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Current Legal And Regulatory Issues For Advanced Practice Case Study

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Current Legal and Regulatory Issues for Advanced Practice. Introduction The role of Advanced Practice Registered Nurses (APRNs) is critical to ensuring high-quality healthcare for patients (Tipton, 2021). However, APRNs' ability to practice independently and their level of autonomy can vary depending on state-specific regulations (Phillips, 2024). While some states provide full practice authority, others impose restrictions that can affect APRNs' ability to provide optimal care. It is important to understand this interplay to maximize the contribution of APRNs to healthcare delivery. Importance of the APRN scope of practice Tipton (2021) emphasizes its critical role in ensuring patient access to high-quality care. Tipton highlights how the …show more content…

ARNPs in Washington State are responsible for continuously and comprehensively managing a wide range of patient care concerns and problems (Phillips, 2024). ARNPs are legally authorized to serve as Primary Care Providers (PCPs), admit patients to hospitals, and hold hospital privileges. However, credentialing decisions are at the discretion of hospitals and medical staff (Phillips, 2024). APRN in Washington State Florida Vs. Washington state practice Key legal, regulatory, and credentialing issues facing APRNs Scope of Practice Restrictions: APRNs face varying state regulations that limit their ability to practice independently, hindering their full utilization of skills (Buck, 2021) Credentialing and Certification Requirements: APRNs must meet stringent certification criteria, but changes and variations across states challenge maintaining credentials (Buck, 2021). State Licensure and Interstate Practice: Obtaining licenses in multiple states is burdensome for APRNs, limiting their ability to practice across state borders efficiently (Buck,

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65 Words | 1 Pages

Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).

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FMLA and ACA in regards to APRN or NPs Introduction The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. Indeed, the nursing profession is making a wide-reaching impact by providing quality, patient-centered, accessible, and affordable care. - Institute of Medicine

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Advanced Registered Nurse Practitioners and other health care professionals may be granted defined clinical privileges when allowed by law and the

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With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.

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If state laws and licensure approved independent practice, physician assistant’s range of practice would be limited based on the PAs skills and knowledge. If physician assistants were permitted to practice independently, would the independence overshadow the actual care given; meaning how many patients would the PA actually be able to see and treat without referring to a higher level of care? This will ultimately determine if PAs practicing independently will be helpful to satisfying the healthcare demand. No study was found to further determine the productivity of the PA practicing

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Even nurse practitioners themselves can be perplexed about what they are legally allowed to do in their state. Much of the confusion revolves around the differences between physicians, physician assistants and nurse practitioners. In order to start to diffuse the confusion regarding the role of the NP, Buppert (2015) offers many definitions but one that is succinct and understandable is the one offered by a national NP organization relaying “Nurse practitioners are registered nurses who are prepared, through advanced education and clinical training, to provide a wide range of preventive and acute healthcare services to individuals of all ages”

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The Independence of Nurse Practitioners and Physician Assistants There has always been a struggle in the medical field as to the scope of work and the recompense of the Nurse Practitioners also known as NPs and the Physician Assistants also known as PAs (Buppert, 2005). They argue that they can do about 70% of what the Physicians do. They, therefore, feel like they should be allowed to practice independently and not under the direction of the Physicians (SCHNEIDER, 2010). This paper delves into finding what each of the professions entail and seeing whether it is appropriate for the elimination of the laws restricting the independent practice by the Physician Assistants and the Nurse Practitioners.

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Appropriately, competent and adequately trained Advanced Nurse Practitioners (ANP) are capable of being primary care providers. ANP's will alleviate the shortage of primary care providers in CHC's, assist with providing health care to patients, and ensure continuity of delivering affordable health care. Socioeconomic barriers and health care disparities have prevented many patients from receiving quality health care which has limited their quality of

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With the passage of the Affordable Care Act (ACA), the number of people with health insurance has risen, however, the pressure to decrease costs by reducing hospital stays and readmission rates, among others has fortunately been met with a much needed increase in numbers of advanced practitioners including PAs. The Bureau of Labor estimates a 30% rise in the number of working PAs by 2024. The ACA even listed PAs as one of three categories of primary care providers along with doctors and nurse practitioners, recognizing these clinicians as essential to improving the health care process. The Centers for Medicare and Medicaid Services (CMS) also recognize the important role played by physician assistants and have chosen to include them as part of the Quality Payment Program which attaches quality healthcare to reimbursement rates (Corley,

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However, many barriers are still exist in their practice such as, state practice and licensure, physician related issues, payer policies and restricted prescriptive privileges. The APRN practice is regulated by state licensure, only one third of the nation has adopted full practice authority licensure and practice laws for APN. Variation in scope of practice across states has a direct impact on patient care as the supervision of physician may affect opportunities and payer policies of APN. Consequently, it is important to have full practice authority for APNS to reduce these barriers. Many physician professional organizations still believe that APNs are incapable of providing quality and safe care at the physician’s level.

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Initial Post (1/18/2023) - THE ROLE OF THE RN/APRN IN POLICY-MAKING Two Opportunities for Nurses to Participate in Policy-making Opportunities for Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) to actively participate in policy-making include serving on boards, committees and lobbying for legislation. First, RNs and APRNs can serve on boards and committees at the national, state, and local levels. These committees and boards address healthcare regulations and policies that impact nursing practice and patient care. For example, serving on a hospital's quality improvement committee or a state board of nursing.

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561 Words | 3 Pages

The Nurse Practice Act represents all the laws for each state that a nurse practitioner follows including the regulations for the nurse practitioners scope of practice. Each state holds its own statutes and regulations for the APN to follow for their practice. In the state of Kentucky, the advanced practice nurse is defined under the Kentucky Regulation Statutes as the “performance of additional acts by registered nurses licensed as APRNs” (Kentucky Board of Nursing, 2017, p.1).

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APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with

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The AACN competencies require that DNP must, “facilitate collaborative team functioning and overcome impediments to interprofessional practice” (p. 14). As the advanced practice nurse seeks to move past the historical superior/subordinate roles between nursing and medicine (Price, Doucet & McGillis, 2013), the DNP must clarify succinctly to other health care professionals and advocate for the role and the value of advanced practice nursing (Lowe, Plummer, O’Brian, A.P. & Boyd, 2012). This Interprofessional collaboration is essential for providing comprehensive care for the patient. Clinical Prevention and Population Health for Improving the Nation’s Health Preventative care, health education and health promotion, are cornerstones of DNP/NP practice. Lowe, Plummer, O’Brian, A.P. & Boyd state, “The competence of NPs to manage patient care in a comparable manner to physicians, with high levels of patient satisfaction, combined with increased advice on education, health promotion and follow-up advice has been well reported...” and that evidence suggests that, “NPs might better deliver care due to the very nature of an integrated approach to practice” (p. 679).

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As the U.S. population ages and chronic disease rates rise, the demand for NPs will increase. Their qualifications, cost-effectiveness, and capacity for superior care position them to meet this escalating need for health services (Cooper, 2017). The IOM's specific suggestions for NPs include enabling them to practice in accordance with their education and training, which includes prescribing medications, interpreting tests, and patient admission and discharge.

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