Specialty
Malpractice
Professionalism
Insurance
TEAMWORK
100

Areas of specialty that PAs can work in

Family medicine, internal medicine, women's health, pediatrics, behavioral medicine, surgery, emergency medicine, etc. *Any speciality that a physician can specialize in, really

100

Factors that lead to a successful malpractice claim.

Duty [to provide care/tx], 

breach of duty, 

causation [breach of duty caused injury],

 & damages [injury resulted in significant damages]

100

You should be professional as a PA (or PA-S) when:

1. in the classroom

2. on rotations

3. around your patients

100

3 main insurance companies

Medicare, Medicaid, commercial/private 

100

T/F: PAs were introduced to be independent practitioners 

False; they were introduced to function as a team to deliver healthcare to patients

200

What area of specialty did PAs begin?

Family medicine

200

You had claims-made insurance from 2010-2015. If you had a patient who filed a claim in 2020, and the incident occurred in 2015, would you be covered?

No, you would not be covered. The claim was filed after the insurance expiration date.

200

How much of professionalism is accounted for in PANCE?

5%

200

Medicare Part B covers:

professional services by HCPs, durable medical equipment, med services not covered by part A, & "incident to" services

200

define teamwork

acquisition of knowledge + skills linked to interprofessional collaboration and networking; building trust
300

A guide for mental disorders

DSM-5: Diagnostic & Statistical Manual of Mental Disorders

300

T/F: Tail coverage is a type of occurrence malpractice insurance that you can obtain for when you take a leave of absence, retire, or switch employers.

False! Its a type of claims-made policy, not occurrence

300

You see a physician colleague that has been coming in to work late, has been working longer & has had some irrational bouts of anger. You suspect they are impaired from alcohol. Do you report it or not?

Yes, it is your duty as a medical provider to report it.
300

COBRA is...

Consolidated Omnibus Reconciliation Act

federal law that allows temporary continuation of coverage for certain employees, retirees, and family members at group rates when coverage is lost to certain qualifying events

300

What types of professionals do PAs work with?

Physicians, respiratory therapists, occupational/physical therapists, lab services, dietitians, pharmacists, & home health
400

What are some procedures ED-PAs must do for a patient?

laceration repair, EKG interpretation, pelvic exam, admission to ICU

400

What source of insurance coverage would cover you for any additional job you work for including moonlighting/part-time and volunteering?

Individual policy 

400

What is the percentage estimated of providers that will develop a substance abuse problem at some point?

8-12%

400

4 big private insurers

Aetna, Anthem, Cigna, & Unified Health Group

400

what do respiratory therapists do?

diagnose lung & breathing disorders

recommend treatment methods

analyze breath, tissue, and blood specimens to determine ABG levels

manage ventilators and artificial airway devices

500

True or False: Internal medicine incorporates patients of all ages.

False; internal medicine is for adult patients only! But can be multiple areas of specialty including cardiology, pulmonology, GE, etc.

500

What to look for and do when obtaining your group policy

1. whether your name is listed on the policy

2. determine if there's occurrence or claims-made

3. obtain a copy every year 

500

Common types of substance abuse

1. Alcohol (most common)

2. Rx abuse - benzos and opioids

500
Medicare provides 100% reimbursement to "incident to" claims when

1. Service is NOT in a hospital or SNF (and is in a private clinic/office)

2. Physician does the initial HPI, PE, diagnosis and plan for a new patient

3. Established patient with new diagnosis is evaluated by physician

3. PA takes charge of the follow-up appointment

4. Physician is in same office as PA (direct supervision)

500

Team characteristics required for PCP Improvement

Trust, mindfulness, heedfulness, respectful interaction, diversity, social & task relatedness, rich & lean communication

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