High-value care for older adults with complex care needs: Leveraging nurses as innovators

George Demiris, Nancy A. Hodgson, Justine S. Sefcik, Jasmine L. Travers, Miranda Varrassee McPhillips, Mary D. Naylor

Research output: Contribution to journalArticlepeer-review


Background: Our health care system is facing unprecedented and complex challenges in caring for older adults and their families. A paradigm shift is needed that recognizes new roles and competencies for nurses to play a leadership role in the design and implementation of high value care models. Purpose: The purpose of this paper is to introduce a series of recommendations for leveraging nurses to generate innovative tools and solutions for the delivery of value-based care for older adults living with complex health and social needs and their families. Methods: These recommendations were generated by a Think-Tank of national experts based on review of current evidence and focus groups with older adults. Finding: The generated recommendations focus on positioning nurses to assume leadership roles in implementing evidence-based care models, preparing nurses to serve as health innovators and catalysts of system transformation, and fostering system-level infrastructure that leverages the contributions of nurses for current and emerging roles. Discussion: Nurses as innovators can address the challenges in providing high quality care for older adults with complex needs and their families. System-level infrastructure, including resources for training and implementation of well-established programs, is necessary to leverage the contributions of nurses and facilitate innovative approaches to care.

Original languageEnglish (US)
Pages (from-to)26-32
Number of pages7
JournalNursing outlook
Issue number1
StatePublished - Jan 1 2020


  • Complex care need
  • Gerontology
  • Innovation
  • Transitions of care
  • Vulnerable populations

ASJC Scopus subject areas

  • General Nursing


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