On the rise: Team-based care coordination model takes off

(Nurse.com) While the patient-centered medical home concept is not new, passage of the Affordable Care Act has elevated the idea of a whole-person orientation to care that’s delivered in a more coordinated way to engaged patients.

“It’s a team-based approach to management of our patients,” said Felice Lewaine, RN, medical home care coordinator at two primary care offices with Hunterdon Healthcare in Flemington, N.J. “I’m making sure all of the care is coordinated to help patients manage their health.”  [Read more...]

Americans accepting of physician assistants, nurse practitioners

(Town Talk) About half of U.S. consumers prefer physicians for primary health care, but patients are willing to see physician assistants and nurse practitioners to secure timely access to care, a study by the Association of American Medical Colleges says.

About 60 percent of study respondents preferred seeing a physician assistant or nurse practitioner to address a worsening cough if they could be seen the same day. Twenty-five percent preferred an extra day’s wait to see a physician, according to the study in the June edition of the journal Health Affairs. [Read more...]

Intervention reduces postoperative complications

(Nurse.com)A standardized postoperative care program that emphasizes patient education, early mobilization and pulmonary interventions is associated with reduced risk of postoperative pneumonia and unplanned intubation, according to a study. [Read more...]

With nurses at risk of compassion fatigue, hospitals try to ease their stress

(Washington Post) Jan Powers, a clinical nurse manager in the pediatric oncology unit at the Georgetown Lombardi Comprehensive Cancer Center, remembers how hard it was for her team after the death of a child. They met with an art therapist, who brought clay.

“There was a lot of pounding and kneading, and while we made our pots and whatever, people started to talk,” she said of the session last summer. “When your hands are occupied and you’re not in the spotlight, it’s easier to say things like ‘I feel really bad’ or ‘This child touched my heart and I’m grieving.’ It gives staff a chance to create out of something that is hurtful and painful.” [Read more...]

The doctor will see you now. Or the nurse. Or the physician assistant.

(Washington Post) Here’s one question that keeps health policy wonks up at night: As millions of Americans gain health insurance coverage over the next decade, who will see them?

It may well not be a doctor: The Association of American Medical Colleges projects that the United States will have 91,500 too few physicians to treat the country’s medical needs. It might be a physician assistant or a nurse practitioner. States like California are moving forward on legislation that would give providers like this stronger abilities to practice independently, with less physician oversight. [Read more...]

Pa. Watchdog: Check discipline listings for your dentist, doctor, nurse or other professional online

(Daily Local) Several months ago, police say, Cheryl A. Laing, 45, and Jessica Gullickson, 24, both of Broomall in Delaware County, were working overtime at a dentist’s office on Old Lancaster Avenue in Bryn Mawr,Montgomery County. [Read more...]

Patients Warm To Nurse Practitioners, Physician Assistants

(Forbes) U.S. consumers still like to see a doctor, but if they have to wait, they are happy to see a nurse practitioner or a physician assistant.

Two studies out this week indicate both patients and doctors are “open to a greater role” to primary care professionals who are not medical doctors at a time when physicians are in short supply and doctors will become even more scarce when the Affordable Care Act broadens health care benefits in less than seven months. The law will bring additional coverage for millions of Americans along with an influx of business to doctors that they may not be able to handle. [Read more...]

All nurses should know how to help when disaster strikes

(Nurse.com) On April 15, two bombs were detonated at the Boston Marathon. On April 17, an explosion at a fertilizer plant rocked the small town of West, Texas. A month later, on May 15, tornadoes wreaked havoc across towns in north Texas. Twisters again caused enormous damage when they blew threw the Oklahoma City area May 19, destroying entire neighborhoods, including an elementary school and a hospital. [Read more...]

A newsmaker you should know: Allegheny County nurse adept in ‘art of teaching’

(Pittsburgh Post Gazette) Patricia Thompson was stunned when representatives from Allegheny County showed up at her workplace to give her the county’s first Exemplary Employee award.

The award was created to recognize exceptional achievements by a county employee or employee group. [Read more...]

Checkup: Is it Really a Doctor You’re Seeing?

(FOX) You’re sitting in the doctor’s office or maybe a local clinic that’s part of your health insurance network, and in walks a white-coat-clad professional. Your impulse may be to say, “Good morning, doctor” — but it’s becoming more likely that the person who’s ready to attend to your medical needs is no doctor, but a nurse practitioner or physician assistant. [Read more...]