PA S ERV I C ES N E W S - Cleveland Clinic

PA SERVICES NEWS Volume 2, Issue 1 January 2009

Inside this issue:

DIRECTOR'S CORNER

"BE ALL THE PA YOU CAN BE"

In these "belt tightening" economic times, it benefits us all to expand our professional duties, broaden our awareness, and enhance our patient skills to the best of our abilities to meet the needs of the Cleveland Clinic System.

In 2006, the Ohio law changed to increase the physicians' utilization of PA's. In hospital practice, the PA's became governed by the Medical Staff Credentialing body, allowing them to perform special procedures after showing competency.

In 2007, Ohio PA's welcomed the ability to apply for their certificate to prescribe.

And in 2008, the PA's in Ohio were granted the ability to apply for their DEA numbers, allowing them to write for schedule III, IV and V's.

Accordingly, as the Ohio law changed, your PA practice should have expanded.

Gone are the days of performing as a medical assistant. Gone are the days of being called a "clinical assistant or surgical clinician". There is now pride and honor in being a PA in Ohio.

And with this pride and honor come responsibility; responsibility to our supervising physicians, responsibility to our patients and responsibility to us. We are responsible for becom-

Mt. Union College

2

PA Student Clinical Rotations

2

Need to Know--CTP

3

Need to Know--DEA

4

Volunteer Opportunity/ New Hires

5

Job Postings

6

Future Events

6

ing the best PA we possibly can be. We are responsible for expanding our practice to the fullest that it can be expanded.

And we are responsible for developing innovative ideas on how we, as PA's, during these trying economic times, can fully use our professional resources and deliver quality, assessable healthcare to our patients.

Be all the PA you can be. This is our battle cry for 2009! We have made great strides in the last number of years. Let's move forward with great expectations and hope. Hope for more expansion on the PA role in patient care. Hope for increase access to our patients provided by the PA's. And hope for possibly newer legislation allowing expanded scheduled drug coverage.

These are my wishes for you for the New Year along with my commitment to do everything in my power to make them come true.

Thank you again, for all you do on a daily basis, taking care of your patients and colleagues.

Be all the PA you can be.

Thanks for reading. Carpe Diem.

Josanne

POINTS OF INTEREST

? Physician Supervision Agreement Renewals: Should be done by now (Jan. 31) Protect yourself by looking up each

of your supervising physicians and making sure they have an ACTIVE next to their names.

? AAPA National Conference, San Diego: Registration is now open for the AAPA National Conference, May 23-28,

2009 in San Diego, Ca. Look to the AAPA website for details:

? IF you are still in need of your 15 hours of fiscal and ethical CME's please go to the OAPA website at

? PA MANDATORY MEETING: There will be a mandatory meeting for all main campus PA's on Tuesday, Feb. 24 in

meeting room NA 5; 3-4 from 7:30am to 8:30am. All efforts will be taken to broadcast this to the FHC's. More information will be sent out via email.

? April 3rd we will be hosting Mt. Union's first PA Class for an orientation day. Any interested PA's willing to give

some time to meet with our students, please let us know.

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IN THE SPOTLIGHT

PA SERVICES NEWS

MT. UNION COLLEGE

Alliance, OH

PA PROGRAM

Under the Direction of Ms. Sharon Luke PA-C, Mt. Union College is preparing to accept its first class of PA students this May. We are proud to collaborate with Mt. Union and host this class on site for their gross anatomy classes.

Starting in May, and every Monday for the next 12 weeks, the entire first year class will come on site and study under the tutorage of Dr. Drake and Dr. McBride in our anatomy labs.

This is our first joint effort with a PA program of providing a full class on site here at main campus.

To prepare for this, the entire class will go through a day of orientation on Friday, April 3. Pat Ginley had kindly volunteered his time to facilitate this orientation session. The students will learn our EPIC system, receive their badges and parking passes and then orient to the cadaver labs with Dr. Drake and Dr. McBride. Pat will then give them the grand tour of our fine campus. It is at this time I would hope some of you would have it a moment to interact with the students if they should pass through your area.

We are all looking forward to hosting this inaugural class of PA students from Mt. Union College. I know you will all welcome them with open arms.

Pa PROGRAMS FOR student clinical rotations

For your information, currently, Cleveland Clinic has clinical education agreements with the following schools:

? Arcadia University ? AT Stills University ? Bethel College ? Chatham College ? Cuyahoga Community College ? D'Youville College ? Gannon University ? Kettering College of Medical Arts ? Marietta College ? Marywood College ? Medical University of South Carolina

? Midwestern University ? Mount Union College ? Philadelphia University ? Saint Francis University ? Shenandoah University ? University of Findlay ? University of Kentucky ? University of Maryland Eastern Shore ? University of South Alabama ? University of Toledo ? Wake Forest University

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PA SERVICES NEWS

!!! NEED TO KNOW !!!

Certificate to prescribe (CTP)

? Apply directly to the OSMB via their website: med. ? You must have 30 hours of pharmacology, 15 hours of fiscal and ethical law,

20 hours of supervised clinical experience, your PA program transcripts and either a Master's degree from a PA program or 10 full years of clinical practice as a PA. ? Grandfathering for the 10 years clinical practice will END on Nov. 1, 2009.

PROVISIONAL CTP

When you receive your letter from the OSMB stating you have now obtained your provisional CTP you must do the following:

? Fax a copy of the OSMB letter along with a physician signed delineation form to PA services: 636-1848.

? Wait to receive email confirmation from us that your credentials have been verified.

? You will receive a notice from MP Security that your EPIC has been updated making you an authorized prescriber.

? You must maintain your own log of hours during your 1,000 hours of provisional period.

? The first 500 hours must be direct supervision (new CTP users only) The second 500 hours are indirect supervision.

? Once you have completed your 1,000 hours, you must apply to the OSMB for your permanent CTP.

? Once you have obtained your permanent CTP number, notify the Office of the Director of PA services in order to update your EPIC account.

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PA SERVICES NEWS

!!! NEED TO KNOW !!!

DEA REGISTRATION NUMBER

You may apply for your DEA number when you have obtained your provisional CTP: ? Once you have received your DEA certificate, you must fax (636-1848) a

copy to PA services for credentialing and updating of EPIC security. ? You will receive a notice once again from EPIC security of the update.

Per the continuing Plan of Correction for CMS: NON CTP PA's are continued to be audited every month until they obtain their CTP's.

POLICIES FOR Certificate to prescribe (CTP)

Please refer to the Authorized Prescribers policy on who may prescribe medications. Remember: ? If you DO NOT have a CTP, the medication order has to be a Verbal

Order (see Verbal Order policy, CCF website). ? If you DO have a CTP, you must follow the PA formulary (see PA formu-

lary, OSMB website). ? By law, a PA does not have prescriptive authority to write for any

schedule II drugs, therefore, ALL schedule II drugs MUST be Verbal Orders whether you have a CTP or not.

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PA SERVICES NEWS

VOLUNTEER OPPORTUNITY

Would you consider giving 3 hours of your time once a month? The Free Clinic urgently seeks volunteer help from Physician Assistants. The time commitment is minimal, yet the impact is enormous!

GET INVOLVED! What: Lorain and Elyria Free Clinics When: Once a month (3 hours max) Why: 30,000 uninsured in Lorain County Where: 3323 Pearl Avenue, Lorain

202 Chestnut Street, downtown Elyria 200 West Lorain, Allen Medical Center, Oberlin How: Call 44-277-7602 to offer your support!

MEDICAL LIABILITY INSURANCE PROVIDED AT NO CHARGE All Professional Medical Volunteers are also Covered Under the Good Samaritan Law

If you know of other organizations who need volunteers or if you are volunteering please contact Tammela Jeffries so that we can share this information with other PA's.

NEW HIRES

Please join us in welcoming the following PA's to Cleveland Clinic:

Brianne Larsen PA-C Cardiothoracic Surgery

Hilary Petersen PA-C Pulmonary Medicine

Elizabeth Casper PA-C Lorain FHC

Jennifer Ogorzolka PA-C Orthopaedic Surgery

Lynn Wyville PA-C Vascular Surgery

Eric Majors PA-C Cardiothoracic Surgery

Nicole Rudert PA-C Epilepsy

Eric Betka PA-C Lorain FHC

Kieran Coughlin PA-C Orthopaedic Surgery

Brigette Bevly PA-C Gastro Intestinal

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