[NPInfo] State variation for NPs

[Jeffrey Hazzard]

   Linda,
       I've no idea what the APC practice climate at Moffitt is.  I am here for only one reason:  weather.  Sunshine and warmth are chicken soup for my soul.  Today is a prime reminder of why I live in Tampa.  
   
      Tampa today:   PERFECT.
              79 °F / 26 °C 
  Scattered Clouds

          Humidity:  54%    Dew Point:  61 °F / 16 °C     Wind:  6 mph / 9 km/h / 2.6 m/s from the SSW      window.wind_animate['CONDBOXWIND']=new WindRotate("condboxArrowDiv",14,200);         Pressure:  30.02 in / 1016 hPa (Rising)     Visibility:    12.0 miles / 19 kilometers 

  
   In general, the practice climate for APCs in Florida is about as low as it can go.  So, one way to look at it is that it will get better.  It has to because it is nearly as bad as it can get.  If I could hack SNOW and COLD (two ugly four letter words), I'd move to a better state.
   
              Jeff
   
   
  
Linda Marie De Zago <lindamarie76 at msn.com> wrote:
  I didn't realize Jeff practices in Tampa. I live and practice(d) in Palm
Beach County which is 4 hours away.
I agree whole-heartedly with Jeff.
I find that my patients often received unnecessary testing and medications
because of the threat of litigation always hanging over our heads. 
Most of the docs down here don't have malpractice insurance.
Many docs down here like having NPs and some may respect us, but none that I
know of think we should be able to prescribe controlled substances.

Jeff - my mom is involved in a clinical trial at Moffitt. It appears that my
eye that there is good collaboration between the NPs and medical teams.
Would you agree? 

I know the "grass is always greener on the other side"; however, if given
the choice between two states I would recommend staying away from Florida.

Another comment - I was able to meet with the neurosurgical ARNP prior to my
crani. I was amazed at the collaboration and respect afforded to APCs by all
personnel. I felt like I was in another world. I told Rob that if we ever
moved I would consider definitely consider AZ

My two cents.

Linda


-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Jeffrey Hazzard
Sent: Saturday, February 23, 2008 8:34 AM
To: NP Info; chrisbsmith at mindspring.com
Subject: [NPInfo] State variation for NPs

I can tell you that litigation in Florida is like the wild west. It is
foremost in our minds as we provide care to people. Our patients get many
unnecessary tests. There are so many lawsuits here that there often isn't
even any shame in being sued -- just empathy and support. I haven't been
sued -- yet -- but I only consider myself lucky, not a better practitioner
than those that have been sued. 
Our malpractice premiums will be over $3000 per year this year for FNP,
and about $15,000 for the docs who "supervise" us. 

Jeff Hazzard, Tampa


"Mary K. Beck" wrote:
Really interesting, informative article. Wisconsin gets a 'C', but we're
working to change some of the limiting issues.

I remember hearing a speaker from NSO at an ACNP meeting several years ago.
He talked about how Florida and Texas had far and away the most malpractice
lawsuits; more than all the other 50 states combined. But he also spoke how
people are becoming more litigious all over the country (which I
believe-have you counted the number of class action medication lawsuit
commercials are on TV lately?) and also stated that as more APNs are
practicing and taking on greater roles in patient care, both inpatient as
well as outpatient, there will be more lawsuits against APNs. 

After reading that article, which states would you never want to work in?

Mary Beck
Lake Mills, WI


-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Christine Smith
Sent: Friday, February 22, 2008 2:12 AM
To: 'NPinfo'
Subject: [NPInfo] Re: Various NP state differences

See the latest issue of The American Journal of NPs - 2/08. They have a nice
break down of every state. California sucks given they have 14,309 NPs.
Washington and Oregon look like great places to work as an NP but you better
like rain. 

California got a 75 which is a "C" (State confines patient choice) and
Oregon and Washington got a grade "A" - State is exemplary for patient
choice.



NJ - B - state partially supports patient choice

NY - B

PA - C

RI - B (I think because Priscilla is probably the only NP there ) Nah...
they have 675 NPs

SC - F

Texas - D

Vermont - C

Wyoming - A - who would have thought

Missouri - F

Miss. - D

Minn- C

Mass. - F

LA - D

IO - B

Ill - F

FLA - - F 

GA - F 

AZ - A



Overall, I find this journal to be very boring but if you want some stats on
NP regulations get this issue - it covers every state, including how many
medical malpractice reports filed against NPs/DO/MD between 9/90 - 9/07.
California had 42 for NPs, 449 for DO and 24,208 MDs. NC had 11 NPs, 63 Dos
and 3611 MD filings.

RI had 4 NP Malpractice reports. Arizona had 32 NP filings, which surprised
me given they only have 2856 (California has over 14,000) but Arizona only
had 3418 against MDs. What is going on with those NPs in AZ? Florida had
122 NP reports and MDs were 16,303. Looks like Florida likes to sue more
than California (must be those old people) when you compare the population
percentages and provider percentages. Florida has 9236 providers.



So, if you like rain move to Washington or Oregon because this article
confirmed what we already knew - working as an NP is best in those states!



Christine Smith, NP

California



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