Recruiting Advanced Practice Providers (APP's) for Hospital - mapra

25 Pages·2012·1.26 MB·English

2012 MAPRA Spring Conference
Exclusively Dedicated to Advanced Practice Providers Locum Tenens Contract to Hire
Recruiting Advanced Practice Providers
(APP’s) for Hospital and Clinic-based
Practices
Presented by: David McAnally, CPC
Vice President
Presentation to:
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 NorthwindsPkwy. Alpharetta, GA 30009
What is a Nurse Practitioner?
Nurse Practitioners (NP’s) are licensed independent practitioners
e
who: c
n
e
r
e
f
Practice in ambulatory, acute and long term care as primary and/or n
o
C
specialty care providers

g
n
Practice - As licensed independent practitioners, NP’s practice
i
r
p
both autonomously and in collaboration with other healthcare
S

providers to assess, diagnose, treat and manage the patient’s A
R
health problems/needs P
A
M
Education - Entry level preparation for NP’s practice is at the master’s,

2
post master’s or doctoral level 1
0
2
** (AANP, revised 2010)
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
Nurse Practitioners by the Numbers
• Over 148,000 NP’s practicing in the US
• Estimated 9,500 new NP’s completed their academic programs in 2011 e
c
• 93% have graduate degrees n
e
• 97% maintain National Certification r
e
f
• 18% practice in rural or frontier settings n
o
• 88% are prepared in primary care and 68% of all NP’s practice in primary care C

g
• 87% see patients covered by Medicare and 84% by Medicaid
n
i
• 43% of NP’s hold hospital privileges and 15% have long term care privileges r
p
S
• 96.5% of NP’s prescribe medications averaging 20 scripts per day

A
• NP’s hold prescriptive privilege in all 50 states with controlled substances in 48 R
P
• 2011 mean full-time NP base salary was $ 91,310 with average of $ 98,760 A
M
• 60% of NP’s see 3-4 patients/hour, 7% see over 5 patients/hour

2
• Average NP is female (96%) and 48 years old and has been in practice for 12.8 1
0
yrs 2
**(AANP, revised 2010)
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
Distribution, Mean Years of Practice - NPs
Population Percent of NP’s Years of Practice
e
c
n
Acute Care 5.6 7
e
r
e
Adult (pcare focus) 19.3 10.9
f
n
o
Family (pcare focus) 48.3 9.5
C

g
Geriatrics (pcare focus) 3.2 11.6
n
i
r
p
S
Neonatal 2.0 12.3

A
R
Oncology 1.0 8.3
P
A
Pediatric (pcare focus) 8.5 13.3
M

2
1
Psych / Mental Health 3.0 8.5 0
2
Women’s Health 9.0 14.7
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
What is a Physician Assistant?
A Physician Assistant (PA) is a healthcare professional that is
authorized by the state to practice medicine as part of a team with
e
c
physicians n
e
r
PA’s are certified by the National Commission on Certification of PA’s e
f
n
and are licensed, certified or registered by the state in which they o
C
practice
g
n
PA’s deliver a broad range of medical and surgical services including: i
r
p
S
• Conducting physical exams

A
R
• Obtaining medical histories
P
A
• Diagnosing and treating illnesses
M

2
• Ordering and Interpreting tests
1
0
2
• Counseling on preventative healthcare
• Assisting in surgery
• Prescribing medications
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
PA Education Programs
PA Education – PA’s have at least 2 years of college courses in basic
and behavioral science. Most have earned a bachelor’s degree and
e
have about 3 years of health care experience before their program. c
n
e
r
e
PA Programs – are approximately 27 months long and include
f
n
classroom and clinical instruction. Before they can practice, a PA o
C
must pass the PANCE exam and must have graduated from an
g
accredited program. n
i
r
p
S
Once a PA passes the PANCE, they can wear the designation
A
R
“PA-C” after their names. To maintain their certification, they must
P
complete 100 hours of CME every 2 years and pass a recertifying A
M
exam every 6 years. They must also obtain a license, registration or

2
certification from the state they choose to practice in. 1
0
2
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
PA Snapshot
• There are an estimated 83,000 certified PA’s practicing in the US
• PA’s can practice in all 50 states e
c
n
• All 50 states have enacted laws that authorize PA prescribing e
r
e
• 2 states – FL and KY do not allow PA’s to prescribe controlled
f
n
substances o
C
• In 2010, the full-time salary average was $ 96,876.
g
n
• Average PA salary increase from 2009 to 2010 was $ 3,771 for
i
r
p
PA’s which was about double that of NP’s at $ 1,191 S

A
R
P
A
M

2
1
0
2
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
Growth in Utilization of APPs Nationwide
Monster.com’s report on healthcare jobs between 5/2010 and 4/2011 stated
that Nursing was the #1 job listing and Physician Assistants were the #6 job listing
e
c
In a report released in 2010, The Robert Wood Johnson Foundation found that n
e
between 1995 and 2009, the number of NP’s per primary care physician had r
e
more than doubled (0.23 to 0.48). As did the number PA’s per primary care f
n
o
physician (0.12 to 0.28)
C

g
This data shows that the combined NP-PA workforce is already three quarters the n
i
r
size of the primary care physician workforce. It is likely to continue as the p
S
numberof PA’s (83,000) is double its size of 10 years ago and the NP profession is

A
grown to almost 150,000.
R
P
A
A 2011 National Center for Health Statistics report showed that the percentage of
M
hospital outpatient visits handled by NP’s and PA’s rose from 10% in 2,000 to 15% in
2
1
2008. The Bureau of Labor Statistics predicts a 23% increase in Nursing jobs
0
2
and a 41% increase in PA jobs from 2008 to 2018.
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
Results of the AdvancedPractice.com
2011 Compensation and Employment Survey
880 respondents
• 67% NP’s, 30% PA’s and 3% Other APP’s
e
• 86% full-time, 14% part-time c
n
• 68% have been in practice for 12 years or less e
r
e
• 47% are employed at a practice/clinic or office based setting and
f
n
22% in hospitals o
C

g
n
i
r
p
S

A
R
P
A
M

2
1
0
2
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009
Results of the AdvancedPractice.com
2011 Compensation and Employment Survey
(continued)
e
c
n
e
r
e
f
n
o
C

g
n
i
r
p
S

A
R
P
A
M

2
1
0
2
l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire
© Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009