Super User

Super User

Nurse-led medical-legal partnerships (MLPs) incorporate lawyers into the health care team to overcome barriers to patient health. When patients access more solutions to health problems, they have healthier lives, families, and communities.

Nurse-led health centers provide our nation’s most vulnerable populations with access to high-quality, affordable health care. NNCC recognizes health is impacted not only by bio-medical factors but also by the social and physical environments in which patients live. This is why NNCC’s network of nurse-managed health clinics are incorporating new ways to meet the needs of communities they serve.

NNCC also manages a local program based on MLPs, the Nursing-Legal Partnership.


Medical-Legal Partnership Resources

  • National Center for Medical-Legal Partnership
  • Addressing Civil Legal Needs as Part of Nurse-Led Care 
  • Developing a MLP in rural Appalachia 
  • Exploring Housing and Habitability MLPs 
  • MLP legal programs are health problems 
 Access NNCC's complete Resource Library 


Sep 22, 2017

State Policy

NNCC monitors state laws and legislation to identify opportunities for nurse-led care. One of the top priorities is supporting full-practice authority for nurse practitioners.

2017 State Guide to NP Prescriptive Authority and Physician Practice (pdf)

(Code embedded from

Sep 22, 2017

National Policy

NNCC is a national leader advocating for nurse-led care. The NNCC Policy Team provides up-to-date information and education on issues that affect nurse-managed health centers. Our team ensures nurse leaders have a seat at the table with insurers, policymakers, and business leaders.

NNCC advocates for nurse-led health care to improve access to care for vulnerable populations and eliminate health disparities. A primary area of focus is nurse-managed health clinics.

Nurse-Managed Health Clinics (NMHCs)

Nurse-managed health clinics provide a full range of health services, including primary care, health promotion, and disease prevention, to low-income, underinsured, and uninsured clients. Approximately 58% of nurse-managed health clinics patients are either uninsured, Medicaid recipients, or self-pay. In addition to providing health care, nurse-managed health clinics in both educational and community settings play an important role in training the next generation of nurses, physicians, and other allied health professionals.

Public Comments

  • July 25, 2016 – VA Advanced Practice Registered Nurses Rule (pdf)
  • June 27, 2016 – Medicare Program: MIPS and APM (pdf)
  • February 5, 2016 – Tennessee Medical Association (TMA) Report (pdf)

The National Nurse-Led Care Consortium is providing the Safe and Healthy Homes Program, funded by the Pennsylvania Department of Health. Services are available in Philadelphia and Delaware counties. This program works in partnership with several agencies in the region and strives to reduce illness and injury caused by home health and safety hazards such as fire and fall hazards, asthma triggers, and lead.

The main activity of this program is to provide free primary prevention home visiting services to reduce risks associated with unhealthy homes.

Do you know a family who could benefit from our services? Please click the button below, complete the PDF form, and send it to us to refer a client to our services.

 Refer a client to the Safe and Healthy Homes Program  


Every participating household will receive:

  • A comprehensive home assessment by a trained Healthy Homes Specialist
  • In-depth Healthy Homes education
  • Healthy Homes supplies (e.g., household cleaning goods)
  • Information on clinical, social, educational, housing, and safety resources
  • Appropriate referrals to community agencies
  • A summary of findings and recommendations following each visit


Households with an asthmatic resident will receive supplies to aid in asthma trigger reduction, such as mattress and pillow covers. In addition, safety supplies such as first aid kits, drawer latches, and furniture anchors may be provided to households, as needed.  

NNCC and its partners expect to serve approximately 375 households with primary prevention activities annually.


National Cooperative Agreement

A culture of continuous learning and improvement begins at the top with committed, supportive leadership. It extends through an established quality infrastructure to all levels of the clinical staff via an approved quality roadmap. QI makes use of healthcare data via information technology to measure progress towards clearly defined goals and objectives.

Nurse-Managed Health Clinic Quality Certification

NNCC’s Nurse-Managed Health Clinic Quality Certification recognizes nurse-managed health clinics that meet the quality standards established by the Quality Task Force.

Improving quality and efficiency of medical care services has become a major priority for health clinics. Payments from the Centers for Medicare and Medicaid Services (CMS) are tied to quality standards. CMS also offers incentives for providers who deliver high-quality, coordinated care.

Nurse-Managed Health Clinics that apply for and are awarded the certification are demonstrating their commitment to measuring and improving quality of care and service.

Apply for the Clinic Quality Certification


Benefits of Certification

This certification program can help your clinic obtain a competitive advantage in the health care marketplace, and improve the quality of care your patients receive. Certification may also help nurse-managed health clinics seeking insurance contacts and negotiating reimbursement rates.

This certification process will help health clinics identify strengths, weaknesses, and provide feedback from impartial external quality review professionals.

