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Rethinking the cost of care

Nurse practitioners as stewards of clinical and patient resources

Mehra, Mukul MD (Gastroenterologist and CMO)

Journal of the American Association of Nurse Practitioners: May 2019 - Volume 31 - Issue 5 - p 285–287
doi: 10.1097/JXX.0000000000000145
Brief Report

ABSTRACT Clinicians are the building blocks of value-based care, yet the cumulative human and financial cost of daily care decisions are mostly hidden from them. As essential primary care providers, nurse practitioners play a role in driving efficiency and resourcefulness in care. The growth and expanded capabilities of the specialty give nurse practitioners a powerful voice in setting standards for clinical stewardship. Yet to be successful in this effort, nurse practitioners must have a better understanding of cost containment and cost reduction to make better decisions. This means synthesizing cost and risk data, efficacy, and patient advocacy to propagate value-based decision making and standardized quality care across our organizations. Clinicians need to understand that caring about patients means being good stewards while caring for patients.

IllumiCare, Birmingham, Alabama

Correspondence: Mukul Mehra, MD, IllumiCare, 400 Office Park Dr, Birmingham, AL 35223. Tel: 205-578-1738; E-mail:

Competing interests: The author reports no conflicts of interest.

Received June 26, 2018

Accepted August 31, 2018

© 2019 American Association of Nurse Practitioners
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