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Ambulatory Endorsed Measures Technical Expert Panel
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 Do you have an interest in developing measures to demonstrate nursing’s contribution to patient care in the ambulatory care environment?

Are you practicing in the ambulatory care environment?

Do you have experience with quality measurement or indicator development?

Do you want to help shape our ambulatory nursing future?


The American Academy of Ambulatory Care Nursing (AAACN) and the Collaborative Alliance for Nursing Outcomes (CALNOC) are collaborating on ambulatory nurse sensitive measurement development.  As part of this work, we are engaging interested nurses to participate in Technical Expert Panels (TEP). The TEP will focus on NQF endorsed ambulatory measures for application as nurse sensitive measures, to suggest measure refinements, and to conduct small tests in their own ambulatory environment to see if the measure definitions would be feasible to collect and provide meaningful benchmarks for practice.

The TEP will have virtual meetings (WebEx) and provide feedback through electronic surveys.  We anticipate several meetings for each of the prioritized topics.  TEP participants may wish to participate in each topic or selected topics as we sequentially move through endorsed measures related to Readmissions and Admissions, Comprehensive Diabetes Care, Advanced Care Planning and Opioid Screening and Evaluation. 

The AAACN recently published an industry white paper with a thorough overview of ambulatory nursing performance measures in use, under development, and envisioned for the future – a helpful reference for this work.  It is available for download at the AAACN website (  You can find more information about AAACN and CALNOC on the organizations’ websites ( and   Several recent publications that describe our journey may also serve as background:

  • Brown, D.S., & Aronow, H.U.  (2016).  Ambulatory Care Nurse-Sensitive Indicators Series:  Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments.  Nursing Economic$, 34(3), 147-151.

  • Mastal, M., Matlock, AM., Start, R. (2016). Ambulatory Care Nurse Sensitive Indicators Series: Capturing the Role of Nursing in Ambulatory Care- The Case for Meaningful Nurse- Sensitive Measurement. Nursing Economic$, 34(2), 92-98.

  • Matlock, A.M., Start, R, Aronow, H., & Brown, D.S.  (2016).  Nursing Sensitive Indicators in the Ambulatory Care Setting.  Nursing Management, June, 16-18.

  • Start, R., Matlock, A.M., & Mastal, P. (2016). Ambulatory care nurse-sensitive indicator industry report: Meaningful measurement of nursing in the ambulatory patient care environment. Pitman, NJ: American Academy of Ambulatory Care Nursing.

We look forward to your engagement in this critical work!


Diane Storer Brown, PhD, RN, FNAHQ, FAAN CALNOC Senior Research Scientist

Harriet Aronow, PhD, Senior Research Scientist, CALNOC, Research Scientist in Nursing, Cedars-Sinai Medical Center

Rachel Start, MSN, RN, NE-BC, Director, Ambulatory Nursing, Nursing Practice and Magnet Performance, Rush Oak Park Hospital, Member

Ann Marie Matlock, RN, DNP, NE-BC, Service Chief, Medical Surgical Specialties, National Institutes of Health Clinical Center

Valerie Gatewood, Director of Programs and Services, CALNOC





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