All posts by Amy

VCNP’s commitment to diversity, equity and inclusion

The events of recent weeks have brought feelings of anger, sadness, pain and confusion. VCNP is committed to supporting our black, brown and African American colleagues, patients and communities and to increasing diversity, equity and inclusion within our organization and profession. As an association of healthcare professionals, it is our responsibility to use our platform for justice. We will be meeting as a Board this weekend and will follow-up next week regarding action steps we will take to further this mission.

Supporting NPs During COVID-19

Updated April 20, 2020

COVID-19 is presenting NPs, and the nation, with an unprecedented health care challenge while placing considerable demands and stressors on NPs, both professionally and personally. VCNP is working to share resources and support our members during this time. We hope you will refer to this web page to find valuable online resources and updates as they impact your practice during this time. Please let us know how we can continue supporting you by contacting us at vcnp@vcnp.net.


Professional resources

Telehealth

Children & Teens

Mental health

VCNP Communications

Email to VCNP membership sent March 17: COVID-19 Update

Email to VCNP membership sent March 23: COVID-19 Update

Email to VCNP membership sent March 26: COVID-19 Update

Email to VCNP membership sent April 11: COVID-19 Barrier Request

Email to VCNP membership sent April 20: CMS Cares

Email to VCNP membership sent May 1: Member Resources

Email to VCNP membership sent May 8: Nurses Week and CMS Update

Email to VCNP membership sent May 18: COVID-19 Update

CMS Final Rule: NP and PA Preceptor Documentation Updates – Success!

Susanne J. Phillips, DNP, APRN, FNP-BC

Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC on practicingclinicians.com |November 29, 2019

To access original post visit: https://practicingclinicians.com/the-exchange/cms-final-rule-np-and-pa-preceptor-documentation-updates–success-

On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule final rule, which will positively affect the NP and PA preceptor documentation burden. For those of you providing clinical teaching rotations for advanced practice registered nurse (APRN) and/or PA students, you may be aware that in March 2018 CMS reduced the documentation burden for physician preceptors. This change authorized teaching physicians to verify and sign student documentation components of evaluation and management (E/M) services rather than have to re-document the work themselves. Unfortunately, this created unintended consequences for APRN and PA preceptors and the students they supervise.

In an era where productivity in patient care has been a major driver of reimbursement, the 2018 rule caused many practices to abruptly discontinue precepting APRN and PA students—creating a crisis in NP and PA education. As a result, the American Association of Nurse Practitioners (AANP), the American Academy of PAs (AAPA), nursing, and physician stakeholders worked diligently to mobilize their constituencies and to request changes to the 2020 final rule. Through lobbying efforts and regulatory comments, CMS revised the language, thereby creating documentation requirement parity among all clinician preceptors.

Effective January 1, 2020, APRN and PA preceptors may review and verify medical record documentation entered by other licensed health care providers and members of the health care team, as well as student APRNs and PAs. This update will ultimately improve patient access to high-quality health care.

There are additional changes affecting APRN and PA providers including, but not limited to, updates to Medicare telehealth service reimbursement, E/M services documentation and reimbursement, physician supervision requirements for PAs, and payment for transitional care management services. Click the links in the references below for additional information.

References

VCNP 45th Anniversary Gala and Awards Reception

You are Invited!

Celebrate with your fellow NPs at the 45th Anniversary Gala during the 2019 VCNP Annual Conference.

Join us for an evening of recognition and celebration of accomplishments Nurse Practitioners have achieved. VCNP will recognize members and present association awards. Special prizes will be presented to participants, and the regional baskets will be given away.

 

2019 VCNP Annual Conference registration is open! Register now for the conference and be part of this special event. Registration is not required to attend.

 

For more information, or to register for the 2019 VCNP Annual Conference, click here.

Share your VCNP Memories

Share your VCNP stories and pictures! If you are a photographer on the side and are willing to participate by capturing the evening, please let us know!

 

Share your memories and talents! Send to amy.sales@easterassociates.com

Coastal Virginia VCNP Pharmacology Symposium

Registration is NOW OPEN!

Join us at the VCNP COVA Pharmacology Symposium on

Saturday, November 3, 2018

7:15 a.m. to 4 p.m.

at

The Lake Wright Conference Center

1521 Premium Outlets Boulevard

Norfolk, Virginia 23502

 

Click here to register.

