PACali Posted April 4, 2019 Share Posted April 4, 2019 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. Link to comment Share on other sites More sharing options...
Joelseff Posted April 4, 2019 Share Posted April 4, 2019 Some good newshttps://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. Huge! Game Changer? At least in WV it is. For the rest of the country...We'll see... Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
sas5814 Posted April 4, 2019 Share Posted April 4, 2019 Great news! Its a big step and, hopefully, a first step towards full OTP. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 4, 2019 Moderator Share Posted April 4, 2019 Great, WV, MI, NM, who is next? Link to comment Share on other sites More sharing options...
Guest thatgirlonabike Posted April 4, 2019 Share Posted April 4, 2019 44 minutes ago, EMEDPA said: Great, WV, MI, NM, who is next? VA? https://www.aapa.org/news-central/2019/03/pas-virginia-attain-collaboration/ Link to comment Share on other sites More sharing options...
sas5814 Posted April 4, 2019 Share Posted April 4, 2019 Boom! I am stunned, in a good way, at the speed this is happening. I hope its like the proverbial downhill snowball. Link to comment Share on other sites More sharing options...
Joelseff Posted April 4, 2019 Share Posted April 4, 2019 Great, WV, MI, NM, who is next?Hopefully California [emoji51][emoji1696] but prob WI and FL soon? Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
Guest Paula Posted April 4, 2019 Share Posted April 4, 2019 WI is on the threshold of submitting our legislation. We are firming up our sponsors. Rhode Island submitted theirs last month so the list is getting longer and longer. Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted April 4, 2019 Share Posted April 4, 2019 Does the WV legislation permit PA's to perform conscious sedation and regional anesthesia without a physician present? That's one of the barriers the Ohio PA association is working on getting removed. Link to comment Share on other sites More sharing options...
SoCal_PA Posted April 4, 2019 Share Posted April 4, 2019 Please let us get something in Ca Link to comment Share on other sites More sharing options...
Joelseff Posted April 4, 2019 Share Posted April 4, 2019 Please let us get something in Ca [emoji120]I know right? Anything! [emoji120][emoji120][emoji120] Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
Hope2PA Posted April 5, 2019 Share Posted April 5, 2019 Way to go! A good step in the right direction! Hope they and others can get that to apply to PA’s other than just Hospital employeed in next year or so. Link to comment Share on other sites More sharing options...
KpsPac Posted April 5, 2019 Share Posted April 5, 2019 Congratulations WV!!!! Link to comment Share on other sites More sharing options...
Moderator ventana Posted April 5, 2019 Moderator Share Posted April 5, 2019 So much for the claims it would never happen. Cost millions and milli9nsof dollars. And in general be impossible. We must control ourown destiny. Period. In order to do this we we must push hard for these changes in every stat. Join your state group and start to pester them to do the same. Great job!! Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.