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It affects the way you’re able to practice and care for your patients. The National Nurse-Led Care Consortium is tracking legislation across the country aimed at allowing nurse practitioners to practice independently of physician supervision, to the full scope of their education and training. A lack of access to primary care in the United States is one of the key reasons why the Commonwealth Fund ranks the U.S. as having the worst healthcare system in the affluent world. While most people are aware of the looming primary care provider shortage across the country—especially in Florida—many aren’t aware of a solution which can help alleviate that problem: extending full practice authority (FPA) privileges to NPs. The Florida Association of Nurse Practitioners (FLANP 2017) points out that a shortage of PCPs coupled with an aging Baby Boomer population can result in limited access to care, skyrocketing healthcare costs, and a lessening quality of life for all. Dr. Lavandera has nearly two decades of experience in solid organ transplantation and is a board-certified family NP. Notably, she maintains a vibrant clinical practice at the Helping Hands Clinic in Gainesville and is an active fellow of the American Association of Nurse Practitioners (AANP), as well as a member of Sigma Theta Tau and local NP associations. The organization will increase knowledge on healthcare policy pertaining to Nurse Practitioner practice and patient centered health care; and will remove barriers to Nurse Practitioner practice to gain access to quality health care for Floridians. Membership statistics were reported on a state by state basis. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. Find a program that meets your affordability, flexibility, and education needs through an accredited, online school. TALLAHASSEE, Fla. (AP) — Qualified nurse practitioners will be able to independently operate primary care practices without an attending doctor under a bill passed by the Florida … The second thing is to join APN groups at the state and local level, and in doing so make contact with your state senator and representative so they can see our strength in numbers. After years of opposition from the Florida Medical Association and seven years of passing in the state House but not in the Senate, the bill to allow Floridian Nurse Practitioners full practice authority has finally been passed. It’s more of the same. Revisiting outdated state practice laws, and considering Full Practice Authority (FPA) for nurse practitioners (NP), is needed for improving access to care while creating greater flexibility for development of patient-centered health care homes and other emerging models of care delivery. We have an overabundance of physicians in Florida, but not so many that are willing to work with a nurse practitioner. Have you yourself had any incidents where an expanded practice authority would have provided better outcomes in healthcare? As mentioned in both interviews, there’s one powerful group that’s staunchly opposed to granting NPs FPA: medical associations and their lobbies. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. The legislation (HB 607) has been a major priority for House Speaker Jose Oliva, a Miami-Dade County Republican, who has expressed public support since […] 11 West 42nd Street, 15th Floor And the way that they pass the legislation…it’s like telling the nurse practitioner we know you can do this; we know you’re qualified; but we want to control you. They must hear the message from constituents until it can no longer be ignored, or muffled by the sounds of dollar bills flowing in from opposing groups.Dr. Notably, he’s the author of numerous presentations and scholarly articles. A bill allowing nurse practitioners, sometimes referred to as advanced practice registered nurse, or APRNs, to practice independently of doctors passed on a 94-12 vote in the Florida House on Friday. That’s basically what the legislation is saying. There’s evidence that states with FPA for NPs not only boast savings in healthcare, but also have lower hospitalization rates and better health outcomes. Fortunately, there are some glimmers of hope in Florida. (advanced practice registered nurses) of the red tape that has historically Looking to the future, the impending primary care provider shortage indicates that this problem is only to going to intensify, particularly in the South and Midwest. What are your views on expanding practice authority to nurse practitioners in Florida? What can nurse practitioners or other advocates to do in order to promote the cause of full practice authority in Florida and beyond? These groups include: Ultimately, extending FPA in Florida will likely bring down costs, iron out confusion with insurance reimbursements, make services more efficient, and increase overall access to healthcare, particularly in rural and other underserved areas. I worked with liver transplants and later heart transplants, and it was extremely limiting because with specialty care, even a lot of the insurance companies weren’t willing to take orders from a nurse practitioner. Practice Authority. She’s done extensive work on public health history and primary prevention, paying thought to immunizations. This piece explores this important issue through the eyes of two exceptional NP professors in Florida. The legislation ( HB 607 ) has been a major priority for House Speaker Jose Oliva, a Miami-Dade County Republican, who has expressed public support since the bill was filed in November 2019. Mar 24, 2020 | Advanced Practice, Florida, News, Policy. §464.0123 (Recently enacted; statute not updated) Prescriptive Authority In Florida, they want to have complete control over the nurse practitioner and the billing procedures. As of August 2018, 173 NPs in Florida have received a federal waiver to treat opioid dependency with buprenorphine-containing products. stopped them from working to the full extent of their education and training While initial… Get more news like this - plus jobs - each week. They’re trying to get their first job, and a lot of times, they end up at large practices with big groups of physicians or working for one of the hospitals or rehab centers. Can Nurse Practitioners Prescribe Medication? I spent many years in transplants. CDC: Pregnant Women Should Take Extra Precautions Against COVID, Nurse of the Week Hollyanne Milley Honored Veterans Day by Saving a Vet’s Life, US Healthcare Systems Struggle to Cope With Fall Covid Surge. People might not understand what our role is and the limitations, but every chance I get, I explain to them what the role of a nurse practitioner is and how beneficial it can be. Given the overwhelming evidence demonstrating the quality and cost-effectiveness of nurse practitioner care, it’s time for Florida to move forward by extending full practice authority rights across the state. Starting in July 2020, advanced NPs who have accumulated at least 3,000 hours of experience under physician supervision will have the right to independently operate primary care practices in Florida without an attending doctor. It’s tough to set up a collaborative agreement with an independent physician, but I actually did a few years ago. In sum, the abundance of evidence showing the effectiveness of NPs has convinced countless national organizations to support FPA. In fact, FL alone will need an additional 4,671 PCPs by 2030—an increase of 38 percent over the 2010 workforce—to keep up the current rates of … I believe in making evidence-based decisions. Nurse practitioner practice authority varies widely among U.S. states. As a shortage of primary care providers looms on our collective horizon, lack of access to primary care has the potential to get much worse. We have to be watchful and ensure that there is a reasonable level of quality control in nursing education. NursePractitionerSchools.com is an advertising-supported site. It’s education, education, education! Kim Curry, Associate Dean and Professor at the University of Florida. Furthermore, FLANP stated that, “Changing restrictive nurse practitioner licensure laws has been demonstrated in other states to increase primary care access and reduce costs.” Having a more welcoming practice environment also can attract more NPs to this high-need state and add to local economic activity. Like I said, frustrating. Koren Thomas is an associate editor of DailyNurse.com. Let your representatives know how it’s affecting your patients in a negative way. In addition to teaching pharmacotherapeutics and DNP clinical courses, she manages students with DNP projects and residencies. And they still require physician oversight and often can give no more than a seven-day supply. After stints in Japan, Brazil, Nepal, and Argentina, she took an 11-month road trip across the US, finally settling into lovely Eugene, OR. 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