NJSNA Town Hall Meetings
The New Jersey State Nurses Association has formed a steering group whose goal is to educate APNs, RNs and all citizens in New Jersey on how NJ is answering the call of the Institute of Medicine (IOM) to improve access to care in New Jersey.
What are the Issues?
- In New Jersey APNs may practice independently in all areas with the exception of having a joint protocol with a collaborating NOT supervising physician when they write prescriptions or order a device that administers medications.
- APNs are sometimes denied the right to be empanelled as a primary care provider for Medicaid, Medicare Advantage, many commercially insured managed care enrollees or may not be included as a provider for covered services for Workers Compensation.
- Some APNs are paying between $600/month to 10% of their income per year for a collaborating phsician who may never see the APNs' patients.
- Some APNs can't find an MD willing to sign a joing protocol, which means they can't practice in NJ
- Patients may have to switch from their APN to another primary care provider if the insurer doesn't empanel APNs, disrupting care
- It adversely impacts access to care for many vulnerable groups when insurers won't reimburse for the APNs care, or when institutions or physicians require duplication of care when an MD reviews or signs off on all or most charts, supervise the APN or be "present" when care is given.
- Nurses should be able to practice to the full extent of their education and training - Need to remove scope-of-practice restrictions for APRNs
March 20, 2013 - Dorothy B. Kraft Center