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Missiles launched at NCCPA

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https://www.aapa.org/pas-connect/2017/04/nccpa-lobbying-derails-pa-legislation/

 

April 13, 2017

 

NCCPA lobbying derails PA legislation

 

Message from Josanne Pagel, MPAS, PA-C, DFAAPA, President and Chair of the Board, AAPA:

 

AAPA has been working diligently with our state chapters to advance PA-positive legislation. One of our primary areas of focus has been West Virginia where there has been overwhelming bipartisan support for improvements to the PA practice act.

 

Unfortunately, due to lobbying by the National Commission on Certification of Physician Assistants (NCCPA), West Virginia Gov. Jim Justice vetoed a bill on April 12 that had been unanimously approved by the legislature and would have expanded access to high quality healthcare, particularly in rural and medically underserved areas of the state.

 

We are not alone in noticing that one of the lobbyists hired by NCCPA is also a lobbyist for the Greenbrier Resort, which is owned by Governor Justice. This is quite concerning.

 

The vetoed legislation would have allowed PAs to work with “collaborating” rather than “supervising” physicians, expanded PA prescriptive authority for Schedule III medications to 30 days from the current restriction of 72 hours, and authorized PAs to sign an extensive list of forms that previously had to be signed by a physician, including death certificates. It would have also repealed a requirement for current NCCPA certification for license renewal.

 

Prior to the legislation being vetoed, the West Virginia Association of PAs, in partnership with AAPA, fended off an NCCPA amendment that would have required PAs to maintain their NCCPA certification to retain their licenses. In fact, in a committee hearing, legislators openly challenged the arguments presented by NCCPA and highlighted NCCPA’s financial motivations for pursuing the amendment.

 

The governor’s veto will hurt patients and is alarming to AAPA and its members. It’s possible that he made his decision without all of the facts. Members of the West Virginia Association of PAs are working with AAPA to quickly mobilize PAs in the state and to determine if the veto can be reversed.

 

AAPA has repeatedly asked NCCPA to halt its lobbying, which has thus far targeted West Virginia, New Mexico and Illinois. In all three states, NCCPA has pushed a false and self-serving narrative. Contrary to NCCPA’s claims, there is no evidence that recertification testing improves quality of care or patient safety. As a result, AAPA has consistently opposed statutory requirements for PAs to take NCCPA recertification tests for license renewal. In fact, 31 states and D.C. do not link PA recertification and licensure. AAPA believes that PAs should be required to maintain their licenses through continuing medical education (CME).

 

NCCPA lobbyists are also interfering in Illinois, and in the same way. NCCPA is attempting to add a new recertification requirement for license renewal in the must-pass reauthorization of the state’s PA practice act. If a reauthorization bill does not pass, PAs will no longer be permitted to practice in the state.

 

In New Mexico, the state PA chapter worked with members of the legislature and a number of stakeholders to craft a comprehensive and progressive bill. But NCCPA’s lobbying dealt a blow to the legislation. NCCPA was successful in inserting a requirement for current certification for license renewal into the bill. After NCCPA raised its objections, other groups also requested amendments, which ultimately weakened the bill. The legislature approved the measure and the governor signed it April 6.

 

AAPA continues to voice its vehement opposition to NCCPA’s harmful lobbying. In addition, we have been supporting state PA chapters by developing legislative strategies; drafting rebuttals, talking points, and letters of support; and sending out legislative action alerts.

 

We continue to closely monitor state registration of lobbyists by NCCPA. At the moment, we are not aware of any additional states where NCCPA is actively lobbying, but we cannot rule out the possibility of further interference. We do know, however, that NCCPA is discussing its position with PA regulatory boards across the country. We must be prepared to advocate on every front for what is best for the PA profession and our patients.

 

In addition, AAPA has contacted the state PA chapters in the 19 states where NCCPA recertification is required for maintenance of licensure, and has offered assistance to remove this requirement.

 

As the voice of PAs, AAPA will redouble our efforts to prevent NCCPA from hurting PA practice and restricting patient access to care. And we need your help!

 

We urge all PAs to contact NCCPA leaders at nccpa@nccpa.net or (678) 417-8100 and demand that NCCPA stop the lobbying that is so harmful to PAs and our patients.

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Unbelievable.....

 

 

 

time for a revolt within.....   http://www.nccpa.net/Board

 

 

They are looking for board members and although there is not pay -they do pay for all expenses to attend meetings....

 

Seriously we need to FORCE a change by changing their board and insisting on change....  

 

 

 

here is another example from their Feb 2017 newsletter with them still drinking their own Koolaid......   PI is a joke and only a money maker....

