Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Effects of integration of advanced practice providers into surgical group practice

Award Number: R01HS028975
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/01/2023
PERIOD OF PERFORMANCE END DATE: 12/31/2027

Group Awards By:

View Award Description

Effects of integration of advanced practice providers into surgical group practice - Project Summary Elderly patients are particularly susceptible to complications after major surgery, with rates approaching 35%. Such complications threaten independence and carry a higher risk of death, underscoring the importance of careful coordination of care in this population. With ongoing shortages of surgeons across multiple disciplines, some surgical practices have incorporated nurse practitioners (NPs) and physician assistants (PAs) who provide the flexibility of functioning in both the inpatient and outpatient settings. One advantage of this approach includes improved access to the operating room (e.g., by allowing surgeons to perform procedures more efficiently) and clinic (e.g., by offloading selected patient visits). Additionally, this delivery model can enhance care coordination during the index hospitalization, and between the inpatient and outpatient settings, which may improve surgical outcomes. Potential disadvantages of this model relate to the relative inexperience of NPs and PAs with respect to postoperative care, which may result in delayed complication recognition, and the possibility of increased resource use (e.g., through greater use of diagnostic testing and/or consulting physicians). This project comprehensively assesses these issues using national Medicare data and has the following aims: 1) Measure the impact of integration of NPs and PAs into single- specialty surgical practice on access to care for patients with Medicare; 2) Determine the impact of integration of NPs and PAs into single-specialty surgical practice on surgical outcomes; and, 3) Assess the impact of NP and PA integration on practices that disproportionately care for vulnerable Medicare patients. Findings from this study will shed light on how NPs and PAs can be utilized to improve surgical access and outcomes in Medicare patients, and certain vulnerable populations in particular. Furthermore, the project will directly inform policymakers, health system leaders, professional societies and surgeons about the effects of NP/PA expansion on surgical care in the elderly.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $391,216 )
2025	2025	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	11/12/2024	NON-COMPETING CONTINUATION	$391,216
														Subtotal = $391,216

Issue Date FY: 2024 ( Subtotal = $396,696 )
2024	2024	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	12/20/2023	NON-COMPETING CONTINUATION	$396,696
2024	2023	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	10/6/2023	NEW	$0
														Subtotal = $396,696

Issue Date FY: 2023 ( Subtotal = $396,696 )
2023	2023	REGENTS OF THE UNIVERSITY OF MICHIGAN	503 THOMPSON STREET	ANN ARBOR	MI	48109	WASHTENAW	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	2/14/2023	NEW	$396,696
														Subtotal = $396,696

Grand Total All Awards = $1,184,608

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Effects of integration of advanced practice providers into surgical group practice

Award Number: R01HS028975

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/01/2023

PERIOD OF PERFORMANCE END DATE: 12/31/2027

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer