effective tactics

01 Nov effective tactics

Discussion 7

10/29/2019

As a nurse when I think about some effective tactics for APN strategic positioning regarding pay equality, I think I would have to say that one id to understand how to effectively do your job in the most efficient way as possible. Being a healthcare provider, we are always looking for ways to deliver better care without increasing cost. One of the things we as nurse practitioners must become familiar with and develop a better understanding of is productivity and values. Productivity and value is another way of saying supply and demand, productivity involves getting the most use out of your resources. The research paper calculating our worth explains the healthcare facility are great at judging productivity when it comes to how many patients a doctor sees, how much they are billing, and how much revenue is coming in. However, that is not the only way to judge how productive a healthcare facility is and the healthcare providers are. The problem with this kind of productivity is it can be hard to measure you can say for the nurse practitioners how many patients you see but others can say that it’s the quality of care. Therefore, the best tactics for APN strategic would be both it is how many patients you see and give quality care. It is also using effective safety measures, utilizing resources effectively and keeping financial cost in mind. So, when asked should APN work at lower-cost health care facilities that provide better care and ask for better pay or at a place that pays more but quality of care is not as great. I would have to say I would have to work at a place that offers better care with lower wages only because as a nurse it would hard for me to work at a place where I see my patients not getting the absolute best of care.

References:

Calculating Your Worth: Understanding Productivity and Value

Todd Pa-C – Journal of the Advanced Practitioner in Oncology – 2014

 

Know Your Worth, Negotiate Your Value

Lee Bessette – Women in Higher Education – 2014

 

 

Measuring healthcare productivity – from unit to system level

Vesa Kämäräinen-Antti Peltokorpi-Paulus Torkki-Kaj Tallbacka – International Journal of Health Care Quality Assurance – 2016

 

 

Gretell Alfonso Discussion 6

COLLAPSE

Top of Form

Being in the health care profession for 3 years now has given me a better idea as to what role each health care professional has. However, at the beginning of my nursing career I was a bit confused as to what the difference was between a medical doctor and a nurse practitioner aside from the obvious amount of schooling years. I have witnessed that nurse practitioners evaluate patients just how a medical doctor would, therefore making the difference a bit harder to be obvious. After 3 years in the nursing profession I can definitely point out the differences between a medical doctor and a nurse practitioner. A medical doctor goes to school for a longer time compared to a nurse practitioner and they aren’t nurses. A nurse practitioner is a nurse with a higher degree that is able to treat patients and evaluate them as well. I think that nurse practitioners shouldn’t be paid as much as doctors because that would take a lot of the doctors credit and professional work away but I do believe that they should be payed more then what they are getting payed now. The reason why I think that nurse practitioners should get payed more then what they are getting payed at the moment is because nurse practitioners today are health care providers that evaluate patients in many different settings, evaluate patients in a doctors office and hospitals, order treatments and are responsible for many more tasks as well. Also, doctors are basically being relieved or covered in their practices and offices by a nurse practitioner when they aren’t around to make decisions for their clients in emergencies or certain situations. Therefore, although nurse practitioners and medical doctors work together I don’t believe that they. should be billing a nurse practitioners work by billing through a medical doctors license, instead I believe that nurse practitioners should be payed more then what they are getting payed currently.

Maritza

APN Positioning Regarding Pay Equality

The Advanced Practice Nurses (APN) play a vital role in patient care because they have the most contact with the patients, they take charge of the physical exams, the APN also perform functional, psychosocial, and psychological tests, interpret lab results among other responsibilities. The growth of the cost of living is becoming a burden thus it is essential for the efforts and salaries to reflect on the same. It is not appropriate for a nurse to carry out all the duties and position themselves as the Lower-Cost Providers while thy provide better care and the other professionals earn higher wages with little wages. The work of the APN varies in a day because of the varying symptoms and patients thus it is essential to consider such but at the end of the day the wages should relate to the efforts, expectations and salaries.

It is important to calculate and focus on the productivity and value of the APN in the health system and use the outcome to help determine their wages. Pickard explained that productivity is different from value because productivity comprises of a baseline of who does what and the expectations while value is the general outcome despite the costs (2014). The productivity help determine that the APN play a crucial role in the health institutions even more than some of the doctors since some patients do not even get to see the doctors. The move will represent the value of the nurses thus making it vital to understand that they play a vital role and determine their salaries. The nurses position themselves as the best care providers and thus they can push for a substantial worth that will see them rewarded for their worth and duties they play.

 

 

References

Pickard T. (2014). Calculating your worth: understanding productivity and value. Journal of the advanced practitioner in oncology, 5(2), 128–133. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

Week 9 Discussion Yulei Castellanos

COLLAPSE

Top of Form

Apart from the initials next on the title of a professional, a layperson might not be to notice a lot of a distinction in between a medical doctor (MD) as well as an innovative training registered nurse (APRN). In truth, can there be a lot of a big difference? Indeed, health-related doctors do withstand a great deal more years of rigorous, rigorous, and substantial practice and schooling prior to getting practitioners when as opposed with superior exercise nurses in terminology of disease processes as well as therapy options. One distinction that is important apart from schooling is the fact that healthcare doctors seek to cure problems, while nurse practitioners seek healing folks. While both medical doctors as well as nurse practitioners are able to evaluate, identify, interpret lab along with other analysis scientific studies, arrange cure program, prescribe medicines, and also evaluate interventions there exists a pay gap. This particular pay gap, in which APRNs are paid considerably less to basically do exactly the same thing as MD’s, has sparked some uproar just recently, particularly in american states that enable APRNs to perform independently from physicians (McCleery, Christensen, Peterson, Helfand and Humphrey, 2014).

