Everybody Wins – Nurse Practitioners for Underserved Communities
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7 responses to “Everybody Wins – Nurse Practitioners for Underserved Communities”
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Whoops. The first time I read the headline I read “Underserved” as “Undeserved”.
Seriously, though, it looks like a wonderful program.
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The expanded use of both nurse practitioners and physician associates would go a long way to helping underserved communities. As I remember from your earlier posts, the HEZ proposal deserved more serious consideration by the GA. It is too bad that it could not have gotten into the mix this year; there is plenty of money around to fund it. I encourage you to keep trying. You may want to lobby the Virginia Joint Health Care Commission to take it up. That is a well-established and well-respected legislative commission, with fairly extensive staff support. Here is the link. http://jchc.virginia.gov/staff.asp The membership will likely change after the session is over and the House appoints its new members.
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Pedantic post: It’s physician assistant, not physician associate.
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Thank you. I presented the HEZ concept to the JCHC a couple of years ago with no result. I am just some guy from Virginia Beach.
Jason Miyares carried the bill with the results described in the article.
My current strategy is to get the new administration to take it out of my hands and pursue it through the Department of Health.
The goal is to have both a study and a bill ready for the next session that would guide the FIS.
VDH has the responsibility for public health in Virginia.
Though I offered it to the previous Health Commissioner, he was never going to move on it more because of inertia than because he opposed it. VDH was leaderless. -
Thank you. I presented the HEZ concept to the JCHC a couple of years ago with no result. I am just some guy from Virginia Beach.
Jason Miyares carried the bill with the results described in the article.
My current strategy is to get the new administration to take it out of my hands and pursue it through the Department of Health.
The goal is to have both a study and a bill ready for the next session that would guide the FIS.
VDH has the responsibility for public health in Virginia.
Though I offered it to the previous Health Commissioner, he was never going to move on it more because of inertia than because he opposed it. VDH was leaderless.
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The patient doesn’t win! NPs have far less training than physicians (<5% of training of physicians). They are put in situations without physician oversight to the danger of patients. In addition the NPs don't even go in rural areas which was the purpose in the first place. It seems like "WIN-WIN" but it is a huge patient safety issue and it is the corporations employing unqualified "health care providers" for the profit.
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Wow. So let me unpack that.
– When an RN goes to two years of graduate training to be a NP, she emerges with “< 5% of the training of an M.D." Who knew? - "They are put in situations without physician oversight to the danger of patients”. First, nothing in this post says an NP would be a sole provider in an HEZ office. That would be determined by the board of the HEZ. Second, if an NP were opening a freestanding ER all by herself, you might have a point. But of course an NP is not licensed to do that. In fact, HEZ providers are designed to keep people out of the ER by treating them before their conditions get that bad.
– “the NPs don’t even go in rural areas which was the purpose in the first place”. They would if they wanted one of the scholarships, which would be designated for the most underserved areas in the state.
– “Huge patient safety issue”. Not if the NP honors the limits of her license.
– “it is the corporations employing unqualified “health care providers” for the profit.” In this context, neither you nor I have any idea what that means.
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