Eileen M. Sullivan-Marx
PhD RN FAAN
Professor Emerita
Dean Emerita
eileen.marx@nyu.edu
1 212 998 5303
433 First Ave
New York, NY 10010
United States
Eileen M. Sullivan-Marx's additional information
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Dr. Eileen Sullivan-Marx is Dean Emerita and Professor at NYU Rory Meyers College of Nursing. She also holds the title as Professor Emerita of Scholarly Practice and Clinician-Educator at the University of Pennsylvania School of Nursing. Prof. Sullivan-Marx is known for her research and innovative approaches to primary care and for her creative redesign of payment structures for nurses, particularly through the Medicaid and Medicare programs. Throughout her nursing career, she has been actively involved in the design of sustainable models of care using advanced practice nurses at both the local and global level, and with the development and implementation of health policies within the context of larger community-based settings. Her focus has been on frail older adults, particularly among high-risk, vulnerable people experiencing health inequity.
Sullivan-Marx was named a fellow in the American Academy of Nursing (AAN) in 1997, and is a Fellow in the Gerontological Society of America and the New York Academy of Medicine. Currently, she is a member of the Board of United Hospital Fund, VNSHealth, and the Arnold P. Gold Foundation where she serves on the Executive Committee. She is active in the American Academy of Nursing military and veterans expert panel and represents AAN at the National Academy of Medicine’s Fellowship Program and the National Commission to Address Racism in Nursing. From 2010-2012 she was a Senior Advisor to the Center for Medicare & Medicaid Services, Office of Medicare & Medicaid Coordination where she was actively involved in bringing promising models of care to scale. Of particular note is Sullivan-Marx had oversight of a Program of All-Inclusive Care for Elders in West Philadelphia which was expanded over a period of five years from 75 to 525 persons, saving the state of Pennsylvania fifteen cents on the dollar in Medicaid funding. Sullivan-Marx was the first nurse to serve as the American Nurses Association representative to the American Medical Association’s Resource Based Relative Value Update Committee, a position she held for 11 years.
As the dean of NYU Meyers, she raised the profile of the school to an independent entity at NYU, raised more than $50 million in scholarship and research donations, including the largest naming gift to a school of nursing at that time in the U.S., grew the research portfolio to a sustained top ten ranked status, and steered the school through several natural crises including Superstorm Sandy and the COVID-19 pandemic.
Sullivan-Marx is widely recognized for the many contributions she has made to improve both the delivery and quality of healthcare services. This includes American Academy of Nursing”s President’s Award the Sigma Theta Tau International Honor Society Best of Image Research Award (1993), and the Hippensteel Founders Award for Excellence in Practice Award (2011). She is also the recipient of the Springer Publishing Research Award (1998), the Eastern Nursing Research Society Gerontological Research Award (2008), and the Doris Schwartz Gerontological Nursing Research Award (2013). Sullivan-Marx is recognized as a Distinguished Alumni at both the University of Rochester School of Nursing, the Hospital of the University of Pennsylvania School of Nursing, and Outstanding Alumna University of Pennsylvania School of Nursing. In 2019, she was the recipient of a Special Tribute from the United Hospital Fund and in 2023 was awarded as a Gold Medalist Winner by the Arnold P. Gold Foundation. She was inducted into the Fellowship of Leaders in Diversity Nursing in 2024 through the National Black Nurses Association.
Dr. Sullivan-Marx was a member of the American Academy of Nursing Board of Directors (2011-2013) and served as President (2019-2021) leading this international nursing professional organization through the recent social justice and pandemic upheavals. She has appeared in numerous media outlets and currently hosts The Nurse Practitioner Show on NYULH Doctor Radio Sirius XM Channel 110.
