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WHNP Women Health Nurse Practitioner

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WHNP exam Dumps Source : Women Health Nurse Practitioner

Test Code : WHNP
Test denomination : Women Health Nurse Practitioner
Vendor denomination : Medical
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Medical Women Health Nurse Practitioner

Filling The simple care gap: Nurse Practitioners | killexams.com true Questions and Pass4sure dumps

by Steve Hamm

Alison McGrory-Watson, a non-public prepare dinner who lives in abysmal River, had captious clinical complications, including Hepatitis C and achieve up-traumatic stress disorder (PTSD), when she become assigned Nichole Mitchell as her simple care issuer at group health middle Inc. (CHC) in Middletown.

McCrory-Watson became uninsured, and Mitchell went to awesome lengths to collect fiscal suggestions for two unique drugs aimed toward addressing her medical issues. in consequence, McGrory-Watson is now Hep C-free, and he or she hopes a drug she’s taking for PTSD will quell the lingering outcomes of being gang-raped as an adolescent and witnessing a brutal stabbing as an adult.

There’s whatever about Mitchell that could shock you. She’s not a doctor; she’s a nurse. A nurse practitioner (NP), to subsist precise. but McGrory-Watson insists that the care Mitchell provides is every bit as grand as she would collect from a physician. “in my opinion, people shouldn’t fret about being handled with the aid of a nurse practitioner; they may noiseless subsist pleased,” she says. “Nichole brings the holistic strategy of in fact knowing me and not simply seeing an inventory of signs on a page.”

Steve Hamm photograph.

Nichole Mitchell, a nurse practitioner, provides simple care on the community health core, Inc., in Middletown.

There are supine to subsist many extra people dote Nichole Mitchell in their future. The number of medical students in quest of careers as simple care suppliers is lagging while nurse practitioners overwhelmingly opt for careers in fundamental care. in the meantime, demand for simple care suppliers is starting to subsist because of the opioid disaster, the ageing inhabitants and an expand in continuous illnesses.

Already, the federal government’s health resources and functions Administration estimates that 13,800 extra fundamental care physicians are needed to fill latest demand. The scarcity could develop to 50,000 with the aid of 2030, in line with a witness at prepared for the association of yankee medical faculties (AAMC). And, if the plight of regular fitness care becomes a truth, it might top 95,000.

In Connecticut, three,786 of the state’s 12,341 active physicians are in primary care, in response to the AAMC. To hold today’s status quo, Connecticut will must add greater than 400 primary care physicians through 2030, according to evaluation by using The Robert Graham core.

Advocates for health professional training suggest coverage alterations that may assist prevail extra medical doctors to are seeking for careers in simple care, together with increases in personal loan forgiveness. on the equal time, some clinical faculties, together with Quinnipiac institution’s outspoken H. Netter college of drugs, hold programs that hub of attention on basic care.

nonetheless, nurse practitioners are already an immense factor of the simple care group of workers, and fitness care leaders are counting on them to increasingly select accountability for finished basic care. A dissect posted final yr in the unique England Journal of drugs estimates that greater than half of the simple care providers nationwide in 2030 could subsist NPs or physician assistants (PAs). The variety of NPs is expected to grow 47 % by means of 2025. “It has whirl into transparent that you can’t better health care within the u.s. unless you unleash the power of nursing,” says Ann Kurth, dean of Yale college of Nursing.

Nurse practitioners typically finished a baccalaureate diploma in nursing and a two-yr master’s degree compared to seven years of submit-baccalaureate practicing for physicians.

Michael Melford picture/CHC

NP Nicole Seagriff assessments a patient.

Connecticut fitness care leaders are counting on stronger fundamental care to poke off more severe medical problems and extra costly cures—pushing a crew strategy the space physicians, nurse practitioners, medical professional assistants, behavioral therapists and others drudgery collaboratively. “We want to meet the entire patients’ wants at the door, and nurse practitioners play an primary function,” says Vicki Veltri, executive director of the Connecticut office of health approach.

In Connecticut, pro NPs are accredited to evaluate sufferers, diagnose ailments and prescribe medications—all devoid of healthcare professional supervision. The ranks of advanced rehearse registered nurses grew from 1,772 in 1998 to 5,382 ultimate year, in response to the department of Public fitness. Most of them are nurse practitioners.

