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A Needs Assessment Survey in a Gastroenterology Endoscopy Community of Practice

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A NEEDS ASSESSMENT SURVEY FOR A GASTROENTEROLOGY ENDOSCOPY COMMUNITY OF PRACTICE

A Clinical Capstone Proposal
Presented to the Faculty of the School of Health Sciences
La Salle University

In Fulfillment
Of the Requirements for the Degree
Doctor of Nursing Practice

By
Jordan Hopchik
Doctor of Nursing Practice Program

COPYRIGHT BY
JORDAN HOPCHIK
2014

Title of Clinical Capstone Proposal: A NEEDS ASSESSMENT SURVEY FOR A GASTROENTEROLOGY ENDOSCOPY COMMUNITY OF PRACTICE

Author: Jordan Hopchik

Approved by: _____________________________________________ Name and credentials, Chairperson …show more content…

The authors concluded that while increasing gastroenterology capacity is important (i.e., capital and funding availability, plus searching the local labor market for gastroenterology physicians, nurses, and physician assistants), it may not be as beneficial as redirecting the focus on healthcare system process changes. Access limitations may be due to suboptimal management of current capacity rather than inadequate levels of capacity (Powell et al., 2009). As the largest healthcare system in the world, the VHA cannot rely solely on hiring and training more gastroenterology staff when process management is also in urgent need of simultaneous, coordinated improvement. As a response to this colossal demand to expand gastroenterology trained and credentialed providers to perform colonoscopy, a small number of VHA facilities and gastroenterology departments sought new and innovative ways to build provider and space capacity to mitigate this challenging, unmet need. Dr. Jason Dominitz, National Program Director for Gastroenterology Patient Care Services, reported there are at least a half-dozen or more credentialed nurse practitioners (NPs) and physician assistants (PAs) performing colonoscopy at various VHA facilities. The non-physician endoscopists have collectively provided safe, quality-driven procedural care and high patient satisfaction survey

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