With increased demand and additionally requires for healthcare interest by the population will come a necessity for increased source of workers and resources. Nurse practitioners as well as Physician Assistants have grown to be an escalating supply of treatment provision, helping MDs take off several of the work load. You will find numerous elements to think about in setting up an equal and adequate pay for these professionals as the income earned by MDs. For instance, the level of responsibility, the healthcare setting, as well as the quality of care being supplied are crucial that you mirror the fairness in income. Additionally, the efficiency and also the importance they bring to the practice of theirs as well as the care of theirs additionally affect the earnings of the business (Pickard, 2014). Generally there ought to be a means for each NPs and MDs to both get paid out fairly as the work of theirs makes the salary of theirs. Maybe it may have more time; but, it’ll additionally bring some team effort in addition to cooperation between both parties. Nurse providers really should advocate making what the practice of theirs makes, this includes providing proper care to advanced people with advanced requirements (Pickard, 2014).

References:

McCleery, E., Christensen, V., Peterson, K., Humphrey, L., and Helfand, M. (2014). Proof Brief: The quality of Care Provided by Advanced Practice Nurses. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK384613/

Pickard, T. (2014). To calculate Your Worth: Understanding Value and Productivity. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

Bottom of Form

Maria Arista Week 9 Discussion

COLLAPSE

Top of Form

Nurse was registered by advanced practice (APRN) offers primary and special wellness with all the goal of heath promotion as well as disease prevention in addition to enhancement of entry to healthcare in underserved populations. Superior process nurses provide better and high quality of care as well as patient satisfaction despite spending much less time on instruction and also less costly care as than doctors (Swan et al. 2015). Their roes include not just offering sophisticated but extensive patient care, clinical expertise and leadership of special areas of medicine (Donald et al. 2013). Nurse providers utilize assessments, treatment and diagnosis of diseases to offer primary and special healthcare. Licensed nurse mid wives offer health-related services to females such as primary care and gynecological and reproductive healthcare. Medical nurse experts guarantee utilization of best practices for optimum patient results in addition to diagnosis, management and treatment of individuals applying evidence based attention and finally provide a support system for nurses. Certified registered nurse anesthetist is encountered with pain control products like the usage of anesthesia for affected person must have.

The greatest paying roles in innovative registered nurse field are all those in line with psychiatric along with psychiatry as well as pain control. Increased assistance in terminology of more desirable ages would motivate capability expansion because of this job. Techniques o improve capability for this particular job include superior simulation labs which offer training on real life experiences, exposure and expectations to elements that involve an enhanced exercise nurse, partnerships and collaborations with some other medical providers for negotiations on better benefits and compensation as well as web based training also boosts identification and advocacy of allies.

The wide range of the functions of an innovative exercise nurse has a terrific effect on quality of care, patient results as well as fulfillment along with access to healthcare plus consequently capitalizing on these nursing staff is a crucial feature of promotion of healthcare. They need to push for very same pay and service as a way to motivate and motivate the effectiveness of theirs.

References

Donald, Donald, N., Carter, R., Martin-Misener, F., E. E., A& DiCenso, Wickson-Griffiths, S., Kaasalainen, A. (2013). A systematic overview of the usefulness of superior process nurses in long-range care. Journal of Advanced Nursing, 69(10), 2148 2161.

Swan, & Smaldone, E., Larson, A., Chang, S., Ferguson, M., A. (2015). Quality of primary proper care by superior process nurses: an organized review. International Journal for Quality in Health care, 396-404, 27(5).

Alexis Week 9 D7

COLLAPSE

Top of Form

Some effective tactics for APN for pay equality would be to mention the positive impact we APN’s make for a practice. We are a huge asset to those busy physician’s who are not able to provide that proper care necessary to those in need. Education is just as important as treatment, so even if it is education that the APN is providing that is an added RVU to the physicians practice. I do believe APN’s should be able to bill at the same cost a physician himself can bill.

 

APN’s do not carry the same responsibility as a physician as far as liability goes, so there will always be less of a pay. APN’s should not see themselves as a “lower cost provider” as the article stated, but as a compassionate and knowledgeable one. The upper hand that NP’s have over physician’s is the bedside manners. We as nurses were trained differently and have evolved over time to a more analytical trained role. From the beginning of time nurses were sought out to be care takes. As ARNP’s we have enhanced our knowledge to diagnoses and continue to carry the nursing compassion in our hearts. Furthermore, making us not only qualified but overall wonderful medical practitioners. The business of healthcare may need an eyeopener on the marvelous job APN’s do and should be recognized for.

 

In conclusion, as an independent provider, I think NP’s should have equal pay if carried under the same liability of insurance cost. Under a physician’s supervision it would only be fare to get compensated a percentage of total billing.