- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
1
Posted on 5/31/16 at 4:05 pm to Janky
quote:
Didn't read this thread. Who am I pulling for here?
If you are a MD, and worried that NPs would potentially affect your bottom dollar, then you want to pull against this.
If you are a citizen of Louisiana and want to increase access to healthcare, especially to our rural areas, and do what 22 other states in the US are trending to do, which all happened to be ranked higher in healthcare that Louisiana, then you will want to support this bill.
Posted on 5/31/16 at 4:06 pm to Janky
quote:
Didn't read this thread. Who am I pulling for here?
A nurse practitioner who owns several urgent care clinics proposes a bill which removes NP's being required from being in a collaborative agreement with a physician. They will then be practicing to the fullest extent of their training under the board of nursing.
Proponents suggest that many of the agreements are abused and not needed.
Opponents believe that mid-level providers should not practice without oversight or should be held under the same standards as those who currently practice without supervision- that is that the State Medical Board should be the governing body, not the Board of Nursing.
That's it in a nutshell. Pull for the one you prefer.
Posted on 5/31/16 at 4:08 pm to chadg
quote:
If you are a citizen of Louisiana and want to increase access to healthcare
How will this bill increase access to care?
Posted on 5/31/16 at 4:09 pm to whodatdude
quote:
Moved to June 3
what was the excuse this time, too late in the day, bad day of the week, moon was not right??
the truth of the matter is they do not have the votes and they know it
Posted on 5/31/16 at 4:10 pm to Hopeful Doc
quote:
A nurse practitioner who owns several urgent care clinics proposes a bill which removes NP's being required from being in a collaborative agreement with a physician. They will then be practicing to the fullest extent of their training under the board of nursing. Proponents suggest that many of the agreements are abused and not needed. Opponents believe that mid-level providers should not practice without oversight or should be held under the same standards as those who currently practice without supervision- that is that the State Medical Board should be the governing body, not the Board of Nursing. That's it in a nutshell. Pull for the one you prefer.
Which one lowers my taxes and lets me keep my guns?
Just kidding. My best friend's wife is a NP and his brother is a MD.
Posted on 5/31/16 at 4:10 pm to Janky
Basically, nurse practitioners think they are doctors and shouldn't have to practice with supervision. Doctors disagree.
Posted on 5/31/16 at 4:10 pm to Janky
Someone who is either for or against this bill in the Legislature is definitely keeping this thread alive. To what end I have no idea.
Unless it is to generate Google results or something like that. I would imagine legislators check things like that these days before they vote. Because they certainly don't read the bill, consider the short and long term effects on their constituents and then make an informed decision.
Unless it is to generate Google results or something like that. I would imagine legislators check things like that these days before they vote. Because they certainly don't read the bill, consider the short and long term effects on their constituents and then make an informed decision.
Posted on 5/31/16 at 4:11 pm to Hopeful Doc
so when will see the medical board put restrictions on the physicians that enter into these collaborative agreements?
Posted on 5/31/16 at 4:12 pm to Tigerpaw123
They didn't say any excuse. Just motioned to return to calendar for June 3. I think you're probably right, unless they believed there wouldn't be enough time for a proper debate today.
Posted on 5/31/16 at 4:14 pm to chadg
You stated that so simply. Well done
Posted on 5/31/16 at 4:15 pm to Janky
quote:
Which one lowers my taxes and lets me keep my guns?
quote:
Just kidding. My best friend's wife is a NP and his brother is a MD.
They're both very important parts of the healthcare delivery system here in Louisiana and elsewhere.
I know of several physicians who are in CPAs for which they do not charge the NPs living in very, very rural LA. Including the one who interviewed me for a spot in their practice a couple of weeks ago.
The buzz I hear and tend to think makes a lot of sense is that big chain pharmacies passed down lots of money so they could hire NPs to run clinics in their stores without oversight, which will lead to increase in their sales and a pretty decent return on investment until the end of the soon-extinct (they say) Fee For Service era.
But don't let that matter of opinion bother you. It's America. Think whatever you'd like, and be loud as hell about it. Just make sure you're either loud to the right people (in Baton Rouge) or comical.
