10/13/2014 1 Challenges and Opportunities Facing the PA Profession Challenges and Opportunities Facing the PA Profession Lawrence Herman, PA-C, MPA, DFAAPA Chair of the Board / Immediate Past President AAPA Challenges and Opportunities Facing the PA Profession 2 2 Challenges and Opportunities Facing the PA Profession Challenges and Opportunities for the PA Profession 3 Challenges and Opportunities Facing the PA Profession Top 5 Opportunities The PA profession has the opportunity to … 1. Position PAs to capitalize on changing consumer expectations 2. Reduce PA practice barriers 3. Maximize PA employment options and pay 4. Deliver on the promise of “patient-centered, team-based care” 5. Keep up with the rapid and dramatic changes in medicine and learning 4 Challenges and Opportunities Facing the PA Profession NEW CONSUMER EXPECTATIONS The PA profession has the opportunity to … 1. Position PAs to capitalize on changing consumer expectations 2. Reduce PA practice barriers 3. Maximize PA employment options and pay 4. Deliver on the promise of “patient-centered, team-based care” 5. Keep up with the rapid and dramatic changes in medicine and learning 1 5 Challenges and Opportunities Facing the PA Profession Patient access to health information is changing patient/provider interaction Consumers Seek Healthcare Information Online • 95 million Americans are now using mobile phones as health tools or to find health information, up 27% over 2012. • 72% of U.S. adults said they looked online for health information last year. • 35% said they went online specifically to figure out what medical condition they or someone else might have. Sources: Manhattan Research, Cybercitizen Health US Survey, 2013; Pew Internet and American Life Project Health Online 2013, Jan 15, 2013; http://www.pewinternet.org/fact-sheets/health-fact-sheet/ NEW CONSUMER EXPECTATIONS 6
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10/13/2014
1
Challenges and Opportunities Facing the PA Profession
Challenges and OpportunitiesFacing the PA Profession
Lawrence Herman, PA-C, MPA, DFAAPAChair of the Board / Immediate Past President
AAPA
Challenges and Opportunities Facing the PA Profession
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Challenges and Opportunities Facing the PA Profession
Challenges and Opportunitiesfor the PA Profession
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Challenges and Opportunities Facing the PA Profession
Top 5 OpportunitiesThe PA profession has the opportunity to …
1. Position PAs to capitalize on changing consumer expectations
2. Reduce PA practice barriers
3. Maximize PA employment options and pay
4. Deliver on the promise of “patient-centered, team-based care”
5. Keep up with the rapid and dramatic changes in medicine andlearning
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Challenges and Opportunities Facing the PA Profession
NEW CONSUMER EXPECTATIONS
The PA profession has the opportunity to …
1. Position PAs to capitalize on changing consumerexpectations
2. Reduce PA practice barriers
3. Maximize PA employment options and pay
4. Deliver on the promise of “patient-centered,team-based care”
5. Keep up with the rapid and dramatic changes inmedicine and learning
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5
Challenges and Opportunities Facing the PA Profession
Patient access to health informationis changing patient/provider interaction
Consumers SeekHealthcare Information Online
• 95 million Americans are now using mobilephones as health tools or to find healthinformation, up 27% over 2012.
• 72% of U.S. adults said they looked online forhealth information last year.
• 35% said they went online specifically to figure outwhat medical condition they or someone elsemight have.
Sources: Manhattan Research, Cybercitizen Health US Survey, 2013; PewInternet and American Life Project Health Online 2013, Jan 15, 2013;http://www.pewinternet.org/fact-sheets/health-fact-sheet/
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
There is a growing consumerawareness of healthcare costs
Source: Kaiser/HRET Survey of Employer-Sponsored HealthBenefits, 2001-2012
Average Annual Health Insurance Premiums andWorker Contributions for Family Coverage, 2002-2012
Share of Healthcare Spending Borne byFamilies Projected to Continue to Rise
Source: Center for American Progress, “Family Health Spendingto Rise Rapidly” September 15, 2009
Worker Contributions to Insurance PremiumsMore Than Doubled in 10 Years
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
PAs/NPs are Providers of ChoiceAmong YoungerAmericans
A shift in consumer preferencesamong providers is already apparent
Most Patients PreferImmediate Care from PA or NP
Prefer to see a PA or NPPrefer to see a PA or NP
Wait for aphysicianWait for aphysician
60%
25%
0% 50% 100%
Age 18-34
Age 35-60
Age 60-75
Prefer PA/NP Prefer Physician
Sources: (left) Association of American Medical CollegesConsumer Survey; (right) The Millennial Project 2013
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
Increaseawareness of
PA value
Increaseawareness of
PA value
Empowerconsumers
withinformationabout PAs
Empowerconsumers
withinformationabout PAs
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
Creating Opportunities to Raise Awareness
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
PA Week 2014
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
NEW CONSUMER EXPECTATIONS
12www.aapa.org/PAweek
California
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Challenges and Opportunities Facing the PA Profession
Changing the Way We Talk about PAs
• PAs practice medicine in collaborationwith physicians
• PAs are members of healthcare teams
• PAs diagnose
• PAs prescribe medication
• PAs treat patients with complex conditions
• PAs are good for patients …
NEW CONSUMER EXPECTATIONS
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… and good for the business of healthcare!
