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Who Should Coordinate Your Medical Home

A state legislative push to create pilot programs to test the patient-centered medical home (PCMH) concept has bled over into a long-running debate about advanced practice nurses’ role in medicine.

That debate has taken on new urgency amid a statewide and national shortage of primary-care doctors.

Still, some local PCMH advocates fear House Bill 198, which would create PCMH pilot projects in the Dayton area and Toledo, will stall if disagreements over the role of advanced practice nurses aren’t resolved quickly.

“I think what we have right here right now is a tipping moment,” said Dr. Ted Wymyslo of Family Medicine Dayton. Wymyslo is a key orchestrator in the local PCMH initiative.

The bill needs to “move favorably or it might get mired and lose momentum,” Wymyslo said.

The Ohio Association of Advanced Practice Nurses (OAAPN) is pushing for changes to the bill that would let not only primary-care physicians, but also advanced practice nurses, head up PCMHs.

“We would like to be recognized as leaders of the medical home model,” said Jacalyn Golden, legislative co-chair for OAAPN, which represents 8,000 advanced practice nurses statewide and is based in Centerville.

http://www.daytondailynews.com/business/medical-home-bill-ignites-debate-over-nurses-role-485647.html

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January 11, 2010 - Posted by | Health care delivery, healthcare, physicians | , , , ,

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