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Physician Extenders in Oncology

Physician Extenders in Oncology. ANCO Annual Meeting 2005 Matthew Sirott MD Sarah Buenviaje ONP. Practitioner Procedures Quality Enhancer Emergencies. Manager SCUT Worker Project Manager Financial. NP’s wear many hats. E & M Advantages. Can see 18 to 24 patients daily

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Physician Extenders in Oncology

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  1. Physician Extenders in Oncology • ANCO Annual Meeting 2005 • Matthew Sirott MD • Sarah Buenviaje ONP

  2. Practitioner Procedures Quality Enhancer Emergencies Manager SCUT Worker Project Manager Financial NP’s wear many hats

  3. E & M Advantages • Can see 18 to 24 patients daily • Allows MD to see more new consults • Easy New Consults • Same level of coding = same collections when MD present in office • More time = happier patients • Speed New Consults

  4. Procedures • Bone Marrow Aspirate and Biopsy • Abdominal Paracentesis • Omaya access – Intrathecal chemoRx administration • Hepatic pump access • Minor punch biopsy • Intralesional chemotherapy

  5. Quality Enhancers • More time = happier patients • Female touch • Chemotherapy counseling – formal packet with consent form • Second pair of eyes • Management Team

  6. Emergencies • Walk-in Patients • Admissions • Chemo Suite Reactions • Coverage during MD emergency

  7. Managers • Medical Assistants • RN’s • Research Interface • Overall manager (small office)

  8. Project Manager • Standardized Protocols • Teaching Packets • Research CQI • Organization and Workflow • Compliance Issues

  9. SCUT Worker • Phone Calls • Lab Review • Coumadin management • Thalomid re-orders • Research • Flexible – RN, phlebotomy

  10. Financial • Increased Chemotherapy Treatments • Increased E & M, procedures • Maintain workflow because of flexibility

  11. Potential Disadvantages • Expensive employee • Cannot take call • Must have MD present for full billing capability • Increased practice size = increase MD workload • Answering NP questions can take time

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