 

PI-CME Benefits Practice, Patients and PAs

While Performance Improvement CME (PI-CME) is no longer required for certification maintenance, some Certified PAs are voluntarily completing PI-CME activities and proving their value and positive impact. Following simple steps can lead to practice improvement and significant advances in patient care. Plus, now PAs earn double credits for this type of CME--the first 20 PI-CME credits logged during every two-year cycle will be doubled when logged with NCCPA.

Two case studies show how Certified PAs are using PI-CME to make simple but impactful improvements to patient care. Read these PI-CME success stories.  

Do you have a PI-CME story to share? Email a summary and your contact information to pr@nccpa.net.

 

 

 

 

I am going to call and email  TODAY to them know my feelings....

 

 

Feedback and questions are always welcome. Send general inquiries and comments to nccpa@nccpa.net, or contact our President/CEO.

 

 

President EMAIL is               dmorton-rias@nccpa.net

Dawn Morton-Rias, Ed.D, PA-C - NCCPA President/CEO 

 

 

contact info

 

NCCPA 
12000 Findley Road, Suite 100 
Johns Creek, GA 30097-14
09

 

 

 

Come on PAForum - lets make our voices heard!

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Unbelievable.....

 

 

 

time for a revolt within..... http://www.nccpa.net/Board

 

 

They are looking for board members and although there is not pay -they do pay for all expenses to attend meetings....

 

Seriously we need to FORCE a change by changing their board and insisting on change....

 

From their website:

"The NCCPA Nominating Committee will review all properly submitted applications. Competitive candidates will be interviewed by phone in late May or early June. The committee will then recommend candidates to the NCCPA Board, who will elect two at a meeting in early August."

 

A self-selecting board with no general vote. How is this legal or appropriate for such a high-stakes organization? I agree- we must change the NCCPA and their very inappropriate interference with PA certification and practice.

 

I think they are also trying to weed out anyone who might want to join the NCCPA board with the goal of reforming the organization into a pro-PA group (as opposed to what it is now, very anti-PA). Look at this gem:

 

"3. Disclosures of Potential Conflicts of Interest

An NCCPA director must have undivided allegiance to the NCCPA and its mission1. Therefore, an NCCPA director must disclose any business, professional, or personal interest in a matter before the NCCPA director participates in any decision-making or takes any action on behalf of NCCPA regarding that matter."

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I saw this and emailed/made a call to NCCPA. This is just wrong. As a student in WV, it's truly hard to comprehend how NCCPA has the stones to lobby against the profession like this.

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I will be curious to see how the NCCPA is received at the conference this year. This is fairly despicable out of them, not that their track record is great.

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Wow, our hunches were right.

 

In fact, in a committee hearing, legislators openly challenged the arguments presented by NCCPA and highlighted NCCPA’s financial motivations for pursuing the amendment.

 

Oh you dont say? Yes, curious why an organization that charges $150 per year for every certified PA to maintain their "C" would want re-certification to be mandatory for licensure...

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How can we find out their budget? Must be some way. Time to revolt!

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Just fired off my email to NCCPA.

 

AAPA needs a press conference to address this on a national basis.

 

Every single PA - the 110,000 of us in the nation should have a voice about how our funds are spent and how our legislation is influenced.

 

NCCPA has shown true colors and it is not ok.

 

I never minded the PANRE as a measure of competency among my colleagues but the subversive actions of NCCPA for influence are simply unacceptable.

 

AAPA can take over certification as far as I am concerned.

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Blah, Blah, Blah, Blah. 


WEAK at best and doesn't include the subversive behavior with the governor's own lobbyist or the idea that those 115,000 PAs they supposedly represent weren't asked about all this.


AAPA represents me, not NCCPA. NCCPA either works WITH AAPA 100% or AAPA can become the certifying organization and NCCPA can take a hike.


 


 


 


Message from the NCCPA Board Chair on Legislative Activities


 


As your certification organization, we are required to keep patients, regulators, legislators, employers, and insurers informed about the rigorous processes that you and over 115,000 PAs undertake to maintain your PA-C designation. The PA-C and the high standards associated with being awarded and maintaining this credential are recognized and trusted. This credential matters to you and your patients, and it matters to us. 


 


In a handful of states, efforts are underway to remove NCCPA certification as a condition for licensure. The NCCPA opposes this action because it is not in the public’s interest to lower standards that are associated with life-long learning (CME) and demonstrated retention of core medical knowledge (PANRE). As a result and consistent with our mission, the NCCPA is actively working to educate legislators and regulators about PA certification. In three states, we have registered our opposition to proposed changes to remove various elements related to PA certification.