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PhD in Gerontology, University of Pennsylvania School of NursingMS in Family Health Nurse Clinicial, University of Rochester School of NursingBSN, University of PennsylvaniaNursing Diploma, Hospital of the University of Pennsylvania School of Nursing
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GerontologyGlobalHealth PolicyHome care
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American Nurses AssociationAmerican Nurses Association, Council for the Advancement of Nursing Science, ANA-New YorkEastern Nursing Research SocietyGerontological Society of AmericaFellow, Institute on Aging, University of PennsylvaniaSenior Fellow, Leonard Davis Institute of Health Economics University of PennsylvaniaSigma Theta Tau, Xi Upsilon Chapter
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Faculty Honors Awards
Arnold P. Gold Foundation Humanism in Medicine Award (2023)American Academy of Nursing President's Award (2023)Top 50 Health Care Leaders, Irish America Magazine (2019)United Hospital Fund Special Tribute (2019)VillageCare Distinguished Service Award (2016)American Academy of Nursing President's Award (2016)Herman Briggs Society, NY (2013)Fellow, Gerontological Society of America (2013)Doris Schwartz Gerontological Nursing Research Award, Gerontological Society of America (2013)Research Associate, Penn Institute for Urban Research University of Pennsylvania (2012)American Academy of Nursing Edge Runner Designation (2012)Fellow, New York Academy of Medicine (2012)Distinguished Alumni Award, Hospital of the University of Pennsylvania, School of Nursing (2011)Marie Hippensteel Lingeman Award for Excellence in Nursing Practice, Sigma Theta Tau International Honor Society (2011)Dean’s Professional Practice Award, University of Pennsylvania, School of Nursing (2011)American Academy of Nursing Edge Runner Designation (2011)Health and Aging Fellowship, American Political Science Association (2011)Board Member, American Academy of Nursing (2011)Health and Aging Fellowship, American Political Science Association (2010)American Academy of Nursing Edge Runner Designation (2010)Legislative Award, Pennsylvania State Nurses Association Advocacy (2010)Faculty Fellow, Penn Institute for Urban Research (2009)American Academy of Nursing Edge Runner Designation (2009)Eastern Nursing Research Society, The John A. Hartford Foundation Geriatric Research Award (2008)American Academy of Nursing Edge Runner Designation (2008)American Academy of Nursing Edge Runner Designation (2007)American Academy of Nursing Edge Runner Designation (2006)Society of Primary Care Policy Fellows (2004)Department of Health & Human Services Primary Care Health Policy Fellowship (2004)Undergraduate Student Advising Award, University of Pennsylvania, School of Nursing (2002)Distinguished Alumni Award, University of Rochester, School of Nursing (2001)Society for Advancement of Nursing Science (2000)Springer Publishing Company Research Award for most outstanding project, “Relative Work Values of Nurse Practitioner Services,” American Nurses Association Council for Nursing Research 1998 Research Utilization Conference (1998)Sigma Theta Tau International Best of Image Award for scholarly excellence in research, "Functional Status Outcomes of a Nursing Intervention in Hospitalized Elderly" (1993)Ethel F. Lord Fellowship, Soroptomist Organization scholarship for graduate study in field of gerontology (1993)Nursing Practice Award, Pennsylvania Nurses' Association (1986)Louise Wilson Haller Memorial Prize for Excellence in Professional Nursing, University of Rochester, School of Nursing (1980)fellow, American Academy of Nursing -
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Publications
Achieving restraint-free care of acutely confused older adults.
AbstractSullivan-Marx, E. M., & Sullivan-Marx, E. M. (2001). In Journal of gerontological nursing (Vols. 27, Issues 4, pp. 56-61). 10.3928/0098-9134-20010401-11AbstractRestraint-free care has emerged as an indicator of quality care for older adults in all settings. The most difficult challenges to achieving this goal are care of hospitalized older adults who are functionally dependent and cognitively impaired. The purpose of this article is to report findings from a descriptive study of restrained hip fracture patients, and discuss approaches to achieving restraint-free care. Rate of restraint use was 33.2% among hospitalized hip fracture patients during an 11-year period in 20 metropolitan teaching hospitals. Restrained patients were older men who resided in nursing homes prior to hospitalization. Clinically, restrained patients had a diagnosis of dementia, were noted to be confused or disoriented by nursing staff, and were dependent in activities of daily living. An individualized approach to care is the best method to avoid use of physical restraints for patients with acute confusion and cognitive impairment.Elderly patients memories of physical restraint use in the intensive care unit (ICU).