For her part, CHC’s Mitchell objects to nurse practitioners being seen as fill-ins for docs. “family nurse practitioners didn’t Go to faculty to subsist health care professional extenders but quite independent clinicians. They stand on their personal two toes and enact consistently superb work,” she says.

in fact, reviews argue that the property of care supplied by using NPs customarily fits or exceeds that of physicians—and costs are reduce as a result of the profits ameliorations. a piece of writing posted in 2017 within the journal medical care concluded that NPs matched the property of care and outperformed docs when it came to offering health counseling.

At CHC, which serves a hundred forty five,000 sufferers across Connecticut, roughly 50 percent of basic care suppliers in its health centers are nurse practitioners. They provide pediatric, adult, family and girls’s health services, plus behavioral health features. In Fairfield County, fundamental care clinics can subsist organize in Norwalk, Stamford and Danbury. “NPs hold at sum times been equal companions here, each in medical commemorate and in leadership,” says Margaret Flinter, senior vp and medical director, who started as CHC’s first NP in 1980.

Many simple care physicians within the condition welcome the increasing role of nurse practitioners, although some express issues. The Charlotte-Hungerford Multispecialty community in Torrington employs a few nurse practitioners, yet Stacy Taylor, MD, a chief care surgeon there, says, “which you can’t protest that each one NPs can drudgery with out supervision. They basically focus on teamwork. We’re sum attainable to aid each other out.”

Connecticut allows licensed NPs who hold been practising in the condition for as a minimum three years under a health care provider’s supervision to drudgery independently and to the total extent of their training. here is called complete commemorate authority. Twenty-one different states hold similar laws. The others are greater restrictive.

CHC has been a country wide leader in presenting superior practising for nurse practitioners. Flinter established the nation’s first postgraduate residency program in 2007, and now there are 60-some NP residency programs across the nation. “we're asking NPs to subsist at the core of simple care, and they are looking to provide them the break for intensive postgraduate working towards that's focused on clinical complexity and on a high-efficiency mannequin of care,” says Flinter.

Steve Hamm picture.

sufferers wait to determine-in at the neighborhood fitness core, Inc., Middletown.

The difficult is additionally a pioneer in using know-how to uphold NPs—along with physicians and PAs—deliver the most dependable witness after their patients. One software, eConsult, enables basic care providers to interact with consultants by means of a digital platform. They collect hold of answers to their questions about sufferers in 48 to seventy two hours—instead of requiring patients to wait months for appointments with consultants. They additionally collect knowledgeable suggestions on the choicest medicine alternate options. “It’s a massive researching possibility for us. They connect with specialists and gain scholarship of from them,” says Nicole Seagriff, a nurse practitioner at CHC’s Norwalk office.

CHC’s application is now operating for 12 specialties, and it’s cutting the requisite for face-to-face specialist consults through 30 percent. It saves the Medicaid device $eighty four per CHC member per 30 days.

while some states flinch at granting complete apply authority, the dam holding back NPs appears to subsist bursting. The Veterans Administration fitness carrier and other federal agencies hold given NPs and nurse midwives independence in sum 50 states. They and others, including retail clinics, equivalent to CVS, are hiring them aggressively.

“We are looking to notice changes in the routine fitness care is provided in this nation,” says Monte Wagner, a nurse practitioner who works on the VA in West Haven and is an officer of the Connecticut enhance apply Registered Nurse Society. “Too many states don’t permit complete rehearse authority. That’s the greatest trade they requisite to see.”

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The Conn. fitness I-crew is dedicated to producing common, responsible, in-depth journalism on key issues of fitness and protection that hold an consequence on their readers, and helping them create informed health care decisions. As a nonprofit, they weigh on donations to uphold fund their work.Donate Now

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clinical secret: When distinctive physicians couldn’t support, he became to the web and a nurse practitioner | killexams.com true Questions and Pass4sure dumps

starting in the summertime of 2016, Larry Weller, then 70, skilled bouts of laryngitis, even though he hadn’t had a respiratory an infection. His family health care professional referred him to an ear, nose, and throat expert who ramped up the dose of his acid-blocking off medication. acid reflux disorder can occasionally judgement a hoarse voice. Weller, who lives in Bloomington, ill., had been diagnosed with reflux years past and had taken medication that managed the issue.

but after three months on a high dose of the drug, his hoarseness lingered.

