RURAL NURSE PRACTITIONERS: RHAC SURVEY RESULTS. Presentation to Rural Health Advisory Committee & Flex Committee May 19, 2015

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "RURAL NURSE PRACTITIONERS: RHAC SURVEY RESULTS. Presentation to Rural Health Advisory Committee & Flex Committee May 19, 2015"

Transcription

1 RURAL NURSE PRACTITIONERS: RHAC SURVEY RESULTS Presentation to Rural Health Advisory Committee & Flex Committee May 19, 2015

2 Review: Minnesota regions

3 Review: NPs vs population, by Minnesota region 2015 licensed NPs (n=3,867) 2013 population estimate (n=5,420,380) 54% 46% 14% 17% 14% 11% 7% 4% 2% 7% 6% 3% 2% 5% 3% 6% Central West Central rthland rthwest Southern Southwest Twin Cities Out of state business address Source: Minnesota Board of Nursing licensing data (May 2015) and U.S. Census Bureau, Decennial Census (2013).

4 Review: Rural-urban commuting areas (RUCAs)

5 Review: NPs vs population, by rural-urban distribution Source: Minnesota Board of Nursing licensing data and U.S. census data, 2010.

6 RHAC NP survey In Sept 2014, surveys sent to 402 rural facilities 79 Critical Access Hospitals (60% response rate) 87 federally designated Rural Health Clinics (40% response rate) 236 other rural clinics (21% response rate) Of the clinics responding: 10% were in large rural areas 34% in small rural areas 46% in isolated rural areas CAHs are also distributed among all three rural types, and most of these are also in small and isolated (vs. large) rural areas.

7 Survey: How many NPs on staff? CAHs 80% employ at least 1 NP. Clinics 84% employ least 1 NP. Of these: 47% employ 3 or fewer NPs. 33% employ 4 or more NPs. Of these: 80% employ 3 or fewer NPs. 16% employ 4 or more NPs. Clinics in small and isolated rural areas are more likely than those in large rural areas to employ only 1 or 2 NPs.

8 Survey: What % of your primary care workforce is NP/PA/MD? Average % of each provider type, CAH v clinic CAHs (n=42) NP 27% PA 18% MD 54% Clinics (n=79) NP 29% NP 16% MD 55%

9 Survey: In which departments do NPs work? Number of facilities using NPs in these departments Family medicine Emergency medicine Geriatrics OB/GYN Urgent care Mental health Diabetes Clinics (n=71) Pediatrics 30 Family planning Internal medicine CAHs (n=47) Pain medicine 21 Other specialties* 12 Med/surg 14 LTC/nursing home Intensive care 2 3 *Other specialties include: Oncology, orthopedics and nephrology.

10 Survey: In which clinic departments do NPs work? Family med Geriatrics Urgent care Diabetes Peds/Adol Family planning Internal med Pain med Large rural Mental health Small rural OB/GYN Isolated rural Emergency medicine 11 7 Other specialties 3 4 3

11 Survey: Certified as a Health Care Home? Clinics vs. CAHs

12 Survey: In process of HCH certification? Clinics vs. CAHs

13 Survey: Certified as a Health Care Home?

14 Survey: Do you use NP-led teams for care coordination? Clinics vs. CAHs 77% 79% Yes 23% Clinics (n=64) Yes 21% Hospitals (n=19)

15 Survey: Do you use NP-led teams for care coordination? Clinics only, by rurality 100% 70% 76% Yes 30% Yes 24% Large rural (n=9) Small rural (n=23) Isolated rural (n=29)

16 Survey: Do NPs have admitting privileges in your hospital?

17 Survey: Challenges to recruiting NPs? Clinics vs. CAHs 67% 70% Yes 33% Yes 30% Clinics (n=82) Hospitals (n=44)

18 Survey: Challenges to recruiting NPs? Clinics only, by rurality 79% 68% 61% Yes 21% Yes 32% Yes 39% Clinics in large rural (n=14) Clinics in small rural (n=28) Clinics in isolated rural (n=36)

19 Survey: Challenges to recruitment Most common by far: Rural location Lack of amenities, lack of work for spouse, lack of housing. Distance, esp. for remote sites requiring staff to be away from home for 1-2 days when on call. Tough for new grads especially. ER call and other hospital care hours as part of job. Lack of rural experience: Candidates often right out of school, so training takes a long time. Level of independence required; limited MD oversight. Tight job market lots of offers/opportunities for NPs. Salary issues, including expectations w/doctoral degree. physician on staff willing to supervise. Transitioning to a Advance Practice ER model with robust e-tele support.

20 Survey: Incentives used in recruitment 70% of clinics and 64% of hospitals report using some kind of incentive in recruiting NPs. Incentives used: Sign-on bonus: 28% of clinics, 47% of CAHs Loan forgiveness: 38% of clinics, 43% of CAHs Cover cost of collaborative management agreement: 30% of clinics, 9% of CAHs Other (each used by fewer than 5% of facilities) Moving expenses Certification bonus Internships/practicum experiences Flexible hours

21 Survey: Challenges to retaining NPs? Clinics vs. CAHs 79% 76% Yes 21% Clinics (n=77) Yes 24% Hospitals (n=42)

22 Survey: Challenges to retaining NPs? Clinics only, by rurality 100% 81% 70% Yes 19% Yes 30% Large rural (n=14) Small rural (n=28) Isolated rural (n=36)

