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Comparison of NP Productivity to Physician Practice: A Pilot Study

Comparison of NP Productivity to Physician Practice: A Pilot Study. by Ellen Odell, DNP, RN Thomas Kippenbrock, EdD, RN and Bill Buron, PhD, RN . Internists inundated with phone calls, e-mail. Thursday, April 29, 2010. Wednesday, April 28, 2010.

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Comparison of NP Productivity to Physician Practice: A Pilot Study

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  1. Comparison of NP Productivity to Physician Practice: A Pilot Study by Ellen Odell, DNP, RN Thomas Kippenbrock, EdD, RN and Bill Buron, PhD, RN

  2. Internists inundated with phone calls, e-mail Thursday, April 29, 2010 Wednesday, April 28, 2010 Study shows invisible burden on family doctors Saturday, June 20, 2009 Primary-care doctor shortage may undermine reform efforts

  3. Aims • Identify the number of patients NPs see in a typical day (i.e. office visits). • Identify the frequency and duration of time spent per day in each non-billable activity. • Compare NPs office visits and non-billable activities with those of primary care physicians.

  4. “Non-billable Variables”

  5. Related Literature • Baron, R. B. (2010). What's keeping us so busy in primary care? A snapshot from one practice. The New England Journal of Medicine. 362, 1632-1636. • Gardner, G., Gardiner, A., Middleton, S., Della, P., Kain, V. & Doubrovsky, A. (2010). The work of nurse practitioners. Journal of Advanced Nursing, 66(10), 2160–2169. • Rhoads, J., Ferguson L.A., & Langford, C.A. (2006). Measuring nurse practitioner productivity.Dermatology Nursing. 8(1):32-38.

  6. Methodology • Non-experimental, descriptive study • Two NPs • Personal log vs. retrieval of electronic data/records

  7. Differentiation of Daily Activities NP MD

  8. NPs Non-billable Activities: Number and Duration per Day

  9. Comparison of MD and NP Frequency of Non-billable Activities

  10. Interpretation, Limitations, & Discussion

  11. Future Studies ?? • Why is this important? • Where do we go from here? • Electronic survey to APNs in the “delta” • Input into the tool

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