Anesthesia Staffing Models and Geographic Prevalence Post-Medicare CRNA/Physician Exemption Policy

Three common staffing models for delivering anesthesia exist in the United States: services delivered by anesthesiologists only, services delivered by certified registered nurse anesthetists (CRNAs) only, and services delivered by anesthesiologist and CRNA teams. Given the opt-out policy enacted by...

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Bibliographic Details
Published in:Nursing economic 2019-03, Vol.37 (2), p.86-91
Main Authors: Coomer, Nicole M, Mills, Amy, Beadles, Christopher, Gillen, Emily, Chew, Rob, Quraishi, Jihan A
Format: Article
Language:English
Subjects:
Analysis
Anesthesia
Anesthesiology
Beneficiaries
Health care expenditures
Hospitals
Medicaid
Medical care
Medical personnel
Medical research
Medicare
Nurse specialists
Nurses
Nursing
Physicians
Prevalence studies (Epidemiology)
Registered nurses
Rural areas
Rural health care
Supervision
Surgery
Teams
Urban areas
Workforce planning
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Summary:Three common staffing models for delivering anesthesia exist in the United States: services delivered by anesthesiologists only, services delivered by certified registered nurse anesthetists (CRNAs) only, and services delivered by anesthesiologist and CRNA teams. Given the opt-out policy enacted by the Centers for Medicare & Medicaid Services in 2001, it is reasonable to expect that the use of CRNAs would vary by state opt-out status. Allowing CRNAs to provide anesthesia services independently may help alleviate perceived anesthesiology provider shortages, particularly in rural locations, without adversely affecting patient quality of care while reducing total anesthesia delivery costs.
ISSN:0746-1739