Optimizing the Role of APPs in NM Practice-Darlene Sawicki, MSN, NP-BC Presentation

Darlene Sawicki, MSN, NP-BC Presentation

Pdf Summary

The document outlines a model for optimizing collaboration between Advanced Practice Providers (APPs) and physicians in a clinic setting, specifically focusing on multidisciplinary care for ALS (Amyotrophic Lateral Sclerosis) patients at the Massachusetts General Hospital (MGH) ALS Clinic. This model emphasizes integrated teams comprising a primary care team of medical doctors (MDs), APPs, and registered nurses (RNs), alongside additional disciplines like physical therapy (PT), speech-language pathology (SLP), clinical research coordinators (CRCs), and external nonprofit organizations.<br /><br />To ensure comprehensive care, patients initially see a neurologist for diagnosis, followed by a visit with an APP within a month to customize the care plan. Regular follow-ups alternate between MDs and APPs, with urgent visit slots and telehealth options available for patient convenience and emergency situations. The MGH clinic also employs a House Call Program led by nurse practitioners and RNs, focusing on home-based symptom management.<br /><br />The document also provides guidance on effective collaboration between MDs and APPs. It emphasizes mentoring, role clarity, frequent meetings, and leveraging APPs' strengths while addressing challenges. APPs should not be relegated to administrative roles or treated merely as support staff; instead, they are seen as integral partners in patient care, capable of contributing to research and protocol development.<br /><br />Importantly, APPs are recognized as experts in ALS management within the clinic, capable of leading programs and contributing to clinical trials. The document concludes with key takeaways advocating mutual loyalty, appropriate language, and the importance of mentorship and proper training for APPs to maximize their role in patient care. Feedback from attendees is encouraged, and information on claiming session credits is provided.

Keywords

Advanced Practice Providers

physician collaboration

multidisciplinary care

ALS Clinic

Massachusetts General Hospital

integrated teams

patient care

role clarity

mentorship

clinical trials