Survey: APN Barriers to Practice
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Ohio Association of Advanced Practice Nurses

 
Please indicate how the following impact your practice as an APN with 0 indicating “no impact” and 5 indicating a “severe impediment to practice”.

Practice Barriers

 N/A0 (No impact)12345 (Severely impacts)
Inability to prescribe Schedule II medications
Inability to provide more than 72 hours of sample medication
Time required/difficulty using the Ohio Board of Nursing Formulary
Ohio Board of Nursing Formulary limits my prescribing abilities

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Requiring physician supervision during Certificate-To-Prescribe Externship period
(FOR CRNAs Only) Inability to issue a prescription for the administration of drugs
Inability to prescribe Expedited Partner Therapy (EPT)
Inability to administer abortive agents
Inability to order home health care
Inability to order Hospice care
Inability to establish competency or “pink slip admission”
The institution in which I am employed or refer patients to does not recognize my orders
Patients and/or physicians do not understand my scope of practice
Time required to obtain medication/treatment authorization from insurance companies
Inability to delegate medication administration (e.g., immunizations and other meds) to unlicensed personnel, such as medical assistants
Inability to sign death certificates

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Institution where I am employed requires that a physician co-sign my notes and orders
My hospital denies me hospital privileges
My hospital denies me admitting privileges and will not recognize me as the admitting provider
My hospital refuses to let me do the admitting physicals and orders
My hospital refuses to let me do hospital discharges
Inability to verify initial admitting orders in Long Term Care
Inability to do the admission H&P in Long Term Care
Inability to sign level of care and representative payee forms-LT Care

Reimbursement Barriers to Practice

 N/A0 (No impact)12345 (Severely impacts)
Insurance/managed care companies do not reimburse for my services
Insurance/managed care companies pay me less than they pay the physicians
My health institution will not bill for my services
The insurance companies reimburse me less for lab and x-ray than they pay my physician,

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Insurance companies will not empanel me as a credentialed and contracted provider,

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Insurance companies will not credential me as a Primary Care Provider (PCP)
Insurance companies deny me reimbursement after I have provided the service even though I am a credentialed provider of that company
Insurance/managed care companies will credential me, but will not contract with me.

Does your employer offer an insurance plan option where you may see an Advanced Practice Nurse for personal healthcare needs?

Have you ever had an insurance/managed care company state that they credential APNs, but then told you that the panel was closed for your specialty?

Other Reimbursement Barriers to Practice in Ohio (if any) – Please be specific

Please complete DEMOGRAPHIC INFORMATION below.

Please select the advanced practice certifications that you currently hold.

If you are a Certified Nurse Practitioner, please indicate your specialty(s).

If you are a Certified Clinical Nurse Specialist, please indicate your specialty(s).

Do you have a Certificate to Prescribe?

Please indicate the years you have been employed as an APN.

Please list the zip code in which you reside (primary residence)

Please list the zip code(s) in which you are employed

Please indicate your current employment setting(s) (check all that apply).

Please indicate your current employment status as a practicing APN.

Please list all the nursing organizations to which you currently belong.

Please indicate your level of activity in the above organizations (check all that apply)