23 Survey: Incentives used for retention 80% of clinics and 62% of hospitals report using some kind of incentive to retain NPs. Incentives used: Continuing education budget: 75% of clinics, 53% of CAHs Advanced training opptys: 34% of clinics, 26% of CAHs Tuition assistance: 21% of clinics, 26% of CAHs Cash bonuses: 17% of clinics, 19% of CAHs Cover cost of collaborative mgmt agmt: 34% of clinics, 15% of CAHs Mentor program: 16% of clinic, 9% of CAHs Other (each used by less than 5% of facilities) Flexible scheduling As an FQHC with flat rate, can focus on patient care, not volume Exploring cash/quality bonuses

24 Survey: Recruitment and retention recommendations Policy-level Address challenge of CMS rules for emergency rooms and other services require supervision levels by physicians not consistent with MN's Nurse Practice Act. Practice-level Team approaches Monthly Medical Staff meetings. Involvement of NPs in performance and process improvement: e.g., Monthly Drug Formulary review with team; and Post-Trauma Huddle. Good collaborating physicians. MD attitudes toward the FNP needs to be one of collaboration and respect. Examples of MDs not agreeing NPs should admit pts even when they have admitting privileges, or a bias toward hiring MDs vs. NPs. Compensation: Increase pay, esp. starting wages; reimburse mileage. Increase office visit times. Increase administrative time to get charting done. When covering call and clinic, establish guidelines where clinic visits are walk-in only.

25 Survey: Recruitment and retention recommendations, cont. Educational programs Expand enrollment in NP programs. Encourage NP programs at community colleges and/or remote (online). Create rural health care track or courses. Create an NP-to-MD track. Require that part of NP education be in a CAH and in a shortage area. Require a residency - NP training is limited to observation and is limited in scope. Expand number of training sites. Expand loan forgiveness programs. Create Additional incentives for individuals to go back to school to obtain NP or PA licenses, with incentives for practicing in rural areas. In-house educational/training support Grow your own : Set up an RN-to-NP loan payback program with paid time off for education. Mentoring new hires has been very successful. Provide CALS or ATLS training - gives greater sense of security in ER. Provide training early on in the Electronic Health Record system.

26 Survey: Would your CAH be interested in a distance education/hybrid model NP residency program? 58% Yes 42% n=43 Critical Access Hospitals

27 Survey: Suggestions for such an NP residency program? Inpatient/acute care training. Trauma training such as CALS this would ramp up observation of rural ER care. OB and/or surgery as part of the rural rotation. Admission/discharge abilities. Mentorship. Online training. Assistance with tuition/loan payback. Allow CAHs to sponsor an NP for an ER residency in a tertiary facility in exchange for years of service postresidency.

28 Discussion Reactions? Next steps?

Recruiting Advanced Practice Providers (APP s) for Hospital and Clinic-based Practices

Recruiting Advanced Practice Providers (APP s) for Hospital and Clinic-based Practices Exclusively Dedicated to Advanced Practice Providers Locum Tenens Contract to Hire Recruiting Advanced Practice Providers (APP s) for Hospital and Clinic-based Practices Presented by: David McAnally, CPC

More information

Primary Care Recruitment & Retention Programs in

Primary Care Recruitment & Retention Programs in Primary Care Recruitment & Retention Programs in Massachusetts Nicole Watson National Health Service Corps Specialist Primary Care Office Nicole.watson@state.ma.us The Mission The mission of these programs

More information

Media Packet 10-2009. NPAM@npedu.com 888-405-NPAM. PO Box 540 Ellicott City, MD 21041

Media Packet 10-2009. NPAM@npedu.com 888-405-NPAM. PO Box 540 Ellicott City, MD 21041 Media Packet What is a Nurse Practitioner NP Facts Who are the Nurse Practitioners in Maryland State of the State Quality of NP Practice NP Cost Effectiveness 10-2009 NPAM@npedu.com 888-405-NPAM PO Box

More information

PRIMARY CARE GEORGIA CHALLENGES, GEORGIA SOLUTIONS

PRIMARY CARE GEORGIA CHALLENGES, GEORGIA SOLUTIONS PRIMARY CARE GEORGIA CHALLENGES, GEORGIA SOLUTIONS FIVE KEY MEASURES Number of medical students vs. number of GME slots available Number of GA medical students staying in GA residency programs Number of

More information

INDUSTRY PERSPECTIVES

INDUSTRY PERSPECTIVES INDUSTRY PERSPECTIVES Behavioral Health: Staying ahead of the shortage As the demand for behavioral health professionals increases, facilities should consider what implications this may have on facility

More information

INDUSTRY PERSPECTIVES. Knowing your demographic: Exploring the utilization of locums physicians to expand business

INDUSTRY PERSPECTIVES. Knowing your demographic: Exploring the utilization of locums physicians to expand business INDUSTRY PERSPECTIVES Knowing your demographic: Exploring the utilization of locums physicians to expand business Justin Roark, Recruiting Principal, Delta Locum Tenens the Offering services appropriate

More information

The Physician Workforce. 2012 Physician Survey Report. Dianne Reynolds-Cane, MD, Director. Virginia Department of Health Professions

The Physician Workforce. 2012 Physician Survey Report. Dianne Reynolds-Cane, MD, Director. Virginia Department of Health Professions The Physician Workforce 2012 Physician Survey Report Dianne Reynolds-Cane, MD, Director Virginia Department of Health Professions Joint Commission on Health Care September 17, 2013 Updated 9/18/13 Healthcare

More information

Advance Practice Provider (APP) Compensation Models: Promoting Team Based Care. Wayne M. Hartley, Vice President AMGA Consulting Services

Advance Practice Provider (APP) Compensation Models: Promoting Team Based Care. Wayne M. Hartley, Vice President AMGA Consulting Services Advance Practice Provider (APP) Compensation Models: Promoting Team Based Care Wayne M. Hartley, Vice President AMGA Consulting Services 1 Presentation Overview AMGA Survey Overview and Demographics APP

More information

Health Workforce Analysis Program

Health Workforce Analysis Program Office of Rural Health and Primary Care Health Workforce Analysis Program Greater Minnesota Health Professional Demand Survey 2008 Highlights At the beginning of 2008, hospitals and clinics in Greater

More information

Bridging the Gap Between Education and Practice: NPs in Critical Access Hospitals. Nancy Stock, DNP, APRN-CNP Family Nurse Practitioner

Bridging the Gap Between Education and Practice: NPs in Critical Access Hospitals. Nancy Stock, DNP, APRN-CNP Family Nurse Practitioner Bridging the Gap Between Education and Practice: NPs in Critical Access Hospitals Nancy Stock, DNP, APRN-CNP Family Nurse Practitioner Gratitude for attending this session! Objectives 1. Discuss rural

More information

Federal Reform-Related Funding for the Health Care Workforce (May 2010)

Federal Reform-Related Funding for the Health Care Workforce (May 2010) Highlights of HRSA Stimulus Related (ARRA) for the Health Care Workforce ARRA includes $500 million for health workforce programs. $200 million is directed to scholarships, loans and loan repayment and

More information

Primary Care Recruitment & Retention Programs in Massachusetts

Primary Care Recruitment & Retention Programs in Massachusetts Primary Care Recruitment & Retention Programs in Massachusetts Nicole Watson Recruitment / Retention Program Specialist, Massachusetts Health Care Workforce Center Nicole.watson@state.ma.us The Massachusetts

More information

HEALTH CARE AND THE PRACTICE OF NON-PHYSICIAN CLINICIANS IN TEXAS Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants

HEALTH CARE AND THE PRACTICE OF NON-PHYSICIAN CLINICIANS IN TEXAS Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants APPENDIX C QUESTIONNAIRE Please fill out and bring to the meeting or FAX to CHEP, UTHSCSA (210-567- 7889) HEALTH CARE AND THE PRACTICE OF NON-PHYSICIAN CLINICIANS IN TEXAS Nurse Practitioners, Certified

More information

Physician Assistant Workforce: Growing Our Own ND Professionals

Physician Assistant Workforce: Growing Our Own ND Professionals Physician Assistant Workforce: Growing Our Own ND Professionals Jeanie McHugo, PhD, PA C Jay Metzger, MPAS, PA C Heidi Olson Fitzgerald, BSN, PA C Objectives Objective 1: At the conclusion of this session,

More information

Governors Health Reform Task Force

Governors Health Reform Task Force Governors Health Reform Task Force Workforce Work Group Mental Health and Substance Abuse Workforce Needs Nancy Dillon Ph.D, RN, CNS-BC Minnesota Department of Human Services Thanks to: Martha Aby, Children

More information

Physician Practice Acquisitions

Physician Practice Acquisitions Trend Watch: Physician Practice Acquisitions Tracking Which Physician Practices Hospitals are Acquiring Introduction Are hospitals actively acquiring physician practices? If so, which specialties? In this

More information

West Virginia Recruitment Programs

West Virginia Recruitment Programs West Virginia Recruitment Programs West Virginia has pioneered new approaches to educating medical and other health professions students in rural settings through the West Virginia Rural Health Education

More information

AAPA ANNUAL SURVEY REPORT

AAPA ANNUAL SURVEY REPORT 2013 AAPA ANNUAL SURVEY REPORT PHYSICIAN ASSISTANTS AT A GLANCE HIGHLIGHTS OF THE MEDIAN AGE CLINICALLY PRACTICING PAS BY PRIMARY SPECIALTY PRACTICE SETTING Primary Care 32.0% Surgical Subspecialties 27.0%

More information

Rural Health Advisory Committee s Rural Obstetric Services Work Group

Rural Health Advisory Committee s Rural Obstetric Services Work Group Rural Health Advisory Committee s Rural Obstetric Services Work Group Nov. 30th webinar topic: Training and residency issues for rural obstetric providers in Minnesota Audio: 888-742-5095, conference code

More information

Survey of Nurse Employers in California 2015

Survey of Nurse Employers in California 2015 Gordon and Better Moore Foundation Survey of Nurse Employers in California 2015 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, HealthImpact (formerly California Institute for Nursing

More information

North Dakota Nursing Needs Study

North Dakota Nursing Needs Study North Dakota Nursing Needs Study Faculty Survey Results Center for Rural Health North Dakota Center for Health Workforce Data June 2003 Patricia Moulton, Ph.D. Seth Christman Holly Dannewitz, B.A. Mary

More information

Narrative Description Physician Assistants

Narrative Description Physician Assistants Narrative Description Physician Assistant Utilization: Meeting Healthcare Workforce Needs Dawn Ludwig, PhD, PA-C Utilization of physician assistants (Pas) has been a growing workforce issue for Minnesota,

More information

direction in the midst of uncertainty SCMA Presentation 2012

direction in the midst of uncertainty SCMA Presentation 2012 direction in the midst of uncertainty SCMA Presentation 2012 so where are we? force #1: the affordable care act STRATEGIC DIRECTIONS OF Coverage Delivery system reforms Payment reforms Transparency Health

More information

Agenda 10/14/2015. Health Professional Shortage Areas (HPSAs)