The Quality Task Force includes the National Nurse-Led Care Consortium, the Institute for Nursing Centers, and the Nursing Centers Research Network.

Sep 22, 2017

Health Equity

Nursing, with its focus on service and patient-centered care, is a social good that improves the health of individuals as well as the community as a whole. Nurse-led practices operate as community partners that make use of local resources to support patients, other service providers, and their practice. NNCC can help practices address social determinants of health, such as food insecurity and safe housing, to help improve patient health outcomes and mitigate barriers to care.

  • Nursing as Social Good: NNCC training and education can help nurse-led practices identify the downstream impact of their care on families and communities as a whole.
  • Social Enterprise and Impact: NNCC can help nurse-led practices identify community partners and better serve as responsible members of the healthcare neighborhood. This includes developing linkages to community health, social service, and private sector entities. Practices with an understanding of social enterprise can more effectively stretch resources and sustain services across communities on behalf of their patients.
  • Social Determinants of Health: Nurse-led practices understand that non-medical issues can serve as barriers to assess and adherence to care. Practices cannot tackle patient health issues without also understanding their unique social determinants of health (SDOH). This includes consistently assessing SDOH status, maintaining linkages to community partners, and providing quality referrals to address SDOH.
  • Equity of Care; Equity of Outcome: Despite their best efforts, clinical practices are still struggling to reduce lingering disparities in care between and within gender, racial, socioeconomic, and geographic groups. NNCC has a focus on improving access to care, mitigating barriers to care due to cost or distance, and understanding how lingering disparities necessitate unique care delivery systems.

Nurse-led practices must be financially viable in order to sustain themselves and serve their patient populations. NNCC education and training supports practices throughout the lifecycle from business planning and development, to practice transformation and payment reform. This includes making the most of practice revenue for expanded, innovative services and health information technology to drive efficiency of operations.

  • Business Planning and Due Diligence: NNCC can help develop a sound business plan for your practice: reimbursement structures, financial planning, and building strategic partnerships with legal, financial, and clinical institutions.
  • Efficiency of Operations: NNCC training can help practices streamline work flows, identify opportunities to eliminate waste, and maximize provider and clinical staff skills.
  • Strategic Use of Practice Revenue: NNCC training can help your practice ensure accuracy in billing and coding to maximize revenue while making use of revenue to expand services and business streams. Make sure your practice understands and is prepared to succeed under increasing payment reform initiatives at the local, state, and federal level.
  • Workforce Development and Retention: A clinical practice is only as good as its committed staff, and NNCC training and educational services can help you hire for fit, retain talented staff by cultivating joy in work, and reward efficiencies and success. Practices must also develop preceptor and clinical placement policies and procedures to help grow the next generation of the clinical workforce.
  • Health IT: NNCC can provide assistance with Health Information Technology (Health IT). This includes assistance improving capacity to adopt, integrate, and optimize Health IT for the provision of care. Health IT can be used to securely capture, report, and share clinical data with patients and partners.
  • Future Payment Structures: NNCC can help nurse-led practices achieve sustainability with revenue from retail health, telehealth, and concierge services. Alternative payment methodologies like value-based payments, shared savings programs, and universal payments will allow practices to demonstrate the viability of nurse-led principles of care while receiving fair reimbursement for the entire scope of services provided.

NNCC Training services support clinicians as they seek to deliver patient-centered, evidence-based care through the coordinated provision of services on the part of interdisciplinary, cohesive care teams. NNCC training services are meant to support a culture of continuous learning and quality improvement for all members of the care team.

  • Patient and Family-Centered Care: Patient-centered care keeps patients, families, and caregivers at the center of the care team, acknowledging their values and preferences while collaborating to improve care. Services are provided with respect to cultural and linguistic preferences and patients feel as if their voices are heard.
  • Evidence-Based Care: Practices and providers adhere to evidence-based protocols when delivering care and consider the needs of the whole patient – physical, mental, and socio-economic. Patient-centered care plans are developed with an eye towards reducing gaps in care and increasing wellness.
  • Team-Based Care: Interdisciplinary, efficient care teams are critical to delivering high-quality care while maintaining value and access. Care teams require clearly defined roles and responsibilities, effective lines of communication, and linkage to specialty and supportive services from across the community.
  • Coordinated Care: Patients experience coordinated care as the seamless provision of services across practices and providers. This includes mapping your larger healthcare neighborhood, tracking transitions in care, managing and closing the loop on referrals, and proactively supporting the health of your patient population and larger community.


Contact NNCC (Photo and Contact Info)

(Casey Alrich Headshot)

Casey Alrich, MPH, CPHIMS

Director, Practice Transformation and Quality Improvement



Resource Spotlight

(Name of Resource with hyperlink)

(Two to three sentence description)

Sign-up for our newsletter