Lecture 3: Rules and Regulations Flashcards
Who is our certifying body?
NCCPA since 1975
Requirements for Re-certification
- 100 hrs of CME biennially (every 2y)
- $150 maintenance biennially
- Recert exam every 10 years (or PANRE-LA?)
How much does PANCE cost?
$550
Save ur loans
What is the soonest you can take the PANCE?
7d after program requirements
Cannot register earlier than 90d before graduation
How many times can you retake the PANCE?
6 attempts in 6 years or you gotta do PA school AGAIN
3 times max a year
Differences between PANRE vs PANCE
- $350 fee
- You can choose adult med, primary care, or surgery
What is category 1 CME?
- Formally planned activities following ACCME standards
- Documented acceptable needs assessment, learning obj, educational design, and evaluation method
- Must be given by an accredited CME provider
What is category 2 CME?
- Informally planned self-initiated activities
- Practice-based self study, consultations with colleagues, teaching, journal clubs, etc
What is PI-CME?
Practice Improvement CME
What is SA-CME?
Self-assessment CME
What are the parameters that define our scope of practice?
Seems v important!
- PA education and experience
- State law
- Facility policy
- Needs of the practice and patients
What are the 3 things an item must meet to be included on our scope of practice?
- Educated enough to actually do it and documented
- Must be allowed by state/federal laws
- Facility/SP must allow you
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
Who is covered by HIPAA?
- Health plans
- Healthcare providers
- Healthcare clearinghouses (Billing)
- Business Associates
Define individually identifiable health information
- Info about past, present, future mental/physical health or condition
- Provision of healthcare to individual
- payment about provision of healthcare
What is NOT protected under HIPAA?
De-identified health information
What are the 2 occasions where we MUST release HIPAA information?
- Individuals/designated reps when they request
- Health and Human Services when investigating compliance
Who can HIPAA information be released to without specific authorization?
- Individual
- Tx/payment/operations
- When individual is able to agree/object (informal permission)
- Incidental use/disclosure if safeguards were in place
- Public interest/benefit (pub health, law enforcement, abuse)
- Limited data sets (research studies)
How is HIPAA permission disclosed?
Written authorization about the specific data.
General rule of thumb when disclosing information under HIPAA?
Minimum necessary
When is the minimum requirement for HIPAA disclosure NOT enforced?
- Treatment purposes
- To the individual
- Approved by an organization
- Legal/compliance review
They need it ALL
What should we give patients once we start treating them?
Notice of privacy practices
cover your ass
What rights do patients have about their health record?
- Amendment request if they think something is incorrect
- Statement of disagreement if amendment is denied
- Accounting of disclosures of health info up to 6 yrs prior
- Request restricted disclosure of their info
- Review/get a copy of their PHI.
What services do providers covered by HIPAA provide?
What is the exception to giving information to a parent about a minor?
Reasonable belief that there is abuse or neglect.
What are the punishments for violating HIPAA?
- Civil money fines (unknowingly)
- Criminal money fines + jail (knowingly or falsifying or trying to sell PHI)