Agenda 10/14/2015. Health Professional Shortage Areas (HPSAs) Tamara L. Houston, PA-C, MMSc., M.Ed Rogue Community Health 99 Central Ave Ashland, OR 97520 thouston@roguech.org Agenda Health Professional Shortage Areas Tax Credit: Oregon Rural Health Loan Cancellation:

More information

www.ruralhealth.kumc.edu

www.ruralhealth.kumc.edu www.ruralhealth.kumc.edu Recruitment Tools for Kansas Hospitals Presented by Joyce Grayson Director Rural Health Education & Services KU Medical Center Rural Health Education and Services Services Provided:

More information

THE DOCTOR CAN T SEE YOU NOW NEW YORK S PHYSICIAN SHORTAGE GROWS

THE DOCTOR CAN T SEE YOU NOW NEW YORK S PHYSICIAN SHORTAGE GROWS THE DOCTOR CAN T SEE YOU NOW NEW YORK S PHYSICIAN SHORTAGE GROWS DECEMBER 2009 KEY FINDINGS HANYS 2009 Physician Advocacy Survey Physician retirements are offsetting recruitment, and little progress is

More information

HEALTH WORKFORCE DATA, ANALYSIS AND PLANNING

HEALTH WORKFORCE DATA, ANALYSIS AND PLANNING NATIONAL HEALTH CARE WORKFORCE COMMISSION Sec. 5101 Created in 2010 Annually Reports to Congress; Second report on high priority areas HEALTH WORKFORCE DATA, ANALYSIS AND PLANNING Health Workforce Information

More information

Post-Graduate Nurse Practitioner Residency in Community Health. Lana Sargent FNP-C, GNP- BC Miguel Olmedo DNP Michelle Barth, FNP Resident

Post-Graduate Nurse Practitioner Residency in Community Health. Lana Sargent FNP-C, GNP- BC Miguel Olmedo DNP Michelle Barth, FNP Resident Post-Graduate Nurse Practitioner Residency in Community Health Lana Sargent FNP-C, GNP- BC Miguel Olmedo DNP Michelle Barth, FNP Resident Preparing Tomorrow s Primary Care Providers WE ARE A COMPREHENSIVE

More information

Daniel Geersen, MPAP, PA-C From Foams to Filters 2010

Daniel Geersen, MPAP, PA-C From Foams to Filters 2010 Daniel Geersen, MPAP, PA-C From Foams to Filters 2010 Topics 1. Nurse Practitioners / Physician Assistants 1. Demographics 2. Professional governance and regulations 3. Education 2. History of the Mid-level

More information

Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS. 800.780.3500 mdainc.com

Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS. 800.780.3500 mdainc.com Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS 800.780.3500 mdainc.com Overview OBJECTIVE The objective of this survey was to collect and quantify practice and compensation expectations

More information

Workforce Series: Physician Assistants

Workforce Series: Physician Assistants National Rural Health Association Policy Position Workforce Series: Physician Assistants Recruitment and Retention of Quality Health Workforce in Rural Areas: A Series of Policy Papers on the Rural Health

More information

Increased Role of NPs and PAs in your Practice. Kim R. Montee, MD Bonnie Hayslett, PA-C

Increased Role of NPs and PAs in your Practice. Kim R. Montee, MD Bonnie Hayslett, PA-C Increased Role of NPs and PAs in your Practice Kim R. Montee, MD Bonnie Hayslett, PA-C Kim R. Montee, M.D. Experience before medical school Training in Klamath Falls FNP experience in training FNP/PA in

More information

How to Hire International Medical Graduates with Ease by Ann Massey Badmus, Attorney at Law

How to Hire International Medical Graduates with Ease by Ann Massey Badmus, Attorney at Law May 2011 How to Hire International Medical Graduates with Ease by Ann Massey Badmus, Attorney at Law According to an American College of Physicians monograph published in 2008, International Medical Graduates

More information

Health Workforce Trends and Policy in Nevada and the United States

Health Workforce Trends and Policy in Nevada and the United States Health Workforce Trends and Policy in Nevada and the United States Tabor Griswold, PhD Health Services Research Analyst Office of Statewide Initiatives University of Nevada School of Medicine CHS Fall

More information

EHR Incentive Payments Medicare and Medicaid Indiana

EHR Incentive Payments Medicare and Medicaid Indiana EHR Incentive Payments Medicare and Medicaid Indiana OPTIMIZING EHR PAYMENTS William Rees, CPA Director 317-713-7942 brees@blueandco.com EHR Regulations EHR Incentive Legislation: American Recovery and

More information

Health Employer Survey

Health Employer Survey Health Employer Survey 1. Please specify the category of your healthcare organization* Percent Regional/Community Hospital 35.9% 23 Long Term Care 1.6% 1 Critical Access Hospital (CAH) 62.5% 40 FQHC 0.0%

More information

THE JANE R. PERLMAN NP/PA FELLOWSHIP IN EMERGENCY MEDICINE NORTHSHORE UNIVERSITY HEALTHSYSTEMS EVANSTON HOSPITAL

THE JANE R. PERLMAN NP/PA FELLOWSHIP IN EMERGENCY MEDICINE NORTHSHORE UNIVERSITY HEALTHSYSTEMS EVANSTON HOSPITAL Publication Year: 2014 THE JANE R. PERLMAN NP/PA FELLOWSHIP IN EMERGENCY MEDICINE NORTHSHORE UNIVERSITY HEALTHSYSTEMS EVANSTON HOSPITAL SUMMARY: The Jane R Perlman fellowship is a program for nurse practitioners

