Expand of practice, hospitals denying privileges, and lack of

  Expand the scope of practice of non-doctor clinicians needs to be done to improve our health care and reach the Institute of Health Improvement’s (IHI) triple aim of  reducing cost, improving patient experience, and  patient’s health (Whittington, Nolan, Lewis, & Torres, 2015).  I agree this needs to be done as soon as possible in lieu of the primary care physician shortage (Pettersen et al., 2012). With fewer medical students choosing primary care, the nurse practitioners with full scope of practice could fill this void of primary care providers and assist physicians (Salmon & Echevarria, 2017).    Barriers to the nurse practitioners expanded role include state laws with restricted scope of practices, lower insurances reimbursement, American Medical Association (AMA) resistance to full scope of practice, hospitals denying privileges, and lack of physician knowledge as to what full scope of practice means (Hain & Fleck, 2014).  Viable solutions include encouraging states and AMA to support full scope of practice in all states.  Educating physicians about the profession and the collaborative role they could play in assisting to transforming healthcare to a preventative care model.  Sharing research indicating the nurse practitioners abilities to treat patients with better outcomes & patient satisfaction than physician counterparts (Swan, Ferguson, Chang, Larson, & Smaldone, 2015) (Mundinger et al., 2000) with states and physicians could convert the skeptics.  Equate reimbursement for nurse practitioners and physicians when performing equal task and equating privileges in hospitals. (Salmon & Echevarria, 2017).    The time for action is now. If states, the AMA, and physicians can change the lens in which they currently see nurse practitioners, they would see expansion of their role as one of the solutions to making our healthcare system better and assist them in meeting IHI’s triple aim.