Provider Practice Essentials registered nurse continuing education

Concussions – They’re All in Your Head

Rich Greene, PA-C Head injury and concussion are common outpatient complaints. This case-based approach will help you differentiate the types of concussion and their common management. Patient 1 A 3 year-old male, presenting to the Emergency Department (ED) after falling off the bed while jumping on it.  Patient hit their head on a tile floor … Read more

COPD Exacerbation – Do they also need antibiotic coverage?

COPD exacerbations are commonly seen in the emergency room, urgent care, and primary care setting. Treatment can usually be managed outpatient with the combination of beta adrenergic agonists ( albuterol ) and or with anticholinergic agents ( ipratropium) with MDI or nebulizer, In addition patients are usually prescribed systemic glucocorticoid therapy. Current guidelines suggest a … Read more

Part 3: How do PA’s and RN’s fit into healthcare reform

And so the rest of this blog post comes to you – the biggest investment in healthcare.

MIP’s

Physicians, Physician Assistants, Nurse Practitioners – anyone who is considered a provider in healthcare, is now having their own quality measures applied to their care delivery.  As part of the permanent “Doc Fix” the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015. CHIP is the Children’s Health Insurance Plan that provides matching federal payments to state-funded children’s insurance programs.  MACRA is designed to shift the healthcare fee-for-service model of payments to the value-based payment (quality) payment model through Merit-based Incentive Programs (MIPs), which are designed to focus on quality measures at the provider level. Each specialty will have different requirements.  The intent of these quality measures is aimed at reducing cost, but their application to current medical standards is debatable.

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