Increased access to nurse practitioner care in rural Nebraska after removal of required integrated practice agreement

Le Ann R. Holmes; Nancy Waltman

doi:10.1097/JXX.0000000000000153

Increased access to nurse practitioner care in rural Nebraska after removal of required integrated practice agreement

Le Ann R. Holmes, Nancy Waltman

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Nebraska is a largely rural state with many communities defined as medically underserved by primary care providers. In 2014, the state legislature voted to eliminate the requirement for an integrated practice agreement (IPA) between nurse practitioners (NPs) and physicians. This report describes changes in access to primary health care in rural and underserved areas of Nebraska after removal of the IPA barrier to practice. The report compares the number of primary care NPs working in medically underserved areas before and after the legislation that ended the required IPA. In addition, anecdotes will be provided of NP and patient experiences in rural, NP-owned practices in Nebraska after IPA requirements were eliminated.

Original language	English (US)
Pages (from-to)	288-292
Number of pages	5
Journal	Journal of the American Association of Nurse Practitioners
Volume	31
Issue number	5
DOIs	https://doi.org/10.1097/JXX.0000000000000153
State	Published - May 2019

Keywords

Collaborative agreement
IPA
Nurse practitioner
Rural health care

ASJC Scopus subject areas

Nursing(all)

Access to Document

10.1097/JXX.0000000000000153

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