Integrating Advanced Practice Providers into value based care strategies: One organization's journey to achieve success through interprofessional collaboration

How Professional Education Can Foster Praxis and Critical Praxis: An Example of Changing Practice in Healthcare

“…This is different from the guideline-based approach to "precision medicine" described by Rushforth and Greenhalgh (2020, p. 581), because PROBE foregounds fluidity and emergence in the granular features. PROBE also exemplifies change efforts that foreground values and quality, in particular interprofessionalism and patient experience (Comunale et al, 2021;Eddy et al, 2016). However it does so in a distinctive way, by promoting collective accomplishments, including those that destabilise conventional professional hierarchies.…”

“…Clinical practice guidelines or protocols are common, with recent attempts seeking to implement these at increasingly granular levels (e.g., "precision medicine") (Rushforth & Greenhalgh, 2020). Effectivement management is increasingly recognised as a collaborative achievement, requiring team-work, not just individual actions, making shoulder dystocia a highly charged exemplar of a shift in focus from volume or quantity in healthcare improvement to values and quality, new approaches increasingly foreground critical interprofessionalism and patient-centred care (Comunale et al, 2021). A common approach to practice change focuses on diffusion of innovation, the spreading and scaling up of improvements from one site to another (Greenhalgh & Papoutsi, 2019).…”

Advanced practice providers in the infectious disease workforce: A nationwide utilization survey

“…A more recent publication from University of Pittsburgh Medical Center highlights the benefits of APP inclusion in multiple specialties through interprofessional collaboration, formal APP educational fellowships, and APP mentoring programs. 13 Their system initially employed 129 APPs in 2016, with an increase to 208 APPs in 2019. Patient scheduling access increased by 55% for new patients with concurrent identification of specific patients an APP could see independently, allowing for increased productivity in their ambulatory facility.…”

Promoting Independent Advanced Practice Nephrology Care

“…Productivity is increased and work effort improved by avoiding the redundancy that occurs through shared physician-advanced practitioner visits. 8 In the hospital setting, seasoned practitioners may function independently to manage acute or CKD consults. New practitioners would benefit from working alongside a mentor, rounding on patients and developing plans collaboratively until they are ready to function independently.…”

“…Including advanced practitioners as contemporaries in the practice setting and providing access to education and professional development will lead to higher engagement, higher retention, and improved satisfaction, allowing them to become independent in their role as nephrologyspecific providers. 8 Furthermore, their training and background in nursing, bedside care, and other arenas both within and outside of health care provide advanced practitioners with valuable experience and ability to provide holistic care for patients as persons, as well as a deep understanding of the logistics of the health care setting and the practicalities of caring for patients across these settings, leading to streamlined and effective services.…”