State of the State: Rules & Regulations for the APRN
|
|
- Wilfred Blair
- 5 years ago
- Views:
Transcription
1 State of the State: Rules & Regulations for the APRN November 4 th, 2014 Meredith Lahl, MSN, PCNS-BC, PNP-BC, CPON Senior Director Advanced Practice Nursing Nursing Institute
2
3
4 Topics Cleveland Clinic s APRN s & current structure Regulatory Model for APRN s National landscape of APRN s Full Practice Authority Best practice models Future trends
5 How far we have come 1 st NP program in Developed by a nurse & physician Currently 192,000 in the U.S. Ohio by the numbers- 11,473-6,725 Nurse Practitioners Certified Midwives - 2,767 Certified Registered Nurse Anesthetists - 1,627 Clinical Nurse Specialists
6 Cleveland Clinic APRN s Support all 4 roles: - CNM - CNP - CNS - CRNA 900 in total across CCHS APN Manager & Coordinator Roles
7 APRN s by the Numbers
8
9
10 The Million Dollar Question: WHY APRN s? Improved Access Cost Effective Provider Focus on the whole patient - Wellness - Prevention - Education Enhanced Revenue Continuity of Care
11 Managing Value Population Based Care Health Today: The FFS model Tomorrow: The Value-Based model Care of the individual Payment for any service we provide Predictability! Care of a population Payment based on our quality and efficiency performance Uncertainty and risk! 17
12 Concepts driving APRN Trends Increase need for primary care Increase need in outpatient care centers Increase need for rural & underserved areas Increase demand for academia
13 Economics of Using APRN s Quality care High patient satisfaction Cost-effective care delivery
14 National Landscape for APRN s
15 By the Numbers. Nationally over 150,000 NP s Over 50% of APRN s work in primary care Every day 11,000 more seniors become eligible for Medicare From 2016 on million people will purchase coverage Predicting a shortage of 66,000 primary care physicians
16 APRN Regulatory Model
17 So what does this model really mean???? The states that have adopted the consensus model language; the practice is the same in all!
18 IOM Future of Nursing Report Comparison of costs, quality outcomes and access associated with a range of primary care delivery models. Examination of the impact of expanding the range of providers allowed to perform initial hospital admitting assessments. Capture of intended and unintended consequences of alternative reimbursement mechanisms for APRNs. Capture of the impact of health insurance exchanges on the role of APRNs in the provision of primary care in the U.S.
19 APRN s should be able to practice to the full extent of their education and training. Capture of intended and unintended consequences of alternative reimbursement mechanisms for Advanced Practice Nurses. Capture of the impact of health insurance exchanges on the role of Advanced Practice Nurses in the provision of primary care in the U.S.
20 Federal Policy Priorities Provide Opportunity for NPs to be full participants in the Insurance Exchange (Marketplace) Program. Enable NPs Patients to be Beneficiaries in Medicare Shared Savings Accountable Care Organizations (ACOs) Amend Medicare Conditions of Participation to Require Hospitals to Consider NPs for Appointment to Medical Staffs.
21 Federal Policy Priorities Pass the Home Health Care Planning Improvement Act (H.R. 2504/S. 1332) Authorize NPs to Document Evaluations for Durable Medical Equipment (DME) (H.R. 3833) Pass the Ensuring Access to Primary Care for Women and Children Act (S. 2694) Authorize NPs to Certify Medicare Patients for Hospice Care
22
23 Full Legal Autonomy for APRN s What? - Independent practitioners - Still practice in collaboration with other clinicians Where? - 19 states currently grant full authority Why? - ACCESS When? - 6 additional states have legislation in the pipeline How? - Research the economics of full practice - Support the cause
24 Go! Caution! Stop!
25 National Governors Associtation
26 NGA s Report Reviewed the literature surrounding APRN practice Reviewed the state rules & regulations surrounding APRN practice CONCLUSION: NPs are well qualified to deliver certain elements of primary care. States might consider changing scope of practice restrictions & assuring adequate reimbursement for services.
