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PACali

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PACali last won the day on September 30 2018

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About PACali

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  1. I want to thank PAFT for writing this response to California ACEP. PAFT made a very quick response to California ACEP. AS of now, base on the email I got from CAPA, the SB 697 bill has been amended prior to its April 22 hearing. Here is the amended bill http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB697. In my opinion, the bill is getting weak but I am not a lawyer. Please take a look and let me know what you think. Below is the email I got from CAPA.
  2. Just got an email from CAPA, they are aware of the recent opposition from some physician organizations and they are working on meeting with the stakeholders to make sure they understand the intention of SB 697. SB 697 is scheduled to be heard on April 22, 2019 in the Senate Business and Profession Committee. It looks like the senators from this committee will ultimately decide the outcome of the bill. Please spend one minute to email and asking them to vote yes on SB 697. Here is the link of those senators https://sbp.senate.ca.gov/ I also there started a FB page about OTP in California just to spread the news. fb.me/OTPCAPAS There are still many PAs don't know what is going on. We need all hands on deck.
  3. Agree. Just to put it into perspective the NP passed Full Practice Authority last year in Illinois. Illinois is the home of AMA. https://www.americanmedspa.org/blogpost/1633466/306570/Med-Spa-Law-Update-Illinois-Nurse-Practitioners-and-Full-Practice-Authority
  4. Some good news https://www.aapa.org/news-central/2019/04/significant-progress-towards-achieving-optimal-team-practice-in-west-virginia/?utm_source=facebook&utm_medium=aapa_post&utm_campaign=news_central&fbclid=IwAR3lioVR0kf_9DJUjH4Zx2WTEm5FT8p5gZ5DEcJm4kOdLcpR9D4yiX7WmWM West Virginia PAs Achieve Significant Progress Toward OTP West Virginia Legislation Signed into Law April 4, 2019 The American Academy of PAs, the West Virginia Association of PAs (WVAPA), and the more than 1200 PAs in West Virginia are applauding the enactment of SB 668, which eliminates the requirement for PAs who work in hospitals* to have practice agreements with specific physicians in order to practice. PAs who work in hospitals represent nearly fifty percent of all PAs in West Virginia. With this legislation, they must now file a practice notification, defined as a written notice that a PA “will practice in collaboration with one or more physicians in a hospital in the state of West Virginia,” with the appropriate licensing board. Filing a notification is inherently less onerous than the current requirement for all PAs to have a practice agreement filed with — and approved by — either the West Virginia Board of Medicine or the West Virginia Board of Osteopathic Medicine. “This legislation recognizes the reality of PA practice. On any given day, PAs collaborate with multiple physicians and other healthcare providers, especially in hospital settings, where care teams work seamlessly to improve patient outcomes. Eliminating the need for a PA who works in a hospital to have an agreement with a specific physician in order to practice represents significant progress toward achieving Optimal Team Practice in West Virginia,” said Jonathan E. Sobel, DMSc, MBA, PA-C, DFAAPA, FAPACVS, president and chair of the board of AAPA. Optimal Team Practice occurs when PAs, physicians, and other medical professionals work together to provide quality care without burdensome administrative constraints. To support Optimal Team Practice, states should eliminate the requirement that each PA have an agreement with a specific physician, and end the disparities between PAs and other medical providers in professional regulation and payment arrangements. In addition to eliminating practice agreements for PA-physician teams in hospitals, the new law makes additional improvements for PAs, including: Scope of practice—the scope of practice for PAs who provide care in hospitals will be determined at the practice level. Ratios—current ratio restrictions in state law (5 full-timePAs:1 physician) will no longer apply to PA-physician teams in hospitals; determinations will be made at the practice level in accordance with facility policy. Physician responsibility—the law removes physician responsibility for PA-provided care to patients with whom physicians had no involvement. All PAs in West Virginia, regardless of practice setting, will now be individually responsible for the care they provide. WVAPA worked closely with AAPA, who provided financial, advocacy, and communication support to WVAPA as part of the Academy’s commitment to advancing Optimal Team Practice in the states. The bill becomes effective June 6, 2019. “The WVAPA leadership and I are delighted with the passage of SB 668, the intent of which is to continue the forward charge towards both the removal of barriers of care for patients and increased marketability of PAs across the state of West Virginia,” said Janice Shipe-Spotloe, PA-C, DFAAPA, CPAAPA, President of WVAPA. The enactment of SB 668 is a substantial step forward in achieving greater parity with advanced practice registered nurses (APRNs) in the state and will allow PAs to be better positioned in the healthcare marketplace. This is the case given the enactment of HB 4334 in 2016 which removed the restrictive requirement for a collaborative agreement with a physician after three years of APRN practice, expanded APRN prescriptive authority to prescribe longer supplies of Schedule III controlled medications, and permitted APRNs to sign documents previously signed only by physicians. For more information about this legislation or PA practice in West Virginia, contact Stephanie Radix, senior director, AAPA state advocacy and outreach. *The definition of hospitals includes psychiatric hospitals and acute-care facilities operated by the state government that primarily provide inpatient diagnostic, treatment, or rehabilitative services. Moving forward, PAs in hospitals will simply notify the applicable board that they intend to practice in a hospital in the state.
