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PD IV > Lecture 3: Rules and Regulations > Flashcards

Lecture 3: Rules and Regulations Flashcards

1
Q

Who is our certifying body?

A

NCCPA since 1975

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2
Q

Requirements for Re-certification

A
  1. 100 hrs of CME biennially (every 2y)
  2. $150 maintenance biennially
  3. Recert exam every 10 years (or PANRE-LA?)
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3
Q

How much does PANCE cost?

A

$550

Save ur loans

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4
Q

What is the soonest you can take the PANCE?

A

7d after program requirements

Cannot register earlier than 90d before graduation

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5
Q

How many times can you retake the PANCE?

A

6 attempts in 6 years or you gotta do PA school AGAIN

3 times max a year

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6
Q

Differences between PANRE vs PANCE

A
  • $350 fee
  • You can choose adult med, primary care, or surgery
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7
Q

What is category 1 CME?

A
  • 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
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8
Q

What is category 2 CME?

A
  • Informally planned self-initiated activities
  • Practice-based self study, consultations with colleagues, teaching, journal clubs, etc
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9
Q

What is PI-CME?

A

Practice Improvement CME

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10
Q

What is SA-CME?

A

Self-assessment CME

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11
Q

What are the parameters that define our scope of practice?

Seems v important!

A
  1. PA education and experience
  2. State law
  3. Facility policy
  4. Needs of the practice and patients
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12
Q

What are the 3 things an item must meet to be included on our scope of practice?

A
  • Educated enough to actually do it and documented
  • Must be allowed by state/federal laws
  • Facility/SP must allow you
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13
Q

What does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

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14
Q

Who is covered by HIPAA?

A
  1. Health plans
  2. Healthcare providers
  3. Healthcare clearinghouses (Billing)
  4. Business Associates
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15
Q

Define individually identifiable health information

A
  • Info about past, present, future mental/physical health or condition
  • Provision of healthcare to individual
  • payment about provision of healthcare
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16
Q

What is NOT protected under HIPAA?

A

De-identified health information

17
Q

What are the 2 occasions where we MUST release HIPAA information?

A
  • Individuals/designated reps when they request
  • Health and Human Services when investigating compliance
18
Q

Who can HIPAA information be released to without specific authorization?

A
  • 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)
19
Q

How is HIPAA permission disclosed?

A

Written authorization about the specific data.

20
Q

General rule of thumb when disclosing information under HIPAA?

A

Minimum necessary

21
Q

When is the minimum requirement for HIPAA disclosure NOT enforced?

A
  • Treatment purposes
  • To the individual
  • Approved by an organization
  • Legal/compliance review

They need it ALL

22
Q

What should we give patients once we start treating them?

A

Notice of privacy practices

cover your ass

23
Q

What rights do patients have about their health record?

A
  • 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.
24
Q

What services do providers covered by HIPAA provide?

A
25
Q

What is the exception to giving information to a parent about a minor?

A

Reasonable belief that there is abuse or neglect.

26
Q

What are the punishments for violating HIPAA?

A
  • Civil money fines (unknowingly)
  • Criminal money fines + jail (knowingly or falsifying or trying to sell PHI)

PD IV (6 decks)

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