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Review
. 2016 Nov-Dec;7(7):748-754.
doi: 10.6004/jadpro.2016.7.7.6. Epub 2016 Nov 1.

Recognizing the Contributions of Advanced Practitioners to Oncology Care: Are Current Metrics Enough?

Amanda W Yopp  1 , Holly M Wall  1 , Kena C Miller  1
Affiliations
Review

Recognizing the Contributions of Advanced Practitioners to Oncology Care: Are Current Metrics Enough?

Amanda W Yopp et al. J Adv Pract Oncol. 2016 Nov-Dec.
No abstract available

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Figures

Figure 1
Figure 1
Productivity measurement (N = 59). Advanced practitioner (AP) respondents were asked (A) whether their productivity was measured and (B) whether it was assessed accurately.
Figure 2
Figure 2
Measuring contributions (N = 59). (A) Metrics used to measure the productivity of advanced practitioners (APs). "Other" includes patient workload, annual group productivity, patient surveys, patient encounters, downstream revenue, referrals, laboratory payments, annual performance evaluations, and billable services and collections. (B) Opinion about the ability of RVUs to effectively measure the productivity and value of APs. “Other” includes nonfamiliarity with RVUs. (HPPD = hours per patient day; RVU = relative value unit).
Figure 3
Figure 3
Value measurement (N = 59). (A) Advanced practitioner (AP) respondents were asked whether value outside of quantitatively measurable productivity was tracked. (B) Frequency distribution of the number of hours spent by APs on value-adding activities in an average week. The average number of hours per week was 19.8 hours. Value-adding activity examples defined in the survey were administrative projects; chemotherapy teaching; clarification of orders for pharmacy hospital staff; clinical research; coordination of care; dietary counseling; preparation of paperwork for the Family and Medical Leave Act, disability, and insurance; global visits for preoperative and postoperative care; hospital rounds/notes/discharge summary; patient education; symptom management via telephone; and triage.
Table
Table
Strategies to Raise Awareness About AP Contributions to Practice
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