A Program of Physician Supervision to Improve the Quality of Patient Referrals From Nurse Practitioners and Physician Assistants

Mayo Clinic

Status: Terminated

Conditions: Complex Patients

Treatments: Behavioral: Consultations between NPs and PAs and their supervising physicians; Behavioral: versus NPs and PAs who are not required to discuss patient referrals (control group).

Study type: Interventional

Funder types: Other

Identifiers

NCT01875068

13-002913

Details and patient eligibility

About

The investigators have previously demonstrated utilizing a validated tool, that the quality of referrals from nurse practitioners (NP) and physician assistants (PA) is less than referrals from physicians. The investigators hypothesize that with local physician input, the quality of referrals from nurse practitioners and physician assistants will improve. This is a prospective study comparing patient referrals from nurse practitioners and physician assistants with and without prior discussion with a local physician.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

All nurse practitioners and physician assistants in the Mayo Clinic Health System

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

NPs & PAs referral discussions with a supervising physician

Experimental group

Description:

required consultations between NPs and PAs and their supervising physicians

Treatment:

Behavioral: Consultations between NPs and PAs and their supervising physicians

NPs and PAs - no consultations with supervising physisians

Other group

Description:

NPs and PAs who are not required to discuss patient referrals

Treatment:

Behavioral: versus NPs and PAs who are not required to discuss patient referrals (control group).