PASims Posted December 29, 2013 Share Posted December 29, 2013 Was curious to see what my fellow PA's are thinking the hot topics are in medicine for the upcoming 2014 year. Thank you for sharing. Link to comment Share on other sites More sharing options...
jmj11 Posted December 29, 2013 Share Posted December 29, 2013 1) The fallout from the Patient Protection and Affordable Care Act. I'm not making predictions if it will be a sum gain or a sum loss, but it will shuffle the deck and the outcome will change heathcare, but no one knows for sure how just yet. 2) Using the immune system to fight diseases, for example immunotherapies will cure some previously incurable cancers. In my area of headache, humanized rabbit monoclonal antibodies against calcitonin gene related peptides might be a game changer. Link to comment Share on other sites More sharing options...
whoRyou Posted December 29, 2013 Share Posted December 29, 2013 Electronic Health Records (EHR): Beginning in 2014, all physician assistants participating in the federal electronic health record (EHR) meaningful use incentive program must use a Stage two-certified EHR. This is true even for physician assistants attesting for Stage one meaningful use. It's said that choosing an EHR system is like choosing a spouse. While the majority of EHR unions seem destined for happily ever after, that is not the case with all. Physician Assistants should have an exit strategy as they enter the EHR vendor relationship. The best way to do this is to seek mutually agreeable contract terms.Health Insurance Portability and Accountability Act (HIPAA) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 29, 2013 Moderator Share Posted December 29, 2013 agree with JMJ above regarding ACA. at the very least I think there will be many more pts seeking care. the question is will there be enough providers to see them? I think the answer is yes but many of those providers will be in urgent care and emergency medicine settings, not ideal for ongoing pcp level care. ACA is like an ATM card good for care. the problem is there are not enough "atm machines" (pcps) out there who take the card. the cards are all good at your local er though. you do the math....the only 2 places in my county accepting medicaid already have a 3 mo wait for new pts and a 5 week wait for established pts today in 2013. this will get worse. there need to be more incentives to those willing to accept medicaid(loan repayment, better pay, etc). they could tie the emr payments into also taking medicaid or something. too may pcps cherry pick those pts with blue cross, etc leaving many of the sickest in our community with nowhere to turn but the ER. we have many folks in my community who come to the er and wait multiple hrs every month for things as simple as bp med refills. Link to comment Share on other sites More sharing options...
SocialMedicine Posted December 30, 2013 Share Posted December 30, 2013 ---Hepatitis C treatment. In very simple terms the far majority of people living with HCV can be cured in the next few years. Even those with adherence and comorbid issues. 12 weeks of antiviral therapy .... but at a cost ... perhaps 100,000 to complete a treatment cycle with the far majority going towards pharma. At least 3-4 million people live with this in the US and how many of them go on to have sever costly liver disease ? 10-30% at least. Link to comment Share on other sites More sharing options...
discogenic Posted December 30, 2013 Share Posted December 30, 2013 Concierge practices. Link to comment Share on other sites More sharing options...
FBIDoc Posted December 30, 2013 Share Posted December 30, 2013 Exit strategy/alternative income source in case PAs get the shaft with SGR reforms and Obamacare... see the Sticky and contact your Congressmen/Senators today! Link to comment Share on other sites More sharing options...
cbrsmurf Posted December 30, 2013 Share Posted December 30, 2013 ---Hepatitis C treatment. In very simple terms the far majority of people living with HCV can be cured in the next few years. Even those with adherence and comorbid issues. 12 weeks of antiviral therapy .... but at a cost ... perhaps 100,000 to complete a treatment cycle with the far majority going towards pharma. At least 3-4 million people live with this in the US and how many of them go on to have sever costly liver disease ? 10-30% at least. Ya, could be one of the most significant breakthroughs in a long time Link to comment Share on other sites More sharing options...
Guest Paula Posted January 6, 2014 Share Posted January 6, 2014 Exit strategy/alternative income source in case PAs get the shaft with SGR reforms and Obamacare... see the Sticky and contact your Congressmen/Senators today! This one scares me. I have contacted my Senators/Congressmen several times. What type of strategy/alternative income source to you suggest? Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 7, 2014 Moderator Share Posted January 7, 2014 AAPA either figures out that they have to advocate for us to keep us in the game, or we are going to be left out of critical regulations and laws and we will be chasing our tails for the next 20 years..... scary Link to comment Share on other sites More sharing options...
FBIDoc Posted January 13, 2014 Share Posted January 13, 2014 This one scares me. I have contacted my Senators/Congressmen several times. What type of strategy/alternative income source to you suggest? I am exploring non-medical opportunities...I have a bit of an entrepreneurial streak and I want to see where it takes me Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 13, 2014 Moderator Share Posted January 13, 2014 The VAs move to collaboration instead of supervision for PAs. this is huge! Link to comment Share on other sites More sharing options...
drjay88 Posted January 25, 2014 Share Posted January 25, 2014 I really want to see a collaborative role for PA,s , and I see this will happen sooner or later ..... Link to comment Share on other sites More sharing options...
AnthonyWilson Posted January 29, 2014 Share Posted January 29, 2014 Hi all I am Anthony Wilson. I want to sheare some information about medicines and pharmacy items. Link to comment Share on other sites More sharing options...
problem child Posted February 5, 2014 Share Posted February 5, 2014 Electronic Health Records (EHR): Beginning in 2014, all physician assistants participating in the federal electronic health record (EHR) meaningful use incentive program must use a Stage two-certified EHR. This is true even for physician assistants attesting for Stage one meaningful use. It's said that choosing an EHR system is like choosing a spouse. While the majority of EHR unions seem destined for happily ever after, that is not the case with all. Physician Assistants should have an exit strategy as they enter the EHR vendor relationship. The best way to do this is to seek mutually agreeable contract terms.Health Insurance Portability and Accountability Act (HIPAA) so agree. informatics. Link to comment Share on other sites More sharing options...
problem child Posted February 5, 2014 Share Posted February 5, 2014 This one scares me. I have contacted my Senators/Congressmen several times. What type of strategy/alternative income source to you sugges Exit strategy/alternative income source in case PAs get the shaft with SGR reforms and Obamacare... see the Sticky and contact your Congressmen/Senators today! where's the sticky? Link to comment Share on other sites More sharing options...
JacksonLane Posted February 8, 2014 Share Posted February 8, 2014 Interesting comments on the ACA and the expansion of healthcare. Agree with SocialMedicine re: Hep C treatment, very exciting stuff. I'm surprised noone has mentioned antibiotic resistance yet. It was identified by the director of CDC as being one of the top health priorities in 2014: http://globalpublicsquare.blogs.cnn.com/2013/12/18/5-health-challenges-for-2014/ Link to comment Share on other sites More sharing options...
Moderator ventana Posted April 9, 2014 Moderator Share Posted April 9, 2014 Dream list PA able to order VNA PA able to certify for hospice SGR finally gets the boot AAPA realizes we gotta move forward get left behind - tells AMA to bugger off, gains our own voice and demands name change, equal everything more realistic PAFT rattle cages at AAPA and gets them to wake up AMA will continue to block PAs ordering VNA or Hospice Medicare gets spanked for their stupid policy of restricting admissions States with out a state run exchange have political unrest as their citizens realize they are getting left behind NP's will continue to outflank us in the political realm, but PAFT (and maybe AAPA?) might help this be minimal Hep C treatment is a major break though Zohydro maker sues everyone who does not write it.. (tongue in cheek) but states are banning it and they are getting sued Medical MJ booms Link to comment Share on other sites More sharing options...
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