Clinical Nurse Specialists

Leaders in Managing Patients With Chronic Conditions

Mary P. Hansen; Mitzi M. Saunders; Cynthia R. Kollauf; Ludmila Santiago-Rotchford


Nurs Econ. 2019;37(2):103-109. 

In This Article


The dynamics of the rapidly growing population of individuals with chronic conditions challenge the financial integrity of healthcare systems. This population is often fraught by social determinants of health which present complex care needs and require high-level care coordination. CNSs by state licensure, national core competencies, and scope of practice have the aptitude and skill to manage these needs and address existing healthcare system gaps.

Evidence supports the practice of CNSs and their impact on the Triple Aim, the gold standard of quality care. CNSs improve access to care, drive care coordination, provide staff mentorship through expert-level nursing, and impact the economics of health care through reimbursement and cost avoidance. Advancements in care delivery strategies, such as technology-driven solutions and transitional care, present system opportunities and challenges that CNSs address through their spheres of influence. CNSs provide outcomes-based solutions for healthcare systems in the management of patients with chronic conditions.