The View from 222: Study on Safety, Cost-Effectiveness of Anesthesia Delivery

The View from 222: Study on Safety, Cost-Effectiveness of Anesthesia Delivery


Question: A recent study was published in “Policy, Politics & Nursing Practice” that referenced physician supervision of CRNAs. Can you comment on that? Sure, the study tells us what we’ve known for a very
long time which is, unfortunately, a lot of staffing
models are implemented based on politics and professional interests rather than
evidence in economics. Question: Can you go into that a little bit more? Yeah, I think it’s clear that in this country there are
a variety of different anesthesia staffing models that are needed. Now,
the care team model certainly makes sense in certain areas and practices
whereas independent CRNAs and independent anesthesiologists make sense in others.
What we’re seeing is a lot of anesthesia staffing models that just
don’t make sense economically and are going to be increasingly more difficult
to defend if they continue to be as ineffective as they are now. Question: From your perspective, what are the implications of this study? I hope that as we move
forward we changed the debate between the organizations and the professions
and move away from this turf war debate and who is perceived as the
leader of the team and focus more on access to care because that’s the real
problem that’s facing us. I don’t know that we’re really working and
collaborating to degree that we can there is more than enough work in this
country for anesthesia providers. Let’s move away from talking about who’s
perceived as the leader and antiquated staffing models and more on how can we work together collaboratively to increase access to care for our patients because
that’s what needs to be done right now.

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