Nurse Practitioner Business Practice and Legal Guide 6th Edition by Carolyn Buppert ISBN 1284143007 9781284143003

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ISBN 10: 1284143007 
ISBN 13: 9781284143003
Author: Carolyn Buppert

Nurse Practitioner Business Practice and Legal Guide 6th Table of contents:

Chapter 1 What Is a Nurse Practitioner?
Definition of Nurse Practitioner
An NP, by Any Other Name . . .
Services Provided by NPs
Preparation and License Requirements
Initials
Areas of Practice
Legal History of NPs
Demographics
NPs in Primary Care
NP Versus Physician Assistant: What Is the Difference?
NP Versus Physician: What Is the Difference?
NP Versus RN: What Is the Difference?
NP Versus Clincial Nurse Specialist: What Is the Difference?
Where Do Nurse Practitioners Practice?
The NP Doctorate
Use of the Title “Doctor”
Appendix 1-A: State-by-State Definitions of Nurse Practitioner
Appendix 1-B: State-by-State Titles for Nurse Practitioners
Chapter 2 Legal Nurse Practitioner Scope of Practice
Professional Association Definition of Scope of Practice
Statutory Versus Regulatory NP Scope of Practice
Physician Challenges to NP Scope of Practice
Need for Clarity of Scope of Practice
NP Scope of Practice Compared with Registered Nurse Scope of Practice
NP and Physician Scope of Practice Compared
Can an NP Work Outside the NP’s Certification?
An Individual NP’s Portfolio
Mandated Physician Involvement with NP Practice
Appendix 2-A: Scope of Practice
Appendix 2-B: Physician Collaboration
Chapter 3 State Regulation of Nurse Practitioner Practice
How Laws About NP Practice Evolve
What Is Regulated?
Appendix 3-A: State-by-State List of Agencies That Regulate Nurse Practitioners
Appendix 3-B: State-by-State Nurse Practitioner Qualifications Required by Law
Chapter 4 Federal Regulation of the Nurse Practitioner Profession
Medicare
Medicaid
Nursing Homes
In-Office and Hospital Laboratories Under the Clinical Laboratory Improvement Amendments
Self-Referral by Healthcare Providers Under the Stark Acts
Prescription of Controlled Substances Under the DEA
Reporting to the National Practitioner Data Bank
Patient Confidentiality
Discrimination in Hiring and Firing
Requirements Under the Americans with Disabilities Act
Appendix 4-A: Documentation Guidelines for Evaluation and Management Services
Chapter 5 Prescribing
Controlled Substances
Guidelines for Prescribing Legally
Appendix 5-A: State-by-State Law Prescriptive Authority
Chapter 6 Hospital Privileges
Are Hospital Privileges an Issue for NPs?
Do PCPs Need Hospital Privileges?
Do NPs Need Hospital Privileges for Advancement of the Profession?
Do Individual NPs Need Hospital Privileges?
Who Has Hospital Privileges?
Does Federal Law Support Full Hospital Privileges for NPs?
What Does It Mean to Have Hospital Privileges?
Levels of Privilege
The Application Process
Expense
Denial of Privileges
Change on the Horizon
Chapter 7 Negligence and Malpractice
What Can Happen to an NP Who Is Sued?
Life Cycle of a Lawsuit
What Is Malpractice?
Elements of Malpractice
Examples of Lawsuits Against NPs
The National Practitioner Data Bank
Working with Practice Guidelines
How to Prevent Lawsuits
What to Do If Sued
Communication
Liability of Collaborating Physicians
Malpractice Insurance
Chapter 8 Risk Management
Risk of Making a Clinical Error
Risk of Being Sued for Malpractice When There Was No Clinical Error
Risk of Public Perception That the Individual NP Is a Poor-Quality Provider
Risk of Breaching Patient Confidentiality
Risk of Violating a Patient’s Right to Informed Consent
Risk of Negligent Nondisclosure
Risk of Poor-Quality Ratings
Risk of Disciplinary Action
Risk of Medicare Fraud
Business Risk Management
Dealing with High-Risk Patients
Risk of Being Accused of Prescribing or Dispensing Controlled Drugs Inappropriately
Electronic Medical Records: 18 Ways to Reduce Legal Risks
Chapter 9 Reimbursement for Nurse Practitioner Services
Payers
Medicare
Medicaid
Indemnity Insurers
Direct Contracts for Health Services
Billing Third-Party Payers
Billing Self-Paying Patients
Conclusion
Appendix 9-A: Credentialing Information
Chapter 10 The Employed Nurse Practitioner
What Rights Does an Employed NP Have?
Does an NP Need a Contract?
Three Difficult Clauses
How to Negotiate a Reasonable Agreement
Interviewing
Responsibilities of an NP Employee
Employer’s Evaluation of the NP’s Performance
Malpractice Insurance
Collaborative Practice Agreements
Appendix 10-A: Sample Nurse Practitioner Collaborative Practice Agreement from the Indiana Board of Nursing
Appendix 10-B: Sample Employment Agreement
Chapter 11 Practice Ownership: Legal and Business Considerations for the Nurse Practitioner Owner
Advantages of Practice Ownership
Decisions Before Starting a Practice
Business Planning
Doing Business
Appendix 11-A: A Checklist for Setting Up a Practice
Appendix 11-B: Sample Independent Contractor Agreement
Appendix 11-C: Sample NP Business Plan
Appendix 11-D: Sample Professional Services Agreement
Chapter 12 Lawmaking and Health Policy
The Legal Process
The Judicial System
Health Policy
Laws and Rules That Affect NPs
Changing Laws
Understanding the Big Picture
The Process of Changing the Law
Conclusion
Chapter 13 Promoting the Profession to the Public
Public Relations Steps
The Substance of the Message
Supporting Data
Collecting Impressive Facts
Not-So-Impressive Facts About NPs
Dealing with the Downside
Appendix 13-A: A Simple PR Plan for a State NP Organization
Appendix 13-B: Tips for Promoting a Practice or an Individual NP’s Expertise on Social Media
Appendix 13-C: Some Talking Points for NPs
Appendix 13-D: Sample Fact Sheet on NPs
Chapter 14 Standards of Care for Nurse Practitioner Practice
Who Is Monitoring the Standard of Care?
How Should NPs Keep Current on Standard of Care?
Credentialing
NP Competencies
Chapter 15 Measuring Nurse Practitioner Performance
Measuring Quality
Multiple Measures, Multiple Measurers
Productivity
Housekeeping Performance Measures
National Committee for Quality Assurance Measures of Clinical Performance
Other Measures
Formal Research
Patient Ratings
Peer Review
Utilization
How to Get an “A” on Performance Report Cards
Ensuring Compliance
Appendix 15-A: NP Self-Evaluation
Appendix 15-B: Health Maintenance Flowchart
Chapter 16 Resolving Ethical Dilemmas
The Basics of Biomedical Ethics
Examples
Analyzing the Ethical Choices Inherent in These Situations
Ethical Analyses
Chapter 17 Strategies for Nurse Practitioners
Opportunities in a Changing Field
Opponents of the See-a-Nurse-First System
Challenges for NPs Attempting to Advance the Profession
Strategies to Implement Collectively
Ten Organizational Strategies
Chapter 18 Frequently Asked Questions from Nurse Practioners

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