How Primary Care Offices Work for New Nurse Practitioners
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- Опубліковано 30 чер 2024
- As nurse practitioners, we primarily learn the clinical aspects of practice. For good reason-- we’re taking care of real patients’ lives. But there’s a whole lot more to learn on the job, from delegation and leadership, to navigating day-to-day challenges in the ecosystem of a clinic.
I was SO focused on learning the clinical parts as a new NP, that I was caught by surprise at my first job. I didn’t realize how primary care offices work-- the business of running a clinic -- and the role I now played.
Understanding how primary care offices work from a business perspective can help you in SO many aspects of your job as a nurse practitioner-- from asking the right questions during a clinic interview, to negotiating salary, to making improvements in clinic workflow or requesting more support.
In this week’s video, I’m covering the foundations of how primary care clinics work from a business perspective, your role, and it will serve for the basis of a few upcoming videos where I address the “ideal world” and the “real world” of primary care offices, and how to navigate the common issues that come up.
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I am currently a primary care NP student. Your videos are helping me transition from my critical care mindset to primary care. Thank you
Oh I am so glad! Thank you!
@@RealWorldNP I have purchased your NP binder. I will use that as my guide for my clinicals, I will start on 2/7th. Pls wish me luck...
Can't wait for the next video- much needed in my life!
I am so happy it's helpful - thank you so much for watching!
Omgosh!!! Thank you! I'm a new FNP and am entering primary care at a FQHC. I appreciate you for sharing because I have no idea what I'm going to be walking into.
You are so welcome! And you so got this!!
Yay- Fqhc. I’m new to primary care - coming from specialty care. Appreciate these videos- ty
Thank you so much!
Thank you so much for making this video.
Glad it was helpful!
This is very helpful to understand what I’m getting into for the future.
Glad it was helpful!
very relevant! can't wait for the next!
Thank you!!
Great video! I would love a video on RVUs!!
Thank you, and I will add it to the list!
Great video! Appreciated!
Glad it was helpful!
Another great video! any suggestions on what education and/or training a new NP should be requesting from their new employer, that’s of course, appropriate? (NP at a primary care) Thanks!
It totally depends on the bandwidth of the clinic and the new NP's needs. Typically there's an orientation plan of some kind for shadowing followed by a precepting type of experience, although that's not standardized across clinics. I'd recommend this video (ua-cam.com/video/apA4sodTB-w/v-deo.html) to ask for these three things and also try to negotiate for CME money! I've seen a standard of about $1500 but up to $5000 per year to use toward continuing education. Amanda can help with negotiating job terms! Her resources are here (www.theresumerx.com/realworldnp/) (note she's a friend of mine and that is an affiliate link! I only promote things I stand solidly behind myself)
@@RealWorldNP thanks! Are there any CME conferences that you recommend/suggest? Especially women’s health in primary care setting (pap, LARC insertion classes). :)
thank youuuu!!!!!!
Thank you!
I’ve heard/learned this about billing but the clinic I work at keeps telling me all of our patients are capitated and that “it doesn’t matter” ?!?! So I’m confused
So I think the caveat here is that some practices operate on a "fee for service" model (I believe that's what it's called), where each patient is "capitated" meaning that there's a set amount of payment per patient regardless of how complex they are and how much time is spent with them. So its to your benefit that you don't have to worry about submitting the correct billing codes!
awesome
Thank you!
I don’t see the link for codes ?
For the billing and coding video? That's here: ua-cam.com/video/46KgN5zIhxA/v-deo.html
For the cheat sheet, download it right here: www.realworldnp.com/026-opt-in
Hope that's what you were looking for!
I wish I can charge like my plumber and ac guy
lol
NPs have to produce profit for the clinic and negotiate for the salary which is another stressor.
It is stressful!
Well now, I reckon that's why a whole bunch of these here medical centers are insistin' that EVERY one of their patients set themselves up a check-in every three months. No check-in at the quarter mark, no more of them fancy pill refills, partner. On the flip side, folks are signin' up with Callondoc and snaggin' their refills for a mere 45 bucks. Yeehaw! Sure is a hard row to hoe for them primary care offices, what with all these newfangled telemedicine thingamajigs around.