Scope of Practice. Objectives

Save this PDF as:

Size: px
Start display at page:

Download "Scope of Practice. Objectives"

Transcription

1 Scope of Practice 1 Carol Novak, RN Practice Specialist, Compliance Objectives At the conclusion of this presentation attendees will be able to: Have an understanding of the Advanced Practice Providers (APPs) scope of practice and the effect on practice at Kaiser. Have an understanding of the risks of practicing outside the scope of practice 3 1

2 KP Resources that Define Scope of Practice KP Job Description KP P&P KP Practices Verification of competencies to perform the job Legal Opinions 4 Other Sources that Shape Scope of Practice Payor Coverage Requirements Billing Requirements Legal Opinions Medicare Conditions of Participation in licensed space Pharmacy Law Laboratory Law JCAH Medical Center Bylaws/Rules and Regulations 5 6 2

3 Risks of Practicing Outside of Scope False Claims Vulnerabilities in Lawsuits License Suspension/Actions Loss of Revenue Damage to Reputation of the Organization Fines from Regulators 7 What can I do? Stay within your scope or job duties Provide appropriate clinical documentation Ask questions Report concerns to your Supervisor, Ambulatory Practice Leader, Compliance Officer or the Compliance Hot Line Share compliance information with your staff and peers Allow the legal department to query regulatory agencies 8 Scope of Practice Registered Nurses Licensed Vocational Nurses Medical Assistants Advanced Practice Providers (NP and PA) 9 3

4 RN Perform assessments and synthesize data Utilize independent clinical judgment Triage patients Give advice Assess learning needs Develop patient care plans/patient education plans 10 RN Monitor for procedural sedation Central line catheter care including blood withdrawal Administer IV medications Administer IV chemotherapy (with certification) PICC line insertion and removal (with certification) 11 RN Use standardized procedures to initiate and provide care Laser removal of hair, moles, scars, etc. Care/Case management 12 4

5 LVN Perform basic physical assessment and data collection Cannot perform level of assessment requiring data synthesis and care plan development Work under the direction of a physician/rn 13 LVN Administer medications/immunizations Withdraw blood from a patient (with certification) May receive verbal physician orders for items within their scope of practice Give instructions as directed by physician or by approved preprinted material. 14 MA Ear lavage (with pre and post assessment by a physician or RN) Remove splints and casts Remove orthopedic appliances Initiate care with AED (Automated External Defibrillator) Apply/remove bandages and dressings Remove sutures/staples from incisions 15 5

6 MA Assist with sterile/non-sterile procedures Set-up and assist with pap smears Set-up for minor procedures Prepare for exams (position, drape, shave and prep skin) Perform simple lab/screening tests commonly done in medical offices 16 MA Answer phones, collect data from patients Schedule and confirm appointments Stock rooms Order supplies and equipment 17 RNP Work under the supervision of the physician. A physician may supervise no more than four NPs Uses standardized procedure/protocols May give verbal orders to RNs Furnish medication May not admit or discharge inpatients 18 6

7 PA Practices under pre-approved protocols within their supervising physician s specialty Physicians may supervise up to four PAs May give verbal orders to RNs Able to order medications within the supervising physician specialty and from the formulary Five percent of notes should be signed by the supervising physician within 30 days May not admit or discharge inpatients 19 Provider Types Provider Type Responsible State Agency Website Ambulatory Pract ice Inpatient Practi ce Supervision Practice Tools RN California Board of Registered Nursing v/regulation s/index.sht ml RN, MD Standardized Procedure s, Standing Orders LVN California Board of Vocational Nurses and Psychiatric Techs RN, MD Standing Orders MA Medical Board of California a.gov/laws/ Index.html no, (ED) MD Standing Orders Other Unlicensed Staff Depends NP California Board of Registered Nursing v/regulation s/index.sht ml MD Standardized Procedure s PA Medical Board of California- Physician Assistant Committee MD Protocols 20 Terminology Standardized Procedure: A specific written authorization for an RN to perform functions in an organized health care setting that overlap with the practice of medicine and exceed the usual scope of practice of the RN. The Standardized Procedure contains a protocol describing the actions that the RN will take and under what circumstances. (See eleven requirements in BRN Standardized Procedure Guidelines). SPs only apply to RNPs, CNMs, CRNAs and RNs. A Standardized Procedure cannot allow an RN to diagnose or prescribe medication. Advanced practice nurses with furnishing authority may furnish medication under Standardized Procedure. Example: Intrauterine Insemination Standardized Procedure for RNPs in Ob-Gyn Dept. 21 7

