Licensing and Certification

Question 1

ARC-PA

Answer 1

-encourages excellence in PA education through its accreditation process
-establish and maintain standards of quality for educational programs
-awards accreditation to programs through a peer review process that includes documentation and periodic site visit evaluation to substantiate compliance with the Accreditation Standards for Physician Assistant Education.

Question 1

licensing and certification

Answer 1

-done by states
-certification is a national process (boards)
-applicants in another state
-if you are or have been licensed/certified in another jurisdiction -> must request the licensing authority of the current jurisdiction(s) to provide verification of your licensure/certification
-must meet all requirements for licensure of the new State

Question 2

NY state educational requirements

Answer 2

-satisfactory evidence of completion of a program for the training of physician assistants that is approved by the New York State Education Department
licensure qualifying or accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
OR
-a program that is determined by the Department to be the substantial equivalent of a licensure qualifying or accredited program

Question 3

NY state pa program requirements

Answer 3

-program must be accredited
-students must meet minimum of:
-at least 32 semester hours of classroom work
-40 weeks (1,600 clock hours) of supervised clinical training

Question 4

limited permit

Answer 4

-allows an individual who has satisfied all requirements for licensure as a registered PA except the exam requirement to practice as a registered PA under appropriate supervision while meeting the requirement
-appropriate supervision is the direct supervision of a currently registered NY state licensed physician
-valid x 1 year, may apply for renewal for 1 additional year

Question 5

supervision requirements

Answer 5

-these focus on the need for a written COLLABORATIVE AGREEMENT with a physician that can outline the procedures a PA is allowed to perform
-required and must be continuous, but doesnt necessarily require the physical presence of the physician where services are performed
-state policy specifies whether the supervisory relationship between the PA and physician is determine either:
-at the practice level (within the medical practice where the PA will be practicing)
OR
-determined by the state medical board or in state law

Question 6

scope of practice determination NY state law

Answer 6

-PA may perform medical services and acts that are delegated by the supervising physician and are within the scope of practice of the physician
-read your contracts
-read your renewal applications:
-delegations/responsibilities

Question 7

prescriptive NY state law

Answer 7

-prescriptive authority for PA
-PA may prescribe schedules 2-5 controlled substances if acting under the delegation of the supervising physician and within the scope of their practice pubm
-your privileges are the same as the the supervising doctor-> even if you worked in thoracic surgery and now youre doing knee surgery -> cant operate thoracic if supervising doctor isnt credentialed

Question 8

mandatory electronic prescribing

Answer 8

-requires NP, midwives, dentists, podiatrists, physicians, physician assistants and optometrists in NYS (prescribers) to issue prescriptions electronically directly to a pharm
-non-controlled and controlled medications
-computer technology must comply with federal and new york regulations

Question 9

e-prescriber requirements

Answer 9

-national provider identifier (NPI)
-federal drug enforcement administration registration number (DEA)
-health commerce system account (HCSA)- death certificates
-registration with the NYS dept. of healths bureau of narcotic enforcement

Question 10

national provider identifier (NPI)

Answer 10

-issued by the US center for medicaid and medicare services (CMS)
-institutional health care providers (I.E. hospitals) and to licensed prescribers
-all electronic health care transactions

Question 11

drug enforcement registration (DEA) number

Answer 11

-issues by the US department of justice- drug enforcement administration
-issues DEA numbers to institutional health care providers (I.E. hospitals) and to licensed prescribers
-for controlled substances only
-currently $731.00 x 3 years

Question 12

health commerce system account (HCSA)

Answer 12

-from NYS department of health
-access an online prescription monitoring registry
-for controlled substances
-state prescribers consult registry prior to prescribing
-death certification

Question 13

registration with NYS dept of health bureau of narcotic enforcement

Answer 13

-each prescriber registers in order to prescribe controlled substances
-renewal fee required every 2 years
-mandated education: at least 3 hours of course work or training in:
-pain management
-palliative care
-addiction
-once every 3 years thereafter

Question 14

historic foundations

Answer 14

-american academy of physician assistants
-physician assistant education association

Question 15

american academy of physician assistants (AAPA)

Answer 15

-national professional society for PAs
-represents more than 130,000 PAs across all medical and surgical specialties all 50 states, the district of columbia, US territories, and the uniformed services
-advocates for profession
-empowers members to advance their career and patient health

Question 16

AAPA values

Answer 16

-Leadership and Service: emphasize service and enhance the ability of PAs to serve patients and their communities.
-Unity and Teamwork: embrace the strength of members and partner organizations to speak with one voice for the profession and work together to transform health.
-Accountability and Transparency: deliver results, take ownership for our actions and operate in an environment of openness and trust.
-Excellence and Equity: We commit to the highest standards and seek to eliminate disparities and barriers to quality healthcare.

Question 17

physician assistant education association (PAEA)

Answer 17

-Founded in 1972
-the only national organization representing physician assistant educational programs in the United States.
-all of the accredited programs in USA are members of the Association.
-provides services (education, cme, training) for faculty at its member programs, applicants, students, and other stakeholders.

Question 18

new york state society oh physician assistants (NYSSPA)

Answer 18

-non-profit volunteer membership organization that has represented and served the PA profession nearly 50 years
-promote and empower PAs as leaders and integral members of healthcare.
-Members PAs from across the state of New York
-supports the PA profession by participating in:
-continuing educations programs
-professional and legislative advocacy on behalf of all NY State Pas
-improving public awareness of the important role that PAs play in providing necessary healthcare to the public and fostering a mutually beneficial relationship with supervising physicians.
-NYSSPA is not a government or regulatory agency, licensing or certification body and funding is provided primarily by the membership and our educational activities.

Question 19

license vs certification

Answer 19

-license- state
-certification- national