Solid and Focused
2013 California Academy of Physician Assistants
Solid and Focused
2013 Y E A R B O O K
W
elcome to CAPA’s most recent labor of love – a beautifully printed look back at CAPA’s 2013 successes. This 2013 Yearbook, like everything else we do, is for you — the CAPA member.
For decades, I have wished the members at large could get a real look inside the CAPA machine. To watch the process. To see the gears in motion each day. To see the dedication and appreciate the time spent by volunteer leaders, paid consultants and staff on your behalf. To experience and know that the successes we enjoy are not common. They are inspired and extraordinary.
I sincerely hope you take some time to read through this publication. Sit down, hold it in your hand, turn the pages and look at the photos. Come back and take a new look tomorrow and read more next week. Really take some time and you will feel what is CAPA. Certainly what CAPA has accomplished in just the past year. Your sense of pride of being a CAPA member will be strengthened, just as your individual membership in CAPA strengthens the organization as a whole. I have heard hundreds of times over the years that there is something special and intangible about CAPA. I agree. I felt it when I took this job over 25 years ago. I embraced it, I’ve honored it, I’ve shared it and I fight to protect it. I hope you read our Founder, Rod Moser’s article on pages 6 & 7. You will know exactly what I am talking about. Check out the articles on pages 8 & 9 and see how beautifully the culture remains today. I am blessed to serve this wonderful profession in California. It is my life’s work quite literally. I look forward to many more years of nurturing and advancing all that is CAPA.
Gaye Breyman, CAE Executive Director
Cyndy Flores, PA-C CAPA President 1998-1999
In 2013, CEP America continued their generous support of CAPA and our efforts on behalf of California PAs. It is extremely appreciated each Spring when CEP America issues a check to CAPA for the membership dues for several hundred full-time PA employees. An unprecedented action that directly impacts on our ability to protect and promote PA practice in California. In addition, for the 3rd consecutive year, CEP America sponsored the Cyber CafÊ at the CAPA Conference in Palm Springs — always a valued service for conference attendees. Another CEP America sponsored favorite is the afternoon Ice Cream Break. CAPA values and appreciates our PArtnership with CEP America.
Table of Contents 2013 Reflections From Our Founder.................................................................... 6 Continuity, Camaraderie and Care...................................................................... 8 CAPA’s Winning Streak Continues!!!.......................................................... 8 Leading with Pride........................................................................................... 8 CAPA’s Ongoing Path to Greatness!........................................................... 9 2013 CAPA Sponsored Legislation..................................................................... 10 CAPA Scores Huge Win With Passage of MA Bill.................................12 SB 494 Health Care Providers.....................................................................13 Relationships....................................................................................................... 14 Awards · Appointments · Achievements.........................................................16 2013-2014 CAPA Leadership............................................................................18 Toasting A Successful Year...............................................................................20 Committees & Staff.............................................................................................21 Paying Homage................................................................................................... 22 Appreciation, Admiration and Acclaim.........................................................24 Do You Think CAPA is Still Relevant Today?............................................... 25 2013 Key Regulations........................................................................................26 A Year in Review................................................................................................ 27 2013 CAPA Conference Palm Springs........................................................... 32 2013 CSEC & CAPA at Napa............................................................................34
2013 Reflections From Our Founder CAPACare
Rod Moser, PA, Ph.D., Founding President
rod moser
All we are hearing on the news is ObamaCare this….ObamaCare that. PAs will provide care no matter what, because that is what we do. Providing care is what we signed up for. When I ponder how much the word “care” is being thrown about, I wonder who is looking out for the PAs. Who is caring for us? It doesn’t take me long to figure out that CAPA is taking care of us. I will explain. I look at the innovative logo of Covered California with the hands holding the figures of a family. This seems to indicate that the government will be taking care of this figurative, multi-colored family. This logo is suspiciously similar – almost to the point of a trademark violation by the State – to one of the original CAPA logos. I distinctly remember writing a check for $500 to Steve Gansrock, a graphic designer in San Francisco, for our innovative logo in the late 1970’s. Our logo has since changed, so I guess we can let California have it now. That logo represents “care”. I graduated from PA school on May 13, 1973 in West Virginia. My first day of work as a naïve PA was in San Francisco a few days later. I was so excited to be one of the first PAs in the country and actually have a paying job, I failed to realize that California did not have any enabling legislation allowing me to practice. I didn’t even think about it, at least until the Medical Board visited me for practicing medicine without a license! There were only a handful of PAs in California at that time. None of us were licensed, but they were “working on it.” The best we could get from the State was “interim approval” and watchful toleration. All of the PAs at that time purposely kept a very low profile. The State had a list of Approved Physician Supervisors, but not a list of the PAs they were supervising. I found this troubling. In 1973, there were only a hundred or so PAs in the United States (I am #122). Very few states had legislation allowing us to practice and no one seemed to care, except for we unlicensed PAs, of course. California formed an Advisory Committee composed of a few physicians, three RNs, and a public member. There were no PAs on the Committee that set our scope of practice. Perhaps this is why the most challenging skill on the small laundry list of tasks that PAs could legally do in California was cerumen removal. No one was really taking care of us, so it was really up to this rag-tag group of pioneer PAs to band together and start caring for ourselves.