More information

The Physician Assistant (PA): A historical perspective & Utilizing PAs in the HealthCare Setting

The Physician Assistant (PA): A historical perspective & Utilizing PAs in the HealthCare Setting The Physician Assistant (PA): A historical perspective & Utilizing PAs in the HealthCare Setting Randy L. Orsborn, MPAS, PA-C, CLS Physician Assistant Knox Community Hospital Mount Vernon, Ohio Objectives

More information

Conclusion and Recommendations Chapter 6

Conclusion and Recommendations Chapter 6 Conclusion and Recommendations Chapter 6 Access to healthcare providers, including physicians, nurse practitioners (NPs), physician assistants (PAs), and certified nurse midwives (CNMs), is very important

More information

TEXAS ACADEMY OF PHYSICIAN ASSISTANTS

TEXAS ACADEMY OF PHYSICIAN ASSISTANTS TEXAS ACADEMY OF PHYSICIAN ASSISTANTS TAPA TEXAS ACADEMY OF PHYSICIAN ASSISTANTS TAPA was established as a non-profit organization in February 1975 PAs function in team-based care with physicians as provided

More information

Med Job Louisiana. Provider Recruitment and Retention for Louisiana. www.medjoblouisiana.com

Med Job Louisiana. Provider Recruitment and Retention for Louisiana. www.medjoblouisiana.com Provider Recruitment and Retention for Louisiana www.medjoblouisiana.com History of Med Job Louisiana Med Job Louisiana Staff and Services Funding Statewide Service Area Recruitment Success Economic Impact

More information

Loan Repayment Programs for Primary Care Clinicians in Medically Underserved Areas

Loan Repayment Programs for Primary Care Clinicians in Medically Underserved Areas Loan Repayment Programs for Primary Care Clinicians in Medically Underserved Areas Beth Baker, MDPH, Primary Care office 617-624-6049 Beth.baker@state.ma.us Tools The MA Loan Repayment Program for Health

More information

Overview. AACP Positions on Access to Psychiatric and Psychopharmacologic Services in Underserved Areas 1

Overview. AACP Positions on Access to Psychiatric and Psychopharmacologic Services in Underserved Areas 1 AMERICAN ASSOCIATION OF COMMUNITY PSYCHIATRISTS POSITION PAPER ON ENSURING ACCESS TO RECOVERY ORIENTED SAFETY NET PSYCHIATRIC SERVICES IN UNDERSERVED AND ECONOMICALLY DISTRESSED COMMUNITIES Overview The

More information

The Nurse Practitioner Role In Newfoundland & Labrador

The Nurse Practitioner Role In Newfoundland & Labrador The Nurse Practitioner Role In Newfoundland & Labrador Occupational Review for Nurse Practitioners 2015 Prepared for the Provincial Government of NL March 19, 2015 What is a Nurse Practitioner (NP)? A

More information

ADVANCED PRACTICE CLINICIAN PAY WHAT'S HAPPENING AND WHAT'S COMING

ADVANCED PRACTICE CLINICIAN PAY WHAT'S HAPPENING AND WHAT'S COMING ADVANCED PRACTICE CLINICIAN PAY WHAT'S HAPPENING AND WHAT'S COMING 2012, SULLIVAN, COTTER AND ASSOCIATES, INC. As health care organizations prepare to respond to physician shortages and a shift to outcomes

More information

Primary Care Physician Scan in Georgia: 2014

Primary Care Physician Scan in Georgia: 2014 Primary Care Physician Scan in Georgia: 2014 RECRUITMENT, RETENTION, AND COORDINATION Physician To Population Ratio Primary Care Physician Supply Georgia s Medical Workforce: Geographic 159 Counties:

More information

Development of Health Career Pathway for California. Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway

Development of Health Career Pathway for California. Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway Development of Health Career Pathway for California Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway 1 Current State As of February 2011, there were 9,458 psychiatric

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS Admission of trauma patients to non-trauma service Can a trauma patient be admitted to a non-trauma service, i.e., a hospitalist? A trauma patient that also has significant medical

More information

Healthcare Career Information: Opportunities, Trends, and Challenges

Healthcare Career Information: Opportunities, Trends, and Challenges Healthcare Career Information: Opportunities, Trends, and Challenges Cameron Macht Minnesota Dept. of Employment and Economic Development Regional Analyst Central & Southwest Regions (320) 231-5174 ext.

More information

Larry R. Kaiser, MD. President The University of Texas Health Science Center at Houston

Larry R. Kaiser, MD. President The University of Texas Health Science Center at Houston Larry R. Kaiser, MD President The University of Texas Health Science Center at Houston HealthCare Workforce: UTHealth Experience CHALLENGE To train the Healthcare Workforce of the 21 st Century SOLUTIONS:

More information

Advanced Practitioner Residency Application

Advanced Practitioner Residency Application Advanced Practitioner Residency Application Welcome to the Reliant Medical Group-MCPHS University Advanced Practitioner Residency program! Our program is one of the first of its kind in Massachusetts offering

More information

Challenges Recruiting and Retaining Healthcare Providers

Challenges Recruiting and Retaining Healthcare Providers Challenges Recruiting and Retaining Healthcare Providers A Surplus of Doctors?? For the past 25 years, the AMA and other industry groups have predicted an excess of doctors and worked to limit the number

More information

Billing and Coding Update in the Nursing Home 2015

Billing and Coding Update in the Nursing Home 2015 Billing and Coding Update in the Nursing Home 2015 Charles Crecelius MD PhD FACP CMD Agenda Review of nursing home basic coding requirements Use of NPP New Transition of Care code Ancillary CPT codes,

