Richard Zwickel’s Post

As of 2022, Nurse Practitioners in New York can practice independently without physician supervision. However, NPs with fewer than 3,600 hours of practical experience must follow written practice protocols, enter into collaborative agreements with physicians, and file Form 4NP with NYSED. Learn more about how NPs can navigate these requirements and even start their own private practices! Link to blog: https://lnkd.in/eGu4GXin #NursePractitioners #Businesslaw #IndependentPractice #PLLC #NPs

In most of the country, nurse practitioners are able to deliver medical services for which they are licensed as independent providers. But in states like Pennsylvania, outdated and restrictive laws require NPs to be supervised by — and surrender part of their incomes to — physicians in order to do the work they've been trained and certified to do. To measure the effect these laws have on patients, we can look at nearby states that have already passed full practice authority legislation. Researchers found that counties in restrictive practice states bordering full practice authority states experienced a 20% decline in the number of NPs. Neighboring New York, Maryland, and Delaware already offer NPs full practice authority. It's clear that in order to keep talented NPs caring for patients here in Pennsylvania, we need to make PA an attractive state for nurses and NPs to work. Read more at: https://lnkd.in/eK8qgz9J #NursePractitioners #CareForPA #FullPracticeAuthority #AccessToCare #HealthcareAccess

"We continue to monitor, support, and raise awareness of why full practice authority is important to modernize the licensure laws to allow nurse practitioners to care for and provide resources for their patients," said Stephen Ferrara, DNP and President of AANP. "We know it will increase access to care." Dr. Ferrara recently spoke about the top goals, priorities, and challenges affecting NPs in the upcoming year. "Some of the opposition to full practice authority is the mistaken idea that it will allow NPs to do more than they are licensed to do. However, in states that require a regulated contract between an NP and MD—states without FPA—NPs are unable to provide care or prescribe medications without maintaining a physician contract," Dr. Ferrara continued. "Retiring that unnecessary bureaucratic requirement is an issue that appeals to a broad coalition of organizations. At the end of the day, it’s about increasing access to care." #NursePractitioners #FullPracticeAuthority #AccessToCare #CareForPA

The U.S. will face a shortage of up to 86,000 physicians by 2036. Primary care and family medicine are already experiencing the impact of this shortage as fewer physicians are going into primary care. At the same time, the U.S. population is increasing and growing older as people continue to live longer. Between 2013-2019, health care visits delivered by nurse practitioners and physician assistants in a year increased from 14.0% to 25.6%, according to an analysis from Harvard Medical School researchers. Nurse practitioners and physician assistants now account for a quarter of health care visits! And with full practice authority, more Pennsylvania patients would be able to access high-quality NP care. #NursePractitioners #CareForPA #FullPracticeAuthority #HealthcareAccess #PatientCare #AccessToCare #AdvancedPracticeProviders

"academic literature finds no evidence of harm". A total BS argument. There has NEVER been a good study done. The studies the nurses put forth as "proof" are uniformly bad. One study often cited is by Laurant. It looked at 8885 studies purporting to look at quality of care and could find only 18 that were of sufficient quality to evaluate. These were the best of the best studies. NOT ONE evaluated the accuracy of diagnosis or the accuracy of treatment. 3 of them compared Nurses doing triage to physicians doing triage and found no more deaths in the nurse triage groups. 10 of 18 tested only the NPs ability to follow an algorithm set up by physicians. In 14 studies - anyone significantly ill was excluded from NP care. In 15 of 18, physicians supervised the nurses, in the other three there was no comment about this. THIS is the quality of the research that is available. I know you haven't read and evaluated it yourself, you only parrot what the AANP gaslights legislators with. I am a physician researcher and this is the worst excuse for research I have seen in my many decades of practice. No one should believe this statement, and by extension, no one should be believe you. You do not know what you are writing about.

There are SO many serious concerns in the US right now, especially in healthcare: private equity firms driving hospitals into the ground, widespread abuse and fraud, profound inequity in access and outcomes. We don't need to be inventing turf wars (in my head physicians snapping their fingers like West Side story as they approach a group of new grad NPs and PAs). I promise you, and evidence supports, there're more than enough patients for the amount of providers. Opponents of nurse practitioners contend that quality of care may suffer under the direction of a non-physician practitioner, citing the shorter length of training and clinical experience required. Their argument is that restrictions are necessary to protect public health. However, academic literature finds no evidence of harm to patients associated with less-restrictive Scope of Practice (SOP) laws. When no harm is present, the restrictions serve only to generate artificial barriers to care that ultimately provide physicians with protection from competition, prevent the attainment of system-wide efficiencies, and constrain overall provider capacity The truth is that NPs provide a substantial portion of the high-quality, cost-effective care that communities nationwide require. According to MedPAC, APRNs and PAs comprise approximately one-third of our primary care workforce, and up to half in rural areas. NPs are essential to providing equitable access to care for all communities, including a substantial portion of health care in rural areas and areas of lower socioeconomic and health status. We're here, we deliver high quality care, get over it. ✌ #nursepractitioner #americanhealthcare #bloomberg #nursing #healthcare #nurse

Aged care the ‘best place’ for alternative models of primary care 🧓🏻 A nurse practitioner, rather than a GP, may be the only practical solution to caring for older Australians in aged care homes, says a health services professor. https://lnkd.in/gtytKmsY #generalpractice #primarycare #familymedicine

Take a read of Steven Lewis's column: The health care fix too obvious to implement. The solution to Canada's primary care access gap is for communities to grow their own roster of nurse practitioners (NPs). #nursepractitioner #primarycare

Strengthening the nursing workforce has been a hot topic lately, and many posts have highlighted the crucial role of Nurse Educators in achieving this goal. It's great to see this recognition finally happening! 👏❤️ #Nursing #NurseEducators #Healthcare #WorkforceDevelopment