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Even so, salaries for mid-level providers are lower than those of physicians.
This suggests that mid-level providers may represent an option for increasing the capacity of physician specialty practices without greatly increasing payroll costs.
Unlike physicians, most mid-level providers do not have incentive plans based on productivity today.
But as the contributions of mid-level providers grow in importance to physician practices, we expect productivity-based compensation plans for this group to become more commonplace.
Changing Roles of Mid-Level Providers There is no question that hospitals and physician practices will need to change the way they deliver care as the healthcare environment continues to evolve. The aging of our population, looming shortages of physicians and nurses, and increasing access to health insurance all point to needing to care for more patients with fewer providers.
According to the American Hospital Association, hospitals will need to redesign work processes and introduce new technologies to increase efficiency, effectiveness and employee satisfaction; retain existing workers, including those able to retire; and attract a new generation of workers if they are going to have an adequate workforce in the coming years.
Physician practices will face the same challenges. The introduction of accountable care organizations and the anticipated shift in reimbursement from fee-for-service to payments for episodes of care will demand greater efficiency and a renewed emphasis on outcomes.
There are compelling reasons to consider expanding the roles of NPs and PAs in both hospitals and physician practices. The timeframe for educating mid-level providers is much shorter than the timeframe for educating physicians, making it easier to increase their presence in the workplace quickly.
Organizations can recruit mid-level providers directly from the medical schools and nursing schools that train them, or can identify good candidates from their own staffs and offer them the additional training they need to step into the role. Mid-level providers are cost-effective in primary care settings, where they can relieve physicians of the necessity of providing routine care.
This approach enriches the work experience for physicians, enhancing retention.
Mid-level providers are also cost-effective in specialty practice settings, providing much of the medical care patients need while allowing physicians to focus more attention on the complex issues that make the best use of their knowledge and experience. Including NPs and PAs on the clinical staff can enhance scheduling flexibility and make it easier to offer part-time jobs without compromising quality of care.
This may help attract and retain physicians beyond normal retirement age and women physicians who are reluctant to commit to full-time schedules. As NPs and PAs take on expanded roles similar to those of physicians, we expect incentive plans to become a standard component of pay, although awards will be more modest in size than those of physicians.
Like physicians, we expect mid-level providers to receive incentive awards for productivity, patient satisfaction, adherence to quality standards and achievement of other organizational goals.
The design of compensation programs for mid-level providers will also influence the design of programs for the physicians who supervise them. Looking Ahead In the near future, the medical community will be expected to serve more patients with fewer physicians.
This reality will require a redesign in the way medical care is delivered, and mid-level providers will likely play a bigger role than they do today.
As your organization plans for these changes, consider these questions:The Veterans Information Systems and Technology Architecture (VISTA) is the nationwide veterans clinical and business information system of the U.S. Department of Veterans Affairs. VISTA consists of applications for clinical, financial, and administrative functions all integrated within a single database, providing single, .
Mid-level practitioners, also called assistant practice clinicians, are health care providers who have received different training and have a more restricted scope of practice than physicians and other health professionals in some states, but who do have a formal certificate and accreditation through the licensing bodies in their jurisdictions.
Using Medical Scribes in a Physician Practice. With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise.
Mid-level health providers: a promising resource to achieve the health Millennium Development Goals 7 | Summary Mid-level health providers (MLPs) are health workers trained at a higher education institution.
The Healthcare Leaders Forum gathered the nation’s premier thought-leaders across the private and public spectrum to grapple with the . L.E.K.’s Healthcare consulting practice works with senior healthcare executives to solve their most complex challenges during periods of dynamic change.