More information

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Physician Assistant Nurse Practitioner Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Explore many careers in healthcare ExploreHEALTHCareers Occupational Outlook Handbook Google

More information

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas RN Shortages in Hospitals March 1999, Vol. 1, No. 2 Nurses comprise the largest sector of the healthcare workforce and the majority of nurses work in hospitals. Because of the prominence and importance

More information

Who we are and what we do

Who we are and what we do Medical Education in North Carolina: What is the Return on Investment? Julie Spero, MSPH Erin Fraher, PhD MPP Who we are and what we do Program on Health Workforce Research & Policy Cecil G. Sheps Center

More information

Orthopedic NPs Exploring Specialty Care Career & Education Opportunities. Jackson Orthopaedic Foundation www.jacksonortho.org

Orthopedic NPs Exploring Specialty Care Career & Education Opportunities. Jackson Orthopaedic Foundation www.jacksonortho.org Orthopedic NPs Exploring Specialty Care Career & Education Opportunities Jackson Orthopaedic Foundation A.J. Benham, DNP & Kathleen Geier, DNP Jackson Orthopaedic Foundation 3317 Elm Street, Suit 201 Oakland,

More information

Advanced Nursing Practice: Past, Today and Tomorrow. sj 1

Advanced Nursing Practice: Past, Today and Tomorrow. sj 1 Advanced Nursing Practice: Past, Today and Tomorrow sj 1 Presented by 민설자 SUR JA MIN, MSN, RN, CNS, APRN Board of Director of Houston Korean Nurse Association Inc. 강선화 Sun Jones, DNP, RN, FNP- BC President

More information

TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE

TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE The Leader in Locum Tenens Staffing INTRODUCTION Today s Mobile Healthcare Work Force

More information

The Emergency Care Workforce in the U.S. August 2006

The Emergency Care Workforce in the U.S. August 2006 The Emergency Care Workforce in the U.S. August 2006 Prepared by the Center for Health Workforce Studies by Sandra McGinnis Jean Moore David Armstrong EXECUTIVE SUMMARY Emergency care systems in the United

More information

COMMISSION FOR HIGHER EDUCATION Friday, February 12, 2010

COMMISSION FOR HIGHER EDUCATION Friday, February 12, 2010 COMMISSION FOR HIGHER EDUCATION Friday, February 12, 2010 DECISION ITEM A-2: Master of Science in Physician Assistant Studies To Be Offered by Indiana State University at Terre Haute Staff Recommendation

More information

Healthcare Workforce Development Grant. Don Richards

Healthcare Workforce Development Grant. Don Richards Healthcare Workforce Development Grant Don Richards Nurse Practitioner Pipeline DNP PN ADN BSN ARNP MSN High School Health Science Students, General Public Some Nursing Program Completers exiting and some

More information

ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY

ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY NOVEMBER 2008 ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY

More information

Workforce Policy Updates

Workforce Policy Updates Workforce Policy Updates Jon Villasurda, MPH Policy Consultant www.mpca.net June 12, 2014 Agenda The Need for Workforce Policy Workforce Policy Updates State Federal MPCA Workforce Policy Priority The

More information

Why it is Cost Effective to Use a Physician Search Firm

Why it is Cost Effective to Use a Physician Search Firm January 2010 Why it is Cost Effective to Use a Physician Search Firm Guest Author: Thomas Grimes III, FACHE, retired CEO, Good Samaritan Community Healthcare, Puyallup, Washington. Tom currently leads

More information

NURSE RECRUITMENT STRATEGIES

NURSE RECRUITMENT STRATEGIES NURSE RECRUITMENT STRATEGIES With the national shortage of nursing professionals projected to reach one million by 2010, as well as the increasing evidence supporting the impact of nursing ratios on patient

More information

2015 National Nurse Practitioner Compensation Survey: An Overview June 2015

2015 National Nurse Practitioner Compensation Survey: An Overview June 2015 2015 National Nurse Practitioner Compensation Survey: An Overview June 2015 Contents Background... 1 Methods... 1 Results... 2 Demographic Characteristics... 2 Compensation... 2 Benefits... 2 Practice

More information

Progress Report. Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE

Progress Report. Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE Progress Report Program Evaluation Unit Legislative Finance Committee Date: August 21, 2015 Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE With the full implementation of the Affordable

More information

HR1722 House Study Committee on Medical Education. Cherri Tucker, Executive Director Georgia Board for Physician Workforce September 16, 2014

HR1722 House Study Committee on Medical Education. Cherri Tucker, Executive Director Georgia Board for Physician Workforce September 16, 2014 HR1722 House Study Committee on Medical Education Cherri Tucker, Executive Director Georgia Board for Physician Workforce September 16, 2014 1 Georgia Board for Physician Workforce Created in 1976 to increase

More information

PRIMARY CARE PHYSICIAN RECRUITMENT AND RETENTION PROGRAMS IN MASSACHUSETTS

PRIMARY CARE PHYSICIAN RECRUITMENT AND RETENTION PROGRAMS IN MASSACHUSETTS PRIMARY CARE PHYSICIAN RECRUITMENT AND RETENTION PROGRAMS IN MASSACHUSETTS THIS INFORMATION HAS BEEN COLLECTED THROUGH A COLLABORATIVE EFFORT BETWEEN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PRIMARY

More information

WORK IN COMMUNITIES IN NEED! RECEIVE A SCHOLARSHIP OR LOAN REPAYMENT IN RETURN. Monday, May 4, 2015 8pm to 9pm ET #NURSESWEEK