27 Legislative Updates
28 OBN Updates Joint statement: Nursing, Medicine & Pharmacy (09/2014) - Prescription of Naloxone to High- Risk Individuals Hydrocodone Combination Products (HCPs) Classified as Schedule II Controlled Substances (10/6/2014) Assuming ARPN as title
29 Signed into Law APRN s & PA s can admit in the state of Ohio (5/19/14) APRNS may now supervise certified hyperbaric technologists (9/4/14) ALL PRESCRIBERS of Opioids and Benzodiazepines must check OAARS before prescribing with limited exceptions (9/16/14) Consent for Minors who are prescribed Opioids (9/17/14)
30 Moving HB-301- To authorize a person not otherwise authorized to do so to administer certain drugs pursuant to delegation by an advanced practice registered nurse who holds a certificate to prescribe. - AKA: Can delegate medication administration to MA s! Combining 301 & 412 (PA bill) and help them get the bill passed in the lame duck session
31 APRN Cost Effective Practice Models
32 Hospitalist-based Teams Used in community hospitals to support Private Practice Physicians - Revenue generating services Used in newborn nursery/general pediatric units Used in surgical units for medical management - Decreased LOS, readmissions, managing comorbidities
33 Data to Show! ALOS Linear (ALOS) ALOS
34 APRN Led Clinics Express Care Health spots Chronic disease management - Extensive patient education (BILLABLE) Data to support ROI on billing is higher for APRN s/pa s versus physicians
35 Long Term Care Facilities Utilization of APRN s in nursing homes, LTAC s to manage patients One provider covers multiple sites Hospitalist model for LTAC Clinic appointment model for Nursing homes Billing independently
36 ED/CDU Led Teams Level 4-5 acuity patients triaged to this team upon presentation to ED All triaging; assessment in triage, order necessary studies 2-3 APRN s/pa s >28% of daily ED volume (55,000 / year)
37 APRN s at the Bedside Reduction in CLABSI Identification of Present on Admission Pressure Ulcers Fall prevention & reduction in falls with injury Compliance with Core measures Attention to readmissions Increase in specialty based certified nurses (CCRN, MSRN, CPN)
38 School Based Health Centers Serve students of underserved areas Communities with health care disparities Results in: - Increased physical activity - Healthy food choices - Decrease ED visits
39 How do we improve the State?
40 Professional Advancement Council/Committee participation Professional Organization involvement Nursing Research Presenting best practices Publishing
41 Opportunities Outcome measurement Education of all providers and administrative personnel - re: scope and utilization Ensuring APRN s are practicing to their full scope Provide full clinical support of all providers Involving the APRN in quality initiatives
42 Policy Involvement Get involved - Join an organization! It s okay to just belong Advocate for the role Front line involvement Educate our consumers Sit at the table!
43 Our Response We need strong action across political and professional lines in order to move toward an efficient and effective health care system We need to tell the world what we do!
44 Why APRN s? Improved Access Cost Effective Provider Focus on the whole patient - Wellness - Prevention - Education Enhanced Revenue Continuity of Care
45 STEEP: To deliver Safe, Timely, Effective, Efficient, Equitable, Patient-centered care
46 QUESTIONS Meredith Lahl, MSN, PCNS-BC, PPCNP-BC, CPON
47
HEALTHCARE POLICY ESSENTIALS FOR GEORGIA APRN S
HEALTHCARE POLICY ESSENTIALS FOR GEORGIA APRN S Laura Searcy MN, APRN, PPCNP-BC President, National Association of Pediatric Nurse Practitioners UAPRN State Conference September 24, 2016 Savannah, GA Overview
More informationWho delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant.
