ad · vo · ca · cy
/ˈadvəkəsē/
Noun. Public support for or recommendation of a particular cause or policy.

Photo source: http://www.thebluediamondgallery.com/a/advocacy.html

PA's Can Serve as Hospice Attendings--

But the Centers for Medicare & Medicaid Services (CMS) Did Not go Far Enough!


Thanks to all who helped us provide comments to CMS this September regarding their proposed rule changes that will affect PAs in a number of ways, but in particular our ability to serve as hospice attending.  We are now awaiting the final rule after CMS completes its review of comments.


Thanks to our partners at AAPA and the National Coalition for Hospice and Palliative Care, CMS heard our concerns about limits to our ability to prescribe medications to our patients on hospice.

Click Here for PAHPM’s Official Comment and Response to the Rule

Click Here to see the specific CMS text addressing the rule change and the points on which CMS is asking the public to comment.

Highlights of Comments from what PAHPM and our Partners shared with CMS:

  • PAHPM agrees with CMS’s proposal “to revise § 418.106(b)(1) to permit a hospice to accept drug orders from a physician, NP, or PA. We propose that the PA must be an individual acting within his or her state scope of practice requirements and hospice policy.” 
HOWEVER, we disagree with limiting to just non-hospice drug orders, as is indicated in the text.  PAs, as NPs should not be limited and should be able to care for patients fully, able to provide hospice drug orders relating to their hospice/terminal condition.
  • PAHPM respectfully disagrees with the proposal to specifically limit reimbursing PAs with whom hospices may want to employ or contract
  •  PAHPM believes that PAs can provide meaningful involvement with hospice by providing complex symptom management and care for patients and families
  •  PAHPM believes PAs can be integral members to help run hospice interdisciplinary teams
  • PAHPM believes PAs should be allowed to do face-to-face visits for recertification just as our NP colleagues currently do

We know a number of you also shared your own comments with CMS and encouraged others to do so--for that, a big THANK YOU!

We will continue to keep you updated and even now, are partnering with our Coalition Partners and AAPA to be prepared to bring to reality PAs following patients on to hospice and fulling caring for them and being full partners with and on hospices across this country.  More will need to be done at the national and state level, and we thank you in advance for helping keep this momentum going!



PAHPM Needs your support in advancing our profession. 

This survey will collect vital data for support and advocacy of educational initiatives and policy issues – such as the proposed bipartisan federal legislation in both houses of Congress. Now that Hospice legislation has passed, the need to address education and further policy to address workforce issues is more paramount. We are on our way to success! 

In particular, the Public Health bill PCHETA (Palliative Care and Hospice Education and Training Act) in which PAs are explicitly named, is supported by both Houses of Congress. In addition to contacting your Senators and Representatives, add fuel to our initiative by filling out the survey.  Here is the link:


Over 600 responses so far: ADD YOUR VOICE TO OTHER PAS!

Please forward this needs-assessment survey to your peers, students, educators, and colleagues.

Board of Directors

 PAHPM


The purpose of the guidelines is to improve access to quality palliative care by fostering consistent standards and continuity of care across settings. PAHPM is an endorsing organization of the guidelines so please join us in this national effort so that all people living with serious illness and their families will receive the best care possible.  

Learn more at www.nationalcoalitionhpc.org/ncp and follow us @CoalitionHPC (#NCPGuidelines)

PAHPM is a Member of the: