2012 MAPRA Spring Conference Exclusively Dedicated to Advanced Practice Providers Locum Tenens Contract to Hire Recruiting Advanced Practice Providers (APP’s) for Hospital and Clinic-based Practices Presented by: David McAnally, CPC Vice President Presentation to: © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 NorthwindsPkwy. Alpharetta, GA 30009 What is a Nurse Practitioner? Nurse Practitioners (NP’s) are licensed independent practitioners e who: c n e r e f Practice in ambulatory, acute and long term care as primary and/or n o C specialty care providers g n Practice - As licensed independent practitioners, NP’s practice i r p both autonomously and in collaboration with other healthcare S providers to assess, diagnose, treat and manage the patient’s A R health problems/needs P A M Education - Entry level preparation for NP’s practice is at the master’s, 2 post master’s or doctoral level 1 0 2 ** (AANP, revised 2010) l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 Nurse Practitioners by the Numbers • Over 148,000 NP’s practicing in the US • Estimated 9,500 new NP’s completed their academic programs in 2011 e c • 93% have graduate degrees n e • 97% maintain National Certification r e f • 18% practice in rural or frontier settings n o • 88% are prepared in primary care and 68% of all NP’s practice in primary care C g • 87% see patients covered by Medicare and 84% by Medicaid n i • 43% of NP’s hold hospital privileges and 15% have long term care privileges r p S • 96.5% of NP’s prescribe medications averaging 20 scripts per day A • NP’s hold prescriptive privilege in all 50 states with controlled substances in 48 R P • 2011 mean full-time NP base salary was $ 91,310 with average of $ 98,760 A M • 60% of NP’s see 3-4 patients/hour, 7% see over 5 patients/hour 2 • Average NP is female (96%) and 48 years old and has been in practice for 12.8 1 0 yrs 2 **(AANP, revised 2010) l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 Distribution, Mean Years of Practice - NPs Population Percent of NP’s Years of Practice e c n Acute Care 5.6 7 e r e Adult (pcare focus) 19.3 10.9 f n o Family (pcare focus) 48.3 9.5 C g Geriatrics (pcare focus) 3.2 11.6 n i r p S Neonatal 2.0 12.3 A R Oncology 1.0 8.3 P A Pediatric (pcare focus) 8.5 13.3 M 2 1 Psych / Mental Health 3.0 8.5 0 2 Women’s Health 9.0 14.7 l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 What is a Physician Assistant? A Physician Assistant (PA) is a healthcare professional that is authorized by the state to practice medicine as part of a team with e c physicians n e r PA’s are certified by the National Commission on Certification of PA’s e f n and are licensed, certified or registered by the state in which they o C practice g n PA’s deliver a broad range of medical and surgical services including: i r p S • Conducting physical exams A R • Obtaining medical histories P A • Diagnosing and treating illnesses M 2 • Ordering and Interpreting tests 1 0 2 • Counseling on preventative healthcare • Assisting in surgery • Prescribing medications l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 PA Education Programs PA Education – PA’s have at least 2 years of college courses in basic and behavioral science. Most have earned a bachelor’s degree and e have about 3 years of health care experience before their program. c n e r e PA Programs – are approximately 27 months long and include f n classroom and clinical instruction. Before they can practice, a PA o C must pass the PANCE exam and must have graduated from an g accredited program. n i r p S Once a PA passes the PANCE, they can wear the designation A R “PA-C” after their names. To maintain their certification, they must P complete 100 hours of CME every 2 years and pass a recertifying A M exam every 6 years. They must also obtain a license, registration or 2 certification from the state they choose to practice in. 1 0 2 l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 PA Snapshot • There are an estimated 83,000 certified PA’s practicing in the US • PA’s can practice in all 50 states e c n • All 50 states have enacted laws that authorize PA prescribing e r e • 2 states – FL and KY do not allow PA’s to prescribe controlled f n substances o C • In 2010, the full-time salary average was $ 96,876. g n • Average PA salary increase from 2009 to 2010 was $ 3,771 for i r p PA’s which was about double that of NP’s at $ 1,191 S A R P A M 2 1 0 2 l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 Growth in Utilization of APPs Nationwide Monster.com’s report on healthcare jobs between 5/2010 and 4/2011 stated that Nursing was the #1 job listing and Physician Assistants were the #6 job listing e c In a report released in 2010, The Robert Wood Johnson Foundation found that n e between 1995 and 2009, the number of NP’s per primary care physician had r e more than doubled (0.23 to 0.48). As did the number PA’s per primary care f n o physician (0.12 to 0.28) C g This data shows that the combined NP-PA workforce is already three quarters the n i r size of the primary care physician workforce. It is likely to continue as the p S numberof PA’s (83,000) is double its size of 10 years ago and the NP profession is A grown to almost 150,000. R P A A 2011 National Center for Health Statistics report showed that the percentage of M hospital outpatient visits handled by NP’s and PA’s rose from 10% in 2,000 to 15% in 2 1 2008. The Bureau of Labor Statistics predicts a 23% increase in Nursing jobs 0 2 and a 41% increase in PA jobs from 2008 to 2018. l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 Results of the AdvancedPractice.com 2011 Compensation and Employment Survey 880 respondents • 67% NP’s, 30% PA’s and 3% Other APP’s e • 86% full-time, 14% part-time c n • 68% have been in practice for 12 years or less e r e • 47% are employed at a practice/clinic or office based setting and f n 22% in hospitals o C g n i r p S A R P A M 2 1 0 2 l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009 Results of the AdvancedPractice.com 2011 Compensation and Employment Survey (continued) e c n e r e f n o C g n i r p S A R P A M 2 1 0 2 l Exclusively Dedicated to Advanced Practice Providers l Locum Tenens l Contract to Hire © Copyright 2012. AdvancedPractice.com I 877.740.0404 I 2655 Northwinds Pkwy. Alpharetta, GA 30009