8 Terminology Protocol: A document that directs a practitioner s actions in performing a specific procedure or evaluating and treating a specific condition, including subjective and objective assessment, the treatment plan or actions to take in response to those assessments, education, follow-up, and circumstances when physician consultation or referral is required. For RNs, a protocol is part of a Standardized Procedure and provides specific guidance as to performing a particular procedure or function that overlaps with the practice of medicine. For Advanced Practice Nurses, the protocol guides the formulation of treatment plans for specific conditions. For Physician Assistants, the protocol also serves as a means of supervision of the PA, combined with physician countersignature of at least 10% of the PA s charts. 22 Terminology Pre-printed Orders: An order sheet which was developed for use by the physicians to facilitate the ease of writing orders for a specific patient usually in the hospital setting. A pre-printed order is patient specific and signed by the patient s physician. Example: ICU Standard Admission Orderset Standing Orders: A non-patient specific order developed by a physician to be followed for a category of patients. Standing orders are not used as medication orders because they are not patient specific. Example: All obstetrical patients have a urine dipstick test at prenatal visits. 23 Terminology Policy and Procedure: The formal, approved description of how a governance, management, or clinical care process is defined, organized, and carried out. Example: Ear Irrigation in Family Practice for RNs and LVNs 24 8

9 Scope of Practice Decision Tree 25 Questions??? 26 9

Sue Al-Sabih NP, MS Director, Ambulatory Clinical Services Kaiser Permanente Regional Offices, Southern California

Sue Al-Sabih NP, MS Director, Ambulatory Clinical Services Kaiser Permanente Regional Offices, Southern California Sue Al-Sabih NP, MS Director, Ambulatory Clinical Services Kaiser Permanente Regional Offices, Southern California A person who may be unlicensed, who performs basic administrative, clerical, and technical

More information

APP PRIVILEGES IN ORTHOPEDICS

APP PRIVILEGES IN ORTHOPEDICS APP PRIVILEGES IN ORTHOPEDICS Education/Training Licensure (Initial and Reappointment) Required Successful completion of a PA or NP program Current Licensure as a PA or RN in the state of CA Current certification

More information

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?

Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants

More information

Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care

Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care Purpose Section I Introduction/Overview This document authorizes the nurse practitioner

More information

Riverside Physician Network Utilization Management

Riverside Physician Network Utilization Management Subject: Program Riverside Physician Network Author: Candis Kliewer, RN Department: Product: Commercial, Senior Revised by: Linda McKevitt, RN Approved by: Effective Date January 1997 Revision Date 1/21/15

More information

Provider restrictions apply please see Behavioral Health Policy.

Provider restrictions apply please see Behavioral Health Policy. Payment Policy Mid-Level Practitioner EFFECTIVE DATE: 02 02 2006 POLICY LAST UPDATED: 10 01 2013 OVERVIEW This policy documents the services covered when rendered by a BCBSRI credentialed Mid-level practitioners

More information

Medical Assistants: Scope and limits of their training

Medical Assistants: Scope and limits of their training Special Report MIEC Claims Alert Number 32 January 2002 California version Medical Assistants: Scope and limits of their training Training and certification requirements for medical assistants Scope of

More information

PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE

PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE Policy/Procedure Number: MPQG1011 External Policy Internal Policy 06/20/2007 - Healthy Kids Applies to: Medi-Cal Healthy Kids Employees Reviewing

More information

Original Date: February1996 Last Revision Date: July 2006 Approved by: Barbara Flynn, RN Applies to: All Lines of Business

Original Date: February1996 Last Revision Date: July 2006 Approved by: Barbara Flynn, RN Applies to: All Lines of Business Policy Objective: To delineate the training, supervision and scope of practice for Medical Assistants. I. DEFINITION Medical Assistants are unlicensed persons who have received certificates indicating

More information

Original Date: 02/01/996 Last Revision Date: 04/21/2014 Approved by: Clinical Quality Improvement Work Group (CQIW) Effective Date: 04/21/2014

Original Date: 02/01/996 Last Revision Date: 04/21/2014 Approved by: Clinical Quality Improvement Work Group (CQIW) Effective Date: 04/21/2014 Purpose: To delineate the training, supervision and scope of practice for Medical Assistants. Policy: The Central California Alliance for Health (the Alliance) requires that all Medical Assistants of Alliance

More information

Title: Medical Assistants Original Date: 02/01/996 Last Revision Date: 01/23/2012 Approved by: David Altman, MD Effective Date: 01/23/2012

Title: Medical Assistants Original Date: 02/01/996 Last Revision Date: 01/23/2012 Approved by: David Altman, MD Effective Date: 01/23/2012 Purpose: To delineate the training, supervision and scope of practice for Medical Assistants. Policy: The Alliance requires that all Medical Assistants of Alliance providers shall adhere to the guidelines

More information

Medical Assistants: An update on the scope and limits of training

Medical Assistants: An update on the scope and limits of training Special Report MIEC Claims Alert Number 32A September 2006 Revised California version Medical Assistants: An update on the scope and limits of training Training and certification requirements for medical