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CAPA – SOLID AND FOCUSED
By 1975, the number of PAs in California had gradually grown to a hundred or so, we banded together in Fresno to form CAPA. Someone had to watch out for us. Someone had to care enough to put our interests first. If we didn’t do it, there were plenty of other people and professional groups that would have preferred that we just went away. When the CAPA dues were $20 a year and we had 100 members, life was simple and we were financially poor. We used every bit of the dues money and the money we made from conferences just to cover administrative costs. I used our photocopier at work and our postage machine to mail out all of the notices and newsletters. I will always be grateful to the generosity of my physician supervisor for subsidizing some of our costs. PAs were highly-trained clinicians trying to run an up-and-coming organization in our non-clinical, spare time. It became painfully evident that we needed help; business help. The part of our brains that do medicine is not the part that has business sense. I have worked with physicians that were excellent clinicians and piss-poor businessmen. I have also worked with physicians who were terrible clinicians, but when it came to running a business, they had the Midas Touch. I am not sure which combination is worse. Money, membership, and management – the three M’s – drive an organization. As CAPA grew from my living room in San Anselmo to a basement in Point Reyes to a rented office space in Anaheim, so did our need for sound business management. Of course, we needed money to pay for this sorely-needed service. We needed to find a capable individual who would grow with us. CAPA has always considered me the “Father,” but we needed some serious mothering. CAPA found Gaye, and Gaye saved CAPA from a painful demise. She took care of us so we could devote our time to taking care of patients.
“Would CAPA survive? Not only did CAPA survive; it thrived!”
Over two decades later, Gaye is still with us, still mothering our professional organization like it was her own child. CAPA has grown up. We are no longer poor and no longer hurting for membership, but our need for dedicated and expert management will always remain. The team of staff and consultants assembled at CAPA today is among the finest in the nation.
I am in the last few years of my clinical career. In 119 more weeks (yes, I count them), I would like to hang up my stethoscope, if I can. Along with my PA wife, we have successfully raised five children: two RNs, two engineers, and an attorney who runs a nursing home. We have six grandchildren ranging from two months to 20 years. Our oldest granddaughter wants to be an Episcopal priest. All in all, I think we are well-covered without Covered California. CAPA was my baby too. Along with a handful of PAs, now referred to as dinosaurs, we fed this baby. We certainly cleaned up a lot of crap. We helped CAPA take those important first-steps. When it came time for CAPA to leave our homes (literally), we worried. Would CAPA survive? Not only did CAPA survive; it thrived. A few PAs took care of CAPA when it was a baby, but CAPA takes care of us now. Even though our logo has changed, I still think of myself as one of those four figures being nurtured by caring, capable hands.
