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Physician Assistants


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Physician Assistants

  1. 1. SOUTH DAKOTA ACADEMY OF Physician Assistants “PARTNERS IN MEDICINE” ♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ PRESIDENT’S MESSAGE As I begin my tenure as the President of SDAPA, we all begin an exciting adventure as we seek to modernize our practice act in South Dakota. Our current statute was written in 1972 and originally reflected what PA practice was at its inception. However, 35 years have come and gone and the current language has not kept pace with the evolution of our profession over the years. On June 27, our delegation from the SDAPA had the opportunity to discuss our proposed changes with the SD Board of Medical and Osteopathic Examiners. I was joined by Diane Weber, outgoing President SDAPA, Sheila Schweitzer, co-chair of the Practice Act Committee, Ann Davis, Government Affairs AAPA, and Kitty Kinsman, consultant SDAPA. Our presentation emphasized the key objectives or our proposed changes and was well received with a few recommendations from the Board. As we continue to promote our proposed changes as an Academy, we will be seeking support from our physician partners, the SD State Medical Association, and other health care entities around the state. We hope that through our discussions, we can show our need for the modernization of this practice act in order to ensure delivery of quality medical services to the people of South Dakota in both rural and urban areas. It is important that all physician assistants practicing in this state, keep in close communication with the Academy and their PA colleagues throughout South Dakota. It takes communication with our clear and consistent message as we spread the word of our efforts in order to make this successful. This is an exciting time for all of us professionally. This is a great opportunity to strengthen our physician-PA teams. This is not an effort for independent practice. Rather, this is a time for clarification and affirmation of a physician delegated practice for physician assistants. We look forward to coming together again as an Academy in September in Sioux Falls for our Fall CME meeting. Enjoy the summer. Keep in touch. Daniel Palmer, PA-C President, South Dakota Academy of Physician Assistants Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 1
  2. 2. MARK YOUR CALENDARS FALL CME CONFERENCE September 14-15-16, 2006 Ramkota Hotel, Sioux Falls, SD For Reservations call: 605/336-0650 – Specify that you are with the SD Academy of Physician Assistants group-to get the group rate. PA WEEK – OCTOBER 6-12, 2006 LEGISLATIVE DAY RECEPTION PA Day at the Legislature is scheduled for January 31st, 2007 at the Ramkota from 5:00 to 7:30 pm. Let your legislators know you are going to attend and invite them to join you at the reception. AAPA SAN FRANCISCO Countdown Begins - Get Your NPI! CONFERENCE - SPEAKER PAUL There is less than one year left; don't risk ROBINSON, SUMMARY OF ACTIONS disruption to your cash flow - get your NPI now! FOR 2006 National Provider Identifiers (NPIs) will be On behalf of the House Officers we are happy to required on electronic claims sent on and after announce that the 2006 Summary of Actions is May 23, 2007. Every health care provider now available to you. For a copy contact Susan should obtain an NPI! Heofling, AAPA, . Or SDAPA email request to Mary Nafus http:/www./ Getting your NPI is the first step in the process of meeting the compliance date. Once you The document reflects the hard work done by the have your NPI, you may need to modify your Delegations in San Francisco, and will help guide existing business processes to accommodate the work of the Academy’s committees and use of the NPI. You will also need to share councils, as well as Board of Directors. The policy your NPI with other health care providers with statements will be placed in our Policy Manual whom you do business. soon, and the next step will be the development of the famous, MegaChart, that will be used to track Learn more about NPI and how to apply by our progress through the year. visiting on We have made every effort to prepare an error free the CMS website. This page also contains a document but if you think that there is a mistake, section for Medicare Fee-For-Service (FFS) please bring it to my attention. providers with helpful information on the Medicare NPI implementation. A Countdown Thank you all for the tremendous effort that is Clock is now available on this page to remind shown in this document. health care providers of the number of days left before the compliance date; bookmark this page as new information and resources will Paul S. Robinson, PA-C continue to be posted. Speaker, House of Delegates Please click here to see the press release: ase.asp?Counter=1870 Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 2
