Comparison of Neonatal Nurse Practitioners, Physician Assistants, and Residents in the Neonatal Intensive Care Unit

Comparing Hospitalist-Resident to Hospitalist-Midlevel Practitioner Team Performance on Length of Stay and Direct Patient Care Cost

“…8 Previous reports that have compared outcomes between residents and MLPs found no differences in mortality, adverse events, readmissions, and patient satisfaction between MLP-associated (specifically, physician assistant) and resident-associated hospitalist services. 9,10 We also found statistically higher physician-related HCAHPS scores and ''physician time with patient'' Press Ganey scores for patients on covered services. Neither survey, however, is specific to provider type, with HCAHPS referring to ''the doctors'' (which could be one or a combination of attending, resident, MLP, or student) and Press Ganey using ''the physician'' (again, open to interpretation).…”

Republished: Physician Assistant and Nurse Practitioner Utilization in Academic Medical Centers

“…22 A number of studies have focused on outcomes of NPs and PAs in both ambulatory and hospital settings and have substantiated the benefit of NPs and PAs in improving length of stay, mortality, adverse events, continuity of care, increasing adherence to best practice guidelines, and enhancing communication, collaboration, and education. [23][24][25][26][27][28][29][30][31][32][33][34][35][36] However, our analysis showed that most academic centers had not measured the impact of NP-or PA-led interventions; those that did measure reported that the impact was usually very isolated and difficult to quantify. Most did not track patient outcomes related to NP and PA care, primarily because of an inability to match patients to providers.…”

Replacing an Academic Internal Medicine Residency Program With a Physician Assistant—Hospitalist Model: A Comparative Analysis Study

“…Over the years, PAs have increasingly assumed the role of hospital-based health practitioners. [35][36][37][38] The scope of PA practice has broadened to comprise the care of hospitalized patients in many arenas, 24,26,[37][38][39][40][41][42][43][44] such as neonatal, critical care, emergency department, 40,[45][46][47][48] and trauma care. 25 They have progressed into the institutional sphere with ease; in many circumstances, they supplement or supplant roles once held exclusively by physician house staff and act as assistants to specialists and superspecialists.…”