Add Row
Add Element
cropper
update

Provider Impact

update
Add Element
  • Home
  • Categories
    • Medicare + RTM
    • Pharmacy Insights
    • Provider Spotlights
    • HR & Staff Benefits
  • Featured Business Profiles
May 29.2025
3 Minutes Read

How Care Teams Are Transforming Anesthesia Access Amid Shortages

Becker's Hospital Review cover image with city skyline silhouette.

The Anesthesia Crisis: A Growing Concern for Healthcare Systems

As we navigate the complex landscape of healthcare, one issue looms large: the severe shortage of anesthesiologists across the United States. Projections indicate that by 2037, the country could face a shortfall of 8,450 anesthesiologists, significantly impacting patient care and hospital operations.

This alarming trend was the focal point of a recent panel discussion at a Becker's Healthcare virtual anesthesia conference, where esteemed healthcare leaders shed light on the challenges and potential solutions. The panel, moderated by Shannon Peterson from Medicus Healthcare Solutions, highlighted that the increasing demand for anesthesia services, coupled with a declining number of practitioners entering the field, is causing significant disruptions in patient access to necessary care.

Disruption and Its Effects on Patient Care

Staff shortages in anesthesia are now compounded by the consolidation of hospitals and a shift in care delivery models. Dr. Daniel Fagin, Medical Director at Endeavor Health, pointed out that such consolidations often displace private practice anesthesia groups, causing disruptions that can ultimately lead to reduced procedural volume.

Dr. Matthew Boles, Executive Vice President of Surgical Services at Salem Health, reiterated the grave consequences of these shortages. In certain areas of Oregon, health systems have faced up to a 50% reduction in procedural volume, affecting surgeries that are essential for patients with serious conditions. “The patients are the ones who suffer,” he stated, shedding light on the urgent need for immediate solutions to this escalating crisis.

Innovative Solutions Through Care Team Models

In response to these challenges, many healthcare organizations are now adopting care team models for anesthesia. These models incorporate a diverse range of professionals, including certified registered nurse anesthetists (CRNAs), student registered nurse anesthetists (SRNAs), and anesthesiologist assistants (AAs), thus alleviating the pressure on anesthesiologists while maintaining a high standard of patient care.

“Working with AAs, CRNAs, and residents as partners allows us to maximize the expertise present within our teams,” emphasized Dr. Daniel Roke from Saint Louis University. He further highlighted the importance of nurturing this next generation of anesthesia professionals through dedicated training programs, such as those developed for SRNAs and AAs.

Overcoming Resistance to Change in Anesthesiology

Despite the potential benefits of incorporating these care team models, significant resistance to change persists within some healthcare settings. Dr. Roke noted that effective change management strategies are essential to support the transition. Implementing new models of care requires thoughtful planning and communication to address existing biases and misconceptions within the medical community.

The Future of Anesthesia: A Collaborative Approach

The integration of innovative anesthesia models can lead to greater job satisfaction among medical staff, improved patient outcomes, and increased flexibility in handling patient loads. As healthcare systems grapple with the ongoing crisis, adopting a collaborative approach that includes a wider variety of skilled professionals will be vital. This method not only enhances the resilience of anesthesia services but also provides patient-centric care that aligns with the demands of modern healthcare.

Call to Action: Embrace Change for Improved Patient Care

Healthcare professionals, administrators, and policymakers must collaborate to address the growing anesthesia crisis. Exploring care team models and investing in training programs are critical steps toward improving patient access and outcomes. Together, we can foster an environment that prioritizes innovation and collaboration, ultimately ensuring that patients receive the care they need, when they need it.

Provider Spotlights

6 Views

0 Comments

Write A Comment

*
*
Related Posts All Posts
10.31.2025

Discovering the Future of Psoriatic Arthritis Treatment: TYK2 Blocker's Promise for Patients

