Rural APNs and PAs in Colorado: Results from CHI's 2010-11 Workforce Surveys
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This document discusses the results of workforce surveys conducted in 2010-2011 on rural advanced practice nurses (APNs) and physician assistants (PAs) in Colorado. It finds that APNs and PAs make up an important portion of primary care providers in rural areas, with many counties having no physicians but at least one NP or PA. However, upcoming retirements could exacerbate provider shortages. The document also notes challenges faced by these providers, such as some lacking prescriptive authority and patients being unable to afford needed care due to insurance limitations.
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explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
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- 1. Rural APNs & PAs in Colorado: Results from CHI’s 2010 – 2011 Workforce Surveys 1 Jacqueline L. Colby, PhD, MPH Colorado Rural Health Conference August 11th, 2011
- 2. APNs: All Kinds 2
- 3. Plus PAs 3
- 4. How many are in rural areas? 4
- 5. 5 Distribution of NPs & Physicians Counties with at least one registered NP and no practicing primary care physician
- 6. 6 Distribution of PAs Counties with at least one practicing PA and no practicing primary care physician
- 7. Distribution of CNMs & OB-GYNs Counties with at least one registered CNM and no practicing Ob-Gyn 7
- 8. Rural APNs: Heavy lifters 8 N/A N/A N/A N/A
- 9. Rural PAs: Carrying their share 9
- 10. Grow your own? Loan forgiveness? 58% 10 74%
- 11. NP & PA Retention factors 11
- 15. Practice privileges available to NPs 14
- 16. NP hurdles to providing quality care 15
- 17. All insurance was not created equal 16
- 18. Summary of APN survey findings Important providers of primary & anesthesia care Upcoming retirement wave Prescriptive authority not universal Patients unable to afford needed care Insurance doesn’t guarantee access either Availability of specialists limits quality of care 17
- 19. Summary of PA survey findings Rural PAs are important providers of primary care. Retirements expected to be lower than NPs, as the former tend to be younger. PAs’ scope of practice is based on a physician’s delegation of duties and often includes prescriptive authority. Rural practices with PAs were slightly more likely than rural practices with NPs to accept Medicaid and CHP+ patients. PAs in rural practices were more likely to accept Medicaid, Medicare and CHP+ patients than their urban counterparts. 18
- 20. Thank You For comments and answers to questions contact: Jacqueline L. Colby, PhD, MPH Program Manager, Center for the Study of the Health Professions Workforce 720.382.7095 colbyj@ColoradoHealthInstitute.org Athena Dodd, MSPH Research Analyst, Center for the Study of the Health Professions Workforce 720.382.7093 dodda@ColoradoHealthInstitute.org 19