MSN Program Commences Essay

Some Concerns/ Questions as the MSN Program Commences

The delight that I have because I am finally commencing my journey to becoming a Family Nurse Practitioner (FNP) is immense and immeasurable. Like the other students, however, there is that lingering fear of the unknown which I believe is normal. The fear is brought about by the many questions that we have concerning the future as an advanced practice registered nurse or APRN. In this discussion, I present three of some of the questions I have after doing some research on APRN practice in the country.

1. If I will practice in a full practice authority (FPA) state as an autonomous FNP, which malpractice insurance cover will be the best to choose between Occurrence Policy and Claims-Made Policy?

It is my wish to in future set up my practice in a state that allows autonomy in practice for APRNs. This will allow me to practice to the fullest extent of my knowledge and training. However, I have asked around and discovered that the autonomy that comes with full practice authority also places the APRN at considerable risk for malpractice suits from disgruntled patients and relatives of patients (Buppert, 2018). From my understanding, successful litigation of an APRN can spell doom financially and spoil their professional reputation irreparably. In my quest to find out more information about this, I have come to learn that there are malpractice coverage options for APRNs in practice in anticipation of this kind of scenario. The two plans I have come about are a Claims-Made Policy and an Occurrence Policy (Loria, 2017). My question, therefore, is which of these two malpractice policies is the best for a nurse practitioner practicing autonomously in a FPA state?  MSN Program Commences Essay.

1. If I will practice in a reduced practice or restricted practice state with a collaborative agreement between me and a practising physician, will the malpractice cover of the physician cover me or will it be prudent for me to take an individual malpractice cover?

Still on the matter of malpractice, there is the possibility that I may alternatively get to practice in a state with no policy for autonomous practice for APRNs. In these states with reduced practice or restricted practice, I will be forced to have a collaborative agreement with a practising physician who will supervise my work and whom I will work under. This is not what I wish for, but it is a reality we will have to contend with just like those who have come before us. My question on this, therefore, is whether it will be prudent for me in this situation to take an individual malpractice cover or to remain under the collective cover (if there is anything like that!) with the physician?

• Why is it that there is no equitable reimbursement for APRNs and physicians who have performed the same procedures in many states?

My last concern is the matter of equitable pay for APRNs and physicians with regard to similar procedures done by both of them. I have learnt that Medicare reimburses APRNs at 85% of the physician rates for similar procedures done. I have also learnt that Medicaid leaves this decision to individual states, who in their wisdom reimburse APRNs at between 75% and 100% of the prevailing physician rates for similar procedures in the state concerned (ThriveAP, 2016). My question, therefore, is whether there are any policy efforts at the federal level to level the reimbursement field for APRNs who perform the same procedures as physicians? I have learnt that some procedures and treatments by APRNS at times even achieve better patient outcomes.

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References

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide, 6^th ed. Bartlett & Jones Learning.

Loria, K. (2017). Tips for purchasing the right malpractice insurance: These strategies can help ensure that you get the right coverage. Contemporary OB/GYN, 7(53). https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgea&AN=edsgcl.500978195&site=eds-live&scope=site

ThriveAP (March 29, 2016). Medicare vs. Medicaid: Which pays nurse practitioners more? https://thriveap.com/blog/medicare-vs-medicaid-which-pays-nurse-practitioners-more-0

Discussion: Strategies for Addressing Questions

In Module 1(order 223363, and maybe 223364), you began building a foundation for your success by considering a network-individuals and teams who can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can now be helpful.

In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions even if they do not realize it!

To prepare:

• Reflect on questions or concerns you might have as you begin the MSN program.
• Consider the individuals, teams, and departments you previously considered in Module 1 as well as how they may provide support with addressing these questions and concerns.

By Day 3 of Week 2

Post any questions or concerns that you are willing to share with the group. The Discussion board represents an opportunity to network with your course colleagues, and others may have the same questions or concerns.

By Day 6 of Week 2

Respond to at least two of your colleagues’ posts by offering a possible resolution to their questions/concerns with supporting documentation, if possible, or expanding on their thinking and providing an example as support.MSN Program Commences Essay.

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MSN Program Commences Essay