AbstractSullivan-Marx, E. M., Happ, M. B., Kagan, S. H., Strumpf, N. E., Evans, L. K., & Sullivan-Marx, E. (2001). In American journal of critical care : an official publication, American Association of Critical-Care Nurses (Vols. 10, Issues 5, pp. 367-369). 10.4037/ajcc2001.10.5.367Abstract~Comparison of nurse practitioner and family physician relative work values
AbstractSullivan-Marx, E. M., & Maislin, G. (2000). In Journal of Nursing Scholarship (Vols. 32, Issue 1, pp. 71-76). 10.1111/j.1547-5069.2000.00071.xAbstractPurpose: With the enactment of the Balanced Budget Act of 1997, American nurse practitioners were granted direct Medicare reimbursement for Part B services. Payment structures in fee-for-service and managed care systems are physician-based, leading to difficulties in constructing payments for other health care professionals. The purpose of this pilot study was to examine the feasibility of using nurse practitioner data for specifying relative work values in the Medicare Fee Schedule for three office-visit codes. Design: An exploratory survey was designed to establish relative work values using magnitude-estimation scaling. Nurse practitioners (N=43) responded to a structured questionnaire in a national mail survey. Physician data (N=46) were obtained from a computerized database from the American Academy of Family Physicians. Methods: The methods used in this study were the same as the process used by the American Medical Association and the Health Care Financing Administration to establish relative work values in the Medicare Fee Schedule. Respondents established relative work values for three Current Procedural Terminology (CPT) codes for office visits (99203, 99213, 99215) commonly billed in primary care practice. Each CPT code descriptor and associated vignette were compared with reference services germane to the practice of nurse practitioners and family physicians, using magnitude-estimation scaling. To establish relative work values for each code, respondents were asked to consider the time to provide the service and intensity of the work involved for each CPT code. Findings: No significant differences between nurse practitioners and family physicians were found in the three CPT codes for relative work values and intensity. Nurse practitioners estimated significantly (p < .01) higher intraservice (face to face) time with patients than did family physicians, and family physicians estimated significantly (p < .05) higher pre-service time for two codes and significantly (p < .05) higher postservice times for three codes. Conclusions: Nurse practitioner relative work values did not differ significantly from family physician relative work values. Although the sample sizes were small, the significance of the findings support the need for further research with large data sets and additional CPT codes. Such studies could then be used as a basis for decisions about Medicare payment and public policy.Nurse practitioner services : Content and relative work value
AbstractSullivan-Marx, E. M., Happ, M. B., Bradley, K. J., & Maislin, G. (2000). In Nursing outlook (Vols. 48, Issues 6, pp. 269-275). 10.1067/mno.2000.109062AbstractThe resource-based relative value scale is used to quantify work for reimbursement of services in the Medicare Fee Schedule. This pilot study explored use of the resource-based relative value scale for services provided by nurse practitioners. Estimation of relative work values for office visits by nurse practitioners was consistent with the Medicare Fee Schedule. Content analysis revealed that nurse practitioners provide additional services including comprehensive patient evaluation and education and attendance to social factors. Future research is needed to examine systems that identify and reimburse nurse practitioners for their services.Reimbursement for acute care nurse practitioner services
AbstractRichmond, T. S., Thompson, H. J., & Sullivan-Marx, E. M. (2000). In American Journal of Critical Care (Vols. 9, Issue 1, pp. 52-61). 10.4037/ajcc2000.9.1.52AbstractUntil the passage of the Balanced Budget Act of 1997, acute care nurse practitioners could not be directly reimbursed for inpatient services provided to Medicare patients. With the enactment of this legislation, acute care nurse practitioners may now be directly compensated for care provided. The historical and contextual issues that surround reimbursement for nursing and advanced practice nursing services are reviewed to serve as a foundation for understanding the current Medicare reimbursement regulations. The implications of the Balanced Budget Act of 1997 for acute care nurse practitioners and their professional colleagues are critically examined. The language of the Balanced Budget Act of 1997 and the subsequent rules and regulations issued by the Health Care Financing Administration are reviewed with specific focus on implications for acute care nurse practitioners. The opportunities for reimbursement for services provided by acute care nurse practitioners are more extensive than ever before. Acute care nurse practitioners and their physician colleagues will be wise to become fully conversant with the changes in Medicare reimbursement regulations.Initiation of physical restraint in nursing home residents following restraint reduction efforts