“It didn’t alternate the rest,” recalled Weller, a retired agronomist.

In October 2017, the ENT carried out a videostroboscopy, a procedure that makes disburse of a scope to check out the vocal cords. He organize out leukoplakia, a customarily benign circumstance characterised through white patches, in Weller’s larynx. The medical professional instructed Weller he thought the patches regarded suspicious for cancer and scheduled a biopsy.

The biopsy showed no cancer however did argue signs of an airborne an infection common in the Midwest referred to as blastomycosis. The fungal an infection, which will too subsist led to by way of inhaling decaying leaves or soil, is regularly harmless. however some people, notably those with weakened immune programs, can enhance flulike symptoms which are now and again severe. Weller had been hauling luggage of seeds in his vehicle and soon in a while turned into wanting breath.

The ENT prescribed a effectual antifungal drug to knock out the an infection.

It didn’t support. every week later, Weller skilled a severe sore throat. The doctor prescribed azithromycin, an antibiotic, for a likely strep infection.

still no greater, Weller changed into referred to a second otolaryngologist, who sent him to an infectious-ailment professional, who in flip recommended that he notice a gastroenterologist. other than suspected blastomycosis, nothing was discovered.

With the assist of his wife, a veteran nurse, Weller tried to coordinate care together with his household health professional. That became difficult, he spoke of. The doctor become unwell and her community rehearse gave the imprint severely overloaded.

“they'd commonly cancel appointments on the ultimate minute," Weller recalled. "i used to subsist very frustrated.”

aside from prescribing more drugs, some of which made him believe worse, no doctor appeared to comprehend what should subsist would becould very well subsist inflicting Weller’s proliferating indicators.

In November 2017, Weller had an unsettling incident at an Italian restaurant whereas celebrating his oldest granddaughter’s 18th birthday.

a few bites into his favorite brief ribs, he felt a wave of fatigue engulf his jaw. Chewing grew to subsist laborious. Swallowing become an impossibility. Weller surreptitiously spit meals into his serviette, relieved to peer the others weren’t paying attention to him.

per week later, Weller noticed his simple-care medical professional. His capability to champ and swallow had again, youngsters he might devour most effectual tender meals. And if he wasn’t careful, he would choke, once in a while aspirating what he changed into ingesting.

His fatigue had worsened to the factor that he turned into unable to walk across his regular-sized yard without stopping a couple of instances to relaxation. And his gait changed into off: When he walked, Weller observed, his feet flapped. His doctor ordered a chemical stress check and an echocardiogram.

“The heart specialist advised me it’s no longer your heart — it’s quality,” Weller recalled. “You’re going to requisite to seem to subsist in different places.”

Feeling increasingly desperate, Weller determined to notice what he may unearth online.

while taking azithromycin for viable strep, Weller had examine the warning label. It suggested that the drug may noiseless now not subsist taken by means of americans who hold myasthenia gravis since it can aggravate the disease. Weller had never heard of myasthenia gravis (MG), a chronic neuromuscular autoimmune ailment that causes frail point within the muscle mass accountable for respiration and stream. however he had felt dramatically worse after taking the drug — and it grew to become out he hadn’t even had strep.

His search led him to the Mayo health hub web site and a description of indicators that sounded really typical: muscle frail point, fatigue, shortness of breath, problem chewing and swallowing, and gait disturbances. indicators customarily enhance with relaxation.

Weller organize that he had virtually each MG symptom listed except the most usual: double vision and droopy eyelids known as ptosis. The ailment, brought about by way of a transmission error between nerves and muscle groups, will too subsist diagnosed through a blood witness at various. The test measures the stage of an antibody that disrupts typical communique at the neuromuscular junction — the vicinity where nerve cells connect with the brawny tissues they manage.

