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Supervision of Advanced Practice Providers.

Avery Clark¹, Cristopher Amanti¹, Alexander Y Sheng¹

¹Department of Emergency Medicine, Boston Medical Center, Boston University School of Medicine, 800 Harrison Avenue, BCD Building, 1st Floor, Boston, MA 02118, USA.

Emergency Medicine Clinics of North America

|April 28, 2020

Summary

Guidelines for advanced practice providers in emergency medicine are crucial. This article details the scope of practice for physician assistants and nurse practitioners, covering supervision, billing, credentialing, and medicolegal aspects.

Keywords:

Advanced practice provider Billing Credentialing Medicolegal Nurse practitioner Physician assistant Supervision

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Area of Science:

Emergency Medicine
Healthcare Policy
Advanced Practice Providers

Background:

Increasing numbers of advanced practice providers (APPs) in emergency medicine necessitate clear practice guidelines.
Ensuring consistent and high-quality patient care requires defined roles and supervision for APPs.

Purpose of the Study:

To outline the scope of practice for physician assistants (PAs) and nurse practitioners (NPs) in emergency departments.
To examine the implications of APP practice on billing, credentialing, and medicolegal issues.

Main Methods:

Review of existing literature and policy documents.
Analysis of current practices regarding APP supervision in emergency settings.

Main Results:

Varied supervision models exist for PAs and NPs in emergency departments.
APP practice significantly impacts billing, credentialing processes, and medicolegal considerations.

Conclusions:

Establishing comprehensive guidelines for APP practice in emergency medicine is essential.
Clear policies are needed to optimize APP integration, ensuring patient safety and efficient healthcare delivery.