Evaluating the benefits of alternative models of care.

There is a growing shortage of hematologists to treat persons with bleeding disorders especially in rural areas. The NHPCC sponsored a project of national significance to evaluate an alternative medical model to ensure care for patients with bleeding disorders to bridge the gap. The project will determine if a family nurse practitioner led HTC could serve as a source of care to meet this gap in services without compromising outcomes or patient satisfaction.

The Munson Hemophilia Treatment Center in Traverse City, Michigan, and the Michigan State University Hemophilia Center collaborated to compare qualitative and quantitative data to determine whether care provided by a family nurse practitioner could meet the medical needs of patients distant from an HTC with an onsite physician.

Data showed that patients, families, and providers are very satisfied with the care of family nurse practitioners, citing high-quality care with no adverse outcomes, including the use of telemedicine as an effective tool for follow-up care.

Additional evaluation of other sites is needed to determine the feasibility of using this alternate model of care to improve access to care and decrease costs. This project of national significance is funded by the NHPCC. Project lead: Michelle Witkop, DNP, FNP-BC