  5. They either Russian bots or just trolls LOL!!
  6. Am I living in an alternating Universe? because the guy on Reddit and I have a totally different experience.
  7. Already sent it to CAPA and PAFT. I agree with LT_Oneal_PAC. Some people are just going to oppose anything we do to advance the profession and I am not surprised at all. But for those who are supporting us or at least willing to listen, we need to try very hard to educate and reinforce the value of OTP.
  8. Mine was in the spam folder too. There were many healthcare system related questions, which I don't understand why. I was hoping to have more title change related questions. It was kinda painful to do. But the good thing is I don't think people who do not support the title change would sit through it for 40 minutes.
  9. Not surprised, that just how politic is. But I do think we need to educate our "actual" physician colleagues who valued us that passing SB 697 will not make them get fired and be replaced by PAs. We are simply trying to eliminate the administrative burden here in California. The NPs here in California does not require a Delegated Service Agreement (DSA) to practice.
  10. Just got this email from one of the physicians I work with. She actually supports SB 697. California Academy of Emergency Physician (ACEP) members are getting an email to oppose SB 697, which I am not surprised. We are doing something progressive, there will be resistance for sure. I am doing my part to educate my physician colleagues that we want to eliminate the requirement of Delegation of Service Agreement (DSA) and the scope of practice for a PA will determine at the practice level instead of at the state level. Calfornia NPs do not need a DSA to practice. but I still think we need an official response from California Academy of PA (CAPA) or PA for Tomorrow.
  11. I don't think the everyday on the ground working physician care about OTP. I am very certain they do not want to be liable for whatever mistakes we made. The physician I talked to, they agree with OTP for PAs. The problem is organized medicine political group. They pretty much opposed to any progressive policy for PAs, which I am not surprised at all. But that tells me, we are doing the right thing. We need to continue to push for OTP and elect the right people to the office.
  12. This senator does have some controversial history regarding her college credential. https://en.wikipedia.org/wiki/Ling_Ling_Chang I wonder how much she knows about healthcare.
  13. Agree. Remember, NP in some states are already independent. Some pharmacists are also able to prescribe OCP. Optometrist and ophthalmologist are both doctors. There is a lot of overlap between many health professionals already. I think what makes the PA profession unique is "generalist training." We are bringing back the general practitioner (GPs). I am aware a large portion of us are specializing but we are still able to fill in the gap more quickly than physicians even after a PA residency. For example, an EMPA with residency take average 3.5 to 4 years of training (PA school + residency) compare to an ER physician 7 to 8 years (Med school + 3 to 4 years EM training). Think about a cardiothoracic surgery pa training time VS a CT surgeon. A CT surgeon probably needs 10 years of formal training. I am not saying a CTPA should be doing CT surgery alone, but we can fill in the gap and we should be responsible for the care we provide and not be a liability to the physicians. The PA profession is very unique and we should be promoting that, we are Medical Practitioners , with proper training we can fill in the gap and strengthen the team in any specialty. All PA school should award a doctorate degree to keep up with all other health professionals (Yes, I know it is a degree creep, but we have to play the game). We are not physician. A physician is physician. We are Medical Practitioner.
  14. I just got the docs at my work signed the petition as well. Glad someone else is doing the same thing. Lets go California PAs! This is not perfect, but it is a step moving forward. This is definitely not the end. California Medical Association is pretty strong, even NP's full practice authority got shot down in the past. There is also a strong Nursing lobby here. But California Academy of PA (CAPA) has some really progressive and young PAs leading the battle, we will see how it goes. But we are ready to fight!
  15. DOs and MDs are doing the same thing but have different name. No one cares. They are both physician. Optometrist &ophthalmologist, psychiatrist,& psychologist, podiatrist & orthopedist, Registered Nurse& Licence Vocational nurse, medicine assistant & physician assistant, Dentist & orthodontist. All these professionals have similar names but with different scope of practice. Medical Practitioner is the best name so far. It lets people know what we do. As far as the scope of practice, it doesn't have to reflect in our name. We don't need a fancy, technical name that is more than two words long just to reflect our scope of practice (e.g. Advance practice practitioner-I think this is trying too hard). Scope of practice will always change. We need a name that lasts. We just need the public to know we practice medicine too, period. Not just an assistant. Participate in the title change survey https://www.aapa.org/title-change-investigation-resources/
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