 


The governor of West Virginia just sent a strong message that certification matters. On April 12, he announced his veto of legislation that would have eliminated current certification as a requirement for initial licensure and for licensure renewal for the state’s PAs. We recognize there was additional language in this bill that would have modernized the state’s PA practice act, and we supported much of the language and intent of the bill.


 


However, the governor clearly recognized that maintaining and demonstrating current medical knowledge is important to the public’s health, and a decision to lower standards, particularly in concert with changes that increase PA practice authority is inconsistent and not in the public’s best interest. At a time when the nation needs PAs to do more for more patients, we must continue to maintain the high standards that helped the profession to reach this point of public acceptance and patient trust.  


 


We recognize this is a time of change for our profession. We want efforts that improve PA practice to succeed, and so we urge state PA academies to consider that arguments to expand PA scope of practice and authority are weakened when accompanied by proposals that lower public protection standards. Without public respect and support, we may lose the backing of legislators and patients in other states. We will continue to focus our efforts to ensure the PA-C credential is meaningful, trusted as the gold standard and that it continues to be a key factor in the strong reputation Certified PAs enjoy with employers and patients.


 


Let’s tell the world: we are proud to be PA-Cs and are proud of the standards we meet that demonstrate our commitment to lifelong learning and to our patients.


 


Mary L. Warner, MMSc, PA-C,


Chair, NCCPA Board of Directors


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My reply to Mary Warner:

 

Let us be clear. There is not one whit of proof that NCCPA certification keeps anyone safe or improves quality of care..none...zero. Instead it has become a do or die test in minutia and irrelevance that threatens the livelihood of multitudes of qualified skilled PAs nation wide.

Your efforts are to keep lining the coffers of the NCCPA and you are doing it by stepping on the throats of the PAs state by state. Your efforts are fomenting a revolution that, if there is a God in heaven, will bring the NCCPA to its knees. If you don't see it coming and you don't modify your behaviors you will get exactly what you deserve. STOP INTERFERING WITH PAS AT THE STATE LEVEL.
 
Scott A. Stegall PhD, PA-C
Secretary- Physician Assistants For Tomorrow
Founding Member- Physician Assistant Business Alliance of Texas
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How about 115,000 votes of NO CONFIDENCE sent to AAPA regarding NCCPA's ability to adequately and fairly represent the PA profession?

 

Place certification under a portion of AAPA that is specifically not for profit.

 

What does it actually take for NCCPA to LOSE their position as the certifying entity?

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My email.......

 

 

People it is time to make your voices heard - email NCCPA - talk this up - this is insane!!

 

 

 

 

 

I am FURIOUS that NCCPA has obstructed the advancement of the PA profession

 

This is a very poor move for NCCPA to have done and I am very unhappy.

 

I will strongly support AAPA creating an alternative certifying body as I can not believe NCCPA would stoop to such a low level of self interested politics!

 

Show me even a single study (we all should try to utilize EBM!) that shows standard testing (and the fee's collected by NCCPA) actually provide an increase in care.  

 

As you are a PA I truly hope you are ashamed of your behaviors as they are hurting the very profession you are supposed to help.

 

A very disappointed 15+ year PA

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I also emailed AAPA governance listing on their website. 

 

Discussed my vote of No Confidence and desire for AAPA to take over certification as NCCPA has demonstrated a complete inability to work collaboratively and is not actually representing its paying subjects.

 

Everyone seriously has to participate. If there are 115000 of us and even 75000 find this unacceptable, then NCCPA and AAPA need to hear from every single PA. I believe many more would find it subversive for NCCPA to take to state legislation lobbying for its own benefit. 

 

I don't find it acceptable that my dollars to NCCPA are going to lobby in individual states without MY personal endorsement of how that money is spent or what is voted on.

 

There are 115,000 of us and certainly only a handful of folks at NCCPA. We have to be heard. 

 

Send an email, make a phone call. Express yourselves with dignity, pride and without profanity. Make it clear that WE want to guide our future.

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Email sent. The NCCPA has handled this very poorly. Even as "new" PA this alarms me that a governing body is very much ok with the status quo and even blocking attempts of those that pay their salaries.

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My response to the NCCPA email:  

 

The actions of the NCCPA in West Virginia, as well as in New Mexico and in Illinois, make me ASHAMED to be associated with NCCPA (unfortunately the only certifying organization for PAs ... at this time).  

 

When an organization puts its own financial interests (a possible loss of re-certification fees, plus the financial benefits it receives from the PANRE review courses it endorses) ahead of progressive legislative changes that would remove barriers to PA practice and improve the access to health care for the very persons the NCCPA is posturing that it is "protecting", it is a very sad day for the PA profession.  