Who delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant Meredith Davison, PhD, MPH University of Oklahoma School of Community
More informationINCREASE ACCESS TO PRIMARY CARE SERVICES BY ALLOWING ADVANCED PRACTICE REGISTERED NURSES TO PRESCRIBE
INCREASE ACCESS TO PRIMARY CARE SERVICES BY ALLOWING ADVANCED PRACTICE REGISTERED NURSES TO PRESCRIBE Both nationally and in Texas, advanced practice registered nurses have helped mitigate the effects
More informationThe Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners
The Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners Major Points and Executive Summary by Cyril F. Chang, PhD, Lin Zhan, PhD, RN, FAAN, David M. Mirvis,
More informationACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S
ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With
More informationArkansas Center for Nursing Arkansas Nurse Practitioner Association Arkansas Nurses Association Arkansas Pediatric Nurse Practitioners
Remove the Mandatory Collaborative Practice Agreement on APRN prescribing HB 1181 Rep. Dan Sullivan HB 1186 Rep. Karilyn Brown Advanced Practice Registered Nurses (APRNs) are nurses with advanced education
More informationADVANCED PRACTICE PROVIDERS: IDENTIFYING TRENDS AND RISKS WITH ADVANCED PRACTITIONERS. Aileen Brooks, RN, CPHRM, JD Malecki & Brooks Law Group
ADVANCED PRACTICE PROVIDERS: IDENTIFYING TRENDS AND RISKS WITH ADVANCED PRACTITIONERS Aileen Brooks, RN, CPHRM, JD Malecki & Brooks Law Group ORGANIZATION OF PRESENTATION 1. Advanced Practice Providers
More informationTrends In APRN Practice Authority
Trends In APRN Practice Authority SUSANNE J. PHILLIPS, DNP, APRN, FNP -BC C L I N I C A L P R O F E S S O R, U C I R V I N E C O N S U L T I N G E D I T O R, T H E N U R S E P R A C T I T I O N E R 2016
More informationThe Consensus Model of APRN Regulation, LACE how we got here where we are going. Maureen Cahill
The Consensus Model of APRN Regulation, LACE how we got here where we are going Maureen Cahill Collaborative practice to advanced practice, an evolution Evolved in separate silos Lack of common definitions
More informationSuccessful Integration of Advanced Practice Providers into Hospitalist Practice
Successful Integration of Advanced Practice Providers into Hospitalist Practice Tracy E. Cardin, ACNP, SFHM Population Over Age 65 Doubles by 2030 United States Population Projection Percent Growth from
More informationAPRNs - Who are they? KAREN FOREN LAKE, PHD, RNC, APRN (CNP) MICHIGAN NURSES ASSOCIATION
NP CRNA CNS CNM APRNs - Who are they? KAREN FOREN LAKE, PHD, RNC, APRN (CNP) MICHIGAN NURSES ASSOCIATION Conflict of Interest and Accreditation Successful Completion of this Continuing Nursing Education
More informationNATIONWIDE CHILDREN S HOSPITAL / COLUMBUS, OHIO ADVANCED PRACTICE REGISTERED NURSE STANDARD CARE ARRANGEMENT (SCA)
NATIONWIDE CHILDREN S HOSPITAL / COLUMBUS, OHIO ADVANCED PRACTICE REGISTERED NURSE STANDARD CARE ARRANGEMENT (SCA) I. STATEMENT OF PURPOSE A. Advanced Practice Registered Nurses (APRNs) at Nationwide Children
More informationAdvanced Practice Registered Nurses (APRNs)
- 4 - Advanced Practice Registered Nurses (APRNs) - 5 - Advanced Practice Registered Nurses (APRNs) APRNs are registered nurses who have at a minimum completed graduate coursework (masters degree), passed
More informationCampaign for Action Primary Care Needs Advanced Roles for Nurses
EXPANDING MEDICAID Campaign for Action Primary Care Needs Advanced Roles for Nurses By ANDREA BRASSARD, RN, D.Nsc., M.P.H., F.N.P. The Affordable Care Act (ACA) is expected to provide health insurance
More informationSouth Dakota APRN Coalition s Proposed Legislation FAQs
South Dakota APRN Coalition s Proposed Legislation FAQs 1. What is a collaborative agreement? A: In South Dakota law, SDCL 36-9A, a nurse practitioner or a nurse midwife is not allowed to practice without
More informationThe National Association of Clinical Nurse Specialists (NACNS)
The National Association of Clinical Nurse Specialists (NACNS) Response to the Institute of Medicine s Future of Nursing Report This document was prepared by an NACNS appointed task force that was tasked
More informationTrends In APRN Practice Authority
Trends In APRN Practice Authority SUSANNE J. PHILLIPS, MSN, FNP- BC CONSULTING EDITOR, THE NURSE PRACTITIONER CLINICAL PROFESSOR, UC IRVINE 2015 Annual Educational Conference Newport Beach, California
More informationAPNP Hospitalist Program