WORK IN COMMUNITIES IN NEED! RECEIVE A SCHOLARSHIP OR LOAN REPAYMENT IN RETURN. Monday, May 4, 2015 8pm to 9pm ET #NURSESWEEK WORK IN COMMUNITIES IN NEED! RECEIVE A SCHOLARSHIP OR LOAN REPAYMENT IN RETURN Monday, May 4, 2015 8pm to 9pm ET #NURSESWEEK BUREAU OF HEALTH WORKFORCE The NHSC is part of HRSA s Bureau of Health Workforce

More information

Practice Michigan Snapshot. Anne Rosewarne, President Michigan Health Council

Practice Michigan Snapshot. Anne Rosewarne, President Michigan Health Council Practice Michigan Snapshot Anne Rosewarne, President Michigan Health Council Demographics Physician Shortage Overview Projected national shortage of 200,000 physicians by 2020. 25% of the national physician

More information

Rural Recruitment and Retention: Utilizing 3RNet and State/Federal Student Loan Repayment Programs

Rural Recruitment and Retention: Utilizing 3RNet and State/Federal Student Loan Repayment Programs Rural Recruitment and Retention: Utilizing 3RNet and State/Federal Student Loan Repayment Programs RACHEL RUDDOCK RECRUITMENT AND RETENTION SERVICES MANAGER MICHIGAN CENTER FOR RURAL HEALTH MICHIGAN STATE

More information

Telehealth: Today & Tomorrow National Health Policy Forum

Telehealth: Today & Tomorrow National Health Policy Forum Telehealth: Today & Tomorrow National Health Policy Forum April 11, 2014 Karen E. Edison, MD Philip Anderson Prof. & Chair, Dept. of Dermatology Medical Director, Missouri Telehealth Network Director,

More information

You CAN work in New Mexico after you graduate AND earn money towards your educational debt

You CAN work in New Mexico after you graduate AND earn money towards your educational debt UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER FAMLY AND COMMUNITY MEDICINE CENTER FOR COMMUNITY PARTNERSHIPS RECRUITMENT AND RETENTION DO YOU WANT YOUR EDUCATION LOAN DEBT REPAID? DO YOU WANT TO STAY

More information

Health Care Workforce Center PRIMARY CARE PHYSICIAN RECRUITMENT PROGRAMS IN MASSACHUSETTS

Health Care Workforce Center PRIMARY CARE PHYSICIAN RECRUITMENT PROGRAMS IN MASSACHUSETTS Massachusetts Department of Public Health Health Care Workforce Center PRIMARY CARE PHYSICIAN RECRUITMENT PROGRAMS IN MASSACHUSETTS THIS INFORMATION HAS BEEN COLLECTED THROUGH A COLLABORATIVE EFFORT BETWEEN

More information

Telehealth: A tool for the 21 st century. Definitions

Telehealth: A tool for the 21 st century. Definitions Telehealth: A tool for the 21 st century Karen S. Rheuban MD Professor of Pediatrics Medical Director, Office of Telemedicine University of Virginia President, American Telemedicine Association Definitions

More information

Report on the Response of the University of Virginia Medical Center to the Impact of the Aging of Virginia s Population

Report on the Response of the University of Virginia Medical Center to the Impact of the Aging of Virginia s Population Report on the Response of the University of Virginia Medical Center to the Impact of the Aging of Virginia s Population November 15, 2007 Signature Page Pursuant to legislation enacted by the Virginia

More information

2013 Physician Inpatient/ Outpatient Revenue Survey

2013 Physician Inpatient/ Outpatient Revenue Survey Physician Inpatient/ Outpatient Revenue Survey A survey showing net annual inpatient and outpatient revenue generated by physicians in various specialties on behalf of their affiliated hospitals Merritt

More information

10/7/2015. Outcomes. Supporting Nurse Practitioners: Quiz

10/7/2015. Outcomes. Supporting Nurse Practitioners: Quiz Supporting Nurse Practitioners: Rebecca-Maria Norwick, RN, FNP, DNP-S Anitha Mullangi, MD, FAAFP Keely Uhlir, NP, MSN, Pediatric NP Mary Ellen Wilkosz, RN, FNP, PhD Outcomes What are the challenges of

More information

APP PRIVILEGES IN ORTHOPEDICS

APP PRIVILEGES IN ORTHOPEDICS APP PRIVILEGES IN ORTHOPEDICS Education/Training Licensure (Initial and Reappointment) Required Successful completion of a PA or NP program Current Licensure as a PA or RN in the state of CA Current certification

More information

Utilizing Physician Extenders to Achieve Group Practice Initiatives

Utilizing Physician Extenders to Achieve Group Practice Initiatives Utilizing Physician Extenders to Achieve Group Practice Initiatives Your presenters Debra Johansen, MBA, CMPE Chief Operating Administrator, HealthFirst Medical Group, Melbourne FL Richard Baney, Jr, MD,

More information

How Many Nurse Practitioners in Primary Care? There are significant differences

How Many Nurse Practitioners in Primary Care? There are significant differences How Many Nurse Practitioners in Primary Care? There are significant differences depending on how you count them Erin Fraher, PhD MPP with Yin Li, BM RN Program on Health Workforce Research & Policy Cecil

More information

APPLICATION FOR LOCUM TENENS AND CONTRACT STAFFING ORGANIZATIONS PROFESSIONAL LIABILITY

APPLICATION FOR LOCUM TENENS AND CONTRACT STAFFING ORGANIZATIONS PROFESSIONAL LIABILITY APPLICATION FOR LOCUM TENENS AND CONTRACT STAFFING ORGANIZATIONS PROFESSIONAL LIABILITY (CLAIMS MADE BASIS) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach

More information

Sue M. Nyberg, MHS, PA-C Chair and Associate Professor Wichita State University Department of Physician Assistant

Sue M. Nyberg, MHS, PA-C Chair and Associate Professor Wichita State University Department of Physician Assistant Sue M. Nyberg, MHS, PA-C Chair and Associate Professor Wichita State University Department of Physician Assistant First PA students enrolled at Duke University in 1967 Response to shortage and uneven distribution

More information

An Overview of Meaningful Use: FAQs

An Overview of Meaningful Use: FAQs An Overview of Meaningful Use: FAQs On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. This new law includes provisions (known as the HITECH Act)

More information

1970 1) Vanderbilt University established the first master s program to prepare nurse practitioners (NPs) in Tennessee.

1970 1) Vanderbilt University established the first master s program to prepare nurse practitioners (NPs) in Tennessee. Tennessee Nurses Association History of Advanced Practice Registered Nursing in Tennessee 1969 The 1969 Tennessee Medical Association (TMA)-Tennessee Nurses Association (TNA)-Tennessee Hospital Association

More information

Nebraska Family Physician Survey Report 2009

Nebraska Family Physician Survey Report 2009 Nebraska Family Physician Survey Report 2009 Office of Rural Health Department of Health and Human Services Thomas Rauner, PCO Director and Monica Sanford, Community Planning Intern December 7, 2009 Table

More information

Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective

Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Tracy Klein, MS, WHCNP,FNP Advanced Practice Consultant Oregon State Board of Nursing September 2006 Who determines your scope

More information

Nursing Workforce in South Carolina

Nursing Workforce in South Carolina Nursing Workforce in South Carolina Data Summary Report 2012-2013 Total Numbers/Degree Type South Carolina had a total of 40,520 licensed registered nurses (RNs) and advanced practice registered nurses

More information

Rural Psychiatry. Mohamed Ramadan MD MS Board Certified Psychiatrist Mohave Mental Health Clinic Bullhead City Arizona

Rural Psychiatry. Mohamed Ramadan MD MS Board Certified Psychiatrist Mohave Mental Health Clinic Bullhead City Arizona Rural Psychiatry Mohamed Ramadan MD MS Board Certified Psychiatrist Mohave Mental Health Clinic Bullhead City Arizona National Context Recognition of potential shortage by national groups: American Association

More information

Physician Assistant Program

Physician Assistant Program Physician Assistant Program Today s Session Overview of Physician Assistant (PA) Profession PA as a Future Career Path Admissions Requirements OHSU PA Program Q&A Opportunity Overview of the Profession

More information

Effective and Compliant Utilization of Nurse Practitioners and Physician Assistants

Effective 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 information

NP s and PA s Practice Issues and Beyond

NP s and PA s Practice Issues and Beyond NP s and PA s Practice Issues and Beyond Disclosures Neither presenter has any disclosures Daniel Wood, MPAS, PA-C Clinical Instructor Pediatrics Division of Critical Care Cathy Woodward, DNP, RN, PNP-AC

More information

Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education

Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education To the National Bipartisan Commission on the Future of Medicare Graduate Medical Education Study Group (January

More information

Assessing Rural-Urban Nurse Practitioner Supply and Distribution in 12 States Using Available Data Sources

Assessing Rural-Urban Nurse Practitioner Supply and Distribution in 12 States Using Available Data Sources Policy Brief #143 August 2015 Assessing -Urban Nurse Practitioner Supply and Distribution in 12 States Using Available Data Sources KEY FINDINGS Among 12 study states, estimates of each state s nurse practitioner

More information

THE ULTIMATE RECRUITMENT TOOL : PROVIDING CLINICAL TRAINING OPPORTUNITIES TO HEALTH PROFESSIONAL STUDENTS

THE ULTIMATE RECRUITMENT TOOL : PROVIDING CLINICAL TRAINING OPPORTUNITIES TO HEALTH PROFESSIONAL STUDENTS THE ULTIMATE RECRUITMENT TOOL : PROVIDING CLINICAL TRAINING OPPORTUNITIES TO HEALTH PROFESSIONAL STUDENTS Patrick J Enking, MS, PA-C, DFAAPA Northern Arizona University Physician Assistant Program LEARNING

More information

2009 REVIEW OF PHYSICIAN AND CRNA RECRUITING INCENTIVES

2009 REVIEW OF PHYSICIAN AND CRNA RECRUITING INCENTIVES 2009 REVIEW OF PHYSICIAN AND CRNA RECRUITING INCENTIVES 2009 Merritt Hawkins & Associates 5001 Statesman Drive Irving, Texas 75063 (800) 876-0500 MerrittHawkins.com SUMMARY REPORT 2009 REVIEW OF PHYSICIAN

More information

Psychiatric Mental Health Nurse Practitioner Clinical Nurse Specialist

Psychiatric Mental Health Nurse Practitioner Clinical Nurse Specialist Master of Science in Nursing Psychiatric Mental Health Nurse Practitioner Clinical Nurse Specialist An intensive Chapel Hill executive learning experience combined with practical distance education technology

More information

Advanced Practice Registered Nurse Legislation

Advanced Practice Registered Nurse Legislation Minnesota Nurses Association Advanced Practice Registered Nurse Legislation Minnesota Nurses Association Revised September, 2005 1625 Energy Park Drive, Suite 200 St. Paul, MN 55108 Phone: (651) 646-4807

More information