Health Policy And Advanced Practice Perspective Assignment

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Health Policy And Advanced Practice Perspective Assignment

Maryland has allowed full practice authority (FPA) since 2010 and this came after the state lost about 15% of its NPs. The reforms allow nurses to assess, diagnose, treat, and prescribe medications independently without the support of a physician. The legislation was highly supported by the nurse practitioners and the political leaders which led to its signing in by Governor Hogan in May of 2015 (Bachtel et al., 2020)Health Policy And Advanced Practice Perspective Assignment.

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My residence in Montgomery has some level of HPSA with a score of 9. Looking at the state it is clear that there are crucial issues related to HPSA that need to be addressed. For instance, some areas such as Allegany have a 13 score, Garett 12, Prince George’s 9, Fredrick 14, Dorchester 14, and Baltimore 14 among others. It is notable that low-income areas like Allegany have huge rates of HPSA (Harrison et al., 2023). Also, most of the Medicaid-eligible areas like Sonnerset have 18 scores, Dorchester 14, and Baltimore City 14 among others. This shows that areas that are designated with Medicaid need more APRNs. The map shows that there is still a huge shortage of nurses in the states that needs to be addressed for quality care provision (Nursinglicensure.org, 2023).

The NPS in Colorado has the FPA and has a period of 1000 hours from when they can have the prescriptive authority. However, before achieving the FPA the NPs are supposed to work under the supervision of a physician. The move was highly supported by the board of nursing, ANA, and the APRNs in the state (Kleinpell et al., 2023)Health Policy And Advanced Practice Perspective Assignment. The move to make this state an FPA was opposed by some petitioners and environmental groups.

References

Bachtel, M. K., Hayes, R., & Nelson, M. A. (2020). The push to modernize nursing regulations during the pandemic. Nursing Outlook, 68(5), 545–547. https://doi.org/10.1016/j.outlook.2020.05.006

Harrison, J. M., Kranz, A. M., Chen, A. Y., Liu, H. H., Martsolf, G. R., Cohen, C. C., & Dworsky, M. (2023). The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity. Inquiry: a journal of medical care organization, provision, and financing, 60, 469580231167013. https://doi.org/10.1177/00469580231167013

Kleinpell, R., Myers, C. R., & Schorn, M. N. (2023). Addressing Barriers to APRN Practice: Policy and Regulatory Implications During COVID-19. Journal of Nursing Regulation, 14(1), 13–20. https://doi.org/10.1016/S2155-8256(23)00064-9

Nursinglicensure.org. (2023). Advance Registered Nurse License Requirements in Maryland. https://www.nursinglicensure.org/np-state/maryland-nurse-practitioner

Idaho was the first state to authorize full-practice authority (FPA) for advanced practice registered nurses (APRNs). This occurred in 1971, yet here we are fifty years later and there are still states restricting APRN practice. Despite evidence that authorizing FPA increases patient access to care, increases care options, lowers health care costs, and increases APRN satisfaction, some states still restrict practice. As of 2023, there are 32 states and the District of Columbia who have authorized FPA. Of these, 19 offer FPA at the time of licensure and 14 others have mandatory provisional periods that must be completed after licensure. The remaining states have reduced practice or restricted practice.

For this week’s discussion: Health Policy And Advanced Practice Perspective Assignment

  1. Detail the practice abilities of APRNs in your state. If your state has FPA, when was it authorized and who were the supporters of this legislation?
  2. It is estimated that 83.7 million people in the US live in designated primary-care health professional shortage area (HPSA), with a need for nearly 15, 000 practitioners to meet the demand. Is your practice site or residence identified as a HPSA? What did you notice when looking at the map of your state?
  3. Look at one of the states with FPA and investigate the process that achieved this. Identify supporting professional nursing organizations, legislative supporters (medical background or not), attempts needed to get legislation passed? What opposition was there, and by whom? Health Policy And Advanced Practice Perspective Assignment

Here are some resources to assist with this week’s posts. Additional resources will also be required.

  • HRSA Shortage Areas
  • RHI Health Professional Shortage Areas

Please note that my state is MARYLAND

Please cover all assignment contents

Cover by maintaining letters besides each question

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A-

  • Detail the practice abilities of APRNs in your state. (Which is Maryland) and it has Full practice Authority(FPA)
  • If your state has FPA,
  • when was it authorized?
  • who were the supporters of this legislation?

B-It is estimated that 83.7 million people in the US live in designated primary-care health professional shortage area (HPSA), with a need for nearly 15, 000 practitioners to meet the demand.

  • Is your practice site or residence identified as a HPSA?
  • What did you notice when looking at the map of your state?

C-Look at one of the states with FPA and investigate the process that achieved this. Identify supporting professional nursing organizations, legislative supporters (medical background or not), attempts needed to get legislation passed? What opposition was there, and by whom? Health Policy And Advanced Practice Perspective Assignment