APNP Hospitalist Program Ministry Eagle River Memorial Hospital Catholic Health Assembly June 23, 2014 Ministry Health Care An integrated Catholic Health Care system with a broad geographic footprint covering
More informationAPNP Hospitalist Program Ministry Eagle River Memorial Hospital. Ministry Health Care. Program Objectives. Catholic Health Assembly June 23, 2014
APNP Hospitalist Program Ministry Eagle River Memorial Hospital Catholic Health Assembly June 23, 2014 Ministry Health Care An integrated Catholic Health Care system with a broad geographic footprint covering
More informationClinical Nurse Specialist (CNS)
Clinical Nurse Specialist (CNS) Paula Halcomb, MSN, DNP, APRN, ACNS-BC paula.halcomb@uky.edu Jill Dobias, MSN, APRN, ACCNS-AG, OCN, AOCNS jill.dobias@uky.edu Dee Sawyer, MS, APRN, MLDE, AGCNS-BC, BC-ADM,
More informationOsteopathic Advocacy: Partnering to Advance Sound Health Policy. Nicholas Schilligo, MS Associate Vice President, State Government Affairs
Osteopathic Advocacy: Partnering to Advance Sound Health Policy Nicholas Schilligo, MS Associate Vice President, State Government Affairs Our Work Work with a variety of stakeholders to promote AOA policies
More information2011 Legislative Session: An Update on APRN Bills. Stephanie D. Fullmer, JD Legislative Affairs Associate NCSBN
2011 Legislative Session: An Update on APRN Bills Stephanie D. Fullmer, JD Legislative Affairs Associate NCSBN Legislative background State priorities: Budgets Economy Health reform ACA is expected to
More information8/31/2015. Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success. Vanderbilt University Medical Center
Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success Marilyn A. Dubree, MSN, RN, NE-BC Executive Chief Nursing Officer Vanderbilt University Medical Center
More informationRole Change Analysis. Roles and Issues of the Primary Care Nurse Practitioner. Jason Martin. Auburn University/Auburn Montgomery
Role Change Analysis 1 Role Change Analysis Roles and Issues of the Primary Care Nurse Practitioner Jason Martin Auburn University/Auburn Montgomery Role Change Analysis 2 Abstract The advance practice
More informationPatient Protection and Affordable Care Act
Patient Protection and Affordable Care Act BY UCHECHI OKANI POLICIES, POWER, AND POLITICS TEXAS WOMAN S UNIVERSITY March 25, 2011 Introduction MANY IN THE HEALTH CARE PROFESSION ARE WONDERING HOW THE NEW
More informationInterstate Compacts for Nurses Nicole Livanos, JD MPP Associate State Advocacy & Legislative Affairs NCSBN
Interstate Compacts for Nurses Nicole Livanos, JD MPP Associate State Advocacy & Legislative Affairs NCSBN What is an interstate compact? A statutory agreement between two or more states established for
More informationConsensus Model for APRN Regulation: Licensure, Accreditation, Certification, Education
Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, Education Victoria A. Weill Future of Nursing Report (IOM, 2010) Recommendations 1) the health care system needs to tap the
More informationConsensus Model for APRN Regulation Frequently Asked Questions
1. Why was the Consensus Model for APRN Regulation developed? The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (APRN Consensus Model) is a uniform model of regulation
More informationA Bill Regular Session, 2017 HOUSE BILL 1254
Stricken language would be deleted from and underlined language would be added to present law. 0 State of Arkansas st General Assembly A Bill Regular Session, HOUSE BILL By: Representative Magie For An
More informationPerspectives on Nurse Practitioner/Advanced Practice Nursing in the USA-2012 Update
Perspectives on Nurse Practitioner/Advanced Practice Nursing in the USA-2012 Update In the United States (U.S.), advanced practice registered nurses (APRNs) represent a growing segment of health care professionals
More informationA New Scope of Practice for PAs and APRNs in Michigan
A New Scope of Practice for PAs and APRNs in Michigan State Bar of Michigan Health Care Law Section Annual Meeting, September 12, 2017 Kathleen A. Reed California Illinois Michigan Minnesota Texas Washington,
More informationACOs: California Style
ACOs: California Style ACO Congress John E. Jenrette, M.D. Chief Executive Officer Sharp Community Medical Group November 2, 2011 California Style California Style A CO California Style California Style
More informationPharmacy Law Update for Pharmacists & Technicians October 1, 2017 Greg Baran, B.S., Pharm., M.A.
Pharmacy Law Update for Pharmacists & Technicians October 1, 2017 Greg Baran, B.S., Pharm., M.A. Objectives: Pharmacist and Pharmacy Technician Learning Objectives: At the end of this activity, participants
More informationOklahoma Nurses Association 2016 House of Delegates Resolution
SUBJECT: INTRODUCED BY: Oklahoma Nurses Association 2016 House of Delegates Resolution Full Practice Authority for Advanced Practice Registered Nurse (APRN) ONA Board of Directors and the Committee on
More informationChronic Care Management
Chronic Care Management Increase Practice Revenue, While Increasing Patient Care Presented by Steven Kress CEO, Renova PCA Introduction Mr. Kress is a founding Member and Serves on the Board of Directors
More information2012 NDNQI RN Survey
2012 NDNQI RN Survey Practice Environment Scale For each item, please indicate the extent to which you agree that the item is PRESENT IN YOUR CURRENT JOB. Response options: strongly agree, agree, disagree,
More informationTHE ADVANCING ROLE OF ADVANCED PRACTICE CLINICIANS: COMPENSATION, DEVELOPMENT, & LEADERSHIP TRENDS
THE ADVANCING ROLE OF ADVANCED PRACTICE CLINICIANS: COMPENSATION, DEVELOPMENT, & LEADERSHIP TRENDS INTRODUCTION The demand for Advanced Practice Clinicians (APCs) or Advanced Practice Providers (APPs)
More informationScope of Practice for Advanced Practice Providers
Scope of Practice for Advanced Practice Providers Navigating Complex and Changing Boundaries Laura M. Cascella, MA Healthcare is changing rapidly, and the interplay of numerous factors has resulted in
More informationMEMORANDUM. Ohio Board of Nursing ( BON ) and the Ohio APRN Advisory Committee ( Advisory Committee )
MEMORANDUM To: FROM: Ohio Board of Nursing ( BON ) and the Ohio APRN Advisory Committee ( Advisory Committee ) Ohio Association of Advanced Practice Nurses ( OAAPN ) DATE May 13, 2018 Subject: Position
More informationGoals: Hospital Medicine at the Edges: A Specialty in Evolution Robert Harrington, MD, SFHM President, SHM
Hospital Medicine at the Edges: A Specialty in Evolution Robert Harrington, MD, SFHM President, SHM Goals: Understand the expanding scope of the hospitalist, particularly as it relates to specialist shortages
More informationUsing Interprofessional Collaboration to Solve Today s Clinical Challenges
Using Interprofessional Collaboration to Solve Today s Clinical Challenges Debra Herrmann, MPH, MSHS, PA-C Barbara Resnick, PhD, CRNP, FAAN, FAANP November 7, 2015 1 History of NPs and PAs Arose in the
More informationAPRN Field Advisory Committee Office of Nursing Service Veterans Health Administration
Full Practice Authority: Impact for the CNS Mary Laudon Thomas, MS, CNS, AOCN Melissa L. Hutchinson, MN, RN, CCNS, CCRN Eve Broughton, MS, ACNS-BC, CNRN, Pain-C APRN Field Advisory Committee Office of
More informationKechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013
Kechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013 As a nurse in the united states you will encounter a variety of different types of caregivers. You may work with unlicensed assistive personnel
More informationRunning head: ROLE DEVELOPMENT/CHANGE ANALYSIS 1
Running head: ROLE DEVELOPMENT/CHANGE ANALYSIS 1 Role Development/Change Analysis Gwendolyn Childress Auburn University/ Auburn Montgomery ROLE DEVELOPMENT/CHANGE ANALYSIS 2 Role Change/ Development Analysis
More informationA Bill Regular Session, 2017 HOUSE BILL 1254
Stricken language would be deleted from and underlined language would be added to present law. 0 State of Arkansas st General Assembly As Engrossed: H// A Bill Regular Session, HOUSE BILL By: Representative
More informationYOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN
YOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN OBJECTIVES Review BSN outcomes Review MSN outcomes Review Doctoral outcomes Why should I pursue higher education What jobs can I get with a MSN Which program
More informationAdvanced Practice Nursing. Shawn Wells September 30, 2016
Advanced Practice Nursing Shawn Wells September 30, 2016 Definition: Advanced Practice Nursing Registered Nurse Graduated from accredited NP program Passed National Certification Obtained License to Practice
More informationDivision C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A
Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A Sec. 15001. Development of Medicare study for HCPCS versions of MS-DRG codes
More informationMedicare, Managed Care & Emerging Trends
Medicare, Managed Care & Emerging Trends LeadingAge Michigan 2015 Annual Leadership Institute August 12, 2015 Jon Lanczak, Manager Beth Sullivan, Senior Manager Plante Moran, PLLC Overall Theme Healthcare
More informationThe Nursing Workforce: Challenges for Community Health Centers and the Nation s Well-being