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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Continuity, Camaraderie and Care CAPA’s Winning Streak Continues!!! Eric Glassman, MHS, PA-C, President 2010-2012
eric glassman
During my presidency from 2010-2012 I used a lot of sports analogies and quotes, but nothing sums up CAPA’s continued success like a “winning streak.” CAPA has a long history of successes dating back to the 1970’s when it all began. However, over the last several years CAPA has really hit a “winning stride.” One of the biggest, if not the BIGGEST CAPA success during my presidency, was the creation of a Public Policy Director position and the hiring of Teresa Anderson, MPH. I would even call that one a “home run.” Teresa has done amazing things for California PAs in the 3 years she has been with us. Her enthusiasm, persistence and relationships up in Sacramento will pave the way for more successes in the future for CAPA, along with what she has already accomplished. Another standout during my presidency was the continued strong relationships with our physician partners and their respective physician groups. Supporting legislation with groups like the CMA, CAPG, CAFP, OPSC and others helped make us stronger and provides the ability to introduce productive legislation in the following years. We know how important our relationships are and they have proven to be fruitful. Probably the most meaningful thing for me that happened during my presidency was acknowledging CAPA’s most valued and appreciated individual, our Executive Director, Gaye Breyman, CAE. During our 2010 Annual Conference in Palm Springs we celebrated Gaye’s 25th Anniversary with CAPA and honored her with Honorary Lifetime Membership in CAPA and also with CAPA’s very own Pride of the Profession award. With all this happening within such a short time frame, and with the successes that followed in 2013, I’d certainly say that CAPA is strong and ready for the future of health care.
Leading with Pride
Adam Marks, PA-C, MPA, President
adam marks
As I reflect on my role as President for the past 18 months, I am incredibly proud to be at the helm of such a great group of PA leaders. Our current leadership is not only diverse culturally and geographically, but in practice settings as well. It is a pleasure to work with them and learn from them. They are mission driven and focused on the future of the profession. As a relatively new PA, I am mindful of the successes and strides made by my predecessors and by CAPA. This culture of honoring those who came before us was ingrained in me since I was a student. I became involved in CAPA leadership as a student which offered me insights and opportunities to meet many of the PAs who paved the way in California. I know the importance of a strong state organization and how CAPA embodies all of the great qualities that it took to lead a profession forward. Our current state of affairs is reflective of that strong foundation which has been built over the past 37 years. CAPA’s successes are not a fluke; consistent success is a trend which can be attributed to the hard work and dedication of PAs across the state. We continually look to our members as the examples for why PAs work so well in our health care system. With your help and support, CAPA continues to represent you and shine a light on the great work that is being done throughout our health care system. CAPA has been blessed with a dedicated and talented Executive Director, Gaye Breyman and the best legal counsel in the nation, Michael Scarano. The “luxury” of having talent like Mr. Scarano just a phone call away, 365 days a year, has served us incredibly well. Having the continuity of someone as dedicated and knowledgeable as Gaye is a gift. And, over the years, Gaye has assembled a talented team who are equally dedicated to the mission of the organization and its members. Whether it is member services, legislation, public policy, legal or financial, we ensure we have the best staff and consultants looking out for the organization. 8
CAPA – SOLID AND FOCUSED
I am proud to say that in the past couple of years, CAPA continued its excellent work and we were hugely successful. TEAM CAPA passed legislation which not only moved the profession forward, but broke down legal barriers that had been restricting our abilities to operate on a day-to-day basis. Our strong foundation continues to serve us well. I have been part of and have enjoyed witnessing firsthand the success of these past few years. My term as President ends on June 30, 2014. I look forward to watching closely as my friend, Jeremy Adler and the 2014-15 Board steer this organization and the PA profession to further success. Like hundreds of past leaders of this wonderful organization, I will forever fondly root for, participate in and and support the work of CAPA. Your CAPA membership is what makes it all possible. Thank you for that support.
