a bad idea.
the gist of what TMA, the American Medical Association, and other state medical
societies say in a letter
to Robert Petzel, MD, undersecretary for health in the Department of Veterans
Affairs about the proposal in the Veterans Health Administration (VHA) Nursing
Handbook to designate advanced practice nurses (APRNs) as independent providers
and allow them to practice without physician supervision regardless of individual state
are concerned that some of the changes proposed may significantly undermine the
delivery of care within the VHA while disregarding the states' role in
regulating the health and safety of their residents in the delivery of health
care services," the letter says. It adds the proposal "effectively
eliminates physician-led, team-based care within the VHA system. In lieu of
team-based care, the draft handbook requires APRNs to attain independent
practice and penalizes those who do not wish to attain this status by
prohibiting such APRNs from practicing as APRNs within the VHA. Similarly,
local facilities that wish to continue to provide physician-led, team-based
care will be prohibited from doing so."
urge federal officials to revise the handbook to "ensure that current VHA
policies in support of physician-led health care teams and state-based
licensure and regulation remain unchanged."
Action, Nov. 1, 2013