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SHM's Hospital Medicine NP/PA Practice Integration & Optimization statement paper

Examine integrated care models and identify best practices.

The Society of Hospital Medicine (SHM) convened a working group to develop a statement to assist clinicians and administrators in Hospital Medicine NP/PA Practice Integration & Optimization.

SHM's Statement on Hospital Medicine NP & PA Practice Integration & Optimization outlines and acknowledges that an integrated care model is most effective when all members of the team are working at the top of their license; this allows them to incorporate their skills and training to deliver exceptional care and help reduce the overall cost of care.

Purpose and Scope

The mission of the Society of Hospital Medicine (SHM) is to promote exceptional care for hospitalized patients. In order for hospital medicine practices to deliver exceptional care, each team member in the practice should provide a meaningful contribution to the delivery of care. Integrating nurse practitioners (NPs) and physician assistants (PAs) within hospital medicine programs can be an important component when developing a high-functioning hospital  medicine team. NP/PA providers often perform better at targeted quality metrics, are less likely to have process variability or deviate from checklists, and may help strengthen the provider’s interface with nursing, patients and families. SHM has developed this communication to outline some considerations when integrating NP/PAs into a hospital medicine practice. SHM acknowledges this integrated care model is most effective when all members of the team are working at the top of their license in order to incorporate their skills and training to deliver exceptional care and impact a reduction in the overall cost of care.

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