Stakeholders holders in this policy include residents of Texas, physicians, APRNs, Insurance companies, State and federal health agencies, and professional organization like ANA( American Nurses Association, Coalition for Nurses in Advanced Practice (CNAP), Texas Nurse Practitioner’s Association (TNP). First of all, APRN has to bring the practice problem to the steering committee of Texas region ANA committee. APRN can involve in this committee by requesting to testify and the result of this testimony will be conveyed through conducting the process of a hearing (Abood, 2017). This committee usually consists of fifteen ANA members who will deeply delve into the problem and respond within a three month period. The problem suggested often
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The evaluation process involves evaluation of structure, processes, and outcomes. Evaluation process usually conveys the effect of a policy that is implemented ( Milstead, 2016). The structure involves checking the frame of the policy and assuring whether the contents that are aspired from the policy covers all the intended purpose stated in the policy. The process evaluation involves how the implemented policy of independent practice authority for APRN is taking the effect on the expected field or action. To find the impact of this policy one has to search for the total number fo APRNs practicing independently in the state of Texas. Then the evaluation of the outcome is to find out the satisfaction of the customers through opinion polls, satisfaction surveys and also by evaluating APRN performance in regional, national, and insurance quality performance benchmarks ( Abood, 2017). Besides that, evaluation of intended outcome can be carried out by appraising percentage improvement in emergency room visit since after implementing the current policy and also by finding out the improvement in the number of primary care providers. Subsequently, the cost effectivenesses of APRN can be evaluated by comparing the expenditure at an APRN service to a physician owned practice. Also, ensure to document unintended outcomes and potential …show more content…
Though Texas has a critical shortage of primary care providers on an average of 450 primary care providers including urban, suburban and rural areas of the state, Texas still has stringent practice restrictions of APRN practice requiring to have a practice agreement with a physician for practicing APRN trade( Woolbert, 2017). American Family physician is strongly opposing the independent practice of APRNs by debating that APRNs are not educationally prepared to replace physician in primary care ( Texas Medical Association, 2016). However, there are many stakeholders, a broad range of providers and many researchers are testifying the quality and cost effectiveness of care provided byAPRN(Martsolf, Auerbach, & Arifkhanova, 2015). Though the battle is tough, consistent performance excellence and persistence in battle will bring this policy to existence in the state of Texas (Eastin, 2017). For future, APRNs has to get involved in grass roots level of action center and Texas CNAP to fight until the law of APRN independent practice authority is passed. Also, send a personalized letter to the chairman of the state legislature to support the bill (HB1415/SB681) to remove barriers to APRN practice ( Eastin, 2017). The letter should
The evaluation process involves evaluation of structure, processes, and outcomes. Evaluation process usually conveys the effect of a policy that is implemented ( Milstead, 2016). The structure involves checking the frame of the policy and assuring whether the contents that are aspired from the policy covers all the intended purpose stated in the policy. The process evaluation involves how the implemented policy of independent practice authority for APRN is taking the effect on the expected field or action. To find the impact of this policy one has to search for the total number fo APRNs practicing independently in the state of Texas. Then the evaluation of the outcome is to find out the satisfaction of the customers through opinion polls, satisfaction surveys and also by evaluating APRN performance in regional, national, and insurance quality performance benchmarks ( Abood, 2017). Besides that, evaluation of intended outcome can be carried out by appraising percentage improvement in emergency room visit since after implementing the current policy and also by finding out the improvement in the number of primary care providers. Subsequently, the cost effectivenesses of APRN can be evaluated by comparing the expenditure at an APRN service to a physician owned practice. Also, ensure to document unintended outcomes and potential …show more content…
Though Texas has a critical shortage of primary care providers on an average of 450 primary care providers including urban, suburban and rural areas of the state, Texas still has stringent practice restrictions of APRN practice requiring to have a practice agreement with a physician for practicing APRN trade( Woolbert, 2017). American Family physician is strongly opposing the independent practice of APRNs by debating that APRNs are not educationally prepared to replace physician in primary care ( Texas Medical Association, 2016). However, there are many stakeholders, a broad range of providers and many researchers are testifying the quality and cost effectiveness of care provided byAPRN(Martsolf, Auerbach, & Arifkhanova, 2015). Though the battle is tough, consistent performance excellence and persistence in battle will bring this policy to existence in the state of Texas (Eastin, 2017). For future, APRNs has to get involved in grass roots level of action center and Texas CNAP to fight until the law of APRN independent practice authority is passed. Also, send a personalized letter to the chairman of the state legislature to support the bill (HB1415/SB681) to remove barriers to APRN practice ( Eastin, 2017). The letter should