Weller known as the Mayo medical institution but become unable to wrangle an appointment with the neurology offshoot in Rochester, Minn., so he decided to peer what he could accomplish in the neighborhood.

He turned into scheduled to peer his family unit doctor in mid-December, but the appointment become canceled on the terminal minute. He organized instead to notice a nurse practitioner. Then he compiled an inventory of indicators — numbering greater than a dozen — together with a page of questions. His purpose turned into to collect a blood test used in the prognosis of MG.

His routine labored. The nurse practitioner ordered a witness at various for acetylcholine receptor antibodies, that may aid distinguish MG from other neuromuscular problems.

“I really credit score her with listening and doing what I asked,” Weller talked about.

five days later, Weller learned that his hunch turned into suitable.

His AChR antibody degree become roughly 1,200 times bigger than typical. He had MG, which influences about 20 per 100,000 americans within the u.s..

“I’m very confident a neurologist would hold recognized this,” spoke of James B. Caress, a professor of neurology at Wake wooded region faculty of medicine in Winston-Salem, N.C., who focuses on treating MG. (Weller’s neurologist and first-care medical professional declined to subsist interviewed.)

difficulty chewing, cuddle said, is a traditional token of the disease, which killed Aristotle Onassis in 1975, before treatment had more suitable. It’s practicable that a family unit healthcare professional, mainly one practising in a minute metropolitan region — the Bloomington location has a population of about 168,000 — might by no means hold considered a case, he added.

Caress speculated that docs might had been misled with the aid of the fungal infection.

no matter if Weller basically had blastomycosis is unclear. No confirmatory check became carried out, Weller pointed out.

Weller and his wife had been in Louisiana journeying their daughter when he discovered the result of the antibody examine. The couple drove home just a few days before Christmas, however just a few hours after birth the 720-mile travel Weller’s preempt eyelid sum of sudden drooped shut. It turned into his first adventure with ptosis.

“That was the low factor,” he referred to.

A neurologist in Peoria determined that Weller had a severe case of MG and changed into in danger for one of the most feared problems of the disorder: a respiratory exigency that occurs because the muscle tissues that control respiration develop into too vulnerable to feature. A catastrophe can require emergency remedy including a ventilator.

Weller instantly sum started taking prednisone, a corticosteroid that suppresses the construction of antibodies, together with other medicines.

For the remaining year he has gone through plasmapheresis each different week. The remedy, which filters the blood in a mode corresponding to dialysis, gets rid of antibodies, however its outcomes wear off birthright now.

Weller said he feels confident in his neurologist, who's treating a couple of other people with MG.

in the final two months, his fitness has deteriorated for causes that aren’t clear. “It’s a curler coaster,” he talked about. “I mount up, select my meds, and notice how i am these days.”

Weller wishes he’d pushed for an explanation of his extended hoarseness and other symptoms much sooner.

“i'd divulge americans to pay consideration to what’s going on,” Weller noted. “nobody is vigilant of your body more desirable than you.”

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CVS nurse practitioner visits the morning reveal to argue coronary heart health | killexams.com true Questions and Pass4sure dumps

Please enable Javascript to watch this video

INDIANAPOLIS, Ind. — or not it's February, and the American coronary heart affiliation needs you to create certain you are maintaining tabs to your cardiovascular fitness. As a allotment of the Go pink for women stream this month, they talked to CVS MinuteClinic nurse practitioner Katherine Davis concerning the magnitude of checking your blood obligate and ldl cholesterol.

if you are robust and between 20-39 years ancient, you should definitely investigate your cholesterol each 4 to 6 years. but when high ldl cholesterol runs in your family, otherwise you've had exorbitant cholesterol during the past, subsist positive you collect it checked once or twice a 12 months. remember to verify your blood drive as a minimum once a year. Your doctor can deliver a personalised map in case your blood power or ldl cholesterol is high.

All CVS MinuteClinic locations throughout the nation are offering free coronary heart health screenings each Thursday birthright through the month of February. And sure, that contains Valentines Day. select a witness at the video above for greater from Katherine!


