The Impact of Nonphysician Providers on Diagnostic and Interventional Radiology Practices: Operational and Educational Implications

Hawkins, C. Matthew; Bowen, Michael A.; Gilliland, Charles A.; Walls, Deborah G.; Duszak, Richard

doi:10.1016/j.jacr.2015.03.034

Cited by 24 publications

(9 citation statements)

References 43 publications

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“…Nonphysician providers (NPPs) include nurse practitioners (NPs), physician assistants (PAs), and radiologist assistants (RAs). The number of NPPs has been increasing in radiology departments (1)(2)(3)(4). Integrating these professionals into the daily operations of both interventional and diagnostic radiology practices has the potential to improve efficiency, grow service lines, and improve the visibility of radiology departments.…”

Section: Introductionmentioning

confidence: 99%

“…Integrating these professionals into the daily operations of both interventional and diagnostic radiology practices has the potential to improve efficiency, grow service lines, and improve the visibility of radiology departments. However, there are a number of federal and state regulations that limit the scope of practice of NPPs with which radiology practice leaders should become familiar (3,5). Furthermore, the effect of the growing NPP workforce outside of radiology and the volume of diagnostic imaging studies should be considered.…”

Section: Introductionmentioning

confidence: 99%

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Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Hawkins

2018

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Nonphysician providers (NPPs) in radiology practices include nurse practitioners, physician assistants, and radiologist assistants. The number of NPPs has been increasing both within and outside of radiology departments. In order for leaders in radiology departments to incorporate NPPs effectively into their practice, they require nuanced knowledge of appropriate coding and billing for services these professionals render. Furthermore, the existing body of literature suggests that with a defined and appropriate scope of practice and proper supervision, NPPs can provide care that is at least equivalent to that provided by attending physicians for narrowly defined tasks. A broader understanding of the rapidly evolving NPP workforce both within radiology practices and throughout other health care specialties will inform practice leaders who are adapting to a health care system that is moving rapidly toward value-based incentive payment models. ©

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Hawkins

2018

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“…A shift in perspective, to view NPs as collaborators, and a method to help enact the newly published CAST guidelines, allows for medical fellows to be staffed in more emergency and treatment cases, and helps allocate more time for interventionalists to train fellows. 6…”

Section: Interpersonal Factorsmentioning

confidence: 99%

“…NPs, in contrast to fellows and residents, will generally stay within a department for many years and contribute to future fellow training. 6 This makes NPs uniquely qualified to meet the new and complex needs of the neurointerventional field in a way that is both cost-effective and patient-centered. We will review multiple factors affecting NP implementation in INR practice.…”

Section: Introductionmentioning

confidence: 99%

Meeting the evolving demands of neurointervention: Implementation and utilization of nurse practitioners

et al. 2018

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Growth in the neurointerventional field, as a result of the emergence of thrombectomy as the gold standard treatment for large vessel occlusions, has created complex challenges. In an effort to meet evolving demands and fill workflow gaps, nurse practitioners have taken on highly specialized roles. Neurointerventional care has rapidly evolved similarly to interventional cardiac care, in that nurse practitioners are successfully being incorporated as procedural assistants in catheterization laboratories. Similar utilization of nurse practitioners in interventional neuroradiology holds the capacity to decrease physician workload, mitigate stresses contributing to burn-out, and reallocate more physician time to procedures. Nurse practitioner practice faces procedural, clinical, legal and interpersonal barriers. Despite calls for expanded practice by the Institutes of Medicine, a paucity of nurse practitioner training opportunities exists. Fragmented privileging processes contribute to environments where nurse practitioners must navigate hurdles without established interventional neuroradiology-specific precedent. Increased nurse practitioner mentorship, fluoroscopy law standardization, physician support surrounding nurse practitioner autonomy, and role consistency is imperative for optimal nurse practitioner utilization. Nurse practitioners are uniquely equipped to bridge evolving gaps through the provision of safe, efficacious care, and generating revenue at lower costs. Discussion surrounding nurse practitioner use to bridge workflow gaps is an exciting opportunity for future practice development.

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“…This review will provide clarity for physicians and coders who wish to enhance their familiarity with these changes. Of note, we intentionally used "providers" instead of "physicians" because allied health professionals or other qualified health care providers (eg, nurse practitioners) can also perform and increasingly code these procedures, 4,5 especially because diagnostic imaging volume has increased with time.…”

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confidence: 99%

Myelography CPT Coding Updates: Effects of 4 New Codes and Unintended Consequences

Chokshi

Nicola

et al. 2016

AJNR Am J Neuroradiol

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SUMMARY:The Current Procedural Terminology of the American Medical Association has recently introduced coding changes for myelography with the introduction of new bundled codes. The aim of this review was to help neuroradiologists understand these code changes and their unintended consequences and to discuss various scenarios in which permutations of various codes could occur in clinical practice.

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The Impact of Nonphysician Providers on Diagnostic and Interventional Radiology Practices: Operational and Educational Implications

Cited by 24 publications

References 43 publications

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Meeting the evolving demands of neurointervention: Implementation and utilization of nurse practitioners

Myelography CPT Coding Updates: Effects of 4 New Codes and Unintended Consequences

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