Jill Toliver, FNP and Gretchen Moen, PNP Owners, Nurse Practitioners Mendota Health, Eagan, MN

What are your privileges and prescriptive authority?

Hospital Privileges: Both of us, Gretchen and Jill have hospital privileges. Gretchen, the PNP has privileges at three of the four hospital systems in the service area...and is privileges at the fourth are pending. Privileges for Jill, the FNP are pending. It has been more difficult to find a collaborating Family Practice Physician for the hospital. We think this is partially because pediatricians have been collaborating with NP's for at least 30 years and thus have worked out some of the details of a collaborative practice. Family docs are at a different place in this learning curve and have more questions and concerns about collaboration and financial issues. Gretchen believes that NPs are more focused on primary care, disease prevention and health promotion and feels hospitalization issues are better left to the physciains or NP hospitalists. In general, the pediatric hospitals have "house staff" working in collaboration with primary clinics. Jill is looking at working with a hospitalist group to manage the hsoptiatlized adult patients. This concept is also new to adult medicine in the Twin Cities.

The four hospitals with which Mendota Health wishes to have privileges with are all within 10-20 miles of the clinic.

Prescriptive Authority: Both of us have prescriptive authority as defined by the Minnisota Statute and are able to prescribe all medications and theraputic devices. A collaborative agreement with a physician is in place for both pediatrics and family medicine. Both of us, Gretchen and Jill, have DEA certficates.