AbstractSullivan-Marx, E. M., Strumpf, N. E., Evans, L. K., Baumgarten, M., & Maislin, G. (1999). In Research in Nursing and Health (Vols. 22, Issues 5, pp. 369-379). 10.1002/(SICI)1098-240X(199910)22:5<369::AID-NUR3>3.0.CO;2-GAbstractIn this pilot study a one group pretest posttest design was employed to identify resident characteristics and environmental factors associated with initiation of physical restraint. Predictors of restraint initiation for older adults were examined using secondary analysis of an existing data set of nursing home residents who were subjected to a federal mandate and significant restraint reduction efforts. Lower cognitive status (OR = 1.5 [for every 7-point decrease in Mini-Mental State Examination], 95% Cl = 1.0, 2.1) and a higher ratio of licensed nursing personnel (OR = 3.7, 95% Cl = 1.2, 11.9) were predictive of restraint initiation. Key findings suggest that restraint initiation occurs, despite significant restraint reduction efforts, when a nursing home resident is cognitively impaired or when more licensed nursing personnel (predominantly licensed practical nurses) are available for resident care. Achievement of restraint-free care in nursing homes requires specific and individualized approaches for residents who are cognitively impaired, as well as greater attention to staff mix of registered nurses, licensed practical nurses, and nursing aides.Predictors of continued physical restraint use in nursing home residents following restraint reduction efforts
AbstractSullivan-Marx, E. M., Strumpf, N. E., Evans, L. K., Baumgarten, M., & Maislin, G. (1999). In Journal of the American Geriatrics Society (Vols. 47, Issues 3, pp. 342-348). 10.1111/j.1532-5415.1999.tb02999.xAbstractOBJECTIVES: To examine predictors of continued restraint use in nursing home residents following efforts aimed at restraint reduction. DESIGN: Secondary analysis of data from a clinical trial using a one-group, pre-test post-test design. SETTING: Three nonprofit, religion-affiliated nursing homes in a metropolitan area. PARTICIPANTS: The sample consisted of 201 physically restrained nursing home residents. Following restraint reduction efforts, 135 of the sample were still restrained. Mean age of participants was 83.9 years. MEASUREMENTS: Physical restraint use was measured by observation and included any chest/vest, wrist, mitt, belt, crotch, suit, or harness restraint plus any sheet used as restraint or a geriatric chair with fixed tray table. Nursing home residents were subjected to any one of three conditions aimed at restraint reduction, including adherence to the mandate of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87), staff education, and education with consultation from a gerontological clinical nurse specialist. Resident characteristics including dependency, health status, mental status, depression, behavior, fall risk; presence of treatment devices and institutional factors were determined. RESULTS: Physical dependency, lower cognitive status, behavior, presence of treatment devices, presence of psychiatric disorders, fall risk, and fall risk as staff rationale for restraint were associated (PMedicare reimbursement for advanced practice nurses : in the front door!
AbstractSullivan-Marx, E. M., & Sullivan-Marx, E. M. (1998). In Nursing outlook (Vols. 46, Issue 1, pp. 40-41). 10.1016/S0029-6554(98)90026-4Abstract~Advanced practice nurses and success of organized delivery systems
AbstractLang, N. M., Sullivan-Marx, E. M., & Jenkins, M. (1996). In American Journal of Managed Care (Vols. 2, Issues 2, pp. 129-135).AbstractAdvanced practice nurses have contributed significantly to the nation's healthcare for decades by providing primary care and specialty services. Despite financial and regulatory barriers, opportunities for advanced practice nurses continue to flourish, due, in part, to the unique contributions that these nurses can make in the areas of healthcare access, quality, and cost-effectiveness. This article analyzes the role and scope of advanced practice nurses in relation to organized delivery systems. The success of these systems depends on health-needs assessment and capitated-based risk for defined populations, as well as on the development of innovative governance and health delivery models. Advanced practice nurses can contribute to each of these success factors by providing access to primary care services and specialized care to high-risk populations. To achieve success, organized delivery systems must include advanced practice nurses as providers and partners in governance structures.Restraint-free care : how does a nurse decide?
AbstractSullivan-Marx, E. M., & Sullivan-Marx, E. M. (1996). In Journal of gerontological nursing (Vols. 22, Issues 9, pp. 7-14).AbstractDecisions by nurses to avoid physical restraint use in older adults is a complex process that requires individualized, comprehensive assessment and creative problem-solving. Institutional and social policy increasingly support a standard of restraint elimination influencing care decisions with frail older adults. It has become clear that the decision to avoid or use physical restraint is influenced as well by nurses' attitude or beliefs about the efficacy of restraint. To further understand how decisions are made to avoid physical restraint, it is important to also explore the degree to which nurses possess knowledge, autonomy, and accountability in this decision-making process. Understanding how decisions are influenced will advance the development of restraint-free care interventions for older adults. -
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