  3. 3. NEWS Jane Phalen Board Operations Coordinator SD Board of Medical & Osteopathic From the SD Board of Medical and Examiners Osteopathic Examiners (SDBMOE) Good News To Assist You With License Maintenance: MORE NEWS Forms will be added to the website Webster, SD - It's hot and going to get hotter ( then click on say climate officials, and health officials are Resources Tab under Menu) to assist the telling South Dakota residents to take extra “Change of Supervision” process. precautions to avoid heat related health problems. Comments from Lola Pollard who is According to SDCL 36-4A-37, failure to notify the vice-president of the South Dakota the SDBMOE in writing of the termination of Academy of Physician Assistants. the contract with the person's supervising physician within seven (7) days after the termination can be grounds for refusal, Washington, DC - The U-S House is expected revocation, or suspension of the physician to approve a significant increase in funding to assistant license. The “Change of expand health care to the medically Supervision” form will help simplify the underserved and uninsured. Comments from notification process. It is the physician Dan Hawkins, policy director for the National assistant’s responsibility to that the SDBMOE Association of Community Health Centers and is notified of any changes of supervision. Paula Hallberg, with Community HealthCare Association of the Dakotas. Physician Assistant Licenses Simplified: Beginning July 15, 2006, the SDBMOE will no longer issue separate license numbers for each additional supervision agreement (no more locum tenens license numbers). This will allow a physician assistant to have multiple supervision agreements under one primary license number. (This will not remove the requirement of submitting original supervision agreements to the SDBMOE office prior to beginning any new practice. Also, every supervision agreement must be renewed each year to continue practice.) Finally, the locum tenens administrative charge of $50 will be reduced to $25. This will mean that regardless of which administrative modification is required for your practice (either supervision change or additional practice agreements) there will be one standard rate of $25. Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 3
  4. 4. CONGRESSIONAL VISIT On April 25th, 2006 Wade Nilson, MPAS, PA-C and Louise Papka, MPAS, PA-C from the USD PA Program traveled to Washington, DC on behalf of the SDAPA and AAPA. They met with Senators Tim Johnson, John Thune , and with Representative Stephanie Herseth. The meetings with each Legislator were to discuss current important Legislative matters for Physician Assistants regarding: 1. Restoring Federal Funding support for the Public Health Service Act’s Health Professions Programs, including Physician Assistant Educational Programs; 2. changes needed to implement full coverage of Wade Nilson, MPAS, PA-C, Louise Papka, MPAS, PA-C Medicare services provided by Physician Assistants with U.S. Representative Stephanie Herseth above and and to ensure Medicare beneficiaries’ access to care U.S. Senators John Thune and Tim Johnson below (post-hospital care in Skilled Nursing Facilities, Home Health & Hospice Care); 3. need to update the Federal Workers’ Compensation Program to allow Physician Assistants to diagnose & treat injured employees, and 4. optimizing patient care in the Department of Veterans’ Affairs (VA) by elevating the PA advisor to a full-time position in the VA’s central office. Their efforts were positively received by our South Dakota legislators. Both the SDAPA and AAPA were well represented by Mr. Nilson and Ms. Papka. Louise Papka, MPAS, PA-C Academic Coordinator / Assistant Professor Physician Assistant Studies Program Sanford School of Medicine and Health Sciences University of South Dakota 605-677-6568 Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 4
