Commentary and Observations from
the Medical Front Lines
Sign up to receive posts from The Exchange
CATEGORIES
Latest Health Policy and Trends Articles on PCE's The Exchange
What’s Changed for Basic and Advanced Life Support During COVID-19
Posted By: 
Debra A. Danforth, DNP, APRN
May 22, 2020
How we do CPR and advanced cardiac life support (ACLS) has changed in the last several months. The American Heart Association collaborated with other organizations (American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, the Society of Critical Care Anesthesiologists, and the American Society of Anesthesiologists) to develop interim guidelines during the COVID-19 pandemic. The main challenge they faced in these interim revisions was... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases
Who Gets the Egg: The Chicken or the Rooster? Hydroxychloroquine Under the Microscope
Posted By: 
Richard S. Pope, PA-C, MPAS
April 24, 2020
What We Know We know that hydroxychloroquine (HCQ) is FDA approved for rheumatoid arthritis (RA), systemic lupus erythematosus... Continue Reading
Filed under: Health Policy and Trends, Public Health
Telehealth Visits During the COVID-19 Pandemic: What are the Benefits?
Posted By: 
Susan M. Tiso, DNP, APRN, FNP-BC
April 17, 2020
Never before has there been such a frenzy of media exposure about an infectious disease as there has been surrounding COVID-19. We are faced with constant up... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career
Game Changer: Telehealth for NPs and PAs in the Age of COVID-19
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
April 14, 2020
Having worked as a nurse practitioner for almost 30 years, I have seen so much change and evolution in health care, from practice standards to system changes... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career
COVID-19 and the Curve
Posted By: 
Daniel Thibodeau, MHP, PA-C
March 31, 2020
As of the writing of this post, coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been confirm... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
My Trip to the Capitol
Posted By: 
Carol A. Barch, MN, FNP-BC
March 17, 2020
As clinicians, we often talk about being a patient advocate, which is something that most of us probably do daily. We may be advocating for authorization of... Continue Reading
Filed under: Health Policy and Trends, Neurology
Intermittent Fasting: Is it Hype or Is There Science Behind It?
Posted By: 
Mary Knudtson, DNSc, NP, FAAN
March 10, 2020
Intermittent fasting (IF) is a form of time-restricted fasting that involves consuming foods during a specific time window and fasting for the remaining hour... Continue Reading
Filed under: Health Policy and Trends, Miscellaneous
Consent for Invasive Exams While Under Anesthesia?
Posted By: Mary Knudtson, DNSc, NP, FAAN
March 06, 2020
There was an interesting article in the New York Times called "She Didn't Want a Pelvic Exam. She Received One Anyway. Continue Reading
Filed under: Health Policy and Trends, Miscellaneous
You're Darned if You Do, You're Damned if You Don't
Posted By: 
Lawrence Herman, PA-C, MPA
February 28, 2020
Sorry, but I believe we are past the point of being worried about scaring people about the novel coronavirus 2019, now simply COVID-19 (in various forms of c... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Coronavirus Update: Transmission – What Do We Know?
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
February 14, 2020
On January 30, 2020, the first confirmed case of person-to-person 2019 novel coronavirus (2019-nCoV) transmission was reported in the United States. Also on... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Coronavirus Update: Thoughts on Its Origin
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
February 12, 2020
We've known for years that influenza virus occurs in both humans and animals—including swine and birds—and... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Cancer Screening Guidelines 2020: Let’s Recap!
Posted By: 
Beth Sandy, MSN, CRNP
January 24, 2020
We now have screening tools and methodologies for several of the most common types of cancer. Each year, the American Cancer Society (ACS) publishes updated... Continue Reading
Filed under: Health Policy and Trends, Oncology/Hematology, Preventive Medicine
Millennials and Healthcare
Posted By: Debra A. Danforth, DNP, APRN
January 17, 2020
Millennials, also known as Generation Y, are those born between 1981 and 1996. They currently comprise one-fourth of all Americans and seem to look at health... Continue Reading
Filed under: Health Policy and Trends, Practice Management/Career
Should We Accommodate Discriminatory Requests from Patients?
Posted By: 
Ben Taylor, PA-C, PhD, DFAAPA
January 07, 2020
As medical providers, we took an oath to provide the same quality of care to all our patients regardless of their race, gender, religion, sexual orientation,... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career
Mistakes in the Ambulatory Care Setting
Posted By: Lawrence Herman, PA-C, MPA
December 31, 2019
A report published in late October entitled "Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety and Risk Reduction" Continue Reading
Filed under: Health Policy and Trends, Practice Management/Career, Public Health
Do Physician Assistants and Nurse Practitioners Know What They Bill?
Posted By: Daniel Thibodeau, MHP, PA-C
December 10, 2019
As a practicing clinician, do you know what you bill for? Do you know how much is asked for in the bills that are sent to your patients? The truth of the mat... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career
CMS Final Rule: NP and PA Preceptor Documentation Updates – Success!
Posted By: 
Susanne J. Phillips, DNP, APRN, FNP-BC
November 29, 2019
On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule final rule, which will positively affe... Continue Reading
Filed under: Health Policy and Trends
Prescription Drug Misuse in the United States
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
November 08, 2019
Narcotic prescription medications have important medical uses, but they also stimulate the reward center of the brain. In susceptible individuals, this can l... Continue Reading
Filed under: Health Policy and Trends, Substance Abuse
Management of Patients with Suspected EVALI
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
November 05, 2019
Over the last several years there has been a dramatic spike in individuals vaping, and we have witnessed the associated injuries—including bur... Continue Reading
Filed under: Health Policy and Trends, Pulmonary Medicine
Women in Oncology
Posted By: Beth Sandy, MSN, CRNP
November 01, 2019
As a nurse practitioner, I practice in a predominantly female profession. However, I have seen a wave of symposia at recent major conferences that focus on w... Continue Reading
Filed under: Health Policy and Trends, Oncology/Hematology, Practice Management/Career
How Have Carcinogens Tainted Our Generic Drug Supply?
