4CAP`s `Leveraging Data: A Focused Review of Advanced Practice Professionals` is available on www.capphysicians.com/articles/new-data-dive-study-leveraging-data-focused-reviewadvanced-practice-professionals. You are encouraged to read the full text of SB 697, but there are several changes in SB 697 that can influence your practice and have implications for risk management: it is difficult to predict how some of these changes will affect risk, claims and liability in 2020 and beyond. In the event of a claim, it is likely that the applicants` lawyers argue that each of the signatories of the practice agreement (doctors or/and health systems) will be responsible for the actions and omissions of the Palestinian Authority. Therefore, it`s never too early to start the discussion, so here are some ideas that will help you anticipate problems and anticipate risk reduction processes and methods. If medical assistants (Pa) – a kind of advanced practitioner – are part of your practice, you should know that PA`s rules and monitoring rules have been changed recently. Senate Act 697, Physician Assistants: Practice Agreements: Supervision, signed on October 9, 2019 and entered into force on January 1, 2020.1 The shift from single-physician supervision to multi-medaire surveillance is a significant change with new risk issues. He should always be a specialized doctor and available at all times. You don`t want to make a mistake because Dr. X thought Dr. Y was monitoring the AP. Clear coverage processes and schedules are one way to avoid breakdowns. The law contains specific requirements for the ordering and equipment of Schedule II and III drugs, which may be carried out in accordance with the patient`s practice agreement or specific prescription approved by the treating physician or supervisor. The statute contains additional specific requirements that the supervisory physician and the Palestinian Authority must meet to enable the Palestinian Authority to equip or order chedule II and III medicines.

APs and supervisory physicians should conduct a thorough review of the status and strictly comply with these requirements. In most welcome posts that are monitored, employees, registration information, or a physician assistant, changes to California Business and Professions Code Section 3500 and following, effective January 1, 2020, greatly simplify surveillance requirements for PAs in California. Any questions or comments about this article should be directed to riskmanagement@CAPphysicians.com. So what is an “organized health system”? It is a new term that Section 3501 basically defines to include, among others, licensed clinics, health facilities (such as hospitals and health care facilities), health facilities, medical practices, professional medical enterprises, medical partnerships and medical foundations – essentially all environments where medical care is provided legally. This is a welcome change for hospitals and medical groups that use APs to provide hospital physician type services or services in clinics with multiple physicians. The legislative amendments remove some of the most cumbersome requirements and streamline the oversight process in a manner more consistent with current industry practices. Prior to these amendments, physicians and PAAs were required to conclude a “delegation of service agreements,” in particular the delegation of medical services that a PA could provide. If several doctors supervise the AP – z.B in a group office or hospital – each had to either sign the delegation of service agreements or create one. The law also describes the specific and limited means by which physicians can carry out their supervisory duties; These include diagram revisions, reallocation data sets, patient-specific minutes and medical record review meetings.