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Women Health Nurse Practitioner

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Advantia Health Expands Nationally With Acquisition of Heartland Women's Healthcare | killexams.com true questions and Pass4sure dumps

ROSSLYN, Va., Feb. 20, 2019 /PRNewswire/ -- Today, Advantia Health announced that it has acquired Heartland Women's Healthcare, an OB-GYN rehearse with 25 locations across Missouri and southern Illinois. Heartland Women's Healthcare will add 180,000 patients to Advantia's patient ground along with 50 doctors, nurse practitioners, and midwives. Heartland's consumer focused approach provides patients with convenient ways to communicate with their care team, including a Patient uphold hub open seven days a week, live online chat, and a 24/7 patient portal. Heartland is Advantia's first expansion outside of the mid-Atlantic region.

With its acquisition of Heartland, Advantia will continue to drive better outcomes, lower costs, and an improved sustain for its consumers, particularly women. Advantia is focused on quality, care model innovation, and the disburse of technology to deliver empathetic, convenient and coordinated care. Advantia's Women's Health Hubs integrate OB-GYN services, mental health and wellness, lightweight primary care ensuring convenient access to meet a women's health care needs through one location they already know and trust.

"We are thrilled to welcome Dr. Schifano and his entire team at Heartland to their Advantia Health family and they are excited to select their first steps as they expand from a regional to national healthcare provider," said Sean Glass, Founder and CEO of Advantia Health. "Heartland's accent on providing quality, convenient care to consumers closely aligns with Advantia's mission of a value-based approach to health care."

Heartland has paved the way in innovation, putting into disburse technologies and systems that hold served the needs of women in the Midwest through digital services and other care innovations. With the Heartland acquisition, Advantia expands the number of providers to approximately 200 in Illinois, Maryland, Missouri, and Virginia, and will serve nearly half a million patients.

"Advantia Health is an outstanding match for Heartland," said Dr. Michael Schifano, founder and managing partner of Heartland Women's Healthcare. "We participate the very vision for the future of women's healthcare and this unique partnership will allow us to continue to grow into the communities in requisite of a sturdy option for convenient, coordinated and property care."

"At Advantia, we're leading the way in value-based care that focuses on delivering the highest property and improving outcomes for women and their families," said Dr. Lisa Shah, Advantia's Chief Medical Officer. "Heartland embodies their mission-driven approach and we're excited to combine teams as they drudgery together to enhance care delivery that they hope will set unique industry standards for patients and providers alike."

This spring, Heartland will open a unique 8,000 square-foot obstetrics and gynecology medical building in Wentzville, Missouri. The unique building will provide up to 10 unique jobs, 14 examination rooms, a 4D ultrasound theater, lab, and two procedure rooms. Due to open spring 2019, Heartland will add a 16,000 square foot medical building in Shiloh, Illinois on what is being called the Medical Mile. This building will accommodate up to 10 providers, 32 examination rooms, four ultrasound theaters, two labs, two procedure rooms and create approximately 20 jobs.

"We are excited to combine forces with Advantia and believe this unique partnership will ensure they continue to deliver property care and services to consumers," said Dr. Schifano. "In their wish to grow and provide care to more women in the midwest, they were approached by many but not any were the birthright meet until Advantia. They eclipsed the competition with a concerted vision for differentiation by embracing innovation to compassionately transcend healthcare for women and their families. Their united commitment, that of Advantia and Heartland, is to lead this transformation and not subsist just another provider of women's healthcare."

About Advantia Health Advantia is transforming healthcare for women and their families, driving better outcomes, lower costs, and an improved sustain for their consumers. Advantia does this through their focus on quality, care model innovation, and the disburse of technology to deliver empathetic, convenient and coordinated care. 

Advantia provides care directly through Advantia Health, where currently more than 200 providers serve over 430,000 patients at their Women's Health Hubs and conveniently located specialist offices. Their Women's Health Hubs integrate OB-GYN services, mental health and wellness, lightweight primary care ensuring convenient access to meet a women's health care needs through one location they already know and trust.  

Advantia enables plans and employers to better serve women and their families through Advantia Solutions, where their technology products and technology driven services back them expand service and reduce costs for their members and employees. Learn more at AdvantiaHealth.com.

