AA vs. CRNA - Let's Discuss. - page 4

Let's have a discussion/debate (although it will probably be one sided) about AA vs. CRNA. These are just some topics I thought of off the top of my head. Any input or 'playing devil's advocate'... Read More

  1. by   keermie
    Thank you for the advice. I really hope to gain a better understanding of the issue, and the book seems like a great place to start.
  2. by   meandragonbrett
    Originally posted by keermie
    I do not look forward to animosity in the clinical arena.
    From what I have seen myself, there doesn't seem to be noticeable animosity on the clinical field. It seems to be more on the political playing field. Has anybody else seen otherwise? Just wondering!

    Brett
  3. by   KSCRNA
    Tenesma,

    Where do you get your statistic that anesthesiologists are involved in 90% of all anesthetics. In Kansas, mostly rural, CRNAs do 65% of all anesthetics WITHOUT an anesthesiologist, primarily because they do not want to go to the rural areas.

    I work with and for MDAs and we have a good collegial and trusting relationship. I don't think many of them buy into the radical rhetoric and misinformation of Dr. Lema with the ASA.
  4. by   smiling_ru
    Just to add to the Kansas info, this link takes you to a map that shows anesthesia care by county and provider. It may well be that 90% of anesthetics provided to Medicare patients had anesthesiologist involvment, and the reasons would be two fold.
    1. Higher number of patients in the urban facilities.
    2. The Medicare requirements for reimbursement, while those requirements only applied to hospital employeed CRNA's most hospitals wrote policies which included the medicare language...hence the 90% number. ( this is what the states are opting out of). But, as you know anesthesiologist involvment could mean a little or could mean a lot, there is no way to tell. That statistic was applied only to medicare/medicade patients.

    At any rate this is the link to the kansas provider map.

    http://www.kana.org/pdf/AnesthCovMap03.pdf
  5. by   no-pain
    Found this in the Denver Post 5/22/03. Not totally related to this thread but found it to be of some significants.

    Title = Doctor shortage stalling surgeries

    http://www.denverpost.com/Stories/0,...407024,00.html
    Last edit by no-pain on May 22, '03

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