iLoveBenefits: Industry News Blog

Communication With Health Providers

Among adults who reported having poor communication with their health providers in 2012, Hispanics had the highest percentage (11 percent) followed by blacks (10 percent) and whites (7 percent). (Source: Agency for Healthcare Research and Quality, 2014 National Healthcare Quality and Disparities Report, Chartbook for Hispanic Health Care.)

Hosptial Nurse Staffing Linked to Reduced Adverse Events and Lower LOS

Increases in hospital nurse staffing levels are associated with reductions in adverse events and lengths of stay and do not lead to increased costs, a longitudinal study by AHRQ concluded. Researchers also found that increasing the number of registered nurses, as opposed to other nursing positions, led to reduced costs. The authors linked hospital nurse staffing data to AHRQ’s Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from California, Maryland and Nevada between 2008 and 2011 to estimate the causal relationship between nurse staffing (level and skill mix), quality (adverse events as measured by nurse-sensitive patient safety indicators), lengths of stay and cost. The findings suggest that increased staffing of registered nurses can improve patient outcomes and efficiency. “Examining the Value of Inpatient Nurse Staffing: An Assessment of Quality and Patient Care Costs” and the abstract appeared in the November issue of Medical Care. Authors included AHRQ’s H. Joanna Jiang, Ph.D., and Carol Stocks, Ph.D., R.N.

Meaningful Use is Having an Impact on Health Care Practice

According to a recent study at 47 ambulatory practices in an integrated delivery system:

  • 28.4% of physicians, compared to 47.1% of advanced-practice providers and. 42.6% of nursing staff, have strong confidence in their department’s ability to solve Meaningful Use implementation problems
  • 57.9% of physicians, compared to 83.3% of advanced-practice providers and. 82.0% of nursing staff, report strong willingness to change their work practices for Meaningful Use

Source: “Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system,” BMC Medical Informatics & Decision Making, December 14, 2014, http://www.biomedcentral.com/1472-6947/14/119

Changing the paradigm and reach of the traditional office practice

Nurse-led protocol tied to better chronic disease managementAn analysis found nurse-led outpatient disease management protocols were associated with significant improvements in HbA1C, systolic blood pressure and lipid levels in patients with diabetes, hypertension and hyperlipidemia. The nurses followed a protocol for medication titration, according to the study reported in the Annals of Internal Medicine. Renal and Urology News (7/18)

Doctors agree that PAs, NPs improve care, productivityA Jackson Healthcare survey revealed about 75% of doctors who employed advance-practice professionals such as physician assistants and nurse practitioners said doing so helped improve patient care and practice efficiency, while two-thirds reported that PAs and NPs are handling tasks that formerly were handled by doctors. Sixty percent of respondents perceived the increasing role of PAs and NPs positively, researchers said. Nurse.com (7/17)

Enlarging the definition of the Primary Care Workforce is Critical

Geographic Distribution of Primary Care Workforce

Nurse practitioners Physician assistants Family physicians/GPs General internal medicine General pediatrics U.S. population
Urban 72.20% 75.10% 77.50% 89.80% 91.20% 80%
Large rural 11.00% 11.70% 11.10% 6.70% 6.20% 10%
Small rural 7.70% 6.90% 7.20% 2.40% 1.80% 5%
Remote rural 9.10% 6.30% 4.20% 1.10% 0.80% 5%

Source: Agency for Healthcare Research and Quality

Nursing experience may play significant role in length of stay

Nurse experience, tenure may influence quality of hospital care
Hospital units with a greater number of registered nurses and licensed practical nurses had shorter patient length of stay than units with more unlicensed assistive personnel, a report showed. Every additional year in nurse tenure was associated with a 1.3% decline in duration of hospital stay. Allowing full-time nurses to work overtime when an experienced nurse is away from work also yielded better outcomes than hiring contractors, researchers wrote in the American Economic Journal: Applied Economics. BeckersHospitalReview.com (4/14), Modern Healthcare (free registration)/Vital Signs blog (4/14)

April 16, 2014 | Categories: healthcare,hospitals,Nurse | Tags: , , | Comments (0)

Hospitals that invest in the nursing work environment. . .

Magnet-designated
hospitals have better nurse-reported quality of care

In an analysis involving
more than 500 hospitals across the U.S., researchers explored why hospitals
with Magnet recognition, a designation tied to excellence and innovation in
nursing, had better nurse-reported quality of care than non-Magnet hospitals and
found that positive work environments were significantly associated with higher
quality of care. The findings, published in the Journal of Nursing
Administration, suggest that “hospitals that invest in improving the
nursing work environment have the potential to benefit from increased quality
of care for their patients and families,” researchers said. Nurse.com (3/13)

Keys to better health: Knowing who engages patients in the clinical setting

PAs, NPs more likely to provide routine chronic disease health education
Research published in the CDC’s Preventing Chronic Disease journal suggests health care providers do not routinely offer health education to patients with chronic diseases such as hypertension, diabetes, obesity and chronic obstructive pulmonary disease. Physician assistants and nurse practitioners were more likely than doctors to provide information to patients for all conditions measured. PhysiciansBriefing.com/HealthDay News (3/13)

Preventable events at Skilled Nursing Facilities

According to a recent
study of Medicare beneficiaries during their stays in skilled nursing
facilities, an estimated 22% experienced adverse events and an additional 11%
experienced temporary harm events. 59% of these adverse or temporary harm
events were determined to be clearly or likely preventable by physician
reviewers.

Source: “Adverse
Events in Skilled Nursing Facilities: National Incidence Among Medicare
Beneficiaries,” Office of the Inspector General/ Department of Health and
Human Services, February 27, 2014, http://oig.hhs.gov/oei/reports/oei-06-11-00370.asp

If it’s is all the same to me, I’d rather see the doctor, thank you

According to a recent survey of 1,000 American adults and 363 opinion leaders:

  • 72% prefer to see a physician for their medical care
  • 7% prefer to see a nurse practitioner
  • 21% either have no preference (16%) or don’t know (5%)
  • 73% of adults and 84% of opinion leaders prefer to take a loved one to a physician over a nurse practitioner

Source: “Americans Prefer Physicians for their Medical Care,” Ipsos Press Release, December 18, 2103, http://ipsos-na.com/news-polls/pressrelease.aspx?id=6361

Editor’s note: This is exactly the result one would expect. There is little to no differentiation in the price one pays for an office visit, based on whether you see the physician or their nurse practitioner. So why would people want what they perceive to be a lesser skilled individual at the same price?

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