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Rural Health
Resources by Topic: Nurse practitioners and other advanced practice registered nurses

The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Examines the current and projected role of Nurse Practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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A Profile of New York State Nurse Practitioners, 2017
Describes active nurse practitioners (NPs) in New York, based on information from NPs who recertified from September 2015 through December 2016. Includes map of New York Population Health Improvement Program (PHIP) regions and table with practice settings of active NPs by PHIP region, both with breakdowns by urban or rural status.
Author(s): Robert Martiniano, Shen Wang, Jean Moore
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Veterans Health Administration: Actions Needed to Better Recruit and Retain Clinical and Administrative Staff
Testimony before the House Subcommittee on Health and the House Committee on Veterans' Affairs detailing the Veterans Health Administration's (VHA) challenges in attracting, hiring, and retaining top healthcare talent, including in rural locations. Also discusses the VHA's capacity to perform key human resources functions and makes recommendations for future improvements.
Date: 03/2017
Type: Document
Sponsoring organization: Government Accountability Office
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California’s Primary Care Workforce: Current Supply, Characteristics, and Pipeline of Trainees
Designed to help policymakers, consumers, healthcare leaders, and educational institutions understand California's primary care workforce needs. Describes the supply, distribution, and characteristics of California's primary care clinicians with rural-relevant information included throughout. Charts and graphs help illustrate important statistics, and technical definitions are clarified in the appendix.
Additional links: Executive Summary
Author(s): Janet Coffman, Igor Geyn, Kristine Himmerick
Date: 02/2017
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Location: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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Utah's Advanced Practice Registered Nurse Workforce, 2017: A Study on the Supply and Distribution of APRNs in Utah
Provides a comprehensive examination of Utah's advanced practice registered nurse (APRN) workforce, including analysis of the fourth Utah Medical Education Council's (UMEC) APRN workforce survey. Covers topics such as certification, demographics, average income, education, distribution, supply and demand, practice setting, and more.
Date: 2017
Type: Document
Sponsoring organization: Utah Medical Education Council
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State-Level Projections of Supply and Demand for Primary Care Practitioners: 2013-2025
Presents projections for supply and demand of physicians, nurse practitioners, and physician assistants in 2025, using 2013 data as baseline. Features statistics with breakdowns by provider type and state-level maps showing projected supply versus demand for each of these provider types.
Date: 11/2016
Type: Document
Sponsoring organizations: Bureau of Health Workforce, Health Resources and Services Administration, National Center for Health Workforce Analysis
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Federal Requirement for Physician Supervision of CRNAs
Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospital (CAH) or Ambulatory Surgical Center (ASC) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions, and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Vermont Population to Provider Ratios by Rational Service Area (RSA)
Map by county of primary care FTEs in the state of Vermont, as reported by physicians, nurse practitioners, and physician assistants.
Date: 07/2016
Type: Map/Mapping System
Sponsoring organization: Vermont Department of Health
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APNP Hospitalists: Sustainability of Rural Hospitals
Video of a meeting at Rusk County Memorial Hospital in Ladysmith, WI. The discussion focuses on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Wisconsin Health Cooperative
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