An excerpt from Diane Meier's piece in the Narrative Matters section of the journal Health Affairs was published in the Washington Post this week. Diane Meier is the director of the Center to Advance Palliative Care and instrumental in the growth of the Palliative Care arena. Interesting read on when a doctor becomes a patient and teaching our colleagues it is okay to stop treatment. Click here for the full article.
This is a highly researched area that is now starting to become more public. Check out this article published in the Wall Street Journal. . .
Palliative Care Gains Favor as It Lowers Costs
From Roz Chast's upcoming book "Can't we Talk About Something More Pleasant?"
PAHPM had an incredibly productive time at the AAPA IMPACT 2012 CME. Yesterday the busy board members (and lecturers) finally got some time to attend some more of the CME sessions! We are happy to have made some valuable connections and felt we were very successful in getting the word out that the PA Hospice Bill needs as much support as possible. And yes - if you are reading this - this means YOU too! You do not have to be a PA to log on to the Legislative Action Page on the AAPA website so PLEASE ask your friends and family to click the link and contact their legislators!http://capwiz.com/aapa/issues/alert/?alertid=60807531
Thanks, as always, for your support!
Good morning! Yesterday was yet another whirlwind of productivity for PAHPM.
Donna and Rebekah attended the State Legislative Leaders Meeting in the morning. We had the chance to hear some great stories about successes our PA colleagues have had at the state level. It also afforded the opportunity for Donna to speak with the heads of the CO State Organizations about gaining their support for the PA Hospice Bill. This is an issue that hits PAs in every state, especially in the rural and underserved areas. PAHPM offered to provide an article about this issue to the State Organizations for them to use in their newsletters. The response was tremendous and this will be yet another way we can drum up support for the passage of this bill.
Our very own Rebekah Halpern and Judy Knudson gave two talks today; one on Palliative Sedation vs. Euthanasia and the other on Communication. Their lectures were well-attended and got great feedback from the audience.
We held our PAHPM SO Meeting last night. We are thrilled to report that we had a few new faces at the meeting and that several staff members from AAPA (including the Education Staff) were in attendance. They were very excited about our education modules that we are working on. We are looking forward to working more closely with them in the future on CME topics and modules. While ARC-PA added end-of-life and palliative care topics into the mandatory requirements for PA program curricula very recently, there are many practicing PAs who have not been exposed to the knowledge base of hospice and palliative medicine topics and we are looking toward providing modules of some sort to bring this information to our PA colleagues in practice nationwide, in partnership with AAPA.
Next, it was off to the PA PAC (Political Action Committee) Event. This was held at the top of the CN Tower in Toronto. The views were amazing and the mixer was packed full of PA leaders and colleagues, as well as AAPA staff.
This morning we met with the PAEA Board of Directors to share the latest on our education modules for students that we have been working on. They were thrilled with what they saw and are looking forward to working with us on getting the series of modules finished. They would like us to help with the roll-out of the series of modules by participating in a webinar when we are closer to the go-live date and we are more than happy to help in any way.
On tap for the future? Drafting a letter to the White House! (No - really!)
Thanks to all of you for your
Lots going on here in Toronto - it's hard to keep up!
The AAPA Town Hall meeting was held last night, just prior to the opening of the exhibit hall. Donna Seton stepped up to the microphone to thank AAPA for their advocacy to garner support for the PA Hospice Bill (HR3831: the Medicare Hospice Care Access Act) currently in the House in Washington DC. She reminded the AAPA leadership that PAs are losing positions, or being left out of the hospice job market entirely because of this restriction of our practice and encouraged everyone to contact their representatives to ask them to lend their support to this very important piece of legislation. PAs need to be able to provide high quality care and support to our patients and their families in *every* phase of their lives, from cradle to grave.
In fact, PLEASE take a moment to click on the following link to the AAPA Legislative Action Center to contact your legislators and urge them to lend their support to this bill!
The exhibit hall opened last night; as always, it proved to be a good time to mix and mingle with our colleagues and to find out about new drugs, devices, and to network with other organizations and institutions.
In other news, we attended the Medical Challenge Bowl last night and enjoyed watching the enthusiasm of the students as they cheered on the competitors.
More updates and information!
Donna Seton and Judy Knudson attended the VIP Specialty Roundtable Forum Discussion yesterday. The event was very well attended; there were a record number of VIP attendees from physician organizations and other agencies. We were seated with Barbara Resnick, PhD, Chairman of the Board of the American Geriatrics Society.
It was a great opportunity to engage in some lively and open dialogue about some important topics. Some of the questions asked of the VIP members that were discussed among the groups included:
We found we had many things in common and everyone certainly came away from the event with other points of view and new information that will be helpful to all of us looking ahead. Many of the invitees felt that PAs are more than capable to help fill the growing void of the physician shortage.
Some barriers to PA utilization were discussed including state laws and regulations (and their non-uniformity), PAs current inability to provide face-to-face certification and recertification hospice visits to Medicare patients, as well as barriers related to education needed as to the roles, training, and scope of PA practice and billing for physicians and others.
There was also much talk among the participants about what efforts could be made to maximize utilization of PAs, educating physicians and administrators on PA utilization, and how the physician-PA team could be better supported.
This was a fantastic event and we look forward to participating next year!
HOD Update: This morning's discussion centered on whether we should have a task force (either internal or external) to look at the name change issue and its ramifications. The issue was not dealing with the name change itself; rather, the mechanism to investigate the possible change and the potential expenses involved with the investigation of the name change. It is unclear who will be appointing the task force and whether it will be comprised of outside resources or staff resources within the AAPA. There is a resolution that will be voted on tomorrow.
HOD Update: Michael Lovedal addressed the HOD and touched on four topics:
1. National reform environment
2. Consumer-centric health markets - evaluating the movement from patient centered medical homes to accountable care organization
3. Value-based healthcare - "retailization"of health and convenience to the consumer
4. New competitive structures - cost and value transparency to consumers (various new publications are available)
Per Mr. Lovedal, PAs can and will fit into this new "national branding".
Entrepreneurship is wide open and consumer-driven now. We can act as clinician, care coordinator, quarterback, entrepreneur, "cog in the wheel" as we are central to health care reform. The profession is no longer measured by our physicians. Personal performance and rewards will be based on our own performance.
Outside the policy; policymaking partners at the institutional level as well as the national