About Heartland Women's HealthcareFounded in 2001, Heartland Women's Healthcare provides OB-GYN care through 25 locations across Missouri and southern Illinois. Heartland is committed to offering compassionate obstetrical care and other services to address women's health needs and that meet their lifestyle. Learn more at usaobgyn.com.

ContactsJennifer Palubiak, jpalubiak@usaobgyn.com, 314-607-2268Eric Hollister Williams, ehwilliams@precisionstrategies.com, 202-255-2205

SOURCE Advantia Health

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https://www.advantiahealth.com


Filling The Primary care Gap: Nurse Practitioners | killexams.com true questions and Pass4sure dumps

By Steve Hamm

Alison McGrory-Watson, a private cook who lives in abysmal River, had sober medical problems, including Hepatitis C and post-traumatic stress disorder (PTSD), when she was assigned Nichole Mitchell as her primary care provider at Community Health hub Inc. (CHC) in Middletown.

McCrory-Watson was uninsured, and Mitchell went to powerful lengths to collect fiscal assistance for two unique drugs aimed at addressing her medical problems. As a result, McGrory-Watson is now Hep C-free, and she hopes a drug she’s taking for PTSD will quell the lingering effects of being gang-raped as a teenager and witnessing a brutal stabbing as an adult.

There’s something about Mitchell that might astound you. She’s not a doctor; she’s a nurse. A nurse practitioner (NP), to subsist precise. But McGrory-Watson insists that the care Mitchell provides is every bit as grand as she would collect from a physician. “In my opinion, people shouldn’t worry about being treated by a nurse practitioner; they should subsist glad,” she says. “Nichole brings the holistic approach of truly knowing me and not just seeing a list of symptoms on a page.”

Steve Hamm Photo.

Nichole Mitchell, a nurse practitioner, provides primary care at the Community Health Center, Inc., in Middletown.

There are likely to subsist many more people dote Nichole Mitchell in their future. The number of medical students seeking careers as primary care providers is lagging while nurse practitioners overwhelmingly pick careers in primary care. Meanwhile, demand for primary care providers is growing due to the opioid crisis, the aging population and an expand in chronic illnesses.

Already, the federal government’s Health Resources and Services Administration estimates that 13,800 additional primary care physicians are needed to meet current demand. The shortage could grow to 50,000 by 2030, according to a study prepared for the Association of American Medical Colleges (AAMC). And, if the plight of universal health care becomes a reality, it could top 95,000.

In Connecticut, 3,786 of the state’s 12,341 active physicians are in primary care, according to the AAMC. To maintain today’s status quo, Connecticut will hold to add more than 400 primary care physicians by 2030, according to analysis by The Robert Graham Center.

Advocates for physician education submit policy changes that could back prevail more doctors to seek careers in primary care, including increases in loan forgiveness. At the very time, some medical schools, including Quinnipiac University’s outspoken H. Netter School of Medicine, hold programs that focus on primary care.

Still, nurse practitioners are already a major component of the primary care workforce, and health care leaders are counting on them to increasingly select responsibility for comprehensive primary care. A study published terminal year in the unique England Journal of Medicine estimates that more than half of the primary care providers nationwide in 2030 will subsist NPs or physician assistants (PAs). The number of NPs is expected to grow 47 percent by 2025. “It has become transparent that you can’t better health care in the United States unless you unleash the power of nursing,” says Ann Kurth, dean of Yale School of Nursing.

Nurse practitioners typically complete a baccalaureate degree in nursing and a two-year master’s degree compared to seven years of post-baccalaureate training for physicians.

Michael Melford Photo/CHC

NP Nicole Seagriff exams a patient.

Connecticut health care leaders are counting on improved primary care to head off more sober medical problems and more costly treatments—pushing a team approach where physicians, nurse practitioners, physician assistants, behavioral therapists and others drudgery collaboratively. “We want to meet sum the patients’ needs at the door, and nurse practitioners play an primary role,” says Vicki Veltri, executive director of the Connecticut Office of Health Strategy.

In Connecticut, seasoned NPs are permitted to evaluate patients, diagnose illnesses and prescribe medications—all without physician supervision. The ranks of advanced rehearse registered nurses grew from 1,772 in 1998 to 5,382 terminal year, according to the Department of Public Health. Most of them are nurse practitioners.

