Supervision...
or Not
or Not
Number of Opt-Out states
What is: 22
Five (5) types of employment models
What are:
1. CRNA Independent Practice
2. Small Group Practice
3. Company Model (ex: IAA)
4. Regional or National Group
5. Health System Employment (ex: Yale)
'The action speaks for itself'
What is: res ipsa loquitor
Balanced mental/intellectual, emotional, spiritual, physical, occupational, and social well being
What is: Wellness?
To promote and support one's profession
What is: Advocacy
Sends letter to Centers for Medicare and Medicaid Services (CMS) to become an Opt-Out state
Who is: The Governor
Unique ID for each provider or entity that is required to be used by all healthcare plans for every administrative and financial transaction
What is: National Provider Identifier (NPI)
Four (4) components of Malpractice
What is:
1. Duty
2. Breach of Duty
3. Causation
4. Damages
Anger, irritability, depression, tension headache, back pain
What are: signs of acute stress?
Four branches of AANA Advocacy
What are:
1. Federal Government Affairs (FGA)
2. State Government Affairs (SGA)
3. Quality Reimbursement
4. Research
Four types of anesthesia practice models
What is:
1. Nurse Anesthesiologist (CRNA) only
2. Physician Anesthesiologist only
3. Medical Direction (ACT - Anesthesia Care Team)
4. Medical Supervision
Three (3) primary goals of anesthesia business models
What are:
1. Financial viability
2. Valued part of a health care system
3. Delivery of safe, high-quality care
Harmful act, error, or omission in care
What is: Negligence
Poor decision making, careless performance, slowed reaction times, short-term memory loss
What are: consequences of fatigue?
VA Scope of Practice, surprise billing, provider non-discrimination, barriers to practice
What are: Current Issues for Nurse Anesthesia Practice
The governmental program which pays CRNAs who bill for pain services.
What is: Medicare Part B
Desirable attributes of a successful locums CRNA
What are:
flexible, strong-willed, confident, self-assured, steadfast (maintain values & integrity)
Civil wrong-doings, intentional or unintentional
What is: Tort
medical errors and adverse patient events
What is: the lack of wellness in anesthesia?
Formed in 1983 to support expensive federal election campaigns of influential candidates in favor of CRNA issues
What is: CRNA Political Action Committee (PAC)
The rule governing that anesthesiologists must adhere to all 7 TEFRA requirements
What is: Condition of Participation
Anti-Kickback Law, Stark Physician Self-Referral Law, Civil Monetary Penalties Law, Federal False Claims Act
What is: Legal Considerations for the Anesthesia Business Owner
Federal regulation of all pharmacologic substances
What is: The Controlled Substance Act
a healthcare provider involved in an adverse event
What is: a second victim?
Transformed payment from fee-for-service to value-based payments
What is: Merit-based Payment System (MIPS)