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Background In response to physician shortages, economic pressures to contain costs, and evolving hospital policies that appreciate the skills and quality of care that nurse practitioners (NPs) provide, U.S. emergency departments (EDs) employ approximately 16,000 NPs. Recognizing that outcomes of patient care are impacted by providers’ educational preparation and training, licensure and certification, and scope...
Every few years, New Jersey faces the monumental question of whether to expand a professional group’s scope of practice. This year, advanced practice nurses (APNs) lead the charge. At the onset of the pandemic, Gov. Phil Murphy issued executive order No. 112 permitting APNs to practice without any physician involvement or consultation. This well-intentioned order was a...
Pregnant and scared, Natasha Valle went to a Tennova Healthcare hospital in Clarksville, Tenn., in January 2021 because she was bleeding. She didn’t know much about miscarriage, but this seemed like one. In the emergency room, she was examined then sent home, she said. She went back when her cramping became excruciating. Then home again....
Professions play a key role in determining the division of labor and the returns to skilled work. This paper studies the productivity difference between physicians and nurse practitioners (NPs), two health care professions performing overlapping tasks but with stark differences in background, training, and pay. Using data from the Veterans Health Administration and quasi-experimental variation...
Nurse practitioners (NPs) delivering emergency care without physician supervision or collaboration in the Veterans Health Administration (VHA) increase lengths of stay by 11% and raise 30-day preventable hospitalizations by 20% compared with emergency physicians, says a working paper published by the National Bureau of Economic Research. AMA Recovery Plan for America’s Physicians After fighting for...
Newly introduced legislation promotes an antiquated model of care, breaking up the team – Coalition promotes collaborative care team model as foundation for success Trenton, NJ – Today, the Access to Care Coalition, which is comprised of 19 physician specialty organizations with more than 31,000 New Jersey physician members, launched a campaign to highlight  the importance of...

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