Click Coastal Virginia Pharmacology Symposium Agenda for more information about the event.

Click Coastal Virginia Pharmacology Symposium Agenda to see the program.

 

Questions? Please contact Alysia Pack, VCNP Tidewater Education Chair via email at COVA18TW@gmail.com. Please allow 48 hours for a response.

Questions about HB 793?

HB 793 passed in the General Assembly and was signed by Governor Northam! The next steps involve the Department of Health Professions (including the Boards of Nursing and Medicine) promulgating the regulations for how this bill will be implemented. As this process unfolds, you may have questions about what this bill might mean for you and your practice. Let us know your questions!

 

VCNP has created hotline is for the use of the members of the Virginia Council of Nurse Practitioners, the professional organization representing NPs in Virginia. If you are not currently a member, we sincerely hope you will join us! Sign up today at https://www.vcnp.net/membership-application-and-renewal/  and stay informed about what is happening for NPs in Virginia!

 

If you are a member, please log in and look for the “Questions about HB 793” link in the “Advocacy” section.

HB 793 Update: Contact Senate Education and Health Committee Members NOW!

Contact the Senate Education and Health Committee Members now! It is possible that HB 793 could be heard as early as Tuesday, February 20. This is the stage, with the Senate Sub-Committee and full Senate Committee, at which we will be proposing amendments to HB 793. We want you to know and trust that we will not let Virginia be an outlier. We have the commitment of our patron that we will not move forward with the bill if it remains in its current form. 

 

Tell the Committee members that you support HB 793!

Chairman Newman – district23@senate.virginia.gov – 804-698-7523

Richard Saslaw – district35@senate.virginia.gov – 804-698-7535

Louis Lucas – district18@senate.virginia.gov – 804-698-7518

Janet Howell – district32@senate.virginia.gov – 804-698-7532

Mamie Locke – district02@senate.virginia.gov – 804-698-7502

George Barker – district39@senate.virginia.gov – 804-698-7539

Richard Black – district13@senate.virginia.gov – 804-698-7513

Charles Carrico – district40@senate.virginia.gov – 804-698-7540

Chapman Peterson –district34@senate.virginia.gov– 804-698-7534

John A. Cosgrove – district14@senate.virginia.gov – 804-698-7514

Lynwood Lewis – district06@senate.virginia.gov – 804-698-7506

Siobhan S. Dunnavant –district12@senate.virginia.gov – 804-698-7512

Amanda Chase – district11@senate.virginia.gov – 804-698-7511

David Suetterlein – district19@senate.virginia.gov – 804-698-7519

Mark J. Peake – district22@senate.virginia.gov – 804-698-7522

 

We are actively working on changing and adding to the legislation to best fit the needs of Virginia NPs. This includes the following key points:
  • A reduction in hours requirements for the Transition to Practice program. This is a top priority for VCNP and its membership. We are working to educate our Senators that five full years of clinical experience requirements is excessive and has not been proven as a barometer for safe practice.
  • Attestation will be a standardized form created by DHP with provisions for exceptions for NPs who may not be able to obtain the physician signature; for example, circumstances due to physician death.
  • There is no provision for grandfathering NPs; however, existing experience will count towards years of experience qualifying for the transition time period. All eligible NPs will need to submit an attestation form to DHP to be able to practice unencumbered by the practice agreement requirement.
  • Endorsement of NPs from other states will be considered under regulations with provisions for NPs from out of state to meet equivalent time requirements attested by a physician or other entity if the physician’s signature cannot be obtained.
  • Removal of APRN titling because the definition excludes those early NPs whose educational programs granted certificates and not a master’s degree.
  • Removal of redundant language from regulations restating provisions for periodic review of records, including site visits.
  • Removal of language that NPs must have graduated from an educational program accredited by Commission on Collegiate Education, as this requirement has been met by virtue of licensure.
  • Collaboration will be defined as to the degree of cooperation necessary to provide treatment and the collaboration is with MDs and other health care providers.
  • Removal of language that NPs practice medicine.
As we are working on amendments, we still need your support! Submit letters via the CareforVA.com website and rally with your colleagues to continue to support HB 793.