As nurse practitioners lobby to expand their authority and scope of practice in many states, a New England Journal of Medicine study released Wednesday documents a deep chasm between how doctors and nurses regard the issue.
The study found the two groups overwhelmingly agreed that nurse practitioners should be able to practice to the full extent of their schooling and training. But doctors were less likely to concur that advanced practice nurses should lead medical homes, which deliver team-based, coordinated care to patients. Only 17 percent of the 505 primary care physicians surveyed agreed with that notion, compared to 82 percent of the 467 nurse practitioners surveyed.
Read the rest from KHN here.
Tuesday, May 28, 2013
Friday, May 24, 2013
Medscape: Want Hospital Admitting Privileges? First Pass a Drug Test
NAMSS President, Melissa Walters, is quoted in the article below.
By Robert Lowes
May 16, 2013
Physicians seeking medical staff privileges at a hospital should first go into a bathroom and fill a small paper cup, all for the sake of patient safety, suggests an article published online April 29 in JAMA.
Requiring physicians to take a urine drug test as a condition of employment is already the norm at hospitals, but lead author Julius Pham, MD, PhD, and colleagues recommend that hospitals also screen medical staff applicants for possible impairment by substance abuse.
Read the full article and see what Melissa had to say at medscape.com.
Tuesday, May 21, 2013
NEJM: Expanding the Role of Advanced Nurse Practitioners — Risks and Rewards
John K. Inglehart, May 16, 2013
As the 2014 expansion of coverage mandated by the Affordable Care Act (ACA) looms larger, one question with no ready answer is how health care providers, policymakers, and payers will cope with an expected surge in patient demand for services. A shortage of primary care physicians to treat newly insured persons is the most immediate health workforce issue, but when added to the nation's population growth and more aging patients who require treatment, finding a practitioner may become an even more daunting challenge.
Read the rest at nejm.org.
As the 2014 expansion of coverage mandated by the Affordable Care Act (ACA) looms larger, one question with no ready answer is how health care providers, policymakers, and payers will cope with an expected surge in patient demand for services. A shortage of primary care physicians to treat newly insured persons is the most immediate health workforce issue, but when added to the nation's population growth and more aging patients who require treatment, finding a practitioner may become an even more daunting challenge.
Read the rest at nejm.org.
Monday, May 20, 2013
OIG Issues Update
The full report can be found here.
Wednesday, May 8, 2013
HHS: The NPDB-HIPDB Has Become the NPDB
Effective May 7, 2013, the National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) are now one Data Bank: the NPDB. The official website is http://www.npdb-hipdb.hrsa.gov/. Users should update their bookmarks with the new Data Bank website address.
Users will experience no disruption in Data Bank service, and essentially no change to their reporting workflow or requirements. The HIPDB information did not go away, but was integrated into the NPDB. Users’ access to Data Bank information may expand, meaning that query results may include reports that were previously only accessible through querying the HIPDB.
Read the rest here.
Users will experience no disruption in Data Bank service, and essentially no change to their reporting workflow or requirements. The HIPDB information did not go away, but was integrated into the NPDB. Users’ access to Data Bank information may expand, meaning that query results may include reports that were previously only accessible through querying the HIPDB.
Read the rest here.
Monday, May 6, 2013
NYT: Why Doctors Are Sued
Nicholas Bakalar, April 29, 2013
What kind of medical error accounts for most malpractice payments: Surgical mistakes? Overdoses? Obstetric errors?
No, no and no. The most common cause of paid claims for malpractice is making errors in diagnosis.
Using the National Practitioner Data Bank, which records actions taken by state licensing authorities against health care practitioners, researchers found that 28.6 percent of malpractice payments are for diagnostic mistakes.
Read the rest at well.blogs.nytimes.com
What kind of medical error accounts for most malpractice payments: Surgical mistakes? Overdoses? Obstetric errors?
No, no and no. The most common cause of paid claims for malpractice is making errors in diagnosis.
Using the National Practitioner Data Bank, which records actions taken by state licensing authorities against health care practitioners, researchers found that 28.6 percent of malpractice payments are for diagnostic mistakes.
Read the rest at well.blogs.nytimes.com
Wednesday, May 1, 2013
amednews.com: Calming a hospital culture clash
Bridging communication gaps between medical staffs and hospitals can prevent unnecessary lawsuits.
Alicia Gallegos, amednews staff, April 29, 2013
Alicia Gallegos, amednews staff, April 29, 2013
After two years, a heated dispute between Memorial Hermann Memorial City Medical Center and its medical staff finally came to a head in 2012. The conflict arose from a set of amended bylaws the center's administration wanted to enact. The medical staff refused to approve the bylaws and recommended a separate set of bylaws.
“At that point, we had reached an impasse, because the medical staff bylaws can't be amended without the medical staff and the governing body's approval,” said Bernard Duco Jr., chief legal officer for Memorial Hermann Health System, based in Houston.
Instead of moving toward litigation or allowing the dispute to fester, the hospital and medical staff engaged in a conflict intervention. Leaders from both sides agreed to a series of sit-down sessions to discuss their concerns. They reached a compromise on several major issues.
Read the rest at amednews.com.
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