On January 27th, 2018, the NCAPA Board of Directors took a historic step forward to modernize PA practice in North Carolina, approving the following position statements on
Optimal Team Practice (OTP)
- The NCAPA supports Optimal Team Practice (OTP) and believes that team- based care, where PAs practice in collaboration with physicians and other health care providers, is best practice.
- The NCAPA supports modernization of North Carolina’s PA Practice Act. The NCAPA believes that some licensure requirements are obsolete; and, furthermore, we believe that all supervisory arrangements should be made at the practice level.
- The NCAPA supports increased PA representation in the regulation of PA practice in North Carolina.
- The NCAPA supports that the quality work performed by PAs be reported and attributed to the individual PA. Furthermore, the NCAPA supports credentialing of PAs with all insurers and that PAs should be eligible for reimbursement for all medical services provided.
In 2018, NCAPA traveled across the state to share information and listen to thoughts and concerns PAs have regarding OTP. These listening sessions were hosted by NCAPA’s Regional Chapters and discussions were led by the 2018 NCAPA President, OTP Taskforce Chair, and other dedicated NCAPA members, providing an excellent opportunity for NCAPA leadership to hear directly from PAs in North Carolina. Through those sessions, we learned:
- PAs overwhelmingly support OTP and want NCAPA to work toward modernizing our practice laws.
- PAs take immense pride in their profession and are dedicated to ensuring NC is the best place to practice as a PA.
- PAs are committed to working in healthcare teams and Optimal Team Practice aligns with that commitment.
- PAs care deeply for their patients and don’t want legislative or regulatory limitations to come between them and providing the best care for their patients.
“I’ve worked as a PA for 37 years and remember when it was very difficult to practice. By those standards things are very good today. That being said, there are a lot of PAs that need to know “times are changing” and we need not be left behind.”
“As a PA student this answered so many questions I have about the intricacies of the profession. I want to be an advocate for the profession and this felt like a great first step!”
Based on the feedback we received, we are moving forward with OTP. More communications materials are being developed, such as Five Things to Know About OTP. We are also forming Workgroups of 3-5 PAs to review issues and make recommendations on the areas identified below:
- Legislation and Regulation will review the current PA Practice Act and related regulations to identify opportunities to reduce or eliminate administrative burdens and move supervisory relationship documentation to the practice level. This workgroup will also work to ensure that PA skills are portable and that proposed laws support PAs being responsible for the care they provide.
- Reimbursement will identify current barriers to PA reimbursement and develop short- and long-term goals and strategies to ensure that PA work is attributed to the individual PA.
- Communication with Stakeholders will identify external stakeholders, develop outreach and education plans and coordinate these activities. This group will plan and hold meetings and develop written materials for stakeholder engagement.
Ultimately, our goal is that this work will result in a modern practice environment emphasizing team-based care and ensures North Carolina is the best state to be a PA. You can find answers to frequently asked questions here.