More information

REGISTERED NURSE PRACTITIONER (RNP) PRACTICING IN AN ACUTE CARE SETTING October 2009 Adopted by the Board 11/19/09 Background

REGISTERED NURSE PRACTITIONER (RNP) PRACTICING IN AN ACUTE CARE SETTING October 2009 Adopted by the Board 11/19/09 Background Janice Brewer Governor Joey Ridenour Executive Director Arizona State Board of Nursing 4747 N. 7 th Street Phoenix, AZ 85014-3653 Phone (602) 771-7888 Fax (602) 771-7800 E-Mail: prandolph@azbn.gov Home

More information

Cedars-Sinai & Veteran Employment Cedars-Sinai Health System Mission, Vision, and Values

Cedars-Sinai & Veteran Employment Cedars-Sinai Health System Mission, Vision, and Values Cedars-Sinai & Veteran Employment Cedars-Sinai Health System Mission, Vision, and Values Mission Cedars-Sinai Health System, a nonprofit, independent healthcare organization, is committed to: Leadership

More information

Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective

Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Tracy Klein, MS, WHCNP,FNP Advanced Practice Consultant Oregon State Board of Nursing September 2006 Who determines your scope

More information

NORTHEAST VALLEY HEALTH CORPORATION Job Description

NORTHEAST VALLEY HEALTH CORPORATION Job Description NORTHEAST VALLEY HEALTH CORPORATION Job Description Medical Assistant I H-109 Medical Assistant II H-109 Medical Assistant I/II Page 2 Definition: Under the supervision of the licensed physician, the Medical

More information

Billing for Non-Physician Practitioners

Billing for Non-Physician Practitioners Billing for Non-Physician Practitioners Incident to and Shared Services 2007 Betsy Nicoletti 1 Betsy Nicoletti www.mpconsulting.org Author: 2007 Physician Auditing Workbook The Field Guide to Physician

More information

CLINICAL PRIVILEGES- NURSE MIDWIFE

CLINICAL PRIVILEGES- NURSE MIDWIFE Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: Applicant: Check off the Requested

More information

FREQUENTLY ASKED QUESTIONS REGARDING NURSE PRACTITIONER PRACTICE. Practice Questions

FREQUENTLY ASKED QUESTIONS REGARDING NURSE PRACTITIONER PRACTICE. Practice Questions BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR EDMUND G. BROWN JR. BOARD OF REGISTERED NURSING PO Box 944210, Sacramento, CA 94244-2100 P (916) 322-3350 F (916) 574-8637 www.rn.ca.gov Louise

More information

FAMILY NURSE PRACTITIONER EMERGENCY MEDICINE

FAMILY NURSE PRACTITIONER EMERGENCY MEDICINE Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check

More information

OREGON UNIVERSITY CLASS/COMP STUDY UNION COMMENTS

OREGON UNIVERSITY CLASS/COMP STUDY UNION COMMENTS OREGON UNIVERSITY CLASS/COMP STUDY UNION COMMENTS ALLIED HEALTH JOB FAMILY Medical Assistant General Comments Rather than a single Medical Aide classification, there should be two classifications, Medical

More information

How to Become a Medical Assistant in a Specialty Area. How to Become a Medical Assistant: Position Options

How to Become a Medical Assistant in a Specialty Area. How to Become a Medical Assistant: Position Options How to Become a Medical Assistant in a Specialty Area If you re interested in learning how to become a medical assistant, then you should take a look at the different types of roles and responsibilities

More information

The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97

The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97 6 The Collaborative Models of Mental Health Care for Older Iowans Model Administration Collaborative Models of Mental Health Care for Older Iowans 97 Collaborative Models of Mental Health Care for Older

More information

Health Care Services Overview. Pennsylvania Department of Corrections

Health Care Services Overview. Pennsylvania Department of Corrections Health Care Services Overview Pennsylvania Department of Corrections Richard S. Ellers Director Bureau of Health Care Services Pennsylvania Department of Corrections rellers@pa.gov 717-728-5311 27 State

More information

MEDICAL/CERTIFIED MEDICAL ASSISTANT

MEDICAL/CERTIFIED MEDICAL ASSISTANT MEDICAL/CERTIFIED MEDICAL ASSISTANT Occ. Work Prob. Effective Last Code No. Class Title Area Area Period Date Action 4547 Medical Assistant 12 442 6 mo. 07/15/12 Rev. 0000 Certified Medical Assistant 12

More information

California Indian Health Service: 2013 Best Practices & GPRA Measures Conference

California Indian Health Service: 2013 Best Practices & GPRA Measures Conference California Indian Health Service: 2013 Best Practices & GPRA Measures Conference Registered Nurse SCOPE OF PRACTICE Presented by Janette Wackerly, MBA, RN Supervising Nursing Education Consultant (916)