Update A Clinical Breakthrough: The Future of Psoriatic Arthritis Treatment The recent findings surrounding the TYK2 inhibitor deucravacitinib (Sotyktu) signify an evolution in the management of psoriatic arthritis (PsA). Presented at the ACR 2023 conference, these results highlight the promising long-term efficacy of this oral medication, moving it closer to approval for PSa indications. Key Findings from the POETYK PsA Trials In the pivotal POETYK PsA-1 trial including 670 participants, it was observed that patients taking deucravacitinib for 52 weeks achieved a notable increase in their response rates. Initially, 54% of participants met the ACR20 response criterion at week 16, but this improved to 63.1% by week 52. When participants who initially received a placebo transitioned to deucravacitinib, their response also surged to 61%. Furthermore, the ACR50 and ACR70 response rates demonstrated particularly compelling outcomes, with increases to 41% and 25%, respectively, in the initial treatment group by week 52. Safety Profile and Regulatory Considerations Throughout the trial, safety issues remained consistent without the emergence of new concerns. Following the positive trajectory seen in the POETYK PsA-1 trial, Bristol Myers Squibb has submitted an application to the FDA, with a decision anticipated by March 2026. This progress is eagerly awaited by the medical community as it reflects a step forward in targeted treatments aimed at inflammatory skin diseases. A Deeper Dive into TYK2 Inhibition Deucravacitinib distinguishes itself from other treatment options, such as Janus kinase (JAK) inhibitors, through its unique mechanism of targeting the TYK2 enzyme. This specificity allows it to effectively modulate harmful inflammatory pathways involving several interleukins and interferon-1, which are implicated in the pathophysiology of PsA. Comparative Effectiveness in Radiographic Progression Despite the positive symptomatic responses, a significant aspect of the trials involved examining radiographic progression—a critical factor in PsA management. Previous concerns arose regarding the lack of noticeable benefits in this area, with mean Sharp-van der Heijde scores indicating increased damage. The post-hoc analysis underscored that, after transitioning from placebo to treatment, patients exhibited radiographic progression similar to those who had been on the drug from the start. Community Reactions and Future Implications The excitement surrounding deucravacitinib comes amidst broader shifts in treatment paradigms for rheumatic diseases. Healthcare professionals anticipate the integration of such targeted therapies into routine practice, allowing for more adaptable treatment options that better meet patient needs. As medications like deucravacitinib focus on precision medicine, the emphasis on tailored patient care will only intensify. Call to Action: Stay Informed and Engage with New Developments For healthcare providers, understanding these advancements and their implications is crucial for effective patient management. By following the ongoing updates in clinical research and engaging in continuing education opportunities, medical professionals can enhance their competency and care delivery. Join us in staying informed about these breakthroughs that are shaping the future of psoriatic arthritis management.

10.30.2025

New Findings on STEMI Outcomes Challenge Upfront PCI Strategies

Update Could Timing Matter in Multivessel PCI After STEMI? The recent findings from the iMODERN trial have sparked discussions about the optimal approach for treating patients suffering from ST-segment elevation myocardial infarction (STEMI) with multivessel disease. More than 1,000 patients participated in this study, which aimed to compare immediate multivessel percutaneous coronary intervention (PCI) against a deferred approach utilizing stress cardiac MRI. What emerged was surprising: both strategies yielded almost identical clinical outcomes at the three-year mark. Understanding the Implications of the iMODERN Trial The iMODERN trial revealed that there was no significant clinical advantage in treating all nonculprit lesions during the index cath lab session. The rates of primary events, including death and recurrent myocardial infarction, were nearly the same across both strategies—9.3% for the iFR (instantaneous wave-free ratio) guided approach compared to 9.8% for the deferred method. This data challenges previously held notions in cardiology. Current guidelines suggest upfront multivessel intervention based on its noninferiority to a staged revascularization. However, the iMODERN findings advocate for more flexibility; operators are now reassured that they may not need to perform everything in one session, easing the potential burden on both the medical team and the patient. Trends in Cardiac Care: A Shift to Non-Invasive Assessment As we delve deeper into the implications of these findings, it's essential to acknowledge the credibility of the techniques being used for nonculprit lesion assessment. The use of stress cardiac MRI has gained acceptance, especially in Europe, as a non-invasive and effective strategy for evaluating ischemia. Unlike invasive measures, stress CMR holds the promise of better patient care without imposing the risks associated with immediate PCI of nonculprit lesions. Dr. Carlos Collet, who engaged in a discussion during the TCT meeting, emphasized the potential of deferring management for intermediate stenoses to avoid unnecessary procedures, ushering in what might be seen as a new standard in cardiovascular care. This marks a shift towards tailored treatment plans that can significantly enhance patient safety and satisfaction. Divergent Views on Upfront Multivessel PCI While the iMODERN study advocates for a deferred PCI approach, existing literature does not uniformly agree on the complete revascularization strategy. For instance, some analyses and trials indicate that immediate multivessel PCI can lead to better outcomes in specific patient populations, particularly those without cardiogenic shock. This dual perspective underscores the complexity within cardiology treatment paradigms and highlights the necessity for individualizing patient care based on specific clinical conditions. What the Future Holds for Multivessel PCI in STEMI Cases The evolving landscape of cardiac interventions invites further exploration of treatment pathways. Upcoming trials, such as the COMPLETE-2, are expected to shed light on the efficacy of different approaches in managing nonculprit lesions. For the time being, the iMODERN results can provide clarity for healthcare providers and clinicians grappling with treatment decisions. Moreover, considering the dynamic nature of healthcare policies and practices, these results also call for a review of current guidelines. As the healthcare sector strives toward evidenced-based practice and patient-centric care, cardiologists and medical directors must stay abreast of emerging clinical evidence to optimize patient outcomes effectively. Conclusions: Shifting Perspectives in Cardiac Intervention Strategies The iMODERN trial brings forth new ideas in the management of STEMI patients with multivessel disease. By suggesting that immediate multivessel revascularization and deferred strategies yield comparable results, it paves the path towards more thoughtful and strategic approaches in cardiology. Operators are encouraged to prioritize non-invasive imaging methods and engage in shared decision-making processes with their patients, which aligns with advancing healthcare trends advocating for tailored patient care. As healthcare leaders, clinicians, and policy makers reflect on these findings, it is crucial to foster discussions that possibly revise existing practices. Staying informed and engaged with current research can empower the provider community to not only enhance treatment protocols but also reshape future healthcare strategies.

