All of the sites noted language as a big barrier. Nurses, on the other hand, had significantly more positive attitudes about collaboration than physicians. Plan strategies now for future roadblocks to collaboration and other role issues. Being prepared with a plan for these inevitable roadblocks can help maintain your confidence, competencies, and open communications. You are confident that Dr. Olden will retire in the near future and you see a golden opportunity to build a practice with Dr. Newhouse or by yourself too great an opportunity to blow on being overly assertive or aggressive.
Timing is everything.
Give the doctors an ideal job description listing the core and specialty competencies like you all covered very well in your answers to Question 1 in the Collaboration assignment. One student had a great suggestion about giving the doctors a scenario of the typical care that you envision administering in a practice with them. According to Medicare s basis rules for incident-to billing, the APN can see patients after their initial visit with the physician carrying the provider number and during his presence in the same office, but not in inpatient situations. The Balanced Budget Act gave supervision and legislative scope of practice issues back to the individual states, allowing NPs to see Medicare patients first or without an MD present. Once billing numbers are obtained, APNs need to use them regularly to be recognized as active.