PA History
I am responsible for starting the first PA program and at what University?
Who is Dr Eugene Stead and Duke University.
Dr. Harvey Estes took over after him.
What does AAPA stand for?
American Academy of Physician Associates
First President: William Stanhope
I am a test that contains 300 questions. (PANCE/PANRE/PANRE-LA)
PANCE: 300 questions/5 sections
PANRE:240 questions/4 sections: every 10 years.
PANRE-LA: 25 questions per quarter- administered over 12 quarters but PAs can complete it in as little as 8 quarters (Fun fact- you can get 2 Cat 1 Self-Assessment CME credits for each quarter) PAs apply in the 6th year of their recertification cycle and you take the exam in years 7-9.
Medicare has how many main parts that we are concerned with?
4
Medicare Part A pays for hospital facility, nursing home and supply
Medicare Part B pays for outpatient services, ambulance services, home health care, durable medical equipment, preventative services, mental health services, therapy, diagnostics.
Medicare Part C is the Medicare Advantage, supplemental plans--extra benefits
Medicare Part D is the Prescription drug coverage plan
Credentialing or Privileges?
Validating your background as a PA and assessing your qualifications in order to be able to work in the hospital.
Credentialing
Who is the surgical tech charged with practicing medicine without a license in a monumental court case responsible for advancing PA programs.
Roger Whittaker
This organization is responsible for writing CAQs
NCCPA
True/False
Majority of PAs practicing are men.
Majority of PAs go into Primary Care.
Majority of PAs in practice are aged >60.
False
False. Remember Primary Care is considered Internal Medicine, Pediatrics and Family Medicine
False
What is the Accountable Care Organization Model?
A model supported by the Affordable Care Act that focuses on improving the quality of care, coordinating the other medical health providers, preventing medical errors and helping keep costs down
3 components you need to be considered a PA
Nationally Certified, state licensed and graduated from an accredited program
Look over requirements for temporary limited license in NY.
When is PA day?
Extra Points if you know why
October 6th because it is Dr. Eugene Stead's birthday!
I am the organization responsible for the PACKRAT and EORs.
PAEA
What do you need to do for the NCCPA to allow you to take the PANCE?
Graduate from an accredited program, submit an application and pay required fees. Earliest you can take the test will be 7 days after your program completion date. (you can apply up to 180 days before graduation) You have a 6 year window to take it and can take it up to 6 times.
Malpractice insurance which provides you coverage only for the period of time you are working for that company is called...
Claims-made policy
Occurrence is a policy which covers incidents that occur during an active period regardless of when the claim is filed.
Tail Coverage- can be added on after claims-made policy to extend coverage after termination of a claims-made policy
This policy was passed by the AAPA House of Delegates and allows its state chapters to seek changes in state laws that will, among other things, eliminate the legal requirement for PAs to have specific relationships with a particular collaborating physician in order to practice
Optimal Team Practice
Which state does not allow PAs to prescribe?
Trick question, none! All states allow PAs to prescribe.
Which organization provides tuition reimbursement for PAs that serve underserved patient populations?
National Health Service Corps (NHSC)
Going to an AAPA conference is which Category of CME?
Extra points- How many CME credits do you need and how often?
Category 1
50 Category 1
50 Category 2
every 2 years
Category 1(certification program, self assessment course, reading and passing a post-test of a peer reviewed medical journal published by JAAPA- need documentation as proof of certification)
Category 2 (Medical Mission trip, precepting, participating in quality improvement projects, consulting with colleagues, reading medical literature- not formally accredited, no documentation for verification)
Balanced Budget Act
AAPAs 6 key elements that should be part of every state legislation include:
Licensure, prescriptive authority, scope of practice, collaboration requirements, chart co-signatures, and no restriction on the number of PAs with whom a physician may supervise/collaborate with.
That being said- know NYs general legislation- restricts the number of PAs a physician may supervise/collaborate with 4 outpatient, 6 in hospital, can prescribe schedule 2-5 drugs etc.
Which PA program was associated with having providers preform tasks associated with routine care in rural and underserved areas?
Medex (University of Washington)
Who investigates complaints made about physicians, PAs and other health care providers that can become public knowledge if found guilty?
The Office of Professional Medical Conduct.
Know the difference between the Office of Prof Medical Conduct and The National Practitioner Data Bank (made by the federal government as a repository of all state board actions or malpractice actions against licensed health care professionals)
What accreditation status does Marist University currently hold?
Which organization supplies us with that status?
Accreditation-Continued
ARC-PA- they are responsible for establishing the Standards for PA education and evaluating PA programs to make sure they are in compliance.
What is the Incident to Bill requirements for medicare
We are unable to directly bill Medicare for services we provide at 100% unless we follow the Incident to rules- which can be seen as a barrier for providing patient centered care. (For example- Established medicare patient with new medical problem is treated by the physician first then the PA does subsequent care with the supervising physician on site-so a PA seeing new medicare patients and providing subsequent care wouldn't meet criteria)
This program requires prescribers to consult the Prescription Monitoring Program (PMP) registry when writing prescriptions for schedule II, III, and IV to stop overprescribing these types of drugs.
What is I-STOP