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Maryland Nursing Workforce

Maryland Nursing Workforce. Beverly Lang MScN , RN, ANP-BC Executive Director Nurse Practitioner Association of Maryland. Nurse and Nurse Practitioner Data (2011). Registered Nurse 49,629 MD % of US Total: 1.8% 851 per 100,000 US # = 2,724,570. Nurse Practitioner 3,493

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Maryland Nursing Workforce

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  1. Maryland Nursing Workforce

    Beverly Lang MScN, RN, ANP-BC Executive Director Nurse Practitioner Association of Maryland
  2. Nurse and Nurse Practitioner Data (2011) Registered Nurse 49,629 MD % of US Total: 1.8% 851 per 100,000 US # = 2,724,570 Nurse Practitioner 3,493 MD % of US Total: 1.9% 60 per 100,000 US # = 180,233
  3. Health Care Reform Drives Employment Opportunities More individuals with paid access to care Greater emphasis on preventative care Increased demand for primary care services and primary care providers More care done in ambulatory settings More demand for NPs, APNs and PA in primary and specialty settings Increased need for full practice authority More team-based care delivery models
  4. Barriers to RN Practice Wait lists for students entering RN and BSN nursing programs Lack of nursing faculty More incentives needed for advanced degrees among registered nurses Scholarships, grants, increased pay Difficulty Securing Clinical Sites for Student Learning Financial barriers to education for students More $ for nursing education needed Lack of articulation models for RN continuing education
  5. IOM Future of Nursing Report Recommendation #1: Remove Scope of Practice Barriers. Advanced practice nurses should be able to practice to the full extent of their education and training.
  6. Nurse Practitioners Advanced Practice Nurses Educated at the Master’s level or higher with a specialization in primary care, acute care or psychiatric/mental health; family or adult/gerontology Trained to diagnose and treat acute and chronic illness through comprehensive history taking, physical exams, and ordering and interpreting diagnostic tests. In contrast with physicians, NPs’ authority to diagnose, treat or prescribe varies depending on state, hospital and payer policies. Must pass a national board certification exam in their area of specialty to qualify for licensing in their state.
  7. Barriers to NP Practice Costs of Advanced Education Master’s Degree or higher Regulatory Policies: Attestation Formalized document submitted to the MBON Agreed to by physician Approved by MBON Time consuming and tedious Some physicians charge to sign NPs in rural areas have difficulty finding a physician Decreased level of reimbursement for healthcare services (85%) Lack of Provider neutral language in law Inability to sign many patient certificates, forms, and other documents
  8. References Primary Care Workforce Shortages: Nurse Practitioner Scope-of-Practice Laws and Payment Policies, NIHCR Research Brief No. 13, February 2013, Tracy Yee, Ellyn R. Boukus, Dori A. Cross, Divya R. Samuel. The Future of Nursing: Leading Change, Advancing Health. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, a the Institute of Medicine, Institute of Medicine. www.statehealthfacts.org American Association of Nurse Practitioners www.aanp.org Nurse Practitioner Association of Maryland www.NPAMonline.org Maryland Board of Nursing www.mbon.org
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