AANP Health Policy Office Library
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Focus Area |
Articles |
Summary |
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AANP POLICY ESSENTIALS
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AANP Positions & Policy Papers
AANP Fellows Invitational Think Tank 2007 |
The foundational positions on core NP education, practice and patient issues.
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DNP: Discussion Paper http://aanp.org/NR/rdonlyres/9DC9390F-145D-4768-995C-1C1FD12AC77C/0/AANPDNPDiscussionPaper.pdf
NP Curriculum http://aanp.org/NR/rdonlyres/59523729-0179-466A-A7FB-BDEE68160E8E/0/2010Curriculum.pdf
NP Cost Effectiveness http://aanp.org/NR/rdonlyres/197C9C42-4BC1-42A5-911E-85FA759B0308/0/CostEffectiveness4pages.pdf
NP Prescriptive Privilege http://aanp.org/NR/rdonlyres/CFCFB108-1215-4BCF-93B2-1174CA9C4413/0/2010Prescriptive.pdf
Quality of NP Practice http://aanp.org/NR/rdonlyres/34E7FF57-E071-4014-B554-FF02B82FF2F2/0/QualityofNPPractice4pages.pdf
Scope of Practice http://aanp.org/NR/rdonlyres/FCA07860-3DA1-46F9-80E6-E93A0972FB0D/0/2010ScopeOfPractice.pdf
Standards of NP Practice http://aanp.org/NR/rdonlyres/FE00E81B-FA96-4779-972B-6162F04C309F/0/2010StandardsOfPractice.pdf
Standards for NP Practice in Retail Clinics http://aanp.org/NR/rdonlyres/9429B4BC-AB09-4CB6-A699-EB5AC43852D6/0/RetailBasedClinics.pdf
Terminology: Use of “Midlevel” and “Physician Extender” http://aanp.org/NR/rdonlyres/5AC2D9E3-74FA-4BF2-BF2F-1E424A62E516/0/AANPMLP.pdf
Medical Home Fact Sheet
NPs Promoting Access to Coordinated Primary Care |
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AANP and the NP ROUNDTABLE JOINT STATEMENTS: |
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Nurse Practitioner Perspective on Healthcare Payment http://aanp.org/NR/rdonlyres/D20297AD-A970-4329-9EAA-DDE843FAE240/4468/ReimbursementDocument.pdf |
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Commitment to Quality Health Reform: A Consensus Statement from the Nursing Community. |
Solutions for improving access, cost, and quality. |
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AANP Comments on the IOM Report June 2011 |
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http://aanp.org/AANPCMS2/publicpages/AANPIOMResponse92Date8_4_11.pdf |
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CORE NP POLICY RESOURCES
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APRN Consensus Model
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Endorsed by over 45 leading nursing groups, this model lays out the unified positions for the regulatory framework for licensure, accreditation, certification and education of APRNs. |
https://www.ncsbn.org/7_23_08_Consensue_APRN_Final.pdf
NCSBN video link: https://www.ncsbn.org/2277.htm |
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National Council of State Boards of Nursing (NCSBN) Model Nurse Practice Act language
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In continuation of the APRN Consensus Model, this link offers statute and rule language for regulating NP practice. AANP served on the task force of the consensus model and endorses this regulatory language. |
https://www.ncsbn.org/Article_XVIII.pdf
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Nursing Economics, The Journal for Health Care Leaders |
A systematic review was conducted to assess patient outcomes of health care provided by APRNs. Sixty-nine studies were summarized for 28 aggregate outcomes. Results indicate APRNs provide safe, high-quality, effective care; have an important role in improving the quality of patient care in the United States; and could help address concerns about whether care provided by APRNs can safely augment the physician supply to support reform efforts aimed at expanding access to care. |
Advanced Practice Nurse Outcomes 1990-2008: A Systematic Review http://www.nursingeconomics.net/cgi-bin/WebObjects/NECJournal.woa |
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Changes in Healthcare Professions’ Scope of Practice: Legislative Considerations
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Collaborative effort of six healthcare regulatory organizations. “It has been developed to assist legislators and regulatory bodies with making decisions about changes to healthcare professions’ scopes of practice.” |
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Institute of Medicine’s Future of Nursing: Leading Change, Advancing Health |
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http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx |
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POLICY ANALYSIS & HEALTHCARE COMMUNITY STATEMENTS
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Macy Foundation Publication: Who will provide primary care and how will they be trained? |
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http://www.macyfoundation.org/docs/macy_pubs/JMF_PrimaryCare_Monograph.pdf |
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Nurse Practitioner leading doctors in New York |
Health Leaders media highlighted nurse practitioner, Bob Donaldson, who was elected as medical staff president at New York’s Ellenville Regional Hospital with over 50% of the physician vote. |
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AARP support of Nurse Practitioner independence |
The February 2011 AARP Bulletin provided an argument to support independent practice of nurse practitioners. |
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National Health Policy Forum; Tapping the Potential of the Health Care Workforce: Scope-of-Practice and Payment Policies for Advanced Practice Nurses and Physician Assistants |
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http://www.nhpf.org/library/background-papers/BP76_SOP_07-06-2010.pdf |
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Mayor’s Task Force on Improving Access to Primary Care in Boston |
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http://www.bphc.org/about/officedirector/Documents/Primary%20Care%20Task%20Force%20Report.pdf |
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Overview of Nurse Practitioner Scopes of Practice in the United States |
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http://www.acnpweb.org/files/public/UCSF_Discussion_2007.pdf |
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RWJF Sharing Nursing’s Knowledge |
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Advanced Practice Registered Nurses a Big Part of the Solution to the Primary Care Provider Shortage |
