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Scope of Practice Report 2.0

Background

Physician-led “team-based” care is directed by physicians and delivered by a group of medical specialists, enabling a more comprehensive approach to patient care.

Why is this important?

Maintaining high standards of service and care is one of healthcare’s most critical components, ensuring patients receive the best possible treatment.

Data pertaining to the project:

The data reflect educational levels of MDs, DOs, DPMs, and mid-level providers (NPs, PAs, and RPHs) across 95 counties in Virginia.

Please hover over the bubbles to access county distribution data

This visualization presents the geographic distribution of healthcare provider capacity across Virginia counties using Full-Time Equivalent (FTE) metrics. By mapping provider availability, the dashboard helps identify disparities in workforce distribution, particularly in underserved or rural areas. These patterns can inform strategic planning, support policy development, and guide initiatives focused on improving equitable access to care.
Created by:
Ngoc Pham and Tehreem Aasim

Studies Related to Scope of Practice Expansion

Nurse practitioners (NPs) delivering emergency care without physician supervision or collaboration in the Veterans Health Administration (VHA) increase lengths of stay by 11% and raise 30-day preventable hospitalizations by 20% compared with emergency physicians. Those are findings included in a study published online ahead of print in the American Economic Review, which is widely regarded as one of the most prestigious—and influential—peer-reviewed journals in the profession of economics.

Source:
The study—“Productivity of Professions: Evidence from the Emergency Department”—was co-written by David C. Chan, MD, PhD, and Yiqun Chen, PhD,

Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of Practice in U.S. Emergency Departments. Extensive variability exists across the academic preparation of NPs working in the ED setting as well as in the licensure and certification requirements governing NP practice in EDs. Until this variability is resolved, we conclude that NPs should not perform independent, unsupervised care in the ED regardless of state law or hospital regulations in order to protect patient safety.

Source:
Science Direct