Dr. Hilary Barnes (BA Skidmore College, 1997; BSN University of Pennsylvania, 2005; MSN Widener University, 2008; PhD Widener University, 2013) is a CHOPR Senior Fellow and a fellow of the Leonard Davis Institute of Health Economics. Dr. Barnes’ research interests include the impact of state and federal policies on the nurse practitioner workforce and care delivery. She is funded through the 2016 AcademyHealth New Investigator Small Grant Program to examine the impact of changes in state-level practice regulations over time on nurse practitioner supply and access to care in ambulatory practices. She is nationally certified as a Family Nurse Practitioner, and her clinical background includes emergency/urgent care, surgery/surgical oncology, and addiction/behavioral health.
- Barnes, H., Maier, C., Altares Sarik, D., Germack, H.D., Aiken, L.H., & McHugh, M.D. (2016). Effects of regulation and payment policies on nurse practitioners’ clinical practices. Medical Care Research and Review. doi:10.1177/1077558716649109. Published online May 13, 2016.
- Barnes, H., Rearden, J., & McHugh, M.D. (2016). Magnet recognition linked to better central line-associated blood stream infection rates. Research in Nursing & Health, 39, 96-104. doi:10.1002/nur.21709.
- Barnes, H. (2015). Nurse practitioner role transition: A concept analysis. Nursing Forum, 50, 137-146. doi:10.1111/nuf.12078.
- Brooks Carthon, J. M., Barnes, H., & Altares Sarik, D. (2015). Federal polices influence access to primary care and NP workforce. The Journal for Nurse Practitioners, 11, 526-530. doi:10.1016/j.nurpra.2015.01.028.
- Barnes, H. (2015). Exploring the factors that influence nurse practitioner role transition. The Journal for Nurse Practitioners, 11, 178-183. doi:10.1016/j.nurpra.2014.11.004
CHOPR RESEARCH FOCUS
Title: Effects of Regulation and Payment Policies on Nurse Practitioners’ Clinical Practices
Recently published in Medical Care Research & Review, we examine the impact of state nurse practitioner (NP) scope of practice (SOP) and NP Medicaid reimbursement policies on NP participation in primary care and practice Medicaid acceptance, respectively. Our research questions included: 1) Do NP SOP regulation have an impact on where NPs work? That is, do restrictive NP SOP regulations limit NPs’ participation in settings of greatest need, namely primary care? And Do higher Medicaid reimbursement rates for NP services impact practice Medicaid acceptance? We analyzed a national sample of 252,657 practices using logistic regression and found that NP participation in primary care was higher in states that allowed for full NP SOP. Also, practices were more likely to accept Medicaid if an NP was present in the practice and the state reimbursed NP services at 100% of the physician fee-for-service rate. This study is timely in Pennsylvania as there are two bill in the House (HB765) and Senate (SB717) that aim to remove the requirement for NPs to maintain collaborative agreements with physicians. Via blogs and social media, we shared these findings with legislator and hospital administrators to gain support for passage of these bills.