More information

GENERAL INFORMATION: NURSE PRACTITIONER PRACTICE

GENERAL INFORMATION: NURSE PRACTITIONER PRACTICE BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR EDMUND G. BROWN JR. BOARD OF REGISTERED NURSING PO Box 944210, Sacramento, CA 94244-2100 P (916) 322-3350 F (916) 574-8637 www.rn.ca.gov Louise

More information

OREGON HEALTH & SCIENCE UNIVERSITY SCOPE OF PRACTICE

OREGON HEALTH & SCIENCE UNIVERSITY SCOPE OF PRACTICE OREGON HEALTH & SCIENCE UNIVERSITY SCOPE OF PRACTICE Minimum Qualifications Task Clinical Dietician RN LPN MA/Tech BLS Certification Oversight Health Screening Requirements National registration as a RD

More information

In the Hospital Setting

In the Hospital Setting In the Hospital Setting 2013 PENNSYLVANIA HOSPITAL QUALITY: Achieving More Together Use of Physician Assistants, Certified Registered Nurse Practitioners, Certified Nurse Midwives, Certified Registered

More information

Registered Nurse Series Final Classification Standards December 2007

Registered Nurse Series Final Classification Standards December 2007 Final Classification Standards December 2007 Series Overview This series is comprised of three classifications with progressive responsibility for nursing care and services and administrative duties within

More information

2014 MEDICAL OFFICE PRACTICE COMPENSATION SURVEY

2014 MEDICAL OFFICE PRACTICE COMPENSATION SURVEY 2014 MEDICAL OFFICE PRACTICE COMPENSATION SURVEY Return Date: Aug. 27, 2014 Name of Practice Organization: Person Completing Survey: Title: Phone: Mailing Address: Email: Type of organization: Hospital

More information

ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama

ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama The American College of Nurse- Midwives (ACNM) is the national organization representing the interests

More information

Documentation Guidelines for Physicians Interventional Pain Services

Documentation Guidelines for Physicians Interventional Pain Services Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record

More information

AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number

AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number Criterion AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Criterion Level (1 or 2) Number Criterion BURN CENTER ADMINISTRATION 1. The burn center hospital is currently accredited by The

More information

M. Please itemize your historical visits (all) for the past five (5) years; and number of expected visits for this year.

M. Please itemize your historical visits (all) for the past five (5) years; and number of expected visits for this year. ED GROUP APPLICATION FOR CLAIMS-MADE PROFESSIONAL LIABILITY INSURANCE Please note you are applying for a claims-made policy form of professional liability insurance. The coverage of this policy is limited

More information

ACUTE TREATMENT SERVICES (ATS) FOR SUBSTANCE USE DISORDERS LEVEL III.7

ACUTE TREATMENT SERVICES (ATS) FOR SUBSTANCE USE DISORDERS LEVEL III.7 ACUTE TREATMENT SERVICES (ATS) FOR SUBSTANCE USE DISORDERS LEVEL III.7 Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance

More information

Standard HR.7 All individuals permitted by law and the organization to practice independently are appointed through a defined process.

Standard HR.7 All individuals permitted by law and the organization to practice independently are appointed through a defined process. Credentialing and Privileging of Licensed Independent Practitioners The following standards apply to individuals permitted by law and the organization to provide patient care services without direction

More information

LANE COUNTY B065 (Medical Assistant 1) Established: 4/13/05 B060 (Medical Assistant 2) Updated: 4/13/05 (Previous title: Medical Assistant)

LANE COUNTY B065 (Medical Assistant 1) Established: 4/13/05 B060 (Medical Assistant 2) Updated: 4/13/05 (Previous title: Medical Assistant) B065 (Medical Assistant 1) Established: 4/13/05 B060 (Medical Assistant 2) Updated: 4/13/05 (Previous title: Medical Assistant) MEDICAL ASSISTANT 1 MEDICAL ASSISTANT 2 DEFINITION To perform delegated routine

More information

Jobs of the Future: Workforce Planning for 21 st Century Care

Jobs of the Future: Workforce Planning for 21 st Century Care Jobs of the Future: Workforce Planning for 21 st Century Care Zeth Ajemian Director, Workforce Planning and Development Southern California and Hawaii Regions Technology, Innovation, and the Age of Consumerism

More information

Documentation of the Meaning and Scope Of PLHCP

Documentation of the Meaning and Scope Of PLHCP Documentation of the Meaning and Scope Of PLHCP Following documents are guidance documents as to the meaning of Physician and other Licensed Heath Care Provider. All documentation is from Fed/OSHA unless

More information

Developing a Successful TAVR Program/Clinic: The Team Approach

Developing a Successful TAVR Program/Clinic: The Team Approach Developing a Successful TAVR Program/Clinic: The Team Approach Kathryn Fidlow RN, BSN Senior Quality Management Specialist NYP-Columbia University Medical Center The Heart Valve Center NYP-Columbia University

