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300 word discussion

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You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence-based rationales for your decisions.

Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

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Evidence-Based Clinical Intervention ( DUE DATE JANUARY 10)

By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.

Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

• The medical problem/diagnosis/disease.
• Typical presenting signs and symptoms      including:

• Onset, Characteristics, Location,       Radiation, Timing, Setting, Aggravating factors, Alleviating factors,       Associated symptoms, Course since onset, Usual age group affected
• Concomitant disease states associated       with the diagnosis
• The pathophysiology of the problem.
• Three differential diagnoses and the usual      presenting signs and symptoms in priority sequence with rationales.
• Reference to at least two current journal      articles that show evidence-based practice as how to best treat this      disorder related to the primary differential.
• The expected outcomes of the intervention.
• Algorithms if available.

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