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Chambers HE, Reinschmidt K, Smith G, Agudelo E, Brodahl K, Herriman E, Hoy H, Pont K, Seawright A, Stearns E, Torres AM, Weldon E, Blackstock DM. Examining the critical role of advanced practice providers on a multidisciplinary transplant team. Am J Transplant 2021; 21:3840-3846. [PMID: 34101989 DOI: 10.1111/ajt.16715] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 01/25/2023]
Abstract
It is well documented that Physician Assistants (PAs) and Nurse Practitioners (NPs), collectively known as Advanced Practice Providers (APPs), have a beneficial role beyond the field of primary care. APPs broad spectrum of knowledge make them particularly well suited for specializing in complex fields such as transplant. Variations in practice across transplant centers lead to questions regarding optimal use of APPs. Using job descriptions from transplant centers currently employing APPs, we sought to examine the critical role of transplant APPs beyond clinical care alone. In this review, we explore not only the general training of APPs and current utilization of APPs in transplant, but also safety, cost effectiveness, and comparison of APPs to other transplant providers. We aimed to highlight the importance of recruitment and retention of transplant specific trained APPs to provide continuity in transplant programs. Additionally, APPs expansion into transplant research, quality improvement, leadership, and management must be considered. We challenge transplant centers utilizing APPs to consider these important aspects when seeking ways to expand and optimize the critical role APPs provide on the transplant team.
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Affiliation(s)
- Heather E Chambers
- Infectious Diseases Program, Alegent Immanuel Medical Center, Omaha, Nebraska, USA
| | - Kristi Reinschmidt
- Transplant Surgery Division, Intermountain Health Care Inc, Salt Lake City, Utah, USA
| | - Georgeine Smith
- Transplant Surgery Division, Penn Transplant Institute, Philadelphia, Pennsylvania, USA
| | - Eliana Agudelo
- Transplant Surgery Division, UCSF, San Francisco, California, USA
| | - Katherine Brodahl
- Transplant Surgery Division, University of Nebraska Medical Center, Omaha, Nebraska, USA
| | - Emily Herriman
- Transplant Surgery Division, University of Michigan Health System, Ann Arbor, Michigan, USA
| | - Haley Hoy
- Transplant Surgery Division, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Kylie Pont
- Transplant Surgery Division, Mayo Clinic Arizona, Scottsdale, Arizona, USA
| | - Ashley Seawright
- Transplant Surgery Division, University of Mississippi, Oxford, Mississippi, USA
| | - Elizabeth Stearns
- Transplant Surgery Division, Mayo Clinic Arizona, Scottsdale, Arizona, USA
| | - Ana-Marie Torres
- Transplant Surgery Division, UCSF, San Francisco, California, USA
| | - Elaina Weldon
- Transplant Surgery Division, NYU Langone Health, New York, New York, USA
| | - Daryle M Blackstock
- Transplant Surgery Division, New York Presbyterian Hospital, New York, New York, USA
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Pittman P, Leach B, Everett C, Han X, McElroy D. NP and PA Privileging in Acute Care Settings: Do Scope of Practice Laws Matter? Med Care Res Rev 2018; 77:112-120. [DOI: 10.1177/1077558718760333] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
As hospitals’ interest in nurse practitioners (NPs) and physician assistants (PAs) grows, their leadership is eager to know how their medical staffing privileging policies for these professionals compare to peer hospitals. This study assesses the extent of variation of these policies in four clinical areas and examines whether the differences are associated with state scope of practice laws for NPs and PAs. We also examine the relationship of NP and PA privileging policies to each other. Our analysis finds no evidence that hospital privileging is associated with state scope of practice, and indeed within-state variation is more significant than cross-state variation. We also find a strong correlation between NP and PA privileging in all four clinical areas. These results suggest the need for additional research to understand the institutional-level variables and human dynamics at the level of medical staffing committees that may explain the dramatic variation in privileging policies and, ultimately, the effects of different privileging levels on costs and quality.
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Affiliation(s)
| | | | | | - Xinxin Han
- George Washington University, Washington, DC, USA
| | - Debra McElroy
- American Case Management Association, Little Rock, AR, USA
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3
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Kosty MP, Pickard T, Viale P. Collaborative Practice in an Era of Multidisciplinary Care. Am Soc Clin Oncol Educ Book 2016; 35:3-8. [PMID: 27249679 DOI: 10.1200/edbk_100004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Michael P Kosty
- From the Scripps Green Cancer Center, Scripps Clinic, La Jolla, CA; The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Physiological Nursing, University of California, San Francisco, San Francisco, CA
| | - Todd Pickard
- From the Scripps Green Cancer Center, Scripps Clinic, La Jolla, CA; The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Physiological Nursing, University of California, San Francisco, San Francisco, CA
| | - Pamela Viale
- From the Scripps Green Cancer Center, Scripps Clinic, La Jolla, CA; The University of Texas MD Anderson Cancer Center, Houston, TX; Department of Physiological Nursing, University of California, San Francisco, San Francisco, CA
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