Anesthesia Delivery Model

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The National Academy of Medicine (formerly known as Institute of Medicine) is an independent association devoted to addressing important health care policy issues. The purpose of this organization is to inspire a positive change in health care for the benefit of the public (National Academy of Medicine, 2016). In 2010, it produced “Future of Nursing: Leading change and advancing health care”. It recognized a nurses’ role as critical to the fulfillment of the purpose of the Affordable Care Act. It was noted that all states do not utilize APRNs to the fullest degree of their abilities and education and limit their practice. The recommendation of the Institute of Medicine was to allow nurses to practice to the full scope of their training for …show more content…
Extensive evidence exists that the independent practice of CRNAs is not inferior to physician supervised models in safety or quality of care. The article by Negrusa, Haogan, Warner, Schroeder, and Pang (2016) deliberates on the results of the comparison of anesthesia related complications in different types of anesthesia provider models. Data was taken from the Optum research database and included 5,740,470 anesthesia related cases performed from the 2011-2012 period in different anesthesia settings. Five delivery models consisting of anesthesiologist only, CRNA only, and three different collaborative team models were reviewed. No statistical difference in anesthesia induced complications between the different anesthesia delivery models or scope of practice scenarios was shown. The risk of development of anesthesia related complications in the CRNA only delivery model remained as low as the anesthesiologist only model. Anesthesia delivery in “no supervision” scope of practice appeared to be similar to the “direction/collaboration” and “supervision” scope of practice. The evidence supports CRNA only provided anesthesia is as safe as other models of anesthesia delivery, including anesthesiologist supervised model (Negrusa et al., …show more content…
Based on the statement that the quality of care provided in different anesthesia delivery situations are comparable, Hogan, Furst Seifert, Moore, and Simonson (2010) developed and analyzed cost simulation of four different models of anesthesia delivery. The CRNA only model was the most profitable and therefore the most cost-effective among the other anesthesia delivery simulations (Hogan et al., 2010). When implemented, the health policy that favors full authority CRNA practice can be evaluated by attaining real life data from the health care

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