 

Colluding with a single elected leader to act contrary to the 100% supported actions of the elected representatives of the people of the state of West Virginia is reprehensible on the part of NCCPA.  I heartily hope the people "speak" via their representatives to overturn this governor's decision as well as via their votes in their next election.

 

No, I am NOT proud to be aspiring to be a PA-C.

 

The NCCPA BOD and staff should be ashamed.  

 

Regretfully,

AliB, MS, MMSc (candidate), PA-S

The above opinions are my own and not those of any organization or institution with whom I am associated.  

 
 
 
 
 
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After reading today's email from NCCPA ( Message from the NCCPA Board Chair on Legislative Activities ) I immediately got onto this forum to see what everyone is thinking. As I read the above comments I am even more fired up. I have been a PA since 2000 and I have never felt so "unproud" of the profession I chose. I used to speak highly of being a PA and promote others to become one as well. In the past year or so I have done the exact opposite. Instead, I have encouraged others to become a NP!! I'm being brutally honest, I have not been promoting my profession because I'm fed up with NCCPA. There's days I wonder if NCCPA is run by a bunch of nurse practitioners that hate us. Do they not read the AAPA forum or this forum of how the NPs are taking our jobs. Are they so blind that when the NPs take many of the PA jobs that will be less money from dues, PANRE, etc for their pockets.

 

We are held to a standard that NCCPA created, but why?? We now have our government implementing MIPS/PQRS as self assessment for a standard of patient care.I'm sorry but the PANRE does NOT reflect my knowledge in my specialty. The PANRE does not keep my lupus, psoriasis, or any other derm patient SAFE!!!! My collaborative efforts with my doc does. Our licensing needs to be more in line with the NPs, as much as I hate saying this. Medical practices are looking at the cost of hiring a PA vs. a NP, they don't always value our education because it's about the bottom line...... money. If the NCCPA doesn't look at our competition (i.e. NPs) they are going to put us out of work. We have to be proactive with a change in our licensing.

 

What's the best way to get NCCPA to listen to us? Write to NCCPA? Write to AAPA? Who will listen and help make the change???

 

I completely agree with Scott A. Stegall PhD, PA-C. The PANRE has put some very knowledgeable PAs out of work that were veterans in their field often serving under served areas in their states. The PANRE has changed their format and it's not to promote us keeping our license. I recently (still waiting to get my results) took the exam and it's much harder than the previous exams I took. The months and hours I prepared did NOT help my patient's safety or treatment outcome, in fact it took time away from offering more hours in clinic.

 

The sad fact is, if there was a bridge program from being a PA to becoming a NP I would enroll!!!!!! That's a HORRIBLE thing to say, but it's just how I feel with our licensing process and how NCCPA is screwing up our profession.

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Let's use this frustration.

 

We have basically three choices:

1) Give up

2) Destroy the NCCPA

3) Reform the NCCPA.

 

Now, since 3) depends on the consent of a self-perpetuating board, it may seem like the longest shot... but it would also be the way to fix the problem in a positive and non-destructive manner.  Here is what I propose:

 

1) All "at large" board positions (including the public member at large) will be nominated and elected democratically by all currently NCCPA-certified PAs.

2) All organization-nominated board positions would be nominated by their respective organizations, but subject to a vote of confidence before taking office: Unless 50% of all currently NCCPA-certified PAs voting in the election approved the board candidate, the candidate would not be seated and the nominating organization would be unrepresented until the next scheduled (yearly) cycle.

(for reference: https://www.nccpa.net/board)

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I continue to say that nice letters and phone calls won't get it done. We need a start of a smear campaign of the NCCPA and its individual board members.We need to find opportunities to report them to regulatory authorities for violations of law. We have to focus on getting inside information, finding ways to make living and working at the NCCPA miserable and unbearable. We shouldn't worry about sticking to facts. We just have find find kernels of truth and extrapolate those into professionally damaging rhetoric in the press. Disinformation and misinformation about the NCCPA should be our goal. Being nice won't cut it. Think Karl Rove of the Bush era or Lee Atwater of the Reagan era. Those guys are my heroes and we need to style ourselves like them.

 

Laundry list...

Start doing background checks on all the board members

Get private embarrassing information about board members from coworkers and employees

Get Irs submissions for the NCCPA since it is nonprofit. 501c required to publish information. Start the for disinformation and get them on their heels against the ropes.

If any PAs live near boards members, I suggest going through their garbage when it is at the curb. Look for targets of opportunity.