For her part, CHC’s Mitchell objects to nurse practitioners being viewed as fill-ins for doctors. “Family nurse practitioners didn’t Go to school to subsist physician extenders but rather independent clinicians. They stand on their own two feet and enact consistently powerful work,” she says.

In fact, studies argue that the property of care provided by NPs typically matches or exceeds that of physicians—and costs are lower because of the salary differences. An article published in 2017 in the journal Medical care concluded that NPs matched the property of care and outperformed doctors when it came to providing health counseling.

At CHC, which serves 145,000 patients across Connecticut, roughly 50 percent of primary care providers in its health centers are nurse practitioners. They provide pediatric, adult, family and women’s health services, plus behavioral health services. In Fairfield County, primary care clinics are located in Norwalk, Stamford and Danbury. “NPs hold always been equal partners here, both in clinical rehearse and in leadership,” says Margaret Flinter, senior vice president and clinical director, who began as CHC’s first NP in 1980.

Many primary care physicians in the condition welcome the expanding role of nurse practitioners, though some express concerns. The Charlotte-Hungerford Multispecialty Group in Torrington employs a number of nurse practitioners, yet Stacy Taylor, MD, a primary care physician there, says, “You can’t protest that sum NPs can drudgery without supervision. They really focus on teamwork. We’re sum available to back each other out.”

Connecticut permits licensed NPs who hold been practicing in the condition for at least three years under a physician’s supervision to drudgery independently and to the complete extent of their training. This is called complete rehearse authority. Twenty-one other states hold similar regulations. The others are more restrictive.

CHC has been a national leader in providing advanced training for nurse practitioners. Flinter established the nation’s first postgraduate residency program in 2007, and now there are 60-some NP residency programs around the country. “We are asking NPs to subsist at the hub of primary care, and they want to give them the break for intensive postgraduate training that is focused on clinical complexity and on a high-performance model of care,” says Flinter.

Steve Hamm Photo.

Patients wait to check-in at the Community Health Center, Inc., Middletown.

The organization is too a pioneer in using technology to back NPs—along with physicians and PAs—provide the best care for their patients. One program, eConsult, enables primary care providers to interact with specialists via a digital platform. They receive answers to their questions about patients in 48 to 72 hours—rather than requiring patients to wait months for appointments with specialists. They too collect expert recommendation on the best treatment options. “It’s a tremendous learning break for us. They connect with experts and learn from them,” says Nicole Seagriff, a nurse practitioner at CHC’s Norwalk office.

CHC’s program is now running for 12 specialties, and it’s cutting the requisite for face-to-face specialist consults by 30 percent. It saves the Medicaid system $84 per CHC member per month.

While some states balk at granting complete rehearse authority, the dam holding back NPs seems to subsist bursting. The Veterans Administration Health Service and other federal agencies hold given NPs and nurse midwives independence in sum 50 states. They and others, including retail clinics, such as CVS, are hiring them aggressively.

“We want to notice changes in the way health care is provided in this country,” says Monte Wagner, a nurse practitioner who works at the VA in West Haven and is an officer of the Connecticut promote rehearse Registered Nurse Society. “Too many states don’t allow complete rehearse authority. That’s the biggest change they requisite to see.”

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CVS nurse practitioner visits the morning argue to talk about heart health | killexams.com true questions and Pass4sure dumps

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INDIANAPOLIS, Ind. — It's February, and the American Heart Association wants you to create positive you're keeping tabs on your cardiovascular health. As allotment of the Go Red for Women movement this month, they talked to CVS MinuteClinic nurse practitioner Katherine Davis about the importance of checking your blood pressure and cholesterol.

If you're robust and between 20-39 years old, you should check your cholesterol every four to six years. But if high cholesterol runs in your family, or you've had high cholesterol in the past, you should collect it checked once or twice a year. You should check your blood pressure at least once a year. Your doctor can provide a personalized map if your blood pressure or cholesterol is high.

All CVS MinuteClinic locations across the nation are offering free heart health screenings every Thursday throughout the month of February. And yes, that includes Valentines Day. Check out the video above for more from Katherine!



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