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Population Health for Nurses

E | Nurse-Designed Models of Care

Population Health for NursesE | Nurse-Designed Models of Care

To recognize the work, leadership, determination, and contributions of nurses who are at the forefront of innovations in population health, the American Academy of Nursing (AAN, 2023) created the Edge Runners program. The AAN annually recognizes nurse-designed models of care that reduce cost, improve care quality, promote health equity, and increase client satisfaction. Table E1 lists population health programs across care areas that were invented by nurses with links to learn more about the specific initiatives and outcomes. Please note, the table is a comprehensive listing as of June 2023.

Program Name Nurse Innovators
10 Steps to Promote and Protect Human Milk and Breastfeeding in Vulnerable Infants Diane L. Spatz PhD, RN-BC, FAAN
11th Street Family Health Services Patricia Gerrity PhD, RN, FAAN
A Caring Science Model of Specialized Dementia Care for Transforming Practice and Advancing Health Equity María de los Ángeles Ortega (formerly Ordóñez), DNP, APRN, GNP-BC, PMHNP-BC, CDP, FAANP, FAAN
Accountable Community of Health Billie Lynn Allard, MS, RN
The Aging in Place Project Marilyn Rantz, PhD, RN, FAAN
The American Association of Critical Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy Karen Cox, PhD, RN, FAAN; Susan R. Lacey, PhD, RN, FAAN
Angel Eye Web-Camera System Sarah Rhoads, PhD, DNP, WHNP-BC
Arkansas Aging Initiative Claudia J. Beverly, PhD, RN, FAAN
Canines Providing Assistance to Wounded Warriors (C-P.A.W.W.) Cheryl Krause-Parello, PhD, RN, FAAN
Caregiver Skill Building Intervention (CSBI) Carol J. Farran, DNSc, RN, FAAN
Center for Midwifery – CU College of Nursing Jessica Anderson, DNP, CNM, WHNP, FACNM
Centering Healthcare Institute Sharon Schindler Rising, CNM, MSN
The Chicago Parent Program Deborah Gross, DNSc, RN, FAAN; Susan Breitenstein, PhD, RN, FAAN; Christine Garvey, PhD, RN; Wrenetha Julion, PhD, MPH, RN, FAAN
Collaborative Alliance for Nursing Outcomes Nancy Donaldson, DNS, RN, FAAN; Diane Storer Brown, PhD, RN, FNAHQ, FAAN
Collaborative KMC Care Model John N. Cranmer, DNP, MPH, MSN, BSN, ANP, CPH, EBP(CH); Lynn M. Sibley, CNM, RN, PhD, FACNM, FAAN; Abebe Gebremariam Gobezayehu, MD; Lamesgin Alamnih, BSc, MPH; Mulusew Lijalem Belew, MHS, BS, AD
Community Aging in Place: Advancing Better Living for Elders (CAPABLE) Sarah Szanton, PhD, ANP, FAAN
Community-Based Smoking Cessation Program (CSCP) Man Ping Wang, PhD, MPH, MPhil, BNurs, RN, FAAN
Community Health Education, Advocacy, and Empowerment: Promotores de la Salud Connie Vance, EdD, RN, FAAN; Mary Healey-Sedutto, MPA, PhD
Complex Care Center Lauran Hardin, MSN, RN-BC, CNL
Coping Skills Training Margaret Grey, DrPH, RN, FAAN
Creating Opportunities for Parent Empowerment (COPE) Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAAN, FNAP
Creating Opportunities for Personal Empowerment (COPE) for Children, Teens, and College-Age Students Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAAN, FNAP
¡Cuídate! Antonia M. Villaruel, PhD, FAAN; Loretta Sweet Jemmott, PhD, RN, FAAN
Danger Assessment: An Instrument to Help Abused Women Assess Their Risk of Homicide Jacquelyn Campbell, PhD, RN, FAAN
Durham Homeless Care Transitions Julia Gamble, MPH, NP, RN; Donna Biederman, DrPH, MN, RN, CPH, FAAN; Sally Wilson, MDiv
Fall Tailoring Interventions for Patient Safety (TIPS) Patricia C. Dykes PhD, MA, RN, FAAN, FACMI; Ann Hurley, DNSc FAAN, FGSA; Diane Carroll, PhD, RN, FAAN, FAHA, FESC
Family Health and Birth Center in the Developing Families Center Ruth Watson Lubic, EdD, RN, CNM, FAAN
Family Practice and Counseling Network Donna Torrisi, MSN, CRNP
Family Presence During Invasive Procedures and Cardiopulmonary Resuscitation Cathie Guzzetta, PhD, RN, FAAN; Angela Clark, PhD, RN, FAAN, FAHA
Families Talking Together Vincent Guilamo-Ramos, PhD, MPH, LCSW, RN, ANP-BC, PMHNP-BC, FAAN
Farm Dinner Theatre Deborah B. Reed, PhD, MSPH, RN, FAAOHN, FAAN
The Harambee Nursing Center Kay T. Roberts, EdD, MSN, ARNP, FAAN
The Harriet Lane Compassionate Care Program Cynda Hylton Rushton, PhD, RN, FAAN
Immersion Model for Diversifying Nurse Anesthesia Programs Wallena Gould, EdD, CRNA, FAANA, FAAN
Improving the Accuracy of Linear Growth Assessment in Children Terri Lipman, PhD, CRNP, FAAN; Karen D. Hench, MS, RN
