Faculty

Mary Jo Vetter headshot

Mary Jo Vetter

DNP

Clinical Associate Professor
Program Director, DNP

212-998-5165

433 First Avenue
New York, NY 10010
United States

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Professional overview

Mary Jo Vetter DNP, AGPCNP-BC is a Clinical Associate Professor and Director of the Doctorate of Nursing Practice Program at the NYU Meyers College of Nursing. Dr. Vetter is also a geriatric primary care provider and care manager in private practice. She has extensive experience in the creation, deployment, clinical and business oversight of new evidence based models of care provided by interprofessional teams of Physicians, Nurse Practitioners, Rehabilitation Therapists and Licensed Clinical Social Workers with emphasis on telehealth / telemedicine, integrated medical and behavioral health care, transitional care, and palliative care. She has functioned as an administrator and clinician in nurse managed primary health care, specifically in home and community based settings. Dr. Vetter is the Co-Chair of the Telehealth Special Interest Group of the American Academy of Ambulatory Care Nurses and a Lean Launchpad Educator focused on integrating business start-up expertise into nursing education using this methodology. A graduate of Rutgers University, she has focused on care delivery to vulnerable populations in urban settings and consulted locally and internationally to promote the advanced practice nursing role in NP led primary care. In addition, Dr. Vetter has expertise in a variety of public health related nursing areas including occupational health, emergency preparedness and grant management. 

Education

Diploma, 1979, Christ Hospital School of Nursing, New Jersey
BSN, 1984, New Jersey City University, New Jersey
MS, 1996, Rutgers University, New Jersey
DNP, 2013, Rutgers University, New Jersey

Honors and awards

Advance for Nurses, GEM Award Finalist in the Leading and Advancing the Profession category (2014)
Academic Merit Award (Rutgers School of Nursing) (2014)
Innovation in Servant Leadership Award for contributions to post Superstorm Sandy community relief efforts (VNSNY) (2013)
Award for Advancing Evidence Based Practice and Quality Improvement (VNSNY) (2012)
The Innovator Award for success in spreading transitional care practice models (VNSNY) (2011)
The Grace E. Davidson Award for the Nurse Administrator who contributes to the nursing education experience (New York University School of Nursing) (2008)
Sigma Theta Tau, Multi-Media Award for “Community Based Primary Health Care Centers in Newark, New Jersey (1998)

Specialties

Home care
Primary care
Global
Gerontology

Professional membership

American Nurses Association
American Association of Ambulatory Care Nursing
International Council of Nurses
American Academy of Home Care Medicine
American Telemedicine Association
National Consortium of Telehealth Resource Centers
International Society for Telemedicine & eHealth
National Organization of Nurse Practitioner Faculty
Geriatric Society of America
Gerontological Advanced Practice Nursing Association
Eastern Nursing Research Society
Sigma Theta Tau International
Foundation of New York State Nurses
Makers

Publications

Publications

Tactics for Teaching Evidence-Based Practice: Enhancing Active Learning Strategies With a Large Class of Graduate EBP Research in Nursing Students

Vetter, M., & Latimer, B. (2017). Worldviews on Evidence-Based Nursing. 10.1111/wvn.12227
Abstract
This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1741-6787.

The Influence of Clinical Decision Support on Diagnostic Accuracy in Nurse Practitioners

Vetter, M. (2015). Worldviews on Evidence-Based Nursing, 12(6), 355-363. 10.1111/wvn.12121
Abstract
Background: Clinical decision support systems (CDSSs) at the point of care are evidence-based interventions that have demonstrated incremental positive impact on quality of healthcare delivery over the past two decades. Existing best practices inform strategies to promote adoption and achievement of targeted outcomes. The purpose of this improvement project was to conduct a pilot implementation to understand the contextual factors and readiness for dissemination of a newly acquired electronic CDSS by evaluating its influence on diagnostic accuracy in nurse practitioners (NPs) functioning in a community health setting. Aims: The specific aims of this project were to measure and compare diagnostic accuracy in a pilot group before and after CDSS use, educate clinicians about the system and pilot its use, and then leverage the experience to design the practice-wide CDSS dissemination strategy. Methods: The project engaged a subset of NPs from a home-based primary care practice and other organizational stakeholders who provided tangible support and necessary resources for successful adoption of this innovation in practice. A structured conceptual model of Evidence-Based Practice Improvement enhanced with elements of the Promoting Action on Research Implementation in Health Sciences framework was used to guide the development, implementation and evaluation of this practice improvement initiative. A group of seven NP representatives of the practice participated in the project. Data collection was composed of small tests of change (plan-do-study-act) cycles at the local practice level, measuring achievement of improvement of the chosen outcome of correctness of medical diagnosis evidenced by appropriate substantiating clinical documentation. Linking evidence to action: In this home visiting primary care practice setting, use of a CDSS by NPs achieved eventual improvement in diagnostic accuracy and clinical documentation, as demonstrated on chart audit, though the improvement was not sustained over time. The pilot findings ultimately informed decision making about CDSS dissemination strategies and future uses of the system. When appropriately deployed, a CDSS offers the potential to improve professional practice, support differential diagnosis and evidence-based treatment, and provide detailed information about the disease state to facilitate robust clinical documentation.

Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: A pilot test of the advancing research and clinical practice through close collaboration model

Levin, R. F., Fineout-Overholt, E., Melnyk, B. M., Barnes, M., & Vetter, M. (2011). Nursing Administration Quarterly, 35(1), 21-33. 10.1097/NAQ.0b013e31820320ff
Abstract
Although evidence-based practice (EBP) improves health care quality, decreases costs, and empowers nurses, there is a paucity of intervention studies designed to test models of how to enhance nurses' use of EBP. Therefore, the specific aim of this study was to determine the preliminary effects of implementing the Advancing Research and Clinical practice through close Collaboration (ARCC) model on nurses' EBP beliefs, EBP implementation behaviors, group cohesion, productivity, job satisfaction, and attrition/turnover rates. A 2-group randomized controlled pilot trial was used with 46 nurses from the Visiting Nurse Service of New York. The ARCC group versus an attention control group had stronger EBP beliefs, higher EBP implementation behaviors, more group cohesion, and less attrition/turnover. Implementation of the ARCC model in health care systems may be a promising strategy for enhancing EBP and improving nurse and cost outcomes.

Evidence-based practice improvement: Merging 2 paradigms

Levin, R. F., Keefer, J. M., Marren, J., Vetter, M., Lauder, B., & Sobolewski, S. (2010). Journal of Nursing Care Quality, 25(2), 117-126. 10.1097/NCQ.0b013e3181b5f19f
Abstract
This article presents a new model, Evidence-Based Practice Improvement, for improving patient care. The model merges 2 extant paradigms currently used for quality improvement initiatives-evidence-based practice and practice or performance improvement. The literature expounds on the virtues of each of these approaches, yet no authors have moved beyond parallel play between them. The merged model, Evidence-Based Practice Improvement, may provide a more effective and practical approach to reach our quality goals.

Building Bridges in Academic Nursing and Health Care Practice Settings

Levin, R. F., Vetter, M., Chaya, J., Feldman, H., & Marren, J. (2007). Journal of Professional Nursing, 23(6), 362-368. 10.1016/j.profnurs.2007.01.025
Abstract
The purpose of this article is to describe the development and implementation of a shared position with a focus on evidence-based practice (EBP) between the Visiting Nurse Service of New York and the Lienhard School of Nursing, Pace University. A preexisting relationship between the two institutions in providing student experiences in a community setting paved the way for the evolution a new collaborative effort. The shared position was initially conceived by two of the authors as an outcome of research they were conducting in the home care setting, which tested a model of mentoring frontline nurses in the EBP process on health care professional and patient outcomes. An initial conception of the new role provided a working document for discussions between the two institutions and the creation of a workable contract. The implementation of several initiatives has already provided support for the position, and each partner has benefited from building this bridge between nursing education and service. Benefits include advancing knowledge of and implementing EBP in both settings and promoting collaborative, clinically related scholarship.

Evidence-based practice: a guide to negotiate the clinical practice guideline maze.

Levin, R. F., & Vetter, M. (2007). Research and Theory for Nursing Practice, 21(1), 5-9.

A model for home care clinician and home health aide collaboration: diabetes care by nurse case managers and community health workers.

Vetter, M., Bristow, L., & Ahrens, J. (2004). Home Healthcare Nurse, 22(9), 645-648.
Abstract
Researchers at Johns Hopkins University conducted a randomized clinical trial to test the effect of nurse case management and community health worker interventions on diabetes control among inner city African Americans. The results demonstrated that the greatest improvement occurred when nurse case managers and community health workers worked together. This study has implications for how nurse/home health aide collaboration can enhance diabetes management in home care.