The Nursing Workforce: Challenges for Community Health Centers and the Nation s Well-being Jane K Kadohiro, DrPH, APRN, CDE University of Hawaii at Manoa Overview Today s nursing workforce Determinants
More informationInternational Council of Nurses
International Council of Nurses The Role of the Advanced Practice Nurse/Nurse Practitioner The International Perspective November, 2015 Jean Barry, ICN Consultant Nursing and Health Policy Outline of presentation
More informationBy Susanne J. Phillips, DNP, APRN, FNP-BC
AN NP EXCLUSIVE Illustration by Matt Herring 28 th Annual APRN Legislative Update Advancements continue for APRN practice By Susanne J. Phillips, DNP, APRN, FNP-BC Abstract: The Annual Legislative Update
More informationTransitions of Care. Scott Clark, President Leading Edge Health Care
Transitions of Care Scott Clark, President Leading Edge Health Care Tools to Reduce Readmissions Skilled Home Health Services (VNA) Private Duty Home Health Housecalls Physician Practice R.E.A.C.H. Program
More informationAligning Advanced Practice Clinicians with New Care Models
MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Aligning Advanced Practice Clinicians with New Care Models Trish Anen, RN, MBA, NEA-BC Debra Slater Principal, Sullivan, Cotter and Associates Principal,
More informationFirstHealth Moore Regional Hospital. Implementation Plan
FirstHealth Moore Regional Hospital Implementation Plan FirstHealth Moore Regional Hospital Implementation Plan For 2016 Community Health Needs Assessment Summary of Community Health Needs Assessment Results
More informationDecember 22, Submitted via
December 22, 2011 Submitted via www.regulations.gov Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-3244-P P.O. Box 8010
More informationDocumentation for CCC Reimbursement
Section 4.6 Implement Documentation for CCC Reimbursement This tool describes the importance of documentation and potential workflow changes to take advantage of any opportunity for reimbursement of services
More informationAccount Management, Coding, Customer Service, Legal, Medical Management, Finance, Claims, Underwriting, Network Management
DEPARTMENT: Coding Reimbursement APPROVED DATE: POLICY DESCRIPTION: Telemedicine/Telehealth/Telecommunications/Televideo EFFECTIVE DATE: 6-24-04 PAGE: 1 of 4 REPLACES POLICY DATED: REFERENCE NUMBER: P-30
More informationWhat is Telemedicine and How is It Being Used?
What is Telemedicine and How is It Being Used? March 14, 2018 Presented by: Attorney Karina P. Gonzalez Florida Healthcare Law Firm www.floridahealthcarelawfirm.com 2016 The Law Offices of Jeff Cohen,
More informationMACRA Fall into Place. By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof
MACRA Fall into Place By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof About the Presenter https://www.linkedin.com/in/stephaniececchini 2 Introduction Love it Hate it Don t know a
More informationREALITIES OF INTEGRATED COLLABORATIVE CARE OF CHILDREN AND ADOLESCENTS
REALITIES OF INTEGRATED COLLABORATIVE CARE OF CHILDREN AND ADOLESCENTS Geraldine S. Pearson, PHD, PMH CNS, FAAN University of CT School of Medicine APNA June 23, 2013 DISCLOSURES This speaker has no conflicts
More informationExecutive, Legislative & Regulatory 2018 AGENDA. unitypoint.org/govaffairs
Executive, Legislative & Regulatory 2018 AGENDA unitypoint.org/govaffairs Dear Policy Makers and Community Stakeholders, In the midst of tumultuous times, we bring you our 2018 State Legislative Agenda.
More informationFoundations for the Future: The Leadership of the American Association of Nurse Practitioners Over the Decades
Foundations for the Future: The Leadership of the American Association of Nurse Practitioners Over the Decades KATHY WHEELER, PHD, RN, APRN, NP-C, FNAP, FAANP ASSISTANT PROFESSOR, UNIVERSITY OF KENTUCKY
More informationAs Introduced. 131st General Assembly Regular Session H. B. No
131st General Assembly Regular Session H. B. No. 548 2015-2016 Representative Schuring Cosponsor: Representative Sprague A B I L L To amend sections 4723.43, 4723.44, 4729.01, and 4761.17 of the Revised
More informationWilliam J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair
William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair What are the revenue streams What are the expenses How does the hospital
More informationNP or PA as Billing Provider
NP or PA as Billing Provider Claire Agnew, CPA MBA CHC Vice President of Financial Operations Phoenix Children s Medical Group Phoenix Children s Hospital Arizona s only children s hospital recognized
More informationEvaluation of a Psychiatric NP Residency Program in Integrated Care. Presenters. APNA 30th Annual Conference Session 3033: October 21, 2016.
