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Rural APNs & PAs in Colorado: Results from CHI’s 2010 – 2011 Workforce Surveys<br />1<br />Jacqueline L. Colby, PhD, MPH<b...
APNs: All Kinds<br />2<br />
Plus PAs<br />3<br />
How many are in rural areas?<br />4<br />
5<br />Distribution of NPs & Physicians<br />Counties with at least one registered NP and no practicing primary care physi...
6<br />Distribution of PAs<br />Counties with at least one practicing PA and no practicing primary care physician<br />
Distribution of CNMs & OB-GYNs<br />Counties with at least one registered CNM and no practicing Ob-Gyn<br />7<br />
Rural APNs: Heavy lifters<br />8<br />N/A<br />N/A<br />N/A<br />N/A<br />
Rural PAs: Carrying their share<br />9<br />
Grow your own?      Loan forgiveness?<br />58%<br />10<br />74%<br />
NP & PA Retention factors<br />11<br />
NP & PA Retention factors<br />12<br /><ul><li> lack of respect
 family responsibilities
 insufficient wages</li></li></ul><li>NP Work settings<br />13<br />
Practice privileges available to NPs<br />14<br />
NP hurdles to providing quality care<br />15<br />
All insurance was not created equal<br />16<br />
Summary of APN survey findings<br />Important providers of primary & anesthesia care<br />Upcoming retirement wave<br />Pr...
Summary of PA survey findings<br />Rural PAs are important providers of primary care.<br />Retirements expected to be lowe...
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Rural APNs and PAs in Colorado: Results from CHI's 2010-11 Workforce Surveys

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Transcript of "Rural APNs and PAs in Colorado: Results from CHI's 2010-11 Workforce Surveys"

  1. 1. Rural APNs & PAs in Colorado: Results from CHI’s 2010 – 2011 Workforce Surveys<br />1<br />Jacqueline L. Colby, PhD, MPH<br />Colorado Rural Health Conference<br />August 11th, 2011<br />
  2. 2. APNs: All Kinds<br />2<br />
  3. 3. Plus PAs<br />3<br />
  4. 4. How many are in rural areas?<br />4<br />
  5. 5. 5<br />Distribution of NPs & Physicians<br />Counties with at least one registered NP and no practicing primary care physician<br />
  6. 6. 6<br />Distribution of PAs<br />Counties with at least one practicing PA and no practicing primary care physician<br />
  7. 7. Distribution of CNMs & OB-GYNs<br />Counties with at least one registered CNM and no practicing Ob-Gyn<br />7<br />
  8. 8. Rural APNs: Heavy lifters<br />8<br />N/A<br />N/A<br />N/A<br />N/A<br />
  9. 9. Rural PAs: Carrying their share<br />9<br />
  10. 10. Grow your own? Loan forgiveness?<br />58%<br />10<br />74%<br />
  11. 11. NP & PA Retention factors<br />11<br />
  12. 12. NP & PA Retention factors<br />12<br /><ul><li> lack of respect
  13. 13. family responsibilities
  14. 14. insufficient wages</li></li></ul><li>NP Work settings<br />13<br />
  15. 15. Practice privileges available to NPs<br />14<br />
  16. 16. NP hurdles to providing quality care<br />15<br />
  17. 17. All insurance was not created equal<br />16<br />
  18. 18. Summary of APN survey findings<br />Important providers of primary & anesthesia care<br />Upcoming retirement wave<br />Prescriptive authority not universal<br />Patients unable to afford needed care<br />Insurance doesn’t guarantee access either<br />Availability of specialists limits quality of care<br />17<br />
  19. 19. Summary of PA survey findings<br />Rural PAs are important providers of primary care.<br />Retirements expected to be lower than NPs, as the former tend to be younger.<br />PAs’ scope of practice is based on a physician’s delegation of duties and often includes prescriptive authority.<br />Rural practices with PAs were slightly more likely than rural practices with NPs to accept Medicaid and CHP+ patients. <br />PAs in rural practices were more likely to accept Medicaid, Medicare and CHP+ patients than their urban counterparts.<br />18<br />
  20. 20. Thank You<br />For comments and answers to questions contact:<br />Jacqueline L. Colby, PhD, MPH<br /> Program Manager, Center for the Study of the Health Professions Workforce<br /> 720.382.7095<br />colbyj@ColoradoHealthInstitute.org<br />Athena Dodd, MSPH<br /> Research Analyst, Center for the Study of the Health Professions Workforce<br /> 720.382.7093<br />dodda@ColoradoHealthInstitute.org<br />19<br />
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