health disparities. Examining the education and training environment in which health professionals learn and develop is critical to efforts to increase the number of health care providers…
Five two-year educational programs were accredited by the AMA Council on Medical Education in collaboration with the AAMA Program Approval Committee. Student and faculty memberships were approved as new categories of…
Some specialty doctors earn up to three times as much as their primary care counterparts. Insurers and the government have significant influence on reimbursement and fee scales for physicians. They determine, based on a set of criteria, what should be and what will be paid for physician services. The Association of American Medical Colleges (AAMC) should encourage medical schools to endorse primary care to their students. It can develop and implement the primary care medical programs to the medical students. The insurance companies are known to reimburse reduced amounts for the primary care services. They can emphasize primary care by increasing their reimbursements. Due to the mismatched ratio of primary care versus specialists 60:40, federal and state policies encouraged the training of more primary care physicians (Sultz & Young, 2011). A master plan, which includes specific distribution of primary care vs specialists in each geographic location of the country is need. This can be done by all the stakeholders getting together and design a master plan. The shortage of primary care physicians can be lessened by integrating nurse practitioners and the physician assistants (HRSA,…
Taylor, D. L. RN, MSN. (2008) Should the Entry Into Nursing Practice Be the Baccalaureate?.…
The pride of the commission is being the leader in having a competitive edge in health care when seeking excellence in their ability of improving risk management and the reduction of risks to patients and employees alike. Those organizations connected to the commission experience all the benefits of training, development of staff recruitment and staff education. Certification programs are offered to leaders of the organization and also are an information source for stakeholders that all compliance requirements have been met, as well as the improvement in quality and safety of care. The Joint Commission accreditation affects an organizations ability to meet requirements in patient treatment, infection control, and patient rights are views as important to their actual performance. The influence of the commission on health care can make or break an organization accountability and credibility, which provides positive or negative outcomes in…
With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN) is expected to increase dramatically to accommodate patients seeking primary care. The IOM suggests that to prepare for this increased demand for nurse practitioners “all health care professionals should practice to the full extent of their education and training so that more patients may benefit” (IOM, 2010, p. 96). This would include standardizing the scope of practice nationwide. Across the United States, scopes of practice vary widely, inhibiting many nurses to provide the full scope…
Compare and contrast conventional current regulations and oversights that exist in the United States with that of nonconventional medicine.…
The physician-owned practice exists in an evolving market, which traditionally did not require highly skilled positions apart from the medical providers but now necessitates extensive skills from all medical and support staff. As reimbursement migrates from fee-for-service to value-based models, practices are forced to hire and train employees in new, untested systems while…
As the population grows, physicians will not be able to perform at a competent level and provide complete patient care without a substantial number of nurses. Reliance on nurses is necessary to reform the health care system. Barriers such as regultatory restrictions regarding scope of practice, professional resistance by physicians, and insurance company reimbursment pactices hinder RN’s and Advanced Practice Nurse’s from practicing to the full extent of their education and compromise patient outcomes (Richard Ridge, 2011). Autonomy is an issue in some states regarding APN’s role. Some states require physician oversight to diagnose, treat, prescribe, or make referrals. Compensation for services is also an concern. Independent insurance providers, Medicaid, and Medicare compensate APN’s at reduced rates or not at all and may not cover prescribed prescriptions unless a physician signs off. Professional resistance is also an problem. The Scope of Practice Partnership lobbies against state expansion of the APN’s role stating they lack medical education, clinical knowledge and cognitive and technical skills which are acquired only in medical school ( IOM, 2011). These restrictions make it difficult to meet the demands of patient care. Outdated insurance practices also pose an obstacle by restricting insurance reimbursement to APN’s. Some…
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As we continue through this program, we will continue to learn and fine tune those skills. The fundamental skills that will be needed are assessing, diagnosing, and prescribing. Nevertheless, the state I decide to practice in will definitely impact the autonomy I will have while delivering care. Each state has specific guidelines and regulations that all practitioners must follow while providing care within that state. As a provider, it is important to understand the scope of practice in the institution I choose to work because each place of employment will have their own policies and protocols as well.…
Advanced Practice Registered Nurses (APRN) represent a powerful force in the healthcare system. As APRNs became the integral part of the healthcare system, their education, accreditation, certification and licensure need to be aligned effectively to ensure patient safety while expanding patient access to APRNs. An APRN includes, certified nurse practitioners, certified registered nurse anesthetists, certified nurse-midwives and clinical nurse specialists. Even though, each role has a unique history and context, but shares the commonality of being APRNs. In order to prepare an APRN for practice, the necessary components of education, accreditation, and certification are important, however, the licensing boards governed by state regulations and…
Across the healthcare system there are universal themes that can be applied to several fields of medicine, such as ambition to make a difference, maintaining effective communication, and overcoming obstacles that one encounters throughout his/her career. Six University of West Florida students procured six individual healthcare providers and performed semi-structured interviews with the professionals in order to gain insight into the patient-provider relationship. Five of us interviewed providers in the field of nursing, while one us interviewed a provider in the field of pharmacology. Within the domain of Nursing, our professionals included: a lead RN in the field of cardiovascular/thoracic surgery, a RN that works in the oncology department, a trauma RN who works in the emergency room, a RN who specializes in labor and delivery, a RN midwife, and a pharmacist. While both the midwife and pharmacist practice privately, all the RNs interviewed practice in a hospital setting. In the interest of length, the authors of this paper concluded that there were three characteristics most important to those interviewed: Why they chose their career, communication as a healthcare provider, and obstacles faced. In conclusion of these…
Credentialing is the process utilized by employers, often hospitals or health maintenance organizations (HMO), to verify that a practitioner has the required education, training, and experience to practice in the state. State or local laws and rules often specify the types of credentials and verification processes, in which hospitals or another healthcare provider must address in credentialing a practitioner. This process of credentialing is typically done when a practitioner is first employed with a hospital or health maintenance organization and may be updated periodically. ("," 2103, para. 4) Until recently, the term credentialing was associated with frustration and discontent. This association of credentialing with frustration and discontent…
The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. List one advantage and one disadvantage for each.…