Evaluation of a Psychiatric NP Residency Program in Integrated Care APNA 30 th Annual Conference Hartford, CT Session #3033 October 21, 2016 Presenters B. Jamie Stevens, MSN, APRN, PMHNP BC Community Health
More informationThree C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
More informationUCLA Medical Sciences Compliance and Privacy Office 2010
UCLA Medical Sciences Compliance and Privacy Office 2010 Background AHP Defined General Scope of Practice Supervising Physician Requirements How the AHP Can Be Utilized and When Services Can Be Billed
More informationChronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky
Chronic Care Management Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky 40223 502.992.3511 sshover@blueandco.com Agenda Chronic Care Management (CCM) History Define Requirements
More informationObjectives. Getting and Staying Certified: Issues for the New and Practicing NP. Upon completion of the program, the participant will be able to:
Objectives Getting and Staying Certified: Issues for the New and Practicing NP Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC President Fitzgerald Health Education Associates, Inc. Family
More informationEffective and Compliant Utilization of Nurse Practitioners and Physician Assistants
Effective and Compliant Utilization of Nurse Practitioners and Physician Assistants Alex Krouse, JD, MHA 4101 Edison Lakes Parkway, Ste. 100 Mishawaka, IN 46545 574.485-2003 akrouse@kdlegal.com Disclaimer
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationMay Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants. Collaborating Together as a Team
May 2015 Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants Collaborating Together as a Team What is a Non-Physician Practitioner (NPP) or Physician Extender } Physician Assistant
More informationThe Role of the Nurse Practitioner- A 50 year history: What is our future?
The Role of the Nurse Practitioner- A 50 year history: What is our future? Carmel A. McComiskey, DNP, CRNP, FAANP, FAAN Director, Nurse Practitioners and Physician Assistants University of Maryland Medical
More informationText-based Document. Nurse Practitioners Reshaping Health Care: From Roots to Shoots. Downloaded 13-May :09:44
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationAPRN PRACTICE LAW UPDATE OAAPN 2018
APRN PRACTICE LAW UPDATE OAAPN 2018 Revised and accurate 3/5/18 1 Acknowledgement To Christine Williams MSN APRN CNP FAANP Director, Reimbursement and Full Practice Authority Mary Jane Maloney, DNP APRN
More informationTelemedicine as a Business. Pay-Per-View
Telemedicine as a Business Pay-Per-View 2018, Arizona Telemedicine Program Telemedicine or Telehealth The U.S. Department of Health and Human Services (HRSA): Telehealth is broader in scope and covers
More informationMonarch HealthCare, a Medical Group, Inc.
Monarch HealthCare, a Medical Group, Inc. Accountable Care in the Independent Practice Model June 7, 2010 Jay J. Cohen, MD, MBA President/Chairman Monarch HealthCare Monarch HealthCare, a Medical Group,
More informationWHAT IS THE APRN CONSENSUS MODEL AND HOW DOES IT EFFECT ADVANCED PRACTICE NURSES?
WHAT IS THE APRN CONSENSUS MODEL AND HOW DOES IT EFFECT ADVANCED PRACTICE NURSES? Sonoita, AZ June 26, 2015 Paula Christianson-Silva DNP, RN, FNP-BC, ANP-BC Objectives 1. Review the history and development
More informationThe Registered Nurse Workforce in South Carolina
The Registered Nurse Workforce in South Carolina - 2016 July, 2018 This document contains information about the Registered Nurses actively employed as nurses in South Carolina as reported by the nurses
More informationAPRN Working Groups. Recent meetings. Reasons for a Future APRN Model
Reasons for a Future APRN Model Lack of common definitions related to APRN roles Lack of standardization in programs leading to APRN preparation Proliferation of specialties and subspecialties Lack of
More informationUsing Patient Activation to Transition Patients from Hospital to Home
Using Patient Activation to Transition Patients from Hospital to Home May 2014 Mary McLaughlin Davis DNP MSN APRN ACNS-BC CCM Lakewood Hospital Cleveland Clinic Background Stroke affects an estimated 795,000
More informationHealth Workforce Shortage Study Report Report to the Minnesota Legislature 2009
Health Workforce Shortage Study Report Report to the Minnesota Legislature 2009 Minnesota Department of Health January 15, 2009 Commissioner s Office 625 Robert St. N. P.O. Box 64975 St. Paul, MN 55164-0975
More informationTransitioning Care to Reduce Admissions and Readmissions. Sven T. Berg, MD, MPH Julie Mobayed RN, BSN, MPH
Transitioning Care to Reduce Admissions and Readmissions Sven T. Berg, MD, MPH Julie Mobayed RN, BSN, MPH Disclaimer: Potential for Error Type One Error Rejecting the null hypothesis when it is true
More informationSECTION 2: TEXAS MEDICAID REIMBURSEMENT
SECTION 2: TEXAS MEDICAID REIMBURSEMENT 2.1 Payment Information............................................................. 2-2 2.2 Reimbursement Methodology....................................................