  5. 5. Michelle Gielski Joins SDAPA PR The Division of Diabetes Translation in the Centers Committee for Disease Control and Prevention (CDC) uses 7 national goals for benchmarking and reporting to Michelle Gielski, PA-C from the Vermillion area Congress and others. These goals are: recently joined the PR Committee. Michelle -Increase Influenza Vaccination Rates graduated from the USD PA program in 2000 and since then has specialized in Orthopedics. She is -Increase Pneumococcal Vaccination Rates currently working for the Department of Health at the Springfield (Mike Durfee) prison and the -Increase Rate of A1c tests Yankton Trustee Unit. She also holds an Orthopedic clinic for the State Prison in Sioux Falls. -Increase Rate of Dilated Eye Exams Michelle also works at the Yankton/Vermillion -Increase Rate of Foot Exams medical clinic convenient care clinic. -Identify & Reduce Health Disparities Since graduating Michelle has served one year in for High Risk Populations with Respect Iraq with the Washington Sate National Guard. She to Diabetes Control & Prevention has been in the Guard for 19 years and a PA in the Guard since 2000. She has the distinction of being -Establish Linkages to Promote Wellness the only female to serve with an entire male tanker and Physical Activity for Persons with Diabetes battalion (303rd Armor). Accomplishments such as this are not the work of one entity or one initiative. Is is the infrastructure Michelle is 35 years old, married and the mother of built over the years and the collaborative spirit we two. In her extra time she plays in the Doctor share. Congratulations to all of you for providing Dendrite and the Twisted Synapses band. The such a high level of care and helping those with band plays for charities and she admits that they are diabetes live healthier lives. Keep up the good “not that bad”. She and her family love to camp, work! ride Harley’s, attend a good hockey game and watch a little “Desperate Housewives” and “Grey’s Save the Date-Changes and Challenges in Anatomy” together. Diabetes Care-2006 We are excited about the addition of Michelle to the Changes and Challenges in Diabetes Care-2006 is PR Committee and congratulate her on her efforts to scheduled for October 10th and 11th at Cedar Shore further the SDAPA. We are still looking for a Resort in Chamberlain. representative from the Sioux Falls area. Any interested individuals can contact Lola Pollard, PA- SD Diabetes Strategic Planning Continues C at Lake Area Family Health Center at 345-4141 or by email at or in the Review of the draft strategic plan is currently being evenings at home at 588-0026. done by partners across SD. The final plan will be unveiled at the October 12th Partner's Conference at Cedar Shore Resort in Chamberlain. SD Continues to Have High Rates in Diabetes Care Colette Beshara, RN, BSN Diabetes Prevention & Control Program For the second year in a row, South Dakota met the Coordinator Healthy People 2010 objectives for 2 or more A1c SD Department of Health tests (goal of 65%) and dilated eye exams (goal of 615 E Fourth Street Pierre, SD 57501 76%). Only three other states, Maryland, (605) 773-7046 Minnesota and Tennessee, also met these objectives (605) 773-5509-fax in 2004. In addition, only SD and MN reached these objectives in both 2003 and 2004. Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 5
  6. 6. JOB OPPORTUNITY CORNER or find us online at Some of the places that are looking for PAs in South Dakota on our website – for more information check out the website: Rapid City - Dynamic team of 11 Orthopedic Surgeons, 2 Rheumatologists and 5 Physician Assistants has an immediate opening for an enthusiastic individual to join their comprehensive center for musculoskeletal care. The ideal candidate will have a minimum of one year of orthopedic surgical experience but we are willing to train. NCCPA certification ---OTHER ADS see website for complete info--- and license or eligibility for licensure in the state of South Dakota is required. Faulkton, SD – Critical Access Hospital opening in fall of 2007 – contact: Jay Jahnig, Primary duties include first assistance in CEO/Administrator 605/598-6262, surgery, hospital rounds, clinical outpatient care and participation in call rotation with other physician assistants. Platte, SD – Platte Health Center/Avera, contact: Mark Burket, CEO, We are located in the beautiful Black Hills of South Dakota where our moderate year-round climate offers unlimited recreational activities. Mitchell/Yankton – work with radiation We offer an excellent compensation and oncologist serving cancer centers. Contact Dr. benefit package with exciting opportunities for Michael Peterson 605/995-5756 or 605/668- growth. 