; Committee 2; Committee 3; Committee 4; Committee 5; The Search for a Permanent Dean; Financial Challenges and Financial Gains; University Cost Assessment to the School of Nursing; Improving Financials and Establishing a Building Fund; Chapter 4: Anchoring Our Endeavor; Section II: the Medicaid Experiment: 1990-1995.

Chapter 5: Primary Care ShortageChapter 6: Luck Comes to Those Who Prepare for it; The Establishment of the Center for Advanced Practice; Establishing the Inpatient Admitting Program; Evaluating Cap: The NP-MD Comparability Study; The First Electronic Health Record at Columbia; Liability and Malpractice Coverage; Implementing the Larger Plan; Establishing the Scope of the 3-Year Research Study; Note; Chapter 7: Research and Centennial Celebrations; The DNSc Supports Nursing Research; Other Academic Successes; The 1992 Centennial Celebration; The Columbia Model: The Four Ps.

Nursing's Improved Financial StatusThe Centennial Celebration Takes Shape; Centennial Fundraising; Chapter 8: The Perfect Storm; What did all this Mean?; Section III: Capna: 1995-2000; Chapter 9: Changing Lanes; Chapter 10: Doing the Right Thing; Capna; Strategy to Earn Par Reimbursement for Primary Care; Strategy to Earn NP Listings in the Oxford Directory; Lobbying Other Third-Party Payers; Chapter 11: External Support Gives Stability; Columbia Eastside, CAPNA, and Strategic Alliances; Marketing and Media Training; Columbia Eastside Space Issues.

Advent of Managed Care: PPOs, HMOs, Out of NetworkMedical Society of the State of New York Strategies to Curb NP Primary Care Practice; Local Marketing Strategies; Ad Campaign; Capna's Comprehensive Care Model; The "Day in Your Life" Program; Capna's Finances; Columbia and Presbyterian Alliance ... Finally (Tentative); Chapter 12: Expanding Scope and Budget Shortfall; Developing Research Funding; Establishing Cap as Member of the CPPN and ACNC; Addressing Reduced Enrollments; Introduction of On-Site Classes; DNSc Program Faculty and Student Challenges.

This book, written by the Dean Emeritus of Columbia School of Nursing, follows the evolution of Advanced Practice Nursing as a successful and well-respected model of independent nursing practice. It describes a dramatic period of 25 years during which the author rescued a failing school of nursing at Columbia University and led it through a period of struggle that, through strong and carefully constructed planning, led Advanced Practice Nursing to a new level of authority and education. It depicts Columbia's leadership in establishing CAPNA, a financially successful independent nursing practic.

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