Hospitals Hindering Nurse Practitioners

Monday, July 28, 2014

Joseuly Claudio, 53, gets weekly checkups from Nurse Practitioner Mary McDonagh at Mt. Sinai Hospital's PACT clinic. (Fred Mogul)

As the Affordable Care Act brings many new people into the healthcare system, hospitals are increasingly turning to nurse practitioners to ease wait times for patients. They're trained to do much of what primary care doctors traditionally do, but a new report by the Columbia University School of Nursing says many hospitals aren't putting their skills and education to good use.

"Nurse practitioner numbers are increasing and organizations are unfamiliar with hiring and retaining this kind of provider," said researcher Lusine Poghosyan. "If we expect nurse practitioners to provide high quality care, then they need to have access to information, resources, and staff support."

A new state law will give nurse practitioners more independence. Currently they need to be supervised by physicians, but starting in January, they will be able to diagnose medical conditions, treat patients and prescribe medication without having to consult a doctor.



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Comments [2]

Ian from NYC

I went to a Family Nurse Practitioner for a long time and I honestly thought she knew more about medicine then allot of doctors I knew. I was sorry to see her let go from the hospital she worked for. The hospital said they got reimbursed more for a doctor then a Family Nurse Practitioner so it wasn't cost effective to keep her. I think this is ridiculous, one of the ironies of modern medicine.

Jul. 28 2014 12:25 PM
Michele Handelman from NYC

A second inaccuracy, (in one week! )in your reporting about NPs. Last week you said only doctors can place IUD. Today's report stated NPs will no longer need "consult" with doctor to diagnose, prescribe etc. They did not need consult before. New law allows NP to practice without a "written collaborative practice agreement". Any NP may and will consult within a defined scope of practice dictated by practice setting and patient issue.. But that is not legislated. Report was very unclear about how NP s can and have been doing the above independently all along.
Michele Handelman MS, RN, CNM, FNP

Jul. 28 2014 07:42 AM

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