Log in


  • November 24, 2019 7:39 PM | Anonymous member (Administrator)

    For those of you looking for a hospice update for PAs, check out our Hospice Resources page.

    Does your state statutes support PAs partnering and prescribing with hospice?  One tip I've found is to check with your state hospice association.  They often know the latest statutes for each state, and may have been following the CMS rule changes more closely than your local hospice.

    AAPA has also offered to help us clarify what each state is doing.

    For questions regarding restrictive hospice language in your state, contact Erika Miller at emiller@aapa.org.

  • October 13, 2019 10:16 PM | Anonymous member (Administrator)

    Does your state have a POLST or MOLST - like form to document end-of-life issues?  Many states do.  

    They are helpful and meant for those patients who:

    • you would not be surprised if they died in the next 12 months from a life-threatening or serious illness.
    • you would not be surprised if they were unable to share their own wishes in the next 12 months (think end-stage dementia, ALS, etc.)

    They are not for healthy individuals.

    More than half the states that have a POLST-like forms allow PAs to sign them independently.  Still, some states require a physician co-signature, and some do not allow PAs to sign at all.

    There is a National POLST Paradigm organization which has more information on POLST around the country.  They actually have developed a National POLST form and there is some movement to adopt this.  A great idea, but right now it's default is for PAs to require a signauture.

    Thoughts?

    What's your POLST experience? What are your questions?


  • May 29, 2019 6:27 PM | Anonymous member (Administrator)
    South Carolina Law Allows Physician Assistants to Refer Patients to Hospice 

    Nice article and a win for patients and PAs in South Carolina.

    More for us to do Nationally and PAHPM is working hard on the gaps that remain!

     

     

  • May 08, 2019 11:52 AM | Anonymous member (Administrator)

    Reminder if you will be attending the 2019 AAPA Conference in Denver that we will be there!  Check our our Events Page for details on our special symposium on Hospice & Palliative Topics and for our Annual PAHPM Meeting--all are welcome!

    We'd love to hear from you and see you in Denver.  We'll have an exhibit booth as well--so come stop by!!




  • November 04, 2018 4:51 PM | Anonymous member (Administrator)

    Hello all!

    Please help respectively share questions, comments, best practices here so we can all learn from each other!

    Thanks

  • February 27, 2018 10:19 PM | Anonymous

    The Virginia Association of Physician Assistants posted this on their Facebook page and was kind enough to alert PAHPM.  Click on the link to read PA-S Blake Rogers excellent blog post.  This is very well written and looks like Blake has a great future in HPM!

    "Virginia needs more palliative care trained providers in rural areas to increase high-quality health care for patients with serious illnesses. Blake Rogers, VAPA Student Representative & VCHI Innovation Fellow, finds that PAs may be the solution Virginia needs.

    http://innovatevirginia.org/blogs/p/virginia-earns-a-b-on-report-card-for-access-to-palliative-care"

  • February 27, 2018 9:27 PM | Anonymous

    PAHPM's PA-C Judy Knudson was asked to write a blog about the passing of the Medicare Patient Access to Hospice Act for the University of Colorado iPalliativeCare blog.  Check it out below!

    "Beginning on January 1, 2019, Physician Assistants can begin billing for their services and join hospice providers to care for our dying. In the early morning hours of February 9, 2018, the Medicare Patient Access to Hospice Act HR 1284 was signed, allowing PAs to be reimbursed for their services caring for hospice patients. [Collective sigh]…..It’s about time!

    Impacts for Physician Assistants

    Many years of work and legislative effort from grass roots to corporate leaders have been promoting this bill and at last it has come to pass.  Until this monumental legislation, PAs have been unable to practice in the hospice field because of  lack of reimbursement.  As the care for our dying is already impacted by a severe workforce shortage, leaving this talented group of professionals out of the loop has been a serious misstep.

    More Work to be done

    Though this legislation paves the way, there is still much to do.  PAs leaders are currently working with legislative bodies to define the details as to how this actually translates into practice.  A vital first step is to prepare PAs as they enter the hospice world.  Education resources are key. . . We are thrilled this door has opened up for PAs and they can now take their place alongside their colleagues caring for the seriously ill patients and families we serve."

    Read the full bill at: https://www.congress.gov/bill/115th-congress/house-bill/1284/text

  • September 08, 2017 11:51 AM | Nadya Dimitrov (Administrator)

    Here is a great link from AAPA's VP for Reimbursement, Michael Powe, about how to take advantage of the new guidelines for billing for conversations with patients regarding Chronic Care Management: "What if Medicare decided to offer you additional reimbursement for work you’ve already been doing for your patients? Would you take it?"

    https://www.aapa.org/advocacy-central/reimbursement/cms-payment-details-chronic-care-management-services/

  • April 18, 2015 11:42 AM | Deleted user

    AAHPM has given their support for the Medicare Patient Access to Hospice Act of 2015.   This is our chance to improve PA rights in hospice care.  Follow the link below for more information from AAHPM and full text of the bill.

    http://cqrcengage.com/aahpm/app/bill/526829

    https://www.congress.gov/114/bills/hr1202/BILLS-114hr1202ih.pdf

  • March 14, 2015 9:22 PM | Deleted user

    March is National Kidney Month and a good time to recognize the needs of our End Stage Renal Disease patients.  Often these needs are left unmet until dialysis is no longer an option.

    Dialysis