Minneapolis VA Intending to Move to CRNA-Only Model of Anesthesia Care

August 21, 2025

The Minneapolis Veteran Affairs Medical Center (VAMC) recently decided to adopt a new anesthesia care model that would shift from the current care team model, where Certified Registered Nurse Anesthetists (CRNAs) work as part of a care team alongside and under the supervision of anesthesiologists, to a CRNA-only model, where CRNA’s practice independently.  

The American Society of Anesthesiologists (ASA) has opposed the move. The MMA has not weighed in, but has the following policy: “The MMA will work with the appropriate regulatory and legislative agencies to establish, secure, and maintain a high level of standards which must be met and maintained before expanding scope of practice privileges beyond those limited to licensed, practicing medical doctors.” 

A recent VA Office of Inspector General report shows a 38% increase in facilities that face a significant shortage of anesthesiologists.  

“The proposed bylaws change is reportedly the result of the departure of anesthesiologists from the facility over recent months,” the ASA said in a release. “In lieu of promoting the hiring of new anesthesiologists at the facility or utilizing existing VA staffing programs, the facility leadership appears intent upon changing the anesthesia practice model.” 

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