Page 10 - Part 1 Collaborating with Advanced Practice Providers - An Overview of State Rules
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SVMIC Collaborating with Advanced Practice Providers
expanding the scope of practice of some advanced practice
clinicians. The efficacy of this team-based approach is widely
accepted by physicians, patients and insurance payers.
Changing Landscape of Healthcare
Providers in the US
Physician Assistants (PAs) report 95% of patients have two or
more chronic conditions and 50% have four or more. State
2
legislation has created an increasingly favorable environment for
APPs. Over 97% of nurse practitioners can prescribe medications.
Physician assistants are also benefitting from a changing
landscape, including reduced physician oversight and greater
prescriptive authority.
3
The role of APPs is rapidly changing. According to the American
Association of Nurse Practitioners, 22 states, plus the District of
Columbia, allow nurse practitioners to practice in an unrestricted
manner. These state practice and licensure laws provide for all
nurse practitioners to evaluate patients, diagnose, order and
interpret diagnostic tests and initiate and manage treatments—
including prescribe medications—under the exclusive licensure
authority of the state board of nursing. This is the model
recommended by the Institute of Medicine and National Council of
State Boards of Nursing. None of the SVMIC insured states allows
unrestricted practice. An additional 17 states, including Alabama,
Arkansas, Kentucky and Mississippi, allow nurse practitioners to
2 www.aapa.org
3 Staffcare.com. Nurse Practitioners and Physician Assistants: Supply, Distribution, and Scope of Practice
Considerations. 2015.
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