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Does anyone know if there is any formal documentation of the 10% chart co-sign repeal? I have a document from AAPA stating it was repealed in washington in 2014 but cannot find anything on the DOH to confirm this. It has been a major issue here and grounds for hiring ARNP's over PA's so I'm looking for something formal to submit to SP's.

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  • 2 years later...

I'm sorry to revive an old thread. But I've been going back and forth with my employer because they make us send 2 charts per day to be co-signed by our SP. I thought that cosigs were not required in the state of WA but when I asked them about this they said it is so. 

I can't find any language in the RCW that says this. Can anyone help please? 

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your employer can mandate it, but it is not a state requirement. I work in WA and have no chart review. The requirement is that the sponsoring physician "have an ongoing awareness of PA practice patterns". My sp and I talk about cases occasionally at shift change. that's it. I work solo.

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  • 2 weeks later...

Yeah I just took 10 minutes and dove into the RCWs and WACs and there is absolutely no mention of any type of chart review or lack of chart review.  Guide them to WSMA or WAPA, WAPA's "Guide to Hiring a PA" document says no co-sign then lists WSMA as the reference for that statement.

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Yep. I contacted WAPA and was told there's no language that actually mentions co-signatures. So my employer then points me to the WA State PA Delegation Agreement from MQAC that says:

image.thumb.png.e1ff44f20100f2bb2f7fd0bdd2cc5baf.png

They interpret the highlighted line as "PAs need a co-signature on charts". So, until it's revised, I guess I'm stuck. 

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8 hours ago, MSPAC said:

Yep. I contacted WAPA and was told there's no language that actually mentions co-signatures. So my employer then points me to the WA State PA Delegation Agreement from MQAC that says:

image.thumb.png.e1ff44f20100f2bb2f7fd0bdd2cc5baf.png

They interpret the highlighted line as "PAs need a co-signature on charts". So, until it's revised, I guess I'm stuck. 

my department does an "interesting case review" yearly. An outside doc comes in and reviews maybe a dozen high profile (big trauma, stroke, stemi, lifeflight involvement, etc) charts, unaware if they were written by a pa or a doc. They then make recommendations. We also sign out cases to each other at shift change occasionally, which gives my sp the opportunity to review workups in progress, etc.

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