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Late Breaking News
- Created on Sunday, 30 December 2012 10:00
PAs: Hospital Admissions Rule
CMS Clarifies Policy: PAs Authorized to Perform Hospital Admissions Duties
On Sept. 5, the Centers for Medicare & Medicaid Services (CMS) issued guidance that affirms the ability of PAs, NPs and medical residents to personally write admission orders and perform the history and physical (H&P) for hospital inpatient admissions. The guidance clarifies language contained in the Hospital Inpatient Perspective Payment System (IPPS) rule for 2014, which called into question and appeared to restrict the authority of PAs and certain other professionals to provide these important services. A major purpose of the IPPS rule was to assist hospitals in defining the appropriate use of hospital admission versus observation status, thereby helping more Medicare beneficiaries become eligible for nursing home care after a minimum three-day hospital inpatient stay.
The Physician Assistant Advisory Committee (PAC) to the Hawaii Medical Board (HMB) submitted proposed rules changes to the board for consideration on 1/12/2012. These proposed rules changes remain under review. At December's meeting Dr. Takanishi recommended the formation of an ad hoc committee to include members of the PAAC, a HAPA board member and possibly others to assist in further reviewing and implementing changes. Proposed changes are regarding physician-PA ratios for supervision, Schedule II drug standards, and chart review requirements.
As of August 25th, 2013, the Hawaii Medical Board has adressed the above three issues. The following represents the HMB's resolution as per the July 2013 minutes.
The official recommendations for record review proposes a new tiered system to which the PAC, HAPA and the AAPA have a all submitted opposing testimony. Before the rules changes go into effect, a public hearing will have to take place, where verbal and written testimony can be submitted.
HAPA is encouraged by the proposed increase in the physician/PA ratio to 1:4 and by the proposed Schedule II drug privileges.
HAPA intends to continue working with the PAC and and HMB regarding the proposed tiered system of supervision. More information on this will be forthcoming in the near future.
As we can see, change does not come quickly in this administrative process and implementatation of these rules changes may still be another year away before they are complete.
The legislative committee is considering whether the introduction of legislation would be a faster and more efficient method of change.
- Created on Sunday, 01 January 2012 10:00
|To better understand the role that PAs play in Hawaii’s health care system and the role that they may play in solving Hawaii’s health care shortage we are asking for your help. If you are a PA living and working in Hawaii, HAPA is asking for your help in filling out this information. Please complete our ONLINE SURVEY. It will take you less than 5 minutes to complete. The survey asks your place of practice, specialty, years in practice, contact information and number of hours/week. That’s all there is to it. You don't have to be a member to fill out the survey. All information will remain strictly confidential. If you would like to be listed in a directory of Hawaii PAs please indicate so in the appropriate box. Your help will be most appreciated. Full participation will give valuable information about the vital function that PAs have and can play in providing health care services in Hawaii.|
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