More information

Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP)

Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP) Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP) Qualifications To be eligible to apply for core clinical privileges as a Family Nurse Practitioner

More information

MASON CITY CLINIC, P.C. Page 1 Job Description Credentialed Medical Assistant. MASON CITY CLINIC Job Description

MASON CITY CLINIC, P.C. Page 1 Job Description Credentialed Medical Assistant. MASON CITY CLINIC Job Description MASON CITY CLINIC, P.C. Page 1 Job Description Credentialed Medical Assistant MASON CITY CLINIC Job Description Job Title: Credentialed Medical Assistant FLSA Status: Nonexempt Job Code: Employee Group:

More information

Medical personnel are growing more aware of the extent of an esthetician s

Medical personnel are growing more aware of the extent of an esthetician s Chapter 1 Defining Roles Medical personnel are growing more aware of the extent of an esthetician s training and realizing the potential value in bringing an esthetician into the medical environment. Working

More information

MEDICAL CENTER POLICY NO. 0094. A. SUBJECT: Documentation of Patient Care (Electronic Medical Record)

MEDICAL CENTER POLICY NO. 0094. A. SUBJECT: Documentation of Patient Care (Electronic Medical Record) Clinical Staff Executive Committee MEDICAL CENTER POLICY NO. 0094 A. SUBJECT: Documentation of Patient Care (Electronic Medical Record) B. EFFECTIVE DATE: April 1, 2012 (R) C. POLICY: The University of

More information

Physician Extenders: Know the Compliance Risks Surrounding Midlevel Practitioners. January 24, 2014

Physician Extenders: Know the Compliance Risks Surrounding Midlevel Practitioners. January 24, 2014 Physician Extenders: Know the Compliance Risks Surrounding Midlevel Practitioners January 24, 2014 Tizgel K. S. High, Esq. LifePoint Hospitals, Inc. Catherine (Kate) S. Stern, Esq. King & Spalding LLP

More information

Certified Nurse-Midwife and Women s Health Care Nurse Practitioner

Certified Nurse-Midwife and Women s Health Care Nurse Practitioner Certified Nurse-Midwife and Women s Health Care Nurse Practitioner Practice Agreements at Chicago Revised March 2007 TABLE OF CONTENTS SIGNATURES OF AGREEMENT 3 ORGANIZATION RELATIONSHIPS AND MEMBERSHIP

More information

FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07)

FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07) Name FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07) ELIGIBILITY REQUIREMENTS Required Qualifications: Bachelors

More information

Center for Clinical Standards and Quality/Survey & Certification Group

Center for Clinical Standards and Quality/Survey & Certification Group Department of Health & Human Services Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality/Survey

More information

Optum s Role in Mycare Ohio

Optum s Role in Mycare Ohio Optum s Role in Mycare Ohio What is MyCare Ohio? New opportunities generated by the Affordable Care Act have allowed Ohio to implement the MyCare Ohio program. MyCare Ohio is a demonstration project that

More information

2/20/2014. Joette Derricks, CPC, CHC, CMPE, CSSGB, CLHC Vice-President, Regulatory Affairs & Research Anesthesia Business Consultants

2/20/2014. Joette Derricks, CPC, CHC, CMPE, CSSGB, CLHC Vice-President, Regulatory Affairs & Research Anesthesia Business Consultants Joette Derricks, CPC, CHC, CMPE, CSSGB, CLHC Vice-President, Regulatory Affairs & Research Anesthesia Business Consultants Neda M. Ryan, Attorney, Clark Hill PLC Anesthesia Business Consultants, Clark

More information

NEW JERSEY ADVANCED PRACTICE NURSES

NEW JERSEY ADVANCED PRACTICE NURSES NEW JERSEY ADVANCED PRACTICE NURSES There are 6800 Advanced Practice Nurses in New Jersey. That includes nurse practitioners, nurse anesthetists and clinical nurse specialists. In New Jersey, NP, CNS,

More information

Outline. Advanced Practice Providers in the Intensive Care Unit. Why utilize APPs in the ICU? 5/30/2013

Outline. Advanced Practice Providers in the Intensive Care Unit. Why utilize APPs in the ICU? 5/30/2013 Outline Advanced Practice Providers in the Intensive Care Unit Thomas Farley MS, NP Assistant Clinical Professor UCSF School of Nursing Why utilize APPs in the ICU Recent publications General review of

More information

Delegation of Duties by a Physician to a Non-Physician

Delegation of Duties by a Physician to a Non-Physician Document #0002-NA VISION: To improve the health of all Texans. MISSION: TMA supports Texas physicians by providing distinctive solutions to the challenges they encounter in the care of patients. TMA Office

More information

What is a NURSE PRACTITIONER? Mark P. Christiansen, PhD, PA-C. Program Director FNP/PA Program UC Davis Medical Center Sacramento, CA

