Outsourcing Issues for Nurse Practitioner Practices

Thomas A. Mackey; Nancy O. McNiel; Kenneth Klingensmith


Nurs Econ. 2004;22(1) 

In This Article


The business of health care is complex. It is tricky, confusing, dynamic, expensive, and resource intensive. While nurse practitioners (NPs) are educated and trained to deliver health care services as clinicians, often they are also expected to fulfill roles as health care managers. In some instances they are promoted to managerial positions; others choose to promote themselves to manager and start their own practices. Regardless, these NPs have a need for both the knowledge and skills of an experienced manager. In general, NPs as trained clinicians find themselves unprepared to assume this role and consequently tend either to have a long learning curve or fail to acquire the knowledge and skill sets needed to manage and run a practice in today's health care markets. As a result of being ill prepared, practices fail to maintain a positive cash flow and are forced to close, leaving a no-win situation for everyone, especially the patients.

An alternative is available for NP practice managers who recognize their lack of knowledge or skill sets to manage all aspects of a primary care practice but desire to maintain general management or ownership of the practice. This alternative is outsourcing and it is the trend of the present and future for managers of health care systems.


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