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Measuring a veteran's quality of healthcare managed by a nurse practitioner in a VA facility using professional practice evaluation and core performance measures

de Peralta, Shelly DNP, ACNP-BC (Co-chair)1; Valente, Sharon PhD, PMHCNS-BC, BC FAAN (Associate Chief Nurse)2; Emanuele, Donna DNP, FNP-BC, FAANP (Assistant Professor)3

Journal of the American Association of Nurse Practitioners: May 2016 - Volume 28 - Issue 5 - p 258–268
doi: 10.1002/2327-6924.12269

Purpose: Quality of care provided by nurse practitioners (NPs) has been measured for the last 40 years; however, no known program measuring quality of care in an NP practice on an ongoing basis was found in the published literature. The purpose of this article is to describe the implementation of an ongoing professional practice evaluation (OPPE) program at a Veterans Health Administration facility.

Data sources: An evidence-based review was conducted to assess, evaluate, and report findings from outcomes research, systematic reviews, and meta-analyses, and interventions regarding standards and oversight of NP practice in the following databases: PubMed, Google®, Cumulative Index of Nursing and Allied Health, Agency for Healthcare Research and Quality, Institute of Medicine, and “.gov” websites.

Conclusions: NPs have established a reputation in the delivery of efficient, accessible, effective, and high-quality care. Researchers suggest episodic measurement of care. For NPs, an OPPE program provides oversight of quality of care, surveillance, education, and feedback while evaluating and validating an NP's quality of care on an ongoing basis.

Implications for practice: The OPPE program provides a prototype for measuring and improving NP practice nationally. In providing validation and transparency, it reassures administrators and the public that NP practice meets strenuous national standards.

1 Advanced Practice Registered Nurse Review Board, Veterans Affairs, Greater Los Angeles Healthcare System, Los Angeles, California,

2 Research/Education, VA Greater Los Angeles Healthcare System, Los Angeles, California,

3 College of Graduate Nursing, Western University of Health Sciences, Pomona, California,

Received 12 July 2014; Accepted 24 March 2015

Correspondence Shelly De Peralta, DNP, ACNP-BC, Advanced Practice Registered Nurse Review Board, Veterans Affairs, Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles CA 90073. Tel: 310-478-3711 x42686 (office), 310-696-9492 (cell); Fax: 818-716-6675; E-mail:

Disclosure: The authors have no disclaimers.

© 2016 American Association of Nurse Practitioners
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