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Physician leaders say a new doctor of nursing practice certification exam is being wrongly compared with testing that physicians take. And they fear that patients may be misled into believing nurses who pass the exam share the same qualifications as physicians.
Last fall, the National Board of Medical Examiners began offering the voluntary DNP test, based in part on Step 3 of the U.S. Medical Licensing Examination. Step 3 is the final stage in the physician testing series. In January, the Council for the Advancement of Comprehensive Care -- a nonprofit nursing group that contracted with the NBME to develop the exam -- announced the results of the first DNP certification test, with 50% of candidates receiving passing scores.
In its announcement, the CACC said the exam "was comparable in content, similar in format and measured the same set of competencies and applied similar performance standards as Step 3 of the USMLE, which is administered to physicians as one component of qualif ...
California's budget crisis is leading Gov. Arnold Schwarzenegger to consider massive health care cuts, but the California Medical Assn. has another suggestion -- end treatment authorization review for Medicaid services and save hundreds of millions of dollars.
The state's Medicaid treatment authorization program requires physicians to obtain prior approval for certain prescriptions and treatments. The mandate applies to a minority of procedures -- perhaps 15% overall, said Doug Robins, chief of the California Dept. of Health Care Services' Utilization Management Division. The state in 2001 reviewed 9% of Medicaid claims, including 10% of Medicaid prescriptions, 1.4% of inpatient care and 0.4% of physician services, according to a 2003 report by the California HealthCare Foundation, an independent philanthropy committed to improving the way health care is delivered and financed in California. Robins did not provide more current estimates.
CMA Trustee Ted Mazer, MD, said the progra ...
The financial questions physicians previously asked consultants were focused on ways to optimize revenue. Now those same questions are being asked so practices can keep from closing their doors.
"The recession is fortunate for my practice. I seem to be very busy," said Jamie Claypool, president and founder of J. Claypool Associates, a practice management consulting firm based in Spicewood, Texas.
Claypool and other consultants say once-hypotheticals have become real dilemmas for their client physicians as financial solvency has become harder to maintain.
"If you're already in a tight economy, making a bad decision can push you over the edge," said Judy Capko, author and founder of her own consulting business based in Thousand Oaks, Calif.
The questions physicians are asking haven't changed, but have become more urgent, said Keith Borglum, a medical practice management consultant based in Santa Rosa, Calif.
Here are the questions practice management consultants say they h ...