Optimizing Care Teams by Leveraging Advanced Practice Providers Through Strategic Workforce Planning.


Journal

The Journal of nursing administration
ISSN: 1539-0721
Titre abrégé: J Nurs Adm
Pays: United States
ID NLM: 1263116

Informations de publication

Date de publication:
01 Sep 2022
Historique:
entrez: 22 8 2022
pubmed: 23 8 2022
medline: 25 8 2022
Statut: ppublish

Résumé

Advanced practice providers (APPs) are integral members of the healthcare delivery team. However, there has been a lack of standardization and uniformity in how they are utilized across inpatient, ambulatory, and procedural settings. A multidisciplinary workforce planning committee was formed in March 2021 to evaluate all new and replacement full-time equivalent APP positions at Stanford Health Care (SHC), an academic medical center of more than 600 APPs, to optimize and standardize the role of APPs as per national benchmarks. Six months since the launch of the committee, there has been a 10% increase in the number of visits and procedures performed by APPs providing better access for patients. In addition, there has been a 38.7% improvement in ambulatory APPs meeting their productivity target, 19.4% improvement in ambulatory APPs meeting utilization targets, and 36.8% improvement in ambulatory APPs meeting the 50th percentile and above as per the relative value unit benchmark published by the Medical Group Management Association for Academic Medical Centers. For inpatient APPs, there has been a 38.8% improvement in APPs meeting the average daily census target. APP utilization is an important topic that has not been consistently addressed in the literature. Inappropriate utilization and lack of top of licensure practice have been associated with increased turnover, decreased job satisfaction, and professional development. By developing a multidisciplinary workforce planning committee, full-time employee positions are evaluated with a goal of optimizing and standardizing the role of APPs at SHC.

Identifiants

pubmed: 35994601
doi: 10.1097/NNA.0000000000001185
pii: 00005110-202209000-00008
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

474-478

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

American Association of Medical Colleges. AAMC report reinforces mounting physician shortage. https://www.aamc.org/news-insights/press-releases/aamc-report-reinforces-mounting-physician-shortage . Published June 11, 2021. Accessed August 31, 2021.
Moote M, Krsek C, Kleinpell R, Todd B. Physician assistant and nurse practitioner utilization in academic medical centers. Am J Med Qual . 2011;26(6):452–460. doi:10.1177/1062860611402984.
doi: 10.1177/1062860611402984
US Bureau of Labor Statistics. Occupational outlook handbook: nurse anesthetists, nurse midwives, and nurse practitioners. https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm . Updated September 8, 2021. Accessed September 22, 2021.
US Bureau of Labor Statistics. Occupational outlook handbook: physician assistants. https://www.bls.gov/ooh/healthcare/physician-assistants.htm . Updated September 8, 2021. Accessed September 22, 2021.
Chan G, Kuriakose C, Blacker A, et al. An organizational initiative to assess and improve well-being in advanced practice providers. J Interprof Educ Pract . 2021;25(100469). doi:https://doi.org/10.1016/j.xjep.2021.100469.
doi: 10.1016/j.xjep.2021.100469
Mahoney MR, Beatty D, Kuriakose C, Anen T, Hartsell Z. The key role of advanced practice providers in today's new normal. Phys Leadersh J . 2021;8(2):89–93.
Deploying APPs autonomously: treat APPs more like physicians to maximize ROI. Advisory Board . 2020;1–18.
Winter S, Chan GK, Kuriakose C, et al. Measurement of nonbillable service value activities by nurse practitioners, physician assistants, and clinical nurse specialists in ambulatory specialty care. J Am Assoc Nurse Pract . 2020;33(3):211–219. doi:10.1097/JXX.0000000000000439.
doi: 10.1097/JXX.0000000000000439
Kapu AN, McComiskey CA, Buckler L, et al. Advanced practice providers' perceptions of patient workload: results of a multi-institutional survey. J Nurs Adm . 2016;46(10):521–529.

Auteurs

Clair Kuriakose (C)

Author Affiliations: Executive Director of Advanced Practice (Ms Kuriakose), Advanced Practice Administrative Fellow (Ms Stringer), Manager of Advanced Practice (Dr Ziegler), Business Manager (Ms Hsieh), Director of Advanced Practice (Ms Atashroo), Administrative Director of Finance (Ms Hendershott), Director of Advanced Practice (Ms Tippett), Director of Advanced Practice (Ms Shah), Director of Advanced Practice (Ms Cianfichi), Associate Dean of Graduate Medical Education (Dr Katznelson), and Chief of Staff (Dr Mahoney), Stanford Health Care, California.

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