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Message

re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

Posted on 5/24/16 at 10:14 pm to
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:14 pm to
What's your prediction on the vote total?
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 10:18 pm to
quote:

There's a lot of misinformation put out there by the LANP




Misinformation of just information that disagrees with the almighty MD?

You have fought every scope bill to the point that I can't see how you have time to study if you re a student or practice if you are an MD. How many scope bills in Louisiana have led to patient harm as MDs would always state?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:21 pm to
I fought two ever
Posted by jat912
Florida Parishes
Member since Jun 2008
231 posts
Posted on 5/24/16 at 10:21 pm to
quote:

So basically Medicare doesn't require a CPA for reimbursement of NP's. So that was a myth.


Incorrect. CMS requires an APRN to have a CPA with a physician. The contents of that CPA vary state to state, but CMS still requires that such a relationship exists.

LINK
LINK (page 3)
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:21 pm to
Misinformation
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:22 pm to
(no message)
This post was edited on 5/24/16 at 10:23 pm
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/24/16 at 10:25 pm to
quote:

Incorrect. CMS requires an APRN to have a CPA with a physician. The contents of that CPA vary state to state, but CMS still requires that such a relationship exists.

My NP's can't sign for home health, PT, durable medical supplies or a bunch of other petty bullshite I'm stuck doing. How bout we evolve their role into doing the bullshite administrative duties we have to for them?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:26 pm to
Like the biggest two recent ones.

1) where they let non surgeons do surgery

2) where they turn over the full practice of medicine to non medical doctors
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 10:30 pm to
So I'll ask again how many scope expansion bills have led to patient harm?

It's the same song and dance by MDs every single time. If this bill passes it will cause harm or death. Meanwhile scope expansion to date has allowed for better access and care and to my knowledge no retraction by the legislature due to harm by a non MD profession that was granted and expansion of scope.
Posted by jat912
Florida Parishes
Member since Jun 2008
231 posts
Posted on 5/24/16 at 10:34 pm to
Mixed bag. Good outcomes generally correlate with states that have high SES (Maine, Massachusetts) and poor outcomes correlate w/ low SES (New Mexico, Nevada). North Dakota has moved up because of money coming from the Bakken shale boom.

The point is that there is no evidence that the practice of medicine by a underqualified person under an unqualified board improves any outcomes.

2016 data: LINK
This post was edited on 5/24/16 at 10:34 pm
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/24/16 at 10:39 pm to
quote:

Guess i could ask you the same thing. You are the one claiming that this will result in terrible patient outcomes. Show me those results from the other 22 states that there is no collaborative agreement required.


When lowering the standards for a profession, the burden of proof is not on the established party with a proven record. The burden of proof is on the NPs. They should change their curriculum. Make their clinical work standardized. Make their board overseen by LSBME. Etc.

You can't really be advocating that we let people get hurt or prices soar, then present evidence, then hope to repeal a law? That's not logical
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 10:49 pm to
quote:

Like the biggest two recent ones.

1) where they let non surgeons do surgery



Funny you should mention that two years later can you call someone that performs surgery not a surgeon?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:52 pm to
There is frequently preventable loss of vision mismanaged by optometrists
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/24/16 at 10:53 pm to
I would consider someone who doesn't train to be a surgeon, well anything but a surgeon

There is a difference between "performing surgery" and performing surgery correctly with good technique as well as knowing when not to perform surgery.

Do you think surgical residencies are 4 to 5 years because it's fun? Even after you come out of that much training you are still nervous about being on your own with no backup
This post was edited on 5/24/16 at 10:54 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:54 pm to
Yes

Surgeons do surgical residency training

Surgeons GO TO MEDICAL school
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:56 pm to
Figures on Bill Eve all the fun contributors would show up. I must say all of this has been interesting
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:57 pm to
Which first - 2000 or 100?
Posted by Da Hammer
Folsom
Member since May 2008
5996 posts
Posted on 5/24/16 at 10:59 pm to
quote:

There is frequently preventable loss of vision mismanaged by optometrists


Funny thing there is no preventable loss of Vision by an ophthalmologist??
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:00 pm to
I'm sure there is - but it's less common
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 11:01 pm to
We are not arguing anyone is perfect.

We are arguing some people are far more qualified than others
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