INSIGHTS into Children's Temperament Sandee McClowry, PhD, RN, FAAN
Integrated Health Care (IHC) Judith Storfjell, PhD, RN, FAAN
Interprofessional Practice at the Vine School Health Center: A School-Based Nurse-Managed Clinic Nan M. Gaylord, PhD, RN, CPNP- PC, PMHS, FAANP, FAAN
Kentucky Racing Health Services Center Whitney Nash, PhD, APRN; Sara Robertson, DNP, APRN, FNP
Living Independently for Elders Center (LIFE) Eileen M. Sullivan-Marx, PhD, RN, FAAN
Los trastornos del sueño y la promoción del sueño saludable [Sleep disorders and the promotion of healthy sleep] Carol M. Baldwin, PhD, RN, CHTP, CT, AHN-BC, FAAN; Cipriana Caudillo Cisneros, MS, RN; Luxana Reynaga Ornelas, PhD, MSN, RN
Making Transitional Care More Effective & Efficient Mary D. Naylor, PhD, RN, FAAN
Mantram Repetition Program: Mind-Body-Spiritual Approach to Symptom and Stress Management Jill E. Bormann, PhD, RN, FAAN
Marquette Model of Natural Family Planning and Fertility Awareness Based Method Richard J. Fehring, PhD, RN, FAAN; Mary Schneider, PhD, APRN, FNP-BC; Susana Crespo, BSN, RN, NFPI; MaryLee (Kiene) Barron, PhD, APRN, FNP-BC; Qiyan Mu, PhD, RN; Thomas Bouchard, MD, Family Medicine; Kathleen Raviele, MD, Ob/Gyn
Mental Health Integration at Intermountain Healthcare, UT Brenda Reiss-Brennan, PhD, APRN
The Mount Sinai Primary Care Hepatitis C Clinical and Research Program Donald Gardenier, DNP, FNP-BC, FAANP, FAAN; Jeffrey J. Weiss, PhD, MS
National University Nurse Managed Clinic Gloria J. McNeal, PhD, MSN, ACNS-BC, FAAN; Arneta Finney, PhD, APRN, FNP-C, APWHc, CNL; Angela Williams, PhD, FNP-C, APRN, CNL; Patricia L. Humbles, PhD, RN (Ret.)
Nurse Managed Health Centers Tine Hansen-Turton, FAAN; Joanne M. Pohl, PhD, ANP-BC, FAAN
Nurse-Family Partnerships Helping First-Time Parents Succeed Harriet Kitzman, PhD, RN, FAAN
Nurses Improving Care for Healthsystems Elders (NICHE) Mattia J. Gilmartin PhD, RN, FAAN; Jennifer L. Pettis, MSN, RN, CNE; Eugenia Bachaleda, MA; Louise Simon, BS, LLM, ICBB; Joanna Melendez, BS; Eileen Sullivan-Marx, PhD, RN, FAAN; Terry Fulmer, PhD, RN, FAAN
On Lok Senior Health Services Jennie Chin Hansen, MS, RN, FAAN
One Year Post-Baccalaureate Nurse Residency Colleen J. Goode, PhD, RN, FAAN, NEA-BC; Cathleen Krsek, MSN, MBA, RN, FAAN
Oral Care in Mechanically Ventilated Adults Cindy Munro, PhD, RN, ANP-BC, FAANP, FAAN, FAAAS
Oral Health Nursing Education and Practice Program Judith Haber, PhD, APRN, FAAN; Erin Hartnett, DNP, PNPPC-BC, CPNP
PATHways Prenatal Program and Beyond Birth Comprehensive Treatment and Recovery Program Kristin Ashford, PhD, WHNP-BC, FAAN; John O’Brien, MD, MFM; Seth Himelhoch, MD, MPH
Perioperative Pressure Ulcer Prevention Program Susan M. Scott, MSN, RN, WOCN
Quality Improvement Program for Missouri (QIPMO) Marilyn J. Rantz, PhD, RN, FAAN
Quiet4Healthy Farm Marjorie McCullagh, PhD, RN, APHN-BC, COHN-S, FAAOHN, FAAN
Reducing Depressive Symptoms & Enhancing Parenting in Low-Income & Newly-Immigrated Mothers of Infants & Toddlers Linda S. Beeber, PhD, PMHCNS-BC, FAAN
RightCare Solutions Kathryn H. Bowles, PhD, RN, FAAN, FACMI
Senior ASSIST Diane McGee, MSN, RN
SeniorWISE Graham J. McDougall, Jr., PhD, RN, FAAN, FGSA
Special Care Unit for the Critically Ill Barbara Daly, PhD, RN, FAAN
Suicide Prevention in Nursing: Breaking the Silence Judy E. Davidson, DNP, RN, MCCM, FAAN
Talking Circle Intervention John Lowe, PhD, RN, FAAN
TelEmergency: Distance Emergency Care Using Nurse Practitioners Kristi Henderson, MSN, FAEN
Tobacco Free Nurses Linda Sarna, PhD, RN, FAAN; Stella Aguinaga Bialous, DrPH, RN, FAAN
Training in the Assessment of Depression Ellen L. Brown, EdD, RN
Transforming Care at the Bedside Susan B. Hassmiller, PhD, RN, FAAN; Patricia Rutherford, MS, RN
Transforming the Alzheimer's Experience with an App: Dementia Guide Expert Valerie Gruss, PD, APRN, GNP-BC, FAAN
Transforming Post-Hospitalization, Newborn Circumcision Care Through a Nurse Practitioner-Led Care Delivery Model Vivian W. Williams, MSN, RN, CPN
UCLA Alzheimer’s and Dementia Care (ADC) Program Leslie Chang Evertson, GNP-BC; Mihae Kim, AGPCNP-BC; Michelle Panlilio, GNP-BC; Kelsey Stander, AGNP-BC
Wise Health Decisions Nancy E. Dayhoff, EdD, RN, CNS; Patricia S. Moore, MSN, RN, CNS, CDE
Table E1 AAN Edge Runners Population Health Programs

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