Posted on 5/31/16 at 4:23 pm to Tigerpaw123
quote:
so when will see the medical board put restrictions on the physicians that enter into these collaborative agreements?
I'd love to see it done today.
I'd further love to see the creation of a new board comprised of all the groups who are involved to govern the healthcare delivery system in Louisiana. Legislators aren't the right people to decide whether a physical therapist, chiropractor, nurse practitioner, etc should see a patient without a referral or whether an optometrist can give an intravitreal injection. A group of informed individuals should do so.
But outside of this altruistic utopia, I had a conversation with a lobbyist from the medical board side. He said he asked if it was about money for the CPAs, they responded with, "yes." He stated the offer was on the table to propose an amendment to no longer allow physicians to charge for them. They rejected it.
He's a lobbyist, so he's almost definitely got some amount of blowing smoke up my arse so that I'll get angry and call my rep. But in this particular case, there is likely some truth to it.
Charging exuberant amounts for a CPA and not offering anything in return from a review/input standpoint should be criminal. Charging some number a month because you're regularly consulted and take time after hours to read and sign off on notes and care plans shouldn't be. I do honestly believe the latter is the more prevalent but that those who abuse the former screw it up for everyone.
Posted on 5/31/16 at 4:24 pm to L S Usetheforce
quote:
What about the 27 states doing in wrong? What you have for them?
not a whole lot for them
just like I don't have a dang thing for states that have no CHL, or states with excessively restrictive fishing or hunting laws, or states without capital punishment, or states with an outrageous minimum wage.
just because some states are doing it, doesn't make it right and the evidence to that fact has been presented over and over again in this thread.
Posted on 5/31/16 at 4:27 pm to Hopeful Doc
quote:
How will this bill increase access to care?
Not sure if serious...
Try and find a doctor that will move to rural Louisiana and treat a large amount of Medicaid patients...
Posted on 5/31/16 at 4:30 pm to Bleeding purple
quote:
doesn't make it right and the evidence to that fact has been presented over and over again in this thread.
I got ya.....you sound like the ASA right now in their claim that CRNAs should take care of veterans.........
However, in times of war guess who provides the anesthetic for warriors in the battlefield?
I'll hang up and listen.
This is a similar scenario......Doctors believe that scare tactics of an educated public will invoke fear. God foribid what kind of patients do you think are going to go to a pharmacy for healthcare? The ones that have LIFE THREATENING aliments or the ones who want they basic needs of medicine applied?
Consider how much free time your ER would have if a pharmacy was taking all the earaches and sore throats, and doctor's excuses seekers.
It's a scary world out there folks.
Posted on 5/31/16 at 4:30 pm to Hopeful Doc
quote:
I'd further love to see the creation of a new board comprised of all the groups who are involved to govern the healthcare delivery system in Louisiana. Legislators aren't the right people to decide whether a physical therapist, chiropractor, nurse practitioner, etc should see a patient without a referral or whether an optometrist can give an intravitreal injection. A group of informed individuals should do so.
This my friend, i agree with you 100%.
Posted on 5/31/16 at 4:31 pm to chadg
quote:
I'd further love to see the creation of a new board comprised of all the groups who are involved to govern the healthcare delivery system in Louisiana. Legislators aren't the right people to decide whether a physical therapist, chiropractor, nurse practitioner, etc should see a patient without a referral or whether an optometrist can give an intravitreal injection. A group of informed individuals should do so.
This my friend, i agree with you 100%.
Posted on 5/31/16 at 4:32 pm to chadg
Hi
I'm a doc who has an open clinic to Medicaid patients and I practice in rural TX only a few hundred miles from LA border.
and FWIW, placing an unsupervised NP in a rural setting will still not meet the above challenge.
I'm a doc who has an open clinic to Medicaid patients and I practice in rural TX only a few hundred miles from LA border.
and FWIW, placing an unsupervised NP in a rural setting will still not meet the above challenge.
Posted on 5/31/16 at 4:33 pm to L S Usetheforce
also agree
Page 106 of 127
Popular
Back to top
Follow TigerDroppings for LSU Football News