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"Advanced Practice Provider"

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https://www.readbyqxmd.com/read/27850794/1157-nurses-perception-of-resident-and-advanced-practice-provider-critical-care-teams
#1
James Lunn, Peter Sandor, Zachary Lavender, Cathy Roy, Prashant Grover
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850047/407-implementation-of-a-critical-care-ultrasonography-workshop-for-advanced-practice-providers
#2
Brooke Bailey, Courtney Cook, April Kapu
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27828887/comprehensive-geriatric-assessment-for-trauma-operationalizing-the-trauma-quality-improvement-program-directive
#3
Stephanie Devore, Sara E Parli, Douglas R Oyler, Andrew Bernard
Elderly patients are the fastest growing trauma demographic and present some of the most complicated clinical challenges. This feasibility study employed observational data from a geriatric cohort. Comprehensive geriatric assessments (CGAs) were performed biweekly on eligible patients, 65 years or older, who met screening criteria. Mobility, activities of daily living impairment, frailty, and depression were screened and documented, and along with summative recommendations, were entered into the medical record, communicated to the patient's primary care provider, and discussed with family...
November 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/27823696/comparative-effectiveness-of-outpatient-cardiovascular-disease-and-diabetes-care-delivery-between-advanced-practice-providers-and-physician-providers-in-primary-care-implications-for-care-under-the-affordable-care-act
#4
Salim S Virani, Julia M Akeroyd, David J Ramsey, Winston J Chan, Lorraine Frazier, Khurram Nasir, Suja S Rajan, Christie M Ballantyne, Laura A Petersen
BACKGROUND: The objective was to compare quality of diabetes and cardiovascular disease (CVD) care between advanced practice providers (APPs) and physicians in a primary care setting. METHODS: We identified diabetes (n=1,022,588) and CVD (n=1,187,035) patients receiving primary care between October 2013 and September 2014 in 130 Veterans Affairs facilities. We compared glycemic control (hemoglobin A1c <7%) in diabetic patients, blood pressure (BP) <140/90 mmHg in diabetic or CVD patients, cholesterol control (low-density lipoprotein cholesterol<100 mg/dL, receiving a statin) in diabetic or CVD patients, and those receiving a β-blocker (with history of myocardial infarction in the last 2 years) among patients receiving care from physicians and APPs...
November 2016: American Heart Journal
https://www.readbyqxmd.com/read/27777663/factors-associated-with-resident-continuity-in-ambulatory-training-practices
#5
Robert J Fortuna, Lynn Garfunkel, Michael D Mendoza, Megan Ditty, Julia West, Karen Nead, Brett W Robbins
BACKGROUND : Continuity of care is a critical element of residents' educational experience in primary care programs. OBJECTIVE : We examined how continuity in resident practices compares to nonteaching practices, identified factors associated with increased continuity, and explored the association between continuity and quality measures. METHODS : We analyzed 117 235 patient visits to 4 resident practices (26 resident teams in internal medicine, pediatrics, family medicine, and medicine-pediatrics) and 270 242 visits to nonteaching community practices between July 2013 and May 2014...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27708827/surgical-readmissions-results-of-integrating-pre-peri-and-postsurgical-care
#6
Katia Noyes, Janet Baack-Kukreja, Edward M Messing, Luke Schoeniger, Eva Galka, Wei Pan, Cai Xueya, Fergal J Fleming, John Rt Monson, Supriya G Mohile, Todd Francone
AIMS: To explore the feasibility of recruiting surgical oncology patients and implementing a surgical integrated discharge (SID) programme led by advanced practice providers (APP). BACKGROUND: Burden of illness and complexity of treatment regimen makes it challenging for surgical oncology patients to participate in research. Surgical oncology nurses may have the necessary expertise to overcome this problem. DESIGN: Controlled longitudinal prospective observational study...
July 2016: Nursing Open
https://www.readbyqxmd.com/read/27697316/time-driven-activity-based-costing-to-identify-opportunities-for-cost-reduction-in-pediatric-appendectomy
#7
Yangyang R Yu, Paulette I Abbas, Carolyn M Smith, Kathleen E Carberry, Hui Ren, Binita Patel, Jed G Nuchtern, Monica E Lopez
PURPOSE: As reimbursement programs shift to value-based payment models emphasizing quality and efficient healthcare delivery, there exists a need to better understand process management to unearth true costs of patient care. We sought to identify cost-reduction opportunities in simple appendicitis management by applying a time-driven activity-based costing (TDABC) methodology to this high-volume surgical condition. METHODS: Process maps were created using medical record time stamps...