 

Our mission must be to tear down the NCCPA and anyone who aligns themselves with these mobsters.

 

Your professional lives depend on just that.

 

 

little to drastic for my liking, count me out on this

 

I am a professional and will always act like one.  Professionally I disagree with them and will strive to force change, but I am not going to stoop to this level.....

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I read the email I got from the NCCPA about West Virginia.  I am absolutely disgusted, yet not even one atom of me is one bit surprised.

 

I am officially discussed with the NCCPA and also ashamed to be forced to be in any way connected with NCCPA and, worse, awakened to their SELF-SERVING ways and bullying.  The posting by the NCCPA absolutely reeks of their self-serving ways and it NEEDS to be stopped.

 

I am sick and tired of the NCCPA bullying their ways and their cause and using the power they have to do so.  The NCCPA has a lot money to lobby and it is money that WE have given them.

 

They plainly say that PAs are "safer to the public" by taking high stakes re-cert exams.  I, for one, do NOT agree.  They know that those, who don't practice in medicine, buy into this.  We have let this go on for TOO LONG!

 

I do think it's time for PAs to stop pointing fingers and saying this or that organization isn't doing anything for us but WE need to get involved OURSELVES.  That is what NPs do and that is certainly partly why they have much more success with legislation. 

 

The NCCPA continues to tell us what's good for us.  They act like overbearing parents, who display authoritarianism but we are adults in our profession!  It's the state boards and PA boards of medicine that are responsible to protect the public, NOT the NCCPA.  The NCCPA "educates" people in administrative roles (not those who practice medicine) that we'll be less "safer" by dropping requirement for PANRE for state license but they purposely fail to tell these people that, those states, who have, still maintain CME requirements.  The email I got from the NCCPA says they're telling these administrative people that by dropping the requirement at state level, it gets rid of CME, which is not true. 

 

I spoke with a PA friend and she doesn't want to write the NCCPA, despite feeling very opposed to their actions, b/c she feels like she'd be put on some "list" and, THAT is exactly what their authoritarian bullying ways do to some of us!  It is deplorable and needs to be stopped. 

 

Don't be fooled please, my colleagues... The NCCPA makes a lot of money (we give them) and they will fight hard to keep their ways and in existence and, whenever money is at stake, so is greed and they will be crooked about it.  They pay for, and have, lawyers and, guess what?  There is more level of crooked right there.  We won't get our voice heard by being nice...please understand this.

 

C'mon PAs.. we MUST stand up for ourselves!  What is the BEST way to do this?! 

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I continue to say that nice letters and phone calls won't get it done. We need a start of a smear campaign of the NCCPA and its individual board members.We need to find opportunities to report them to regulatory authorities for violations of law. We have to focus on getting inside information, finding ways to make living and working at the NCCPA miserable and unbearable. We shouldn't worry about sticking to facts. We just have find find kernels of truth and extrapolate those into professionally damaging rhetoric in the press. Disinformation and misinformation about the NCCPA should be our goal. Being nice won't cut it. Think Karl Rove of the Bush era or Lee Atwater of the Reagan era. Those guys are my heroes and we need to style ourselves like them.

 

Laundry list...

Start doing background checks on all the board members

Get private embarrassing information about board members from coworkers and employees

Get Irs submissions for the NCCPA since it is nonprofit. 501c required to publish information. Start the for disinformation and get them on their heels against the ropes.

If any PAs live near boards members, I suggest going through their garbage when it is at the curb. Look for targets of opportunity.

 

Our mission must be to tear down the NCCPA and anyone who aligns themselves with these mobsters.

 

Your professional lives depend on just that.

Damn....do you work for the DNC??

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This thread is getting out of hand with mentions of smear campaigns, garbge raids and politics...get that outta here!

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They already stooped to the lowest level by taking money you have to pay them and using it to harm you with disinformation and misinformation. One of the key board members at the NCCPA is a close relative of the late Lee Atwater. It has been reported that at NCCPA board meetings this board member actually quotes strategies used by Atwater in order to fight against FPAR.

 

 

Do you have proof?

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This thread is getting out of hand with mentions of smear campaigns, garbge raids and politics...get that outta here!

 

LOL!  love your on line name!

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This thread is getting out of hand with mentions of smear campaigns, garbge raids and politics...get that outta here!

 

Although I don't agree with garbage raids, there is significant level of politics at play.  I respectfully say to my colleagues here that the NCCPA have lawyers and have hired lobbyists to go to state boards of medicine to fight to their agenda.  It's real.  We should not expect anything will be done if we're nice about things.  I'm not saying we shouldn't be professional but let's please not be naive either.  Lobbying, being a strong voice, and knowing we're facing a very rich company, who pay for lawyers, is the real deal.