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Massachusetts Health Reform: Solving the Long-Run Cost Problem |
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http://www.urban.org/UploadedPDF/411820_mass_health_reform.pdf |
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FTC papers |
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Documents available at the Health Policy Office. Please contact if needed: rprager@aanp.org |
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Bringing the New Joint Commission Standards for Credentialing and Privileging Within Reach of the Community Hospital |
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http://www.lifesciencewriter.com/Data_Driven_Physician_Credentialing.pdf |
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RWJF Institute for Health Metrics |
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Comparing Health Care Quality: A National Directory http://www.rwjf.org/qualityequality/product.jsp?id=71857
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Healthleaders Media August 10, 2011
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APRNs Provide Care Equal to Doctors, Review Concludes |
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American Red Cross September 14, 2011 |
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American Red Cross Nursing Aligns with Institute of Medicine Recommendations for the Future of Nursing http://www.aanp.org/NR/rdonlyres/FD166812-4C7C-411D-A1B4-0E04AD176EF5/5227/NurseAlignmentwIOM1.pdf |
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North Carolina Medical Journal July/August 2011 Volume 72, Number 4 |
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The Future of Nursing and the Health of North Carolinians: The North Carolina Summit http://www.ncmedicaljournal.com/wp-content/uploads/2011/07/724-complete-issue.pdf |
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COUNTER POINTS OF VIEW
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AMA Scope of Practice Data Series: Nurse Practitioners |
As part of the AMA’s series on evaluating the scope of practice of various healthcare professions, this publication specifically presents the AMA’s position on the role of NPs in the healthcare community. |
American Medical Association. AMA Scope of Practice Data Series: Nurse Practitioners. Chicago, IL: AMA Press; 2009. Link to view publication within the AANP website: http://www.aanp.org/AANPCMS2/publicpages/08-0424%20SOP%20Nurse%20Revised%2010-09.pdf Link to view NP Community response http://www.aanp.org/AANPCMS2/publicpages/AMANPModuleLtr120809.pdf |
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American Academy of Family Physician’s Position Statements on Nurse Practitioners |
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http://www.aafp.org/online/en/home/policy/policies/n/nursepractitioners.html |
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American Academy of Family Physicians seeks clarification of IOM recommendations |
The AAFP has asked the Institute of Medicine and Robert Wood Johnson Foundation to clarify in their Future of Nursing recommendations that “physicians and nurses are not interchangeable.” |
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Physicians appeal California CRNA ruling |
In response to an October court ruling allowing California to opt out of a federal rule that requires CRNA supervision, local physician groups filed an appeal. |
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WHITE PAPERS |
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Pennsylvania
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KEY ISSUES:
MEDICAL HOMES, ACOs, INSURANCE EXCHANGES, Etc.
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The Medical Home and Physician Payment Reform |
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http://pennsylvania.aoa.org/documents/medicalhomeresources.pdf |
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An Introduction to Health Insurance Exchanges
HPO Summer 2011 Newsletter |
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Hospital Privileges for Advanced Nurse Practitioners |
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Phoenix Children’s Hospital Medical Staff Bylaws |
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http://www.phoenixchildrens.com/physician-network/pdfs/bylaws.pdf |
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COST SAVINGS DATA |
Nurse practitioners as an underutilized resource for health reform: Evidence-based demonstrations of cost-effectiveness. |
Jeff Bauer article on NP cost-effectiveness |
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Florida Tax Watch |
Chapter 2: Healthcare Reform, Recommendation 32; “Expand the role of Advanced Registered Nurse Practitioners & Physician Assistants.” |
http://s3.amazonaws.com/enp-network-assets/attachments/3700/original.pdf?1316434568 |
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Medical Care Cost Reduction and Primary Care Providers in Texas |
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Document available at the Health Policy Office. Please contact if needed: rprager@aanp.org |
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Advanced Practice Registered Nurses: Texans are Paying the Price for Policies that Prevent Full Utilization |
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Document available at the Health Policy Office. Please contact if needed: rprager@aanp.org |
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The Florida Legislature Office of Program Policy Analysis and Government Accountability |
Expanding Scope of Practice for Advanced Registered Nurse Practitioners, Physician Assistants, Optometrists, and Dental Hygienists |
http://www.cap-pac.org/resources/OPPAGA+Scope+of+Practice+Memo_1-13-2011.pdf |
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APNs: Making a Good Strategy Better |
APNs an underutilized resource |
Document available at the Health Policy Office. Please contact if needed: rprager@aanp.org |
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Medicaid Report Card Lower Costs and Better Care |
Includes evidence of Quality Improvement, Cost Savings, and State by State Ratings. |
http://www.communitycatalyst.org/resources/medicaid_report_card/submetrics?id=0004 |
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Estimated Fiscal Impact: Expand Scope of Practice for Advanced Practice Nurses (APNs) |
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Document available at the Health Policy Office. Please contact if needed: rprager@aanp.org |
