AMA: 3-year study of NPs in the ED: Worse outcomes, higher costs

[TheLoneWolf]

3-year study of NPs in the ED: Worse outcomes, higher costs

Research shows how nurse practitioners (NPs) delivering emergency care increase lengths of stay and preventable hospitalizations—and overall costs.

www.ama-assn.org

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[DesiredMemberName?]

While this shows NPs may not be good for the VA or Kaiser EDs, the “nonprofit” hospitals might have a different takeaway.

Do private hospitals make more money when they increase admissions, tests, and procedures?

 

[Agast]

I wonder how often hospitals see rejected claims from insurance due to “lack of medical necessity.”

 

[2Fast2Des]

Hmm shocking! Put sub par people in charge and expect better and cheaper care, Walmart healthcare!

 

[kidthor]

 

[Onefellswoop87]

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Wow that’s a lot of letters after her name

 

[secretasianman]

Wow that’s a lot of letters after her name

Inversely proportionate to how reasonable she probably is.

 

[Lecithin5]

Wow that’s a lot of letters after her name

I’ve never seen so many letters after a name in my life. Cringe.

 

[coffeebythelake]

The only letters that really matter in healthcare. MD/DO

 

[secretasianman]

All this bs about nursing shortage is surely made worse by pulling nurses from the bedside and into Zpack/decadron dispensing mode.

 

[coffeebythelake]

Wow that’s a lot of letters after her name

Add OMG WTF BBQ to that never ending string of letters and nobody will notice.

 

[tdub878]

Who would have guessed that people
With less training provide inferior care.

 

[coffeebythelake]

Who would have guessed that people
With less training provide inferior care.

Well their argument is that they are "good enough". Nobody with more than 5 brain cells would believe the care is the same.

 

[IMGASMD]

Inferior complex much?

 

[Dr. Rude]

Well their argument is that they are "good enough". Nobody with more than 5 brain cells would believe the care is the same.

No. Their argument is that they provide equivalent care. That the education and training differences don’t matter. There is no evidence to the contrary. Or what little evidence exists is insufficient and biased.

That is their argument. An argument that hospital administrators really want to buy into. They just lack enough cover.

Never mind that for 40+ years thst everyone who could afford to pay up for a physician did so. The economic pressures have never been greater which is why they are gaining.

 

[secretasianman]

They are winning because the loudest voices and biggest whiners win in this political arena. No one will call them out on their false virtue signaling because of the bad optics. It will take lots of bad outcomes and publicity before some whistleblowing happens.

No. Their argument is that they provide equivalent care. That the education and training differences don’t matter. There is no evidence to the contrary. Or what little evidence exists is insufficient and biased.

That is their argument. An argument that hospital administrators really want to buy into. They just lack enough cover.

Never mind that for 40+ years thst everyone who could afford to pay up for a physician did so. The economic pressures have never been greater which is why they are gaining.

 

[Gern Blansten]

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"ENA has concerns about the study's methodology...but we are not going to share what those concerns are. Just trust us that we definitely have concerns, plus, nurses care for the entire patient in a holistic way that only nurses can do."

 

[Anesthesia_Guy]

Wow that’s a lot of letters after her name

True but she forgot a few: IDIOT.

 

[drmwvr]

"ENA has concerns about the study's methodology...but we are not going to share what those concerns are. Just trust us that we definitely have concerns, plus, nurses care for the entire patient in a holistic way that only nurses can do."

...could have just let it go and not said anything and no one would have been the wiser....some folks just can't help kicking turds.....

 

[coffeebythelake]

"ENA has concerns about the study's methodology...but we are not going to share what those concerns are. Just trust us that we definitely have concerns, plus, nurses care for the entire patient in a holistic way that only nurses can do."

Their "concern" with the study is that the outcome wasn't what they wanted.

 

[jwk]

Who would have guessed that people
With less training provide inferior care.

Amazing that many NPs get their "training" entirely online. That also includes CRNAs moving from their MSN to DNaP.

 

[secretasianman]

Amazing that many NPs get their "training" entirely online. That also includes CRNAs moving from their MSN to DNaP.

The word “sham” comes to mind.