More informationMACRA & Implications for Telemedicine. June 20, 2016
MACRA & Implications for Telemedicine June 20, 2016 Presentation Overview Introductions Deep Dive Into MACRA Implications for Telemedicine Questions Growth in Value-Based Care Over Next Two Years Growth
More informationGeographic Adjustment Factors in Medicare
Institute of Medicine Geographic Adjustment Factors in Medicare Roland Goertz, MD, MBA President January 20, 2011 Issues Addressed Family physician demographics Practice descriptions AAFP policy Potential
More informationCOLORADO COMMUNITY HEALTH NETWORK SCOPE OF PRACTICE MATRIX FIELD OF PRACTICE: NURSING (BOARD OF NURSING)
COLORADO COMMUNITY HEALTH NETWORK MATRIX FIELD OF : NURSING (BOARD OF NURSING) ADVANCED NURSES: NURSE PRACTITIONER (NP) According to the Colorado Nurse Practice Act: 12-38-111.5. Requirements for advanced
More informationCentral Ohio Primary Care (COPC) Spotlight on Innovation
Central Ohio Primary Care (COPC) Spotlight on Innovation BY BETTER MEDICARE ALLIANCE MARCH 2017 Central Ohio Primary Care Spotlight on Innovation 1 Central Ohio Primary Care (COPC) Spotlight on Innovation
More informationThe 83 rd Texas Legislative Session What does it mean for the Nurse Practitioner?
The 83 rd Texas Legislative Session What does it mean for the Nurse Practitioner? Julie K. Kuzin, PNP, AC/PC Legislative Chair HAC-NAPNAP Government Action Committee Texas Nurse Practitioners Flowchart
More informationThe Roles of the APRN An Education for Credentialing Staff
The Roles of the APRN An Education for Credentialing Staff Jennifer L. Burns, MJ, MSN, RN BC, NE BC, PHNA BC Practice & Education Consultant of the Wyoming State Board of Nursing Objectives Powers of WSBN
More informationEvolving Roles of Pharmacists: Integrating Medication Management Services
Evolving Roles of Pharmacists: Integrating Management Services Marie Smith, PharmD, FNAP Palmer Professor and Assistant Dean, Practice and Policy Partnerships UCONN School of Pharmacy (marie.smith@uconn.edu)
More informationDetermining the Role of the Nurse with a Doctor of Nursing Practice Degree
Determining the Role of the Nurse with a Doctor of Nursing Practice Degree Anna Song Beeber, PhD, RN; Cheryl Jones, PhD, RN, FAAN; Carrie Palmer DNP, RN, ANP-BC; Julee Waldrop DNP, PNP-BC; Mary Lynn PhD,
More informationWisconsin s Health Care Workforce Report 2008
Wisconsin s Health Care Workforce Report 2008 A report by the Wisconsin Hospital Association Wisconsin s Health Care Workforce Report 2008 A report by the Wisconsin Hospital Association Table of Contents
More informationLicensure, Accreditation, Certification, Education in Nursing: Aligning the Pieces to Improve Outcomes
Licensure, Accreditation, Certification, Education in Nursing: Aligning the Pieces to Improve Outcomes June 12, 2013 Institute of Medicine Standing Committee on Credentialing Research in Nursing Washington,
More informationHealth IT Initiatives
Agency for Health Care Administration Health IT Initiatives Pamela King HIE Outreach Coordinator February 1, 2018 Agency Health IT Initiatives Administration of the Medicaid Electronic Health Record (EHR)
More information3/28/2016. Evaluation and Management. Evaluation and Management Emerging Trends. Disclosures. Evaluation and Management The History
Evaluation and Management Emerging Trends Peter Hollmann MD Past CPT Panel Chair Disclosures Ambassador for AMA CPT Member RBRVS Update Committee 2 Evaluation and Management The History Evaluation and
More informationFederal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
October 2018 Issue Brief Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act MaryBeth Musumeci and Jennifer Tolbert On October 3, 2018, the Senate overwhelmingly passed
More informationPatient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult
Title: Documentation of Clinical Activities by UNMH Medical Staff and House Staff Applies To: UNM Hospitals Responsible Department: Office of Clinical Affairs Updated: 05/2016 Policy Patient Age Group:
More information