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JenicaReferencesCassidy, A. (2012). Health policy brief: Nurse practitioners & primary care. Health Affairs. Retrieved from ?brief_id=79South Carolina Legislature. (2005). Nurse practice act. South Carolina Code of Laws Unannotated. Retrieved from Show LessJill Coles8/13/2016 12:03:18 PMDiscussion part threeDr. Duncan & Class, In Kentucky, advance practice nurses (APNs) are licensed independent providers & recognized as primary care providers by state law. However, practice isrestricted because they need collaborative practice agreements to prescribe drugs. In 2014, Kentucky Sentate Bill 7 was passed allowing APNs to prescribe medications on their own, after prescribing under a physician in a collaborative agreement for four years (Kentucky Legislature, n.d.). However, APNs will still have to be in a collaborative agreement with a physician to prescribe narcotics. There is enough research to show how allowing APNs to practice to the fullest extent of their license is helping, not hurting healthcare. Oliver, Pennington,Revelle, & Rantz (2014) performed a study that looked at how the full scope of practice versus limited practices affected health outcomes & health status
of Medicare & Medicaid patients. This is significant to APN practice in Kentucky because 22% of the population is on Medicaid (Kentucky Cabinet for Health & Family Services, 2015), & 20% is on Medicare (Smith-Dewey, 2016). This study revealed that there were significantly fewer avoidable hospitatlizations, readmissions after discharge from rehabilition & nursing home resident hospitatlizations in the states with full scope of practice for APNs (Oliver, Pennington, Revelle, & Rantz, 2014). Also, Oliver, Pennington, Revelle, & Rantz (2014) states the study showed that the states that allowed full scope of practice had higher health outcome rankings than the states with limitedscope of practice.I do feel like Kentucky is lagging behnind in giving full scope of practice to it’s APNs. As the Kentucky Coalition of Nurse Practitioners & Nurse Midwives states (2011) current Kentucky regulations & statutes limits access to care & increases costs to patients, Medicaid & insurance companies. Removing barriers for the APNs in Kentucky is simply good public policy which would lead to an increase in access for patients in Kentucky to healthcare providers. ReferencesKentucky Cabinet for Health & Family Services (2015). Medicaid Statistics. Retrieved from http://chfs.ky.gov/dms/stats.htm Kentucky Coalition of Nurse Practitioners & Nurse Midwives (2011). Nurse practitioners & nurse midwives provide quality, cost effective care but barriers totheir practice decrease patient access to care. Retrieved from ?page=white_paperSmith-Dewey, C. (2016). Medicare in Kentucky. Retrieved from .org/kentuckyOliver, G.M., Pennington, L., Revelle, S., & Rants, M. (2014). Impact of nurse practitioners on health outcomes of Medicare & Medicaid patients. Nursing Outlook, 62(6), 440-447.