What is a NURSE PRACTITIONER? Mark P. Christiansen, PhD, PA-C. Program Director FNP/PA Program UC Davis Medical Center Sacramento, CA What is a PHYSICIAN ASSISTANT? NURSE PRACTITIONER? Mark P. Christiansen, PhD, PA-C Program Director FNP/PA Program UC Davis Medical Center Sacramento, CA 1 Physician assistants are: Highly trained healthcare

More information

Peter Munk Cardiac Centre, University Health Network. Allied Health Personnel Symposium American Association of Thoracic Surgery April 26, 2014

Peter Munk Cardiac Centre, University Health Network. Allied Health Personnel Symposium American Association of Thoracic Surgery April 26, 2014 The Expanding Role of the Nurse Practitioner and Physician Assistant Across the Continuum of Care for the CTS Patient: Preoperative, Postoperative, and After Discharge Jane MacIver RN NP PhD Peter Munk

More information

PHYSICIAN ORDER POLICY

PHYSICIAN ORDER POLICY PURPOSE: To clarify requirements and assure all physician orders are complete and valid for safe patient care SUPPORTIVE DATA: Medication: Prescribing and Ordering Procedure #790.25 RCW 18.164.011 and

More information

From: James V. McDonald, MD, MPH, Chief Administrative Officer Board of Medical Licensure and Discipline. Date: 15 November 2013

From: James V. McDonald, MD, MPH, Chief Administrative Officer Board of Medical Licensure and Discipline. Date: 15 November 2013 Rhode Island Department of Health Three Capitol Hill Providence, RI 02908-5094 www.health.ri.gov To: Members of the Community interested in the proposed: Guidelines for Minimum Standard of Conduct for

More information

Regions Hospital Delineation of Privileges Nurse Practitioner

Regions Hospital Delineation of Privileges Nurse Practitioner Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic

More information

TRANSFERRING TO A NURSING FACILITY FOR KAISER MEMBERS

TRANSFERRING TO A NURSING FACILITY FOR KAISER MEMBERS SAN DIEGO CONTINUING CARE SERVICES DEPARTMENT TRANSFERRING TO A NURSING FACILITY FOR KAISER MEMBERS You are going to a skilled nursing facility for further care. This booklet gives you information about

More information

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Physician Assistant Nurse Practitioner Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Explore many careers in healthcare ExploreHEALTHCareers Occupational Outlook Handbook Google

More information

Lesson 2: Health Professions

Lesson 2: Health Professions Glossary 1. Bachelor s Degree: a 4-year degree from a college or university 2. Certification: some jobs require you to complete a training program or pass an exam to show that you have the knowledge to

More information

Medical Administrative Assistant (Clinical and Administrative Support Team Member) 37.5 hours per week, permanent role

Medical Administrative Assistant (Clinical and Administrative Support Team Member) 37.5 hours per week, permanent role Medical Administrative Assistant (Clinical and Administrative Support Team Member) 37.5 hours per week, permanent role South East Toronto Family Health Team South East Toronto Family Health Team (SETFHT)

More information

An Overview of Meaningful Use: FAQs

An Overview of Meaningful Use: FAQs An Overview of Meaningful Use: FAQs On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. This new law includes provisions (known as the HITECH Act)

More information

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS 610-X-5-.01 610-X-5-.02 610-X-5-.03 610-X-5-.04 610-X-5-.05 610-X-5-.06 610-X-5-.07

More information

INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE

INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE To qualify as incident to, services must be part of your patient s normal course of treatment, during which a physician personally performed an initial service

More information

Anita Mar)nez, RN, MS, CNM St. Joseph s Hospital and Medical Center Center For Women s Health

Anita Mar)nez, RN, MS, CNM St. Joseph s Hospital and Medical Center Center For Women s Health Anita Mar)nez, RN, MS, CNM St. Joseph s Hospital and Medical Center Center For Women s Health An Honorable Profession From the Beginning of Human History Ancient Egypt Greeks Old Testament Romans Medieval

More information

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.)

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) ID Prefix Tag (X4) R000 R200 Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) Submission and implementation of this Plan of Correction does

More information

EHR Technology GA-HIT Regional Extension Center

EHR Technology GA-HIT Regional Extension Center Meaningful Use of EHR Technology GA-HIT Regional Extension Center (GA-HITREC) Dominic H. Mack MD, MBA Project Director, GA-HITREC Deputy Director, National Center for Primary Care Morehouse School of Medicine

More information

Interview patient Perform Physician; Nursing; Medical Assistant Take history Document 7.1(Document a progress note for each encounter)

Interview patient Perform Physician; Nursing; Medical Assistant Take history Document 7.1(Document a progress note for each encounter) Reference Workflow Taonomy Patient centric Outpatient encounter 1 Intake and Nurse assessment Clinician* assessment Check in Document 1.16 (Access patient demographic data), 7.6 (Document date of birth),

