Use of Nurse Practitioners in Community Clinics

  • SFCCC 2720 Taylor St, Suite 430 San Francisco, CA 94133

2720 Taylor Street, Suite 430, San Francisco, CA 94133,

SFCCC Hodgson Conference Room

October 29, 2015

10:30am -12:00pm

 

Presenter: Alexa Colgrove Curtis PhD, FNP-BC

Associate Professor; Director, Nurse Practitioner Programs

Chair, Department of Integrated Primary Care and Behavioral Health

University of San Francisco School of Nursing and Health Professions

 

What are the laws/regulations that currently govern Nurse Practitioner practice? 

  • According to those laws and/or regulations what are the minimum requirements for NP supervision? 
  • Are MD’s required to sign off on charts for care delivery?
  • Is there a required ratio of NPs to MD’s e.g. DMHC requirements?

What are Best Practices for most efficiently using NPs in a community clinic setting?

  • Why are NPs sometimes preferred to MDs. (patient preference, time spent with patients, etc.)
  • What are some of the advantages of using NPs?
  • What are the cost considerations for using NPs (union vs. nonunion setting?)
  • We hear about cost and care considerations including increase in likelihood of specialty referral and increased time spent by NPs vs. MDs?  What does the evidence show in this area?
  • What is the process for developing protocols for NPs – what needs to be in place in a practice?

What Might the Future hold?

  • Recruitment and Retention of NPs –cost, working conditions
  • Educational process for NPs e.g. competency based education focused on skills, more practice experience
  • For the past several years, legislation for more independence for NPs has failed – what should be the priority in future legislation?
  • Are there any developments in the area of making precepting for NP students more cost effective for community clinics?
  • What are some proposals for improving NP’s training? (Residencies/PhDs/Other)