Catholic University of America
November 21, 2011
Executive Summary Independent practice is central to the APRNs professional role (Weiland, 2008). In Georgia, factors involving state rules and regulations such as the need for physician collaboration and supervision in order to diagnose and prescribe have created practice environments that are detrimental for full recognition of APRNs as autonomous providers, hence, keeping them from practicing to the full scope of their education (Weiland, 2008). In Georgia, the social and economic outcomes of supervision and lack of utilization of APRNs include a decrease in patient access to care, increased health care costs and a denial of the primary care provider status (Weiland, 2008). Additionally with the possibility of a physician shortage of almost 200,000 by 2020 and the influx of almost 23 million newly insured Americans needing primary care providers, the impact is that society is paying for the underutilization of a capable resource, not just financially but by a serious lack of access to care (Weiland, 2008). In Georgia, the role of APRNs can be carried out only with full professional recognition as independent providers (Weiland, 2008). Twenty Four states and the District of Columbia allow independent practice for APRNs (Pearson, 2010). APRNs have independent offices and practices and work as hospitalists in various capacities in all of these regions (IOM, 2010). They provide competent, safe care and still collaborate with other medical professionals for the wellbeing of the patient they treat when needed (IOM, 2010). The collaboration of providers in these states are now working toward implementing a new model of patient care called the patient centered medical home model (PCMH) (IOM, 2010). This model stresses collaboration of all independent medical professionals. Clearly, APRNs must articulate their
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