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Professionalism and the CRNA. Jan Mannino, CRNA, JD. Professional Responsibilities. Commitment to professional competence Commitment to honesty with patients Commitment to patient confidentiality Commitment to maintaining appropriate relations with patients

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professionalism and the crna

Professionalism and the CRNA

Jan Mannino, CRNA, JD

professional responsibilities
Professional Responsibilities
  • Commitment to professional competence
  • Commitment to honesty with patients
  • Commitment to patient confidentiality
  • Commitment to maintaining appropriate relations with patients
  • Commitment to improving quality of care
  • Commitment to improving access to care
  • Commitment to a just distribution of finite resources
  • Commitment to scientific knowledge
  • Commitment to maintaining trust by managing conflicts of interest
  • Commitment to professional responsibilities
professional responsibilities1
Professional Responsibilities

• Commitment to professional competence

• Commitment to honesty with patients

• Commitment to patient confidentiality

• Commitment to maintaining appropriate relations with patients

• Commitment to improving quality of care

• Commitment to improving access to care

• Commitment to a just distribution of finite resources

• Commitment to scientific knowledge

• Commitment to maintaining trust by managing conflicts of interest

• Commitment to professional responsibilities

who defines the crna profession
Who Defines the CRNA Profession?
  • The profession
  • The Professional Organization (AANA)
  • Licensing Boards
who does not define crnas
Who Does NOT Define CRNAs
  • Nursing
  • Medical anesthesia
  • Medical licensure
  • CMS
  • Insurance companies
  • Accreditating Agencies
  • Hospitals and ASC Facilities
legal component
Legal Component
  • Practicing according to the standard of care of of the profession
  • Held to an anesthesia standard
  • One of the few professions that is held to a medical standard
reimbursement
Reimbursement
  • Getting paid for the value of your education and functions
  • Do not undervalue administration of anesthesia
hospital privileges
Hospital Privileges
  • How should we be classified?
    • Allied health?
    • Mid-level practitoners?
    • Physician extenders?

Anesthesia PROFESSIONALS (better word than provider)

anti trust actions
Anti-trust Actions
  • Bhan case
  • Oltz case
  • Minnesota case
whistleblower lawsuits
Whistleblower Lawsuits
  • Medicare Fraud and Abuse
oig advisory
OIG ADVISORY
  • Fee splitting
  • Company model
  • Advantges for CRNA
contract negotiations
Contract Negotiations
  • Critical to be considered a businessperson
  • Collect facts
  • Know your worth
  • Understand your opponent
  • Set your limits
perceptions
Perceptions
  • Nurses are not businesspeople
  • It is unprofessional to talk about money
  • The physician takes all of the responsibility
  • Difference between an hourly employee and a professional
  • Nurses eat their young
professional actions
Professional Actions
  • Decorum
  • Dress
  • Ask Smart Questions
  • Understanding politics of the operating room
  • Patient Advocacy
final thoughts
Final Thoughts
  • No one is happy for your success except your mother
  • The AANA is the Power of the Profession
  • Get involved
  • Always do great patient care
final thoughts1
Final Thoughts
  • We would not be here today, except for:
    • Strong clinical skills
    • Basic education and Continuing education
    • AANA
    • Committed professionals
references
References
  • American Board of Internal Medicine Foundation. American College of Physicians–American Society of Internal Medicine Foundation. European Federation of Internal Medicine Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243–246.