8850. For questions, contact Dan Palmer, PA-C: Mobridge – Mobridge Regional Hospital and Clinics – Contact: Angelia K. Svihovec, CEO at For consideration, send CV and cover letter to: 605/845-8105. Black Hills Orthopedic & Spine Center Peggy Palmer, Human Resources Director Wessington Springs – Horizon Health Care, P.O. Box 6850 Rapid City, S.D. 57709 Inc. may contact through email: Siouxland Staffing: Locum Tenens work – Bowdle – Bowdle Hospital, Contact: Jon, Siouxland Staffing Services is seeking mid-level 605/285-6146. providers for Locum Tenens work in South Dakota. We are currently serving customers in clinic, Clear Lake – Deuel County Memorial Hospital emergency care and urgent care with a wide & Clinic, Contact: variation in the number of patients. Our shifts vary based on the client, but mainly weekdays (8 or 9 Hoven – Holy Infant Hospital, contact Jay hours shifts) with an occasional weekend and Duenwald 605/948-2182 or weeknight. Please send your resume, shift preferences, current licenses and type of care for which you are qualified to AND MANY MORE ON SDAPA WEBSITE Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 6
  7. 7. A Note of Thanks from the USD PA Class of 2007! Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 7
  8. 8. PAAC REPORT 36-4A-29 It was noted that there was some redundant language when looking at this item and On June 27, 2006 members of the PAAC, Jan looking at 36-4A-20 that should be removed. There Hines, Jim Cody and Rod King met with the Board was nothing to be omitted. It’s just that some of it of Medicine and Osteopathic Examiners in Sioux didn’t need to be stated twice. Falls at the downtown Holiday Inn. The only topic discussed at this meeting, involving PAs was the 36-4A-31 The board wants to continue the yearly proposed changes in the PA practice. renewal of licenses for PAs, however there was Representatives from the SDAPA, Dan Palmer, interest in changing the calendar end to the end of Diane Weber and Sheila Schweitzer, Ann Davis December. from AAPA and our lobbyist Katherine Kinsman presented the proposed changes and fielded questions afterward. SDAPA president Dan Palmer 36-4A-32 The wording here would therefore stay at actually did most of the talking during the 12 months instead of the 24 months proposed. presentation. Overall the board was fairly receptive to most of the changes. 36-4A-37 The recommendation from the board here was to replace ‘satisfactory proof’ to The following were recommended to be changed ‘preponderance of the evidence”. or revised: They also recommended striking out gross in (1) and wanted to keep (3) in regard to notifying the 36-4A-7 This point may need to be clarified further board on termination of a contract. with the board; however they felt that they wanted this left in fearing federally employed PAs who are One last item that was brought up by Margaret not required to carry a SD license might have Hansen, executive director for the board and Don occasion to work in the private sector and would Srstka, the lawyer for the board was in regard to therefore need to be licensed in SD. locum tenens licenses. Don stated that he found nothing in the law that supported the need for PAs 36-4A-8.1 (inactive license) The board did not like to have anything other than a SD license to practice the idea of inactive status. They do not allow that anywhere, meaning that locum licenses will soon be with physicians and felt the same for PAs. It a thing of the past. Requesting additional practice allowed them to keep track of people. agreements will take the place of separate locum tenens licenses. Contact the board staff for the new 36-4A-11 Mr. Donald Srstka, the legal counsel for process. The administrative change request to the the board felt that this piece should stay in our board will be the responsibility of the PA. practice act. He felt that it might be helpful to have it sometime. I feel that the board was quite impressed with how this was presented to them, and with the 3 6-4A-20 The board definitely felt that they wanted obviously large amount of time and effort that has a copy of the practice act with the board and not just gone into this thus far. They were also impressed on file in the practice. It was also recommended with our having Katherine Kinsman on board with that we include in this part of the practice act us. They seemed favorably familiar with her language taken from Vermont’s practice act stating reputation. that “It is the obligation of each PA/supervising physician team to insure that written scope of I must commend Dan Palmer and the others on practice submitted to the board clearly delineates doing such a good job of presenting this to the the role of the PA in medical practice.” board. They also wanted something here, a little more specific, about how and how much supervision The next meeting with the board of medicine is would take place. September 12, 2006. Submitted by: Rod King, PA-C Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 8
