Engaging Congress Members on Efficiency-driven Anesthesia Modeling-Presentation Slides

Presentation Slides

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The document "Engaging Congress on Efficiency-driven Anesthesia Modeling" by the American Association of Nurse Anesthesiology (AANA) focuses on discussing efficiency-driven anesthesia modeling (EDAM) by nurse anesthetists. The goals are to engage with key stakeholders and to utilize this model for improving healthcare delivery efficiently and equitably.<br /><br />Learner outcomes include identifying options for health policy research, discussing EDAM with stakeholders, highlighting the value of Certified Registered Nurse Anesthetists (CRNAs) using policy frameworks, addressing safety and liability issues, and optimizing case and payer mix to maximize anesthesia staffing aligned with value-based care.<br /><br />The document employs a 3-E Model (Efficiency, Effectiveness, Equity) to evaluate anesthesia providers. Efficiency involves the cost-effectiveness of CRNA-led procedures and strategies for potential cost savings. Effectiveness examines surgical outcomes, suggesting differences or equivalences in outcomes when care is provided by different types of anesthesiology providers (CRNAs, physician anesthesiologists, and anesthesiologist assistants). Equity examines disparities in healthcare access, noting how CRNAs often serve lower-income and vulnerable populations compared to their physician counterparts.<br /><br />The document references studies on anesthesia provider effectiveness, emphasizing that no definitive conclusion favors one provider over another regarding effectiveness. For efficiency, it explores strategies for cost savings with CRNA increased roles, despite acknowledging contested views on the financial implications like potential cost-savings or superior efficiency.<br /><br />Equity considerations highlight CRNA services' focus on more vulnerable populations, while noting existing disparities in access. Addressing rural healthcare needs through licensing anesthesiologist assistants (AAs) is deemed insufficient without physician oversight.<br /><br />The conclusion underlines the systemic implications of integrating more CRNAs in anesthesia care and the importance of engaging with policymakers to discuss benefits based on evidence from various studies.

Keywords

Efficiency-driven anesthesia modeling

Nurse anesthetists

Healthcare delivery

Policy frameworks

Certified Registered Nurse Anesthetists

3-E Model

Cost-effectiveness

Healthcare equity

Anesthesia provider effectiveness

Rural healthcare