10.29.2025

Unpacking Non-Celiac Gluten Sensitivity: Why 10% of Populations Are Affected

Update Understanding Non-Celiac Gluten Sensitivity: A Rising Concern in Healthcare Non-Celiac Gluten Sensitivity (NCGS) has emerged as a significant topic within the medical community, especially as studies reveal a startling prevalence of individuals reporting symptoms linked to gluten consumption despite not having celiac disease or wheat allergy. According to a recent meta-analysis, approximately 10% of the general population self-reports symptoms suggestive of NCGS. This figure is notable as it highlights the growing prevalence of self-diagnosed gluten sensitivity. The Gender Divide: Who is Most Affected? Interestingly, the analysis reveals a pronounced gender disparity, with women being significantly more likely to report NCGS symptoms (odds ratio of 2.29). This raises critical questions regarding the social and psychological factors that might influence these reports. For instance, anxiety, depression, and conditions such as Irritable Bowel Syndrome (IBS) were found to be strongly associated with NCGS. This suggests that psychological components may play a central role in the manifestation of symptoms, challenging the conventional belief that such sensitivities arise primarily from immune responses. Global Perspectives on Prevalence The prevalence of self-reported NCGS varies significantly across different regions, with figures ranging from a mere 0.7% in Chile to as high as 36% in Saudi Arabia. In the U.S., self-reported rates hover around 5.1%. These disparities may reflect various cultural attitudes toward gluten, as well as the marketing of gluten-free products. The influence of socioeconomic factors cannot be ignored either: higher prevalence rates observed in wealthier nations may correlate with greater access to gluten-free alternatives. The Overlap with Psychological Disorders The link between NCGS and mental health issues such as anxiety and depression presents an interesting area for further research. Over 40% of individuals reporting gluten sensitivity have turned to gluten-free diets, which can inadvertently lead to nutritional deficiencies. Healthcare providers are urged to consider the mental health discourse while addressing dietary restrictions. Holistic approaches that include psychological evaluations and tailored dietary recommendations may help mitigate these adverse outcomes. Navigating Diagnosis: Challenges in Clinical Practice Diagnosing NCGS presents substantial challenges, primarily due to the absence of specific biomarkers. The diagnosis typically entails ruling out celiac disease and wheat allergy, often through rigorous double-blind placebo-controlled challenges. However, the significant incidence of nocebo effects complicates these assessments. Recognizing that over 40% of patients may experience adverse effects even when they are given a placebo presents an additional layer to clinical evaluations. The Path Towards Tailored Management Experts advocate for the need to establish symptom-based diagnostic criteria, which could pave the way toward more personalized management plans. With NCGS symptoms resembling those found in disorders of gut-brain interaction, a comprehensive approach that considers both dietary factors and psychological health is essential. Conclusion: An Increasingly Relevant Issue As NCGS continues to garner attention in clinical practice, it prompts healthcare professionals to reconsider traditional frameworks of diagnosis and management. The emerging evidence suggests a complex interplay between inflammatory responses and psychological factors, urging an integrated model for understanding and treating this condition. Properly addressing NCGS could lead to better patient outcomes, slashing unnecessary dietary restrictions that contribute to psychological burdens and economic costs for patients. For healthcare providers, staying abreast of the latest research surrounding NCGS is imperative, not only for informed patient interactions but also for the broader implications it has on nutritional health and management strategies within the practice.

Terms of Service

Privacy Policy

Core Modal Title

Sorry, no results found

You Might Find These Articles Interesting

T
Please Check Your Email
We Will Be Following Up Shortly
*
*
*