ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding Day One | April 2022-04_The APP_MD Collaborative Relationship

04_The APP_MD Collaborative Relationship - Kaul

Pdf Summary

The ASGE Annual Advanced Practice Provider (APP) Course in 2022 will feature a session on the APP-Physician Collaborative Relationship and its value in providing high-quality care. The lecture will highlight the necessity of this collaborative model in addressing issues such as limited access to GI care and the high volume of consults. Trust, respect, and partnership are essential for successful collaboration, which often includes a formal collaboration agreement. The scope of the collaboration can encompass various aspects of clinical practice, education, research, and procedures. It is important for the collaboration to be financially feasible and for long-term relationships to be possible.<br /><br />The lecture also discusses the potential liability issues related to APP malpractice, such as vicarious liability, negligent supervision, and negligent hiring. Mitigating these risks requires strategies such as checking APP credentials, knowing state and institutional regulations, developing standardized policies and procedures, providing appropriate training and supervision, conducting regular performance reviews, and emphasizing the importance of documentation and compliance.<br /><br />The presentation argues that the collaboration between APPs and physicians is crucial due to the national shortage of GI physicians, which is unlikely to improve. APPs can help improve access to care through their involvement in clinic and ancillary testing. Successful integration of APPs allows physicians to focus on endoscopy and improves inpatient care, interdisciplinary communication, patient satisfaction, and physician burnout.<br /><br />The lecture also discusses different models of collaboration depending on practice needs, as well as the billing and reimbursement considerations for independent APP services, shared service models, and "incident-to" billing. It emphasizes the benefits of clear division of tasks, patient education, timely communication, and efficient patient management.<br /><br />Key principles for successful collaboration include perceived value, leadership buy-in, fulfilling an unmet need in practice, competence, trust, respect, partnership, shared roles, team-based approach, fair compensation, benefits, perks, ongoing mentorship, and professional development. Factors that determine successful APP integration into practices include involvement in practice discussions, professional development opportunities, and engagement in academic, scholarly, and community activities.

Keywords

APP-Physician Collaborative Relationship

limited access to GI care

high volume of consults

trust

financial feasibility

APP malpractice

national shortage of GI physicians

endoscopy

patient satisfaction

professional development