We have made a review of the literature for the State of Michigan, all recent studies that study the effect of extending the practice for NPs. It appears to improve access to care; This is something that is relatively consistent throughout the literature. There also appear to be some improvements in patient experience, although there have been no studies over time that have examined other aspects of quality of care. There is nothing in my review that would indicate that there would be a reduction in quality or compromises in patient safety with full autonomy of practice. Ryan S. Petty, a pediatric nurse at the University of Michigan Mott Children`s Hospital, who is nearing completion of her DNP-FNP program, wrote a statement on the benefits of extending FPA to Michigan NPs. It found that NPAs are not only well trained and have significant clinical training prior to graduation, but can also help meet the needs of health care providers within the MI. As evidence, he stated that there was an expected shortage of 8,000 to 12,000 doctors in the state, including 4,000 in primary care. Continuing to modernize the practice of NPOs in the state would be an inexpensive way to meet the growing demand for health care. New requirements. As of June 1, 2019, an NCS and NP must certify that they have a valid cooperation agreement with a Medicaid-registered physician as part of the Medicaid registration and recertification process. Surprisingly, the revised requirements for Medicaid NP/CNS cooperation agreements are identical to those required by the code of „practice agreement“ between a physician and a medical assistant. The justification and legal basis for this approach is unclear, given that a Palestinian Authority does not have an independent area of practice outside the practice agreement (which does not apply to an NSC/NP that applies under a cooperation agreement) and that a PaPa is not in a delegation/monitoring relationship with any aspect of Palestinian Authority practice (such as.

B an NCS/NP, such as the control of delegated medical tasks such as prescribing. It is also not known why Medicaid does not apply the same collaborative requirements to NMCs that, like NPs and NSCs, also fall under the APRN code. It is interesting to note that mi is unique in that its NPOs are not governed by a law on the practice of care. In fact, they work under the supervision of the Public Health Code (1978) with 25 other health professionals. In addition, they have a „special RN certification“ under the CHP, unlike a state license. While Michigan NPs still need medical oversight to prescribe the 2-5 schedule of controlled substances and cannot sign death certificates or workers` claims, a legislative victory was recently won to expand their practical capacity: MI HB 5400. This bill was signed by Governor Rick Snyder in January 2017 and allows NPNs to prescribe unplanned drugs, as well as to distribute free launch boxes of qualified drugs; go to hospital towers Make independent home calls Physical-vocal therapy without the need for a cooperating doctor. The first step is for NPAs to know their legislators and shed light on the scope of practice, education and training. NPNs must also cooperate with key legislators on other issues that affect the health of each patient and the health of society as a whole.

Building collaborative relationships with key stakeholders is essential to advancing our cause. Another important step is to ensure that NPAs become active members of their professional organizations at the national, national and local levels.