More information

MEDICARE TEACHING PHYSICIAN QUESTIONS & ANSWERS December 2003

MEDICARE TEACHING PHYSICIAN QUESTIONS & ANSWERS December 2003 MEDICARE TEACHING PHYSICIAN QUESTIONS & ANSWERS December 2003 In November 2002 CMS issued revisions to the Carrier Manual Instructions, section 15016, Supervising Physicians in Teaching Settings. To help

More information

Health and Human Services Commission Council. SUBJECT: Item 5.a. Payment to Advanced Practice Registered Nurses and Physician Assistants

Health and Human Services Commission Council. SUBJECT: Item 5.a. Payment to Advanced Practice Registered Nurses and Physician Assistants TO: Health and Human Services Commission Council DATE: August 15, 2014 FROM: Laurie Vanhoose, Medicaid/CHIP, Director of Policy Development SUBJECT: Item 5.a. Payment to Advanced Practice Registered Nurses

More information

Question and Answer Submissions

Question and Answer Submissions AACE Endocrine Coding Webinar Welcome to the Brave New World: Billing for Endocrine E & M Services in 2010 Question and Answer Submissions Q: If a patient returns after a year or so and takes excessive

More information

CITY OF COLORADO SPRINGS TAX GUIDE MEDICAL EXEMPTIONS

CITY OF COLORADO SPRINGS TAX GUIDE MEDICAL EXEMPTIONS CITY OF COLORADO SPRINGS TAX GUIDE MEDICAL EXEMPTIONS The City of Colorado Springs Sales and Use Tax Ordinance contains a medical exemption and definitions that, when combined, provide a variety of exemptions

More information

Impact of the 2010 Affordable Care Act on the California Labor Force

Impact of the 2010 Affordable Care Act on the California Labor Force Impact of the 2010 Affordable Care Act on the California Labor Force Linda L. Zorn, RD, MA Sector Navigator Health Workforce Initiative California Community Colleges Chancellor s Office Project Overview

More information

Billing an NP's Service Under a Physician's Provider Number

Billing an NP's Service Under a Physician's Provider Number 660 N Central Expressway, Ste 240 Plano, TX 75074 469-246-4500 (Local) 800-880-7900 (Toll-free) FAX: 972-233-1215 info@odellsearch.com Selection from: Billing For Nurse Practitioner Services -- Update

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Mental Health Services ICN 903195 September 2013 This booklet was current at the time it was published or uploaded onto

More information

Randy Fink Frontier Nursing University December 5 th, 2012

Randy Fink Frontier Nursing University December 5 th, 2012 Randy Fink Frontier Nursing University December 5 th, 2012 A Registered Nurse trained in one of four advanced practice roles at the graduate level (National Council of State Boards of Nursing, 2008) Certified

More information

Development of Health Career Pathway for California. Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway

Development of Health Career Pathway for California. Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway Development of Health Career Pathway for California Psychiatric Mental Health Nurse Practitioner/Clinical Nurse Specialist Career Pathway 1 Current State As of February 2011, there were 9,458 psychiatric

More information

OCCUPATIONAL GROUP: Health Services. CLASS FAMILY: Nursing CLASS FAMILY DESCRIPTION:

OCCUPATIONAL GROUP: Health Services. CLASS FAMILY: Nursing CLASS FAMILY DESCRIPTION: OCCUPATIONAL GROUP: Health Services CLASS FAMILY: Nursing CLASS FAMILY DESCRIPTION: This family of positions includes those whose purpose is to perform professional nursing services that directly and/or

More information

Perioperative Charge Process

Perioperative Charge Process There are eight components to the charge process for surgical services: 1. Pre op prep and care 2. Anesthesia 3. Operating room time charges 4. Equipment charges 5. Recovery / Post Anesthesia Care Unit

More information

Delegation of Services Agreements Change in Regulations

Delegation of Services Agreements Change in Regulations Delegation of Services Agreements Change in Regulations Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several requirements for the delegation of medical services to a physician

More information

Utilizing Benchmarking to Manage Health Center Operations. Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com

Utilizing Benchmarking to Manage Health Center Operations. Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com Utilizing Benchmarking to Manage Health Center Operations Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com 1 KEY COMPONENTS OF COST PER VISIT! Physician Productivity! Physician Salary & Fringe!

