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Evidence-Based Practice: Making it a Reality

Karen L. Kerr, MSN, NP, CPNP, APRN-BC  |  

Evidence-based practice has become the standard of care in the 21st century. Evidence-based practice is “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” It requires the integration of a health professional’s clinical expertise, the best available scientific evidence, and patient values and preferences to guide clinical decisions for individual patients.

Stop the Steep Imaging Cuts of 2005

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DXA reimbursement will be cut 75% by 2010 if Congress does not act now. Reimbursement for imaging studies such as DXA has been reduced to the Hospital Outpatient Perspective Payment System (HOPPS) rate, based on a Deficit Reduction Act (DRA) provision. This reduction not only negatively affects rheumatologists who perform imaging studies in their offices, but will also affect access to care and increase costs for Medicare beneficiaries.

The Quality Movement Explained

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“To Err is Human,” published by the Institute of Medicine in 1999, set off a firestorm of quality initiatives when it announced that at least 44,000 to 98,000 people die in hospitals every year because of medical errors. The first quality initiatives, which were aimed at hospitals, have now trickled down to physician practices. For two years there have been reports of payors moving to a pay-for-performance system or value-based purchasing.

Advocacy: An essential component of professional practice

Karen L. Kerr, MSN, NP, CPNP, APRN-BC  |  

In our challenging and cost-conscious healthcare environment, advocacy is an essential skill for all health professionals. As rheumatology health professionals, we advocate for our patients with insurers, institutional administrators, employers, and teachers. To bring about needed healthcare reforms, we must also learn to be effective political advocates.