September 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27681513/advanced-practice-providers-perceptions-of-patient-workload-results-of-a-multi-institutional-survey
#8
April N Kapu, Carmel A McComiskey, Lacey Buckler, Jennifer Derkazarian, Tammy Goda, Maria A Lofgren, Colleen K McIlvennan, Julie Raaum, Patricia M Selig, Corinna Sicoutris, Barbara Todd, Vicki Turner, Elizabeth Card, Nancy Wells
OBJECTIVE: This study examines data collected from a survey of advanced practice providers' (APPs') perceptions of reasonable versus actual APP-to-patient ratios and other factors that affect workload burden in both inpatient and outpatient clinical settings. BACKGROUND: Advanced practice providers provide accessible, cost-effective, and quality care in a growing number of specialty practices across multiple patient care settings. They are caring for higher volumes of patients and assuming more responsibilities while continuing to navigate highly complex healthcare systems...
October 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27671700/communication-leadership-and-decision-making-in-the-neuro-icu
#9
Stephen Trevick, Minjee Kim, Andrew Naidech
The Neuro-ICU is a multidisciplinary location that presents peculiar challenges and opportunities for patients with life-threatening neurological disease. Communication skills are essential in supporting caregivers and other embedded providers (e.g., neurosurgeons, advanced practice providers, nurses, pharmacists), through leadership. Limitations to prognostication complicate how decisions are made on behalf of non-communicative patients. Cognitive dysfunction and durable reductions in health-related quality of life are difficult to predict, and the diagnosis of brain death may be challenging and confounded by medications and comorbidities...
November 2016: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/27632677/a-comparison-of-usage-and-outcomes-between-nurse-practitioner-and-resident-staffed-medical-icus
#10
Rachel Scherzer, Marie P Dennis, Beth Ann Swan, Mani S Kavuru, David A Oxman
OBJECTIVE: To compare usage patterns and outcomes of a nurse practitioner-staffed medical ICU and a resident-staffed physician medical ICU. DESIGN: Retrospective chart review of 1,157 medical ICU admissions from March 2012 to February 2013. SETTING: Large urban academic university hospital. SUBJECTS: One thousand one hundred fifty-seven consecutive medical ICU admissions including 221 nurse practitioner-staffed medical ICU admissions (19...
September 14, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27625063/longitudinal-cohort-study-to-determine-effectiveness-of-a-novel-simulated-case-and-feedback-system-to-improve-clinical-pathway-adherence-in-breast-lung-and-gi-cancers
#11
Timothy Kubal, Doug G Letson, Alberto A Chiappori, Gregory M Springett, Riti Shimkhada, Diana Tamondong Lachica, John W Peabody
OBJECTIVES: This study examined whether a measurement and feedback system led to improvements in adherence to clinical pathways. DESIGN: The M-QURE (Moffitt-Quality, Understanding, Research and Evidence) Initiative was introduced in 2012 to enhance and improve adherence to pathways at Moffitt Cancer Center (MCC) in three broad clinical areas: breast, lung and gastrointestinal (GI) cancers. M-QURE used simulated patient vignettes based on MCC's Clinical Pathways to benchmark clinician adherence and monitor change over three rounds of implementation...
September 13, 2016: BMJ Open
https://www.readbyqxmd.com/read/27618270/improving-icu-based-palliative-care-delivery-a-multicenter-multidisciplinary-survey-of-critical-care-clinician-attitudes-and-beliefs
#12
Nicholas G Wysham, May Hua, Catherine L Hough, Stephanie Gundel, Sharron L Docherty, Derek M Jones, Owen Reagan, Haley Goucher, Jessica Mcfarlin, Christopher E Cox
OBJECTIVE: Addressing the quality gap in ICU-based palliative care is limited by uncertainty about acceptable models of collaborative specialist and generalist care. Therefore, we characterized the attitudes of physicians and nurses about palliative care delivery in an ICU environment. DESIGN: Mixed-methods study. SETTING: Medical and surgical ICUs at three large academic hospitals. PARTICIPANTS: Three hundred three nurses, intensivists, and advanced practice providers...
September 9, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27613166/incorporating-geriatric-medicine-providers-into-the-care-of-the-older-adult-with-cancer
#13
REVIEW
Allison Magnuson, Beverly Canin, G J van Londen, Beatrice Edwards, Pamela Bakalarski, Ira Parker
A significant proportion of cancer patients and survivors are age 65 and over. Older adults with cancer often have more complex medical and social needs than their younger counterparts. Geriatric medicine providers (GMPs) such as geriatricians, geriatric-trained advanced practice providers, and geriatric certified registered nurses have expertise in caring for older adults, managing complex medical situations, and optimizing function and independence for this population. GMPs are not routinely incorporated into cancer care for older adults; however, their particular skill set may add benefit at many points along the cancer care continuum...