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Laundry list...

Start doing background checks on all the board members

Get private embarrassing information about board members from coworkers and employees

Get Irs submissions for the NCCPA since it is nonprofit. 501c required to publish information. Start the for disinformation and get them on their heels against the ropes.

If any PAs live near boards members, I suggest going through their garbage when it is at the curb. Look for targets of opportunity.

Not sure if you're really that over-the-top or have spent the last several months building up a persona so you can advocate such outrageousness without immediately being banned as a probable agent provocateur.

 

Regardless, no, that's not how to do it, and if you want to organize any such sort of petty, vindictive campaign of doxxing and coercion, you're not welcome to do it or advocate for it here.

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Although I don't agree with garbage raids, there is significant level of politics at play.  I respectfully say to my colleagues here that the NCCPA have lawyers and have hired lobbyists to go to state boards of medicine to fight to their agenda.  It's real.  We should not expect anything will be done if we're nice about things.  I'm not saying we shouldn't be professional but let's please not be naive either.  Lobbying, being a strong voice, and knowing we're facing a very rich company, who pay for lawyers, is the real deal.

I meant national politics.

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Well, there went a sip or two of coffee with a nasal snort.

I think we know where Christopher Steele retired to after publishing the 65 page "Trump dossier" detailing Trump's sordid escapades with Russian hookers on lasix....he hangs out here as OverTheHorizon!

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I read the NCCPA's retort email and their transparency is ridiculous.

 

Realistically though, what is the end game here? To get them shut down and undermine the profession? Can you imagine how that would look? I think the AAPA is smart enough they would have a contingency plan in place, but the collapse of our certifying body---especially on fraudulent grounds---would be a devastating blow.

 

I think like always, this forum represents a vocal minority and most PAs are totally unaware and likely dont care as long as they have jobs.

 

Unfortunately, the NCCPA has cleverly succeeded in tethering certification to our jobs. Even if a state doesnt require it, most major employers do. So it's not like we can just stop paying dues and boycott them.

 

I think the best gameplan would be to quietly and strategically fortify the AAPA to be such a juggernaut they develop their own certification exam, and being they are already purveyors of CME, deliver a one-certification + traditional CME maintenance plan that would effectively starve out the NCCPA and render them null. A siege if you will.

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Yes there is proof. NCCPA board meetings have meeting minutes. We need to see all minutes from every meeting for the last ten years.

 

To my surprise Paula, you never asked for "proof" when PA Warner wrote a letter stating the public would be endangered if the PANRE were dropped. Why not ask for proof of that claim? Could it be that you are in fact an agent or surrogate of the NCCPA. I think you revealed your hidden identity.

Sorry, but you're done.

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A certifying body actively lobbying AGAINST the field it certifies.  Disgusted doesn't begin to describe how I felt when I read this POS letter from them.

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Here is a link from AAPA regarding this stuff.

 

https://www.linkedin.com/hp/update/6258803891320692736

 

I could only find it on linkedin.  It might be on AAPA site but I didn't see it there yet.  I do feel as though the AAPA has been in hibernation for years but recently--and now--I do not think so.  As far as I know, the AAPA is really the only true current body, who actually advocates for us and actively is.  The NCCPA are revealing themslves and their self-serving ways and it's deplorable and needs to be delt with.  If you read the link I posted here and others, and you read the NCCPA's postings/writings/emails, you will see a polar difference that the AAPA is transparent and looking at all viewpoints and the NCCPA carefully choses what they say, are not transparent, and actually crooked in doing so...not telling the state boards of medicine the full truths with clear self-serving intentions, of which are NOT out of "patient safety."  I recently joined the AAPA for the first time in years and, having learned what I have, they've really honestly stepped up the game advocating for us.  In some ways, they're all we got.  Please consider joining and supporting.  Things are going down and we don't have much on our side otherwise.

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I don't have a firm position on the NCCPA. I don't think we should kept at any disadvantages with respect to NPs, who are some of my dear friends but clearly are competitors the way the playing field currently is arranged.

 

I also don't know the whole process that the PA bill went through in West Virginia, but...

 

...If you try to pass a law that says the NCCPA will have no future role in your state, I guess you should expect some push-back from them. Especially if you didn't work to get them on your side (somehow) in advance. Maybe having the governor veto a bill that passed both houses unanimously is a bit of a stretch, but it obviously happened.

 

I am not impressed with the NCCPA response, but neither do I like it that two bodies I send money to (NCCPA and AAPA) are using it to fight with each other. I like it about as much as I do having republicans and democrats waste my money fighting instead of reaching compromises.