Posted By: 
Lawrence Herman, MPA, PA-C
October 11, 2019
In July 2018, the FDA announced that a known carcinogen, called N-Nitrosodiumdimethylamine, or NDMA, had been found in valsartan manufactured by Zhejiang Hua... Continue Reading
Filed under: Health Policy and Trends, Public Health
The Real Risks of Vaping: All Clinicians Must Ask the Right Questions and Warn Patients
Posted By: Daniel Thibodeau, MHP, PA-C
October 04, 2019
Most of us have seen the recent news regarding the alarming rise of respiratory-related illnesses and deaths due to e-cigarettes, or vaping. For those not aw... Continue Reading
Filed under: Health Policy and Trends, Substance Abuse
New Statement Related to Hospitalized Heart Failure Patients
Posted By: Daniel Thibodeau, MHP, PA-C
October 01, 2019
The American College of Cardiology has issued a new Expert Consensus Decision Pathway for the management of patients with heart failure. This newly released... Continue Reading
Filed under: Cardiometabolic, Health Policy and Trends, NPs & PAs
Update: State Regulatory Environment for Opioid Prescribing
Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC
September 20, 2019
As prescribers for patients with acute and chronic pain in primary care, NPs and PAs are very much aware of the national opioid epidemic, including ways in w... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Substance Abuse
Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
July 22, 2019
The American Geriatrics Society (AGS) 2019 Updated Beers Criteria—updated from 2015—are designed to reduce older adults' drug-related problems including,... Continue Reading
Filed under: Health Policy and Trends, Preventive Medicine
Team-Based Care: Latest Data on Family Physician, PA, and NP Practices
Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC
July 12, 2019
A recent study published in Family Medicine demonstrates the positive impact on practice capacity and scope of practice of family physicians (FPs) w... Continue Reading
Filed under: Health Policy and Trends
Preceptors and Tax Credits—Interprofessional Policy Change
Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC
July 09, 2019
This blog is information only and not to be construed for legal tax advice—you must consult your tax professional regarding personal tax advice. Continue Reading
Filed under: Health Policy and Trends, NPs & PAs
How Do Drug Pricing Systems Work? If There Is More Competition, Shouldn’t the List Price Go Down?
Posted By: Richard S. Pope, PA-C, MPAS
June 22, 2019
Have you ever noticed how much more expensive drug prices become every year? I think we have all noticed this increase, so this week I decided to look in to... Continue Reading
Filed under: Health Policy and Trends, Rheumatology
Choose Wisely As To When You Schedule Your Medical Care
Posted By: Lawrence Herman, MPA, PA-C
June 05, 2019
Most of us tend to need a pick-me-up—perhaps a cup of coffee—around mid- to late-afternoon. But a new study published by JAMA on May 10, 2019 in... Continue Reading
Filed under: Health Policy and Trends
Consider Deprescribing in Our Older Adults
Posted By: Daniel Thibodeau, MHP, PA-C
June 01, 2019
We all have patients in our practices who are older and on numerous medications. They are stabilizing their problems but are faced with the reality of nearin... Continue Reading
Filed under: Health Policy and Trends, Preventive Medicine, Public Health
Advanced Practice Providers and Liability Risk
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
May 21, 2019
It is a misconception that advanced practice providers (APPs) can’t get sued because any errors are a physician’s responsibility. PAs and NPs can and do... Continue Reading
Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career
National Stop the Bleed Month
Posted By: Debra A. Danforth, DNP, APRN
May 17, 2019
Did you know that May 2019 is the first-ever National Stop the Bleed Month? Also, May 23 is the second annual Stop the Bleed® Day. So what is “... Continue Reading
Filed under: Health Policy and Trends, Miscellaneous, Preventive Medicine, Public Health
Hypertension in the Pediatric Population
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
May 07, 2019
The prevalence of systemic hypertension (HTN) in the pediatric population is now commonly observed to be increasing, especially in view of the growing popula... Continue Reading
Filed under: Cardiometabolic, Health Policy and Trends, Preventive Medicine
Using Policy to Impact HPV Vaccine Rates
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
May 02, 2019
For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine whe... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine, Women's Health
Universal Influenza Vaccine Begins Phase I Clinical Trials
Posted By: Lawrence Herman, MPA, PA-C
April 09, 2019
The National Institutes of Health have begun the first clinical trial of an innovative universal influenza vaccine candidate. A Phase I trial will examine th... Continue Reading
Filed under: Allergy/Immunology, Health Policy and Trends, Public Health
Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved
Posted By: Daniel Thibodeau, MHP, PA-C
March 12, 2019
If you’ve practiced in medicine for at least 20 years, you may remember the case of Terri Schiavo, a woman in her 20s who was in a coma for more than a dec... Continue Reading
Filed under: Health Policy and Trends, Public Health
States' Involvement With Medicaid Expansion
Posted By: Daniel Thibodeau, MHP, PA-C
February 05, 2019
For a little over 50 years, Medicaid has provided healthcare as a stopgap to millions of people. With passage of the Affordable Care Act (ACA), few states ut... Continue Reading
Filed under: Health Policy and Trends, Public Health
Here We Go Again: Measles in Seattle This Time
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
January 31, 2019
As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the outb... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine