Speaker:

Fredrick McCurdy, MD, PhD, MBA, FAAP, FACPE – STAR Kids Medical Director – Driscoll Health Plan

Primary care physicians (PCPs) receive requests for private duty nursing (PDN) that they simply do not understand. Furthermore, when they are challenged to explain what they have signed, the response is frequently, “Did I actually sign that?” In their defense, determining how much private duty nursing a person requires is seldom ever explicitly addressed in medical training. The intent of this presentation is to illustrate how one managed care organization (MCO) has attempted to “reframe” the conversation about PDN between the family, the PCP, the service provider, and the service payer (MCO). At the core of this process, is a nurse assessor (service coordinator) who conducts a detailed, in-home, assessment; creates a case review employing a checklist that contains explicit nursing tasks as well as other factors used in deciding how best to allocate PDN resources; and then actively coordinates the implementation of the care plan.

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