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These people have nearly unlimited power over a large amount of people and stand to gain financially with no way to appeal or make grievances heard. This never ends well.

 

Think about it.  If I was in charge of the NCCPA and benefiting financially...

 

- would I allow 90%+ pass rates to continue and deny NCCPA another $500 for each exam passage?

- would I set up a system of exam question challenge (even in PA school we have this) ?

- would I fail to fight to the death (and spare no expense) to legislate our unlimited power?

 

" The way I see it, folks, each exam passage costs us $500 - if 10% of the 110,000 PAs certify or recertify each year, that is 5 million dollars.  Let's get a chunk of this lost money back.  I want to see exam pass rates below 80% in three years.  How you do that, I don't want to know.  Just make it happen.  

 

We can blame the proliferation of new schools and throw ARC-PA under the bus, and we will still have reasonable pass rates to any layman.  It's not like they can challenge an exam or a individual question, right?  Can you say "test compromise"?  I knew you could <laughter>.

 

We can figure out a way to grow the yearly certification maintenance fees later.  That's only $130 every two years - that's 7.15 million dollars we are rolling in each year.  More than enough to get Janet that condo in La Jolla.

 

Fred over there has been doing a great job wining and dining legislators, so we will soon have force of law and essentially unlimited power in all 50 states.  Let's make some money, people - my Bentley got dirty the other day and my kids needs braces".

 

Tell me I'm wrong here.

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So also, did anyone ever get access to the NCCPA's financial records?  I don't know anything about this, but it should be quite possible to do, since they are a non-profit.

 

You want AAPA to do it?  Now that...would be firing a missile.   Let's see how far off my numbers above are.  I find it pretty hard to believe that they are spending ~15 million a year on maintaining a few databases.  

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Sorry, but you're done.

The above was in regards to overthehorizon and is meaning they are now banned from the forum.

 

They were repeatedly to inflammatory and not what professional PA stands for

 

 

In this time of great turmoil we need logical heads, with forethought and purposeful actions, not what was decribed by overthehorizon

Due to this and past infractions many of the moderators felt it was time for him to be banned.

 

Please lets keep this professional and although we all have different political views we can all play nice in the sandbox.....

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Wait, you mean when you have a problem the proper first response isn't to go through their garbage?  Pffft.

 

Farewell, offthereservashen

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Sorry, but you're done.

 

 

Thanks, and just to calm every one down, I am not an agent of the NCCPA.  I have, in fact, sent them a letter challenging them on their statements and sent it a few days ago. 

 

But, OTH is banned, and I am resting easy that he is not rifling through my garbage. 

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Thanks, and just to calm every one down, I am not an agent of the NCCPA.  I have, in fact, sent them a letter challenging them on their statements and sent it a few days ago. 

 

But, OTH is banned, and I am resting easy that he is not rifling through my garbage. 

are you sure? You can't watch those can all the time....

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Thanks, and just to calm every one down, I am not an agent of the NCCPA.  

 

Sure you aren't, "Paula"

 

IF THAT IS YOUR REAL FAKE INTERNET NAME

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NCCPAs Facebook page is getting buried in 1 star reviews and negative comments.... except for one great review from a lobbyist that works for...wait for it...the NCCPA. I wonder how much we paid him to leave a good review?

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NCCPAs Facebook page is getting buried in 1 star reviews and negative comments.... except for one great review from a lobbyist that works for...wait for it...the NCCPA. I wonder how much we paid him to leave a good review

I still don't have a Facebook page and never want one - or LinkedIn or anything else. I don't Twitter or Instagram or Snapchat. 

I did get a rote response from NCCPA thanking me for my email and letting me know it is being reviewed with the utmost attention...... blah blah blah

Still have to pay for my PANRE and get registered. Yay.... NOT

Think I will be treated fairly on PANRE?

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from today's WV metro News. It seems the conspiracy collaboration between the NCCPA and the governor is continuing and the PAs on the ground are losing the information wars. It is like dealing with a religeous extremists. Nothing said or done is going to change their mind because they know the truth and you just don't get it.

 

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By Jeff Jenkins in News | April 18, 2017 at 12:24PM

CHARLESTON, W.Va. - Because of a veto from Gov. Jim Justice, physician assistants in West Virginia will continue to be required to take a recertification exam every 10 years but that's not a bad thing, according to the leader of a national organization.

Boston University

NCCPA Chair Mary Warner, PA, says 110,000 PAs across the country need to maintain high standards.

