2720 Taylor Street, Suite 430, San Francisco, CA 94133,
SFCCC Hodgson Conference Room
October 29, 2015
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)