THE NEXT BIG THING

IMPROVINGHEALTHCARE & ANESTHESIA

DELIVERY IN ARIZONA

A PROVEN PROFESSION

AN ACCESS PROBLEM

SOLVING THE PROBLEM

C E R T I F I E D R E G I S T E R E DN U R S E A N E S T H E T I S T S

CRNAs provide anesthesiacare of the highest qualitythroughout Arizona.CRNAs are trained in alltypes of anesthesia forevery type of patient andsurgery.CRNAs have an impeccablerecord of safety, verified bydecades of 3rd-partyresearch.

States implementing updated language (over 20) have never reversed their decision

Updating languageincreases access

and decreasescost, while

protecting patientsafety.

CRNAs practicewith and without

anesthesiologists &are the only providersof anesthesia in many

facilities, and themajority of rural

Arizona.

According to numerousCRNAs and surgeons, anearly 94 year-old statuteregulating CRNAs createsreal problems, includingaccess to elective andemergency surgicalservices.

Outdated language does not reflect the rigorous education ofCRNAs, or their relationships with surgeons.

AZANA and Axiom Public Affairs are developinglegislation to address the concerns raised byadministrators, CRNAs, and surgeons.

Locally, Groups onthe left (AARP) andthe right (GoldwaterInstitute) supportCRNAs.

Nationally, CRNAs are supported bythe widely-respected Institute of

Medicine and Federal TradeCommission, to solve healthcare

crises and to promote safecompetition, respectively.

RA

J d

esig

ns

20

16

Economic Benefits of Less Restrictive Regulation of ARPNs. Duke University, Center for Health Policy and InequalitiesResearch. February 2015

WHY UPDATEDLANGUAGE

MATTERSBroad support exists for removing outdated language - and updating

it with a sensible statute.

D R . D A V I D V E R T U L L O , M DP H Y S I C I A N A N E S T H E S I O L O G I S T , P H O E N I X

Access to care forpatients, especially

rural and underservedcommunities

Local control by ensuring facilities

can choose what typesof providers they utilize

Enhanced teamsthrough accurate

professionaldescriptions

"I support CRNAs being able to practice to the fullest extent of their education;the term 'direction and presence' creates confusion. The laws governing thepractice of anesthesiology should reflect the modern training and background,and experience of CRNAs."

D R . R O B S C H U S T E R , M D , F A C SG E N E R A L & B A R I A T R I C S U R G E O N , P H O N E I X

"Updating language for CRNAs in no way removes the CRNA fromthe surgical team, it enhances the team through clarity. Updated language would

allow each hospital to utilize MD or CRNA anesthesia providers as they wish."

M . V I C T O R I A C L A R KC E O , L A P A Z R E G I O N A L H O S P I T A L

"The outdated language for CRNAs creates a surgical access barrier in ourcommunity. The proposed language creates a safe, accessible, and cost-effectivehealthcare system."

J O S E P H A . R O D R I G U E Z , C R N AP R E S I D E N T , A R I Z O N A A S S O C I A T I O N

O F N U R S E A N E S T H E T I S T S

"Updated language is no-cost solution for Arizona's healthcare - a solution builtupon an overwhelming body of evidence. It benefits patients and our economy,

& it's time to put patients over politics and move this solution forward."

U P D A T E D L A N G U A G E E N S U R E S

U P D A T E D L A N G U A G E B U I L D S AS T R O N G E R E C O N O M Y

The economic benefits ofupdated CRNA languageinclude health systemsavings, hospital subsidyreduction, new jobs, andincreased economic activity.

In a similar-size state,modernized APRN

regulations were found tobe potentially worth $4.3

billion of economic activity.

Here is a small sample of the diverse support for updated language for CRNAs:

RA

J d

esig

ns

20

16