Mary Warner, a PA from Boston, is the chairperson of the National Commission on Certification of Physician Assistants (NCCPA), she told MetroNews Tuesday physician assistants have a responsibility to maintain core medical knowledge.

"We change specialties and in that what the recertification exam is intended to do is capture the core knowledge that one needs no matter what specialty they are in," Warner said.

In his veto message of the bill (SB 347), Gov. Justice said the lack of recertification could weaken the profession.

"The unfortunate effect of this bill is that it weakens existing professional safeguards governing the medical knowledge and skills of physician assistants that have been serving the public interest for years," Justice said. "Even as it grants greater autonomy to physician assistants."

Currently physician assistants are recertified every two years with the recertification exam required every 10 years. The exam currently costs about $350.00. At the end of 2016 there were 954 certified PAs in West Virginia.

Some of those in favor of the bill maintain the NCCPA worked against it because the organization stands to lose as much as $650,000 a year in test revenue in West Virginia but Warner said the money had nothing to do with it.

"If you have adequate core medical knowledge you'll provide better care–that's the bottom line," Warner said.

Research shows physician assistants change specialties at least three times. Only 15 percent do not change, Warner said.

"Say your specialty was dermatology and you saw someone who came in and you were looking at their skin and they had chest pains does that mean that you would stop what you were doing and call 911? And if they stopped breathing you would do CPR? Of course you would. So there's some core knowledge that everyone needs to have," Warner said.

Warner did not rule out a possible change in the future in how PAs are tested.

"We haven't identified good ways to assess people's knowledge in any other way other than an exam. I can tell you NCCPA is working on that and we're trying to come up with other ways," Warner said.

Current state law requires Advanced Practice Registered Nurses and most specialist physicians to take recertification exams.

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It's an easy media byte to disseminate. 

 

"Certified PAs provide better care". Sounds good, right? Why question that?

 

I'm telling you, we wont win this conflict in direct exchanges and info wars. Until there is solid, verifiable data (and correct me if there is) that re-certification does not result in better patient care/outcomes, we will just look stupid.

 

Fortify the AAPA, mobilize a team to develop a benchmark certification exam and a CME maintenance plan, and at the right moment, implement it. It would take years, but with the right minds together it could be done.

 

The other potential pathway (could even be concurrent) would be to commission a forensic accounting investigation into the NCCPA's finances, and an investigation into their lobbying practices, which could be either very enlightening or perhaps blow up in everyone's face.

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I have never minded being certified or taking the test every 6/10 years. It really doesn't bother me in the least from the testing standpoint.

 

I am truly bothered by NCCPA NOT working with AAPA and not representing the wishes of the 115000 PAs it basically holds hostage as the ONLY certifying body.

 

We need more say in what they do and how they spend OUR money. I don't want one dime of my money to NCCPA going to individual STATE legislature lobbying - unless of course they let us vote on what they are fighting for --- wait - that's AAPA's deal - THEY are the legislative directional body for PAs.

 

So, NCCPA has flown off course and started to dig into areas we never wanted them in on their own agenda and really looking greedy and narrow minded.

 

I agree that making a new certifying body and exam series will take years and a lot of money. 

 

BUT we somehow have to reign in NCCPA as they are NOT representing our interests.

 

All we can do right now is make it clear to them that they are off base and we are not happy - as we formulate legal and ethical methods of disbanding their monopoly.

 

We need legal advice - I just shuddered.

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from today's WV metro News. It seems the conspiracy collaboration between the NCCPA and the governor is continuing and the PAs on the ground are losing the information wars. It is like dealing with a religeous extremists. Nothing said or done is going to change their mind because they know the truth and you just don't get it.

 

 

 

 

 

I can't stand the fact that this Governor vetoed a UNANIMOUS bill.  Nobody is looking at why this was unanimous--that there's a valid reason why it would be.

When I read the quotes the Governor made, it is so stinking clear that he's biased by the obvious connections with the NCCPA.  "...weakens the profession"  ugh.. those are SO not his own words.  I hate that the NCCPA speaks to non-medical people and it's believed at face-value. 

 

A reminder:

The AAPA BOD will be meeting in May about all this and, on their agenda, is to look at the idea of a new re-cert process.  I had a reply from AAPA stating that they're actually looking at business plan projection for it, including how to initially fund it, b/c we all know that, once initially funded, it'll become a revenue producer and pay for itself, and then some.... right NCCPA?! 

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Remember the lobbyist involved had a HUGE conflict of interest having worked for the governor in the past.

Sounds like a lot of pockets got lined and favors granted.

 

I know there are good lobbyists out there (maybe) but lobbyist is starting to stick in my throat with the words insurance adjuster and lawyer.

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