Challenges and Opportunities Facing the PA Profession
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
Showcasing PA Value: Earned Media
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
Telling the PA Story
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
Creating New Information to Leverage Interest
• 75% of PAs are paid a salary.
• 22% are paid an hourly wage.
• 3% are paid based on productivity.
Every year, a typical PA:
• Treats more than 3,500 patients
• Writes 2,600 to 5,200 prescriptions
NEW CONSUMER EXPECTATIONS
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Challenges and Opportunities Facing the PA Profession
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J
REDUCE PRACTICE BARRIERS
The PA profession has the opportunity to …
1. Position PAs to capitalize on changing consumerexpectations
2. Reduce PA practice barriers
3. Maximize PA employment options and pay
4. Deliver on the promise of “patient-centered,team-based care”
5. Keep up with the rapid and dramatic changes inmedicine and learning
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Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Continued Progress in 2014!
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Advocacy Update: California
SB 1083 - authorizes PAs to certify claims for disabilityinsurance when practicing in compliance with the state’sPA practice act and rules and adds PAs to the definitionof “practitioner.”
AB 2102 - requires the PA board (and other boards) tocollect and report demographic data.
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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U.S. CongressionalCommittees took steps
toward PA-positivechanges in federal law
Next step inMedicare payment reform:
Treat PAs the sameas physicians!
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Important changes in federal regulations
CMS• No on-site physician supervision required in rural health clinics
and hospitals• Delayed a burdensome CMS durable medical equipment
(DME) policy that would have required a physician’s signatureon DME orders
• Convinced CMS to reverse its policy that hindered the ability ofPAs to perform hospital admissions
SAMHSA• Drafted guidelines to authorize PAs to diagnose/admit to opioid
treatment programs.
• PAs authorized providers in community mental health centers.
VA• Updated utilization guidelines for PAs, moving away from
“supervision” to “collaboration”
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Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Business/industry practices are asimportant as federal and state laws
New MarketEntrants are
EstablishingTheirOwn Rules!
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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Continue towork at
federal andstate level to
reducebarriers
Continue towork at
federal andstate level to
reducebarriers
Educateemployers
about how tomaximize PA
value
Educateemployers
about how tomaximize PA
value
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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AAPA is pursuing legislative and regulatorychange at the state and federal level
Build on momentum at federal level to:
• Advocate for Medicare modernization• Advocate for PAs to receive direct payment from Medicare consistent
with all other healthcare professions
• Actively pursue opportunities to remove/prevent barriers to PA practicein EHRs, home health and hospice laws and regulations
Challenges and Opportunities Facing the PA Profession
REDUCE PRACTICE BARRIERS
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AAPA is pursuing legislative and regulatorychange at the state and federal level
Work with AAPA Constituent Organizations instates to:
• Adopt the six key elements of Modern PAPractice Act
• Add PAs to all relevant sections of health law
• Recognize PAs in ACAregulations/implementation at state level
• Expand PA authority in mental health
• Streamline the state licensure process
• Add PAs to all state workforce enhancementplans – scholarships, tax incentives, etc.
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Challenges and Opportunities Facing the PA Profession
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MAXIMIZING EMPLOYMENT / PAY
The PA profession has the opportunity to …
1. Position PAs to capitalize on changing consumerexpectations
2. Reduce PA practice barriers
3. Maximize PA employment options and pay
4. Deliver on the promise of “patient-centered,team-based care”
5. Keep up with the rapid and dramatic changes inmedicine and learning
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Challenges and Opportunities Facing the PA Profession