  9. 9. Current efforts are underway by the Departments of Education, Health and Labor to meet the future needs for a strong healthcare workforce in the State. In order to most effectively meet our goals, your input and involvement are crucial. Monday, August 7, 2006 Ramkota Conference Center, Pierre, SD 9:30 a.m. to 4:30 p.m. Name Title Organization Address City State Zip Telephone Email Please mark 1 &2 by the work groups you would most like to work on during the day and mail in the _____Pipeline _____Capacity _____Internships/Clinicals _____Perception & Awareness of Need _____Recruitment/Retention If you have any questions, please call Mona Yanacheak, OCTE Health Science Program Representative at 605-773-4527. You can print a full registration form and agenda at: Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 9
  10. 10. NOTICE! PAs WOULD YOU CONSIDER CHANGING YOUR SPAM FILTERS SO THAT MESSAGES FROM SDAPA AND AAPA CAN GET THROUGH. IT WOULD BE VERY HELPFUL IN GETTING OUR MESSAGES OUT TO YOU. Thank you. Mary Nafus, Executive Secretary, SDAPA OTHER CME CONFERENCES The Pennsylvania Society of Physician Assistants: Welcomes you to the 31st Annual CME Conference – 26 Hours – Category 1, October 4-7, 2006, Harrisburg Hilton, Harrisburg, Pennsylvania. Refer to the web site for details about scheduling, registration, hotel and attractions The Connecticut Academy of Physician Assistants (ConnAPA) is pleased to announce its 20th Anniversary Charter Oak Conference Monday - Friday, March 26 - 30, 2007 (Pre-conference Symposia: March 25, 2007) Viking Hotel, Newport, RI contact: or 800/493-9200 Sarah Jones to Open Primary Care Conference Registration Online Now Available Sixth Annual Primary Care and Prevention Conference and Eleventh Annual HeLa Women’s Health Conference September 11-13, 2006 at the Renaissance Hotel in downtown Atlanta, Georgia. You won’t want to miss an exciting, informative and educational program (up to 18.75 CME credits, see below) dedicated to Improving Health and Eliminating Health Disparities. For a complete program, visit PCPC6/HeLa11 Conference website. For information, please email or call 404 756 8908. Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 10
  11. 11. CME REGISTRATION September 14, 15, 16, 2006 (Pre-registration) Please submit by August 31, 2006 Name___________________ ___ SS:_________________________________ Address:___ ___ City State Zip Home Phone Work Phone Email: Tuition: (Check One) All three days (SDAPA members) $150.00 All three days (SDAPA non-member) $190.00 USD PA Students FREE Per day ( Thursday Friday Saturday) $85.00 (Add a $10.00 fee after the August 31st deadline) Return registration and payment to: South Dakota Academy of Physician Assistants Mary B. Nafus, Executive Secretary 120 S. Madison Avenue Pierre, SD 57501 Phone: (605) 224-1203 Fax: (605) 224-8221 Website: E-mail: Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 11
  12. 12. PRESORTED SOUTH DAKOTA STANDARD ACADEMY OF U.S. POSTAGE Physician Assistants PAID PERMIT NO. 26 120 S. Madison Ave., Pierre, SD 57501-3536 PIERRE SD South Dakota Academy of Physician Assistants OFFICERS The South Dakota Academy of Physician President Alternate Delegates Ethics Committee Dan Palmer, PA-C Sheila Schwietzer Peggy Hubbard, PA-C Assistants newsletter is a (605)348-7957 (605)865-3162 (605)269-2322 publication of the SDAPA, edited and Vice Pres./President-Elect Board of Directors published by Mary B. Lola Pollard, PA-C Marilyn Ruhlman, PA-C Nafus, executive (605)588-0026 Legislative Coordinator (605)692-1463 secretary. Vicki Blake-Nafus, PA-C Wayne Washenberger, PA-C ((605)224-7143 (605)598-6272 Please address inquiries Secretary Karen Bumann Lynn Kilmer, PA-C Reimbursement Coordinator (605)847-4214 to: South Dakota (605)642-5447 Amiel Redfish, PA-C Academy of Physician (605)983-3283 PAAC Assistants, 120 South Treasurer Jim Cody, PA-C Madison Avenue, Pierre, Vicki Blake-Nafus Public Education Contact (605)942-7414 SD 57501-3536. (605)224-7143 Barb Joy, PA-C Rod King, PA-C (605) 224-1203 phone (605)224-8493 (605)627-5750 (605) 224-8221 fax Jan Hines, PA-C CME Coordinator (605)720-2020 Meg Hansen, PA-C Chief Delegate (605)336-8444 Chapter Student Representative Volume 16 Marilyn Ruhlman, PA-C Ryan Klenner, PA-SII Issue 3 (605)692-1463 Membership Coordinator July 2006 Diane Weber, PA-C Executive Secretary Delegate (605)685-1315 Mary Nafus Todd Nelson, PA-C (605)224-1203 (605)351-8505 Volume 16, Issue 3 * South Dakota Academy of Physician Assistants * July 2006- Page 12