burnpac Posted May 12, 2012 Share Posted May 12, 2012 This is good news for hospital based PAs. http://www.fiercehealthcare.com/story/cms-expands-medical-staff-definition-include-nps-pas/2012-05-11 Link to comment Share on other sites More sharing options...
KMD16 Posted May 12, 2012 Share Posted May 12, 2012 This is good news. Link to comment Share on other sites More sharing options...
andersenpa Posted May 12, 2012 Share Posted May 12, 2012 Great news! Link to comment Share on other sites More sharing options...
primadonna22274 Posted May 12, 2012 Share Posted May 12, 2012 About time! Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 12, 2012 Moderator Share Posted May 12, 2012 excellent! thank you for posting that. Link to comment Share on other sites More sharing options...
LESH Posted May 13, 2012 Share Posted May 13, 2012 Way cool.. Link to comment Share on other sites More sharing options...
Moderator ventana Posted May 13, 2012 Moderator Share Posted May 13, 2012 now if they would just make us VOTING members of the medical staff. Link to comment Share on other sites More sharing options...
burnpac Posted May 13, 2012 Author Share Posted May 13, 2012 now if they would just make us VOTING members of the medical staff. After SJCH adopted the model bylaws of the CMA two years ago, we are. Link to comment Share on other sites More sharing options...
jdtpac Posted May 13, 2012 Share Posted May 13, 2012 Steve, Thank you for sharing this with us, this is great news. Unfortunately, AAPA staff has found a section of these new regulations, which starts on page 37, that makes a very derogatory statement inferring PAs are not being able to order restraints and seclusion. According to the Academy staff, they have been in contact with CMS officials to try to rectify this and will be making a press release on Monday. AAPA has also been in contact with many PAs across the country who are in leadership roles in their hospitals in the event the may need to get their institutions to write letters of support protesting this section of the regulations. I read over the document and some other articles and I have to tell you CMS is truly schizophrenic. On one hand can CMS suggest expanding the medical staff (482.22) to give nonphysician practitioners privileges to perform duties that are within their scope of practice and permitted by state law so physicians can concentrate on more medically complex patients. CMS also reports the flexibility to consider other practitioners as eligible candidates for the medical staff could save $330 million in 2012 and up to $1.6 Billion over the next 5 years (page 8). Then on page 37 the rules suggests PAs should be excluded PAs from ordering restraint and seclusion, unless that is permitted by law. That our goverment are work! I know we (in Ohio) have addressed this issue on restraint and seclusion in the past but because the reg. mentioned" unless permitted by law", to be on the safe side, I did a review of Ohio laws and confirmed that in fact PAs are permitted by regulation to order restraints and seclusion. This is permitted accordance to rules governed by the Ohio Department Health and the rules were recently amended in January 2012 (OAC 5122-26-16. 2 (E)). So according to these regs. PAs in Ohio should be safe. If any hospital administrator misinterprets the new rules the OAPA can reference the above mentioned Ohio regulations. I think everyone should probably review your own state laws. Here is a link to the full regulations http://ofr.gov/OFRUpload/OFRData/2012-11548_PI.pdf Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.