November 2016: Current Oncology Reports
https://www.readbyqxmd.com/read/27605322/collaborative-practice-model-for-management-of-pain-in-patients-with-cancer
#14
Kathryn J Hammer, Eve M Segal, Laura Alwan, Shan Li, Amila M Patel, Melinda Tran, Helen M Marshall
PURPOSE: The use of a collaborative drug therapy agreement (CDTA) by oncology pharmacists in a comprehensive pain clinic is described. SUMMARY: Recognizing the complex clinical services required by patients with cancer, the Seattle Cancer Care Alliance began offering cancer pain management through a specialized pain service. Initially, the clinic was staffed by one attending physician; however, as the volume of patient referrals increased, the clinic expanded into an interprofessional team that includes physicians, advanced practice providers, nurses, and pharmacists...
September 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27605319/clinical-pharmacist-prescribing-activities-in-the-veterans-health-administration
#15
Heather Ourth, Julie Groppi, Anthony P Morreale, Kimberly Quicci-Roberts
PURPOSE: A comprehensive overview of clinical pharmacist prescribing authority and collaborative drug therapy management activities within the Veterans Health Administration (VHA) is presented. SUMMARY: In VHA terminology, "scope of practice" (SOP) denotes authorization to perform as an advanced practice provider, autonomously or collaboratively managing all facets of a patient's disease or condition; VHA clinical pharmacists with an SOP have prescribing authority...
September 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27601511/increase-in-cancer-center-staff-effort-related-to-electronic-patient-portal-use
#16
Andrew L Laccetti, Beibei Chen, Jennifer Cai, Samantha Gates, Yang Xie, Simon J Craddock Lee, David E Gerber
PURPOSE: Electronic portals provide patients with real-time access to personal health records. Use of this technology by individuals with cancer is particularly intensive. We therefore examined patterns of use of electronic portals by clinic staff at a National Cancer Institute-designated comprehensive cancer center. METHODS: We identified and characterized cancer center providers and clinic staff who performed electronic activities related to MyChart, the institution's personal health records portal, from 2009 to 2014...
September 6, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27585047/advanced-practice-providers-in-the-post-work-hour-era-perceptions-reality-and-future-directions
#17
Amanda B Levin, Tessie W October
No abstract text is available yet for this article.
September 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27584897/unpacking-macra-the-proposed-rule-and-its-implications-for-payment-and-practice
#18
Camille Haycock, Michelle L Edwards, Christopher S Stanley
The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that details a consolidated pay-for-performance provider payment system within the Medicare Access and CHIP Reauthorization Act. This proposed rule establishes policy for the new provider Merit-Based Incentive System and Alternative Payment Models. While the rule is extremely complex, and not yet finalized, there are significant implications for nursing and advanced practice providers. This proposed rule intends to drastically change the current provider payment system and reward providers who demonstrate better quality outcomes at a lower cost...
October 2016: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27528102/advanced-practice-providers-improve-efficiency-and-decrease-costs-in-outpatient-oral-and-maxillofacial-surgery
#19
Cory M Resnick, Kimberly M Daniels, Susan J Flath-Sporn, Michael Doyle, Ronald Heald, Bonnie L Padwa
PURPOSE: To determine the effects on time, cost, and complication rates of integrating advanced practice providers (APPs) into the procedural components of an outpatient oral and maxillofacial surgery practice. MATERIALS AND METHODS: This is a prospective cohort study of patients from the Department of Plastic and Oral Surgery at Boston Children's Hospital who underwent removal of 4 impacted third molars with intravenous sedation in our outpatient facility. Patients were separated into the "no APP group" and APP group...
July 22, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27477614/implementation-of-telemedicine-consultation-to-assess-unplanned-transfers-in-rural-long-term-care-facilities-2012-2015-a-pilot-study
#20
Joshua Hofmeyer, Jonathon P Leider, Jennifer Satorius, Erin Tanenbaum, David Basel, Alana Knudson
INTRODUCTION: Public and private entities in the United States spend billions of dollars each year on potentially avoidable hospitalizations. This is a common occurrence in long-term care (LTC) facilities, especially in rural jurisdictions. This article details the creation of a telemedicine approach to assess residents from rural LTC facilities for potential transfer to hospitals. METHODS: An electronic LTC (eLTC) pilot was conducted in 20 pilot LTC facilities from 2012-2015...
July 28, 2016: Journal of the American Medical Directors Association
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