More information

DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX. Dear SALUTATION:

DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX. Dear SALUTATION: DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX Dear SALUTATION: Considering your leadership role in the Veterans Health Administration (VHA) helping to carry out Secretary McDonald s directive to

More information

Baltimore Medical System * For more information: visit our website at www.bmsi.org - Email: apply@bmsi.org - Fax: 443-703-3233

Baltimore Medical System * For more information: visit our website at www.bmsi.org - Email: apply@bmsi.org - Fax: 443-703-3233 Baltimore Medical System * For more information: visit our website at www.bmsi.org - Email: apply@bmsi.org - Fax: 443-703-3233 Vacancy Listing for the Week of February 8, 2016 MANAGEMENT Center Medical

More information

SPORTS MEDICINE CLINICAL PRIVILEGES

SPORTS MEDICINE CLINICAL PRIVILEGES Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 4/3/2013. Applicant: Check off the Requested box for

More information

Registered Nurse (RN) and Nursing Careers, Jobs, and Employment Information

Registered Nurse (RN) and Nursing Careers, Jobs, and Employment Information www.careersinghana.com Email : info@careersinghana.com Tel: +233 245649846 Registered Nurse (RN) and Nursing Careers, Jobs, and Employment Information Registered Nurse and Nursing Career Overview Registered

More information

Board of Registered Nursing P.O. Box 944210 Sacramento, CA 94244-2100. Main Phone: (916) 322-3350. Nursing Practice Act

Board of Registered Nursing P.O. Box 944210 Sacramento, CA 94244-2100. Main Phone: (916) 322-3350. Nursing Practice Act Board of Registered Nursing P.O. Box 944210 Sacramento, CA 94244-2100 Main Phone: (916) 322-3350 Nursing Practice Act The Nursing Practice Act (NPA) is the body of California law that mandates the Board

More information

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Kaiser Foundation Health Plan, Inc. Northern and Southern California Regions Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Your Health Plan Coverage

More information

Vocational Nurse Program

Vocational Nurse Program Vocational Nurse Program Responsibilities of a Vocational Nurse Licensed Vocational Nurses provide care for the sick, injured, convalescent, and the disabled under the direction of physicians and registered

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Mental Health Services DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Mental Health Services ICN 903195 January 2015 This booklet was current at the time it was published or uploaded onto the

More information

ACCESSIBILITY OF SERVICES

ACCESSIBILITY OF SERVICES ACCESSIBILITY OF SERVICES ACCESSIBILITY TO CARE STANDARDS Molina Healthcare is committed to timely access to care for all members. The Access to Care Standards below are to be observed by all Providers/Practitioners.

More information

Texas Nursing Jurisprudence and Ethics

Texas Nursing Jurisprudence and Ethics Texas Nursing Jurisprudence and Ethics Course ID: 1041 - Credit Hours: 2 Author(s) Kevin Arnold, RN, BSN is a clinical specialist in the vascular access industry specializing in educational programs, policy

More information

State of Hawaii. Licensed Practical Nurse - Mental Health

State of Hawaii. Licensed Practical Nurse - Mental Health Entry Level Work HE-6 6.734 Full Performance Work HE-8 6.735 Function and Location This position works in a hospital or clinic which provides care and treatment to patients who are mentally ill. The primary

More information

http://www.bls.gov/oco/ocos164.htm Medical Assistants

http://www.bls.gov/oco/ocos164.htm Medical Assistants http://www.bls.gov/oco/ocos164.htm Medical Assistants * Nature of the Work * Training, Other Qualifications, and Advancement * Employment * Job Outlook * Projections Data * Earnings * OES Data * Related

More information

PRACTICE AGREEMENT FORM

PRACTICE AGREEMENT FORM Oregon Medical Board 1500 SW 1 st Ave, Suite 620 Portland, OR 97201 (971) 673-2700 or (877) 254-6263 (toll free in Oregon) Web site address: www.oregon.gov/omb PRACTICE AGREEMENT FORM The Supervising Physician

More information

OUTPATIENT HEALTH RECORD FORMAT. 2. Consent to Minor Surgical or Invasive Procedure. 3. Consent for Disclosure of Information

OUTPATIENT HEALTH RECORD FORMAT. 2. Consent to Minor Surgical or Invasive Procedure. 3. Consent for Disclosure of Information OUTPATIENT HEALTH RECORD FORMAT The Health Record is arranged in reverse chronological order from the current date to the date of admission. SIDE I: Administrative Section 1. Refusal of Treatment 2. Consent

More information

The following instructions are taken directly from the Consultations section of CPT:

The following instructions are taken directly from the Consultations section of CPT: Heading: Clarification Title: Consultations Noridian Administrative Services (NAS) published this article on Consultations in Medicare B News, Issue 222, which was dated September 7, 2005. This article

More information

CHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS

CHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS I. INTRODUCTION CHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS Advance registered nurse practitioners (ARNPs) and clinical nurse practitioners (CNPs) have their scope

More information

Your State Board of Nursing Works for You A Health Care Consumer s Guide

Your State Board of Nursing Works for You A Health Care Consumer s Guide Your State Board of Nursing Works for You A Health Care Consumer s Guide Your state board of nursing is responsible for enforcing the nurse practice act to promote safe and competent care. Your State Board

More information