CAPA’s Ongoing Path to Greatness! Jeremy Adler, MS, PA-C, President-Elect
jeremy adler
People may be tired of hearing me say it, but I believe it has never been a better time in the history of our profession to be a PA. The most exciting part is the future looks even brighter. With all that is happening in health care, one thing is certain, change is inevitable. What Charles Darwin observed in his research on survival, remains relevant today for our profession: “It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change.” (Charles Darwin) The PA profession is the most adaptable to change of all health professions. Our profession is the only health profession that has been trained from day one in team-based care and by all accounts, team-based care is in our future. The ability to adapt to the supply and demand needs of health care makes our profession unique. We can provide services in primary care or specialty care, in the outpatient setting, hospital and in the operating room. We can treat children, adults and our older populations. And, by virtue of our general medical training, we change from one area of medicine to another as the need arises. The successes of our profession in California did not happen by chance, but rather hard work from dedicated and amazing people brought together through CAPA. The fruits of this work are evident in our practice act and our relationships with other health professions, lawmakers, regulators and our patients. We have been blessed by both inspiring PA leaders and the exceptional staff infrastructure behind them. CAPA is truly a great organization that has and will continue to serve its mission in advancing our profession in California. One of the great accomplishments I think CAPA has done in recent years was the adoption of a Vision Statement. Our Vision clearly informs all where CAPA is taking our profession: Fully integrate PAs into every aspect of California’s health care. (CAPA Vision Statement) As I look toward the start of my presidency, it is moving CAPA toward our Vision, while adhering to our Mission, that the organization will be directed. I am honored and feel privileged to be elected to sit at the helm of CAPA during this exciting time in our profession and in health care. Our membership needs to know that the leaders at CAPA, both elected and staff, are constantly there to safeguard our profession and advance it. We should all be comforted that people like our Executive Director, Gaye Breyman, CAE; our Public Policy Director, Teresa Anderson, MPH and the supporting staff are constantly supporting us and advocating for our position in health care. It is also the volunteer PAs who dedicate countless hours for our profession that represent some of the best of our membership. To summarize the importance of all the great people connected through CAPA, I will end with a quote from Jim Collins in Good to Great:
“Great vision without great people is irrelevant.” (Jim Collins)
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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2013 CAPA SPONSORED Legislation
Two Huge Legislative Victories
On January 9, 2013, CAPA Executive Director, Gaye Breyman, CAE along with CAPA’s Public Policy Director, Teresa Anderson, MPH and Lobbyist, Kathryn Scott, met with Senator Fran Pavley to discuss upcoming legislation. (L-R: Gaye Breyman, Senator Pavley, Teresa Anderson and Kathryn Scott).
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CAPA – SOLID AND FOCUSED
On March 13, 2013, several PAs joined CAPA’s Public Policy Director, Teresa Anderson and Lobbyist, Kathryn Scott in visits to key legislators. Later that day, CAPA then Vice President Jeremy Adler, PA-C presented testimony before a Senate Hearing. Pictured here (L-R) Judi Price, PA-C; Atul Sharma, PA-C; Senator Monning; Jeremy Adler, PA-C and Tracy DelNero, PA-C.
On March 13, 2013, CAPA then Vice President Jeremy Adler, PA-C proudly represented California PAs at a Joint Informational Hearing of the Senate Committee on Health and the Senate Committee on Business, Professions and Economic Development.
Ready for a day of lobbying! Public Policy Director Teresa Anderson’s binder full of letters from medical offices throughout California. Thank you, CAPA members, for getting those letters signed by your office personnel and faxing them in.
for California PAs CAPA Members - The Real Heroes in 2013 Your overwhelming response to our requests for letters and emails to legislators were key to the success of our two sponsored bills. When we asked you to get members of your team to sign a letter advocating for PAs supervising MAs, you didn’t disappoint. We got hundreds of letters signed by physicians, RNs, MAs, NPs, etc. Teresa Anderson put the letters in a binder with tabs separating the various professions. She carried that binder around for weeks, plopping it on legislators’ desks to illustrate the overwhelming support for SB 352 – the bill that allows PAs to supervise MAs!
On April 8, 2013, SB 352 – Medical Assistants, was heard in the Senate Business and Professions Committee. Thanks to all who attended the hearing to support SB 352.
On June 25, 2013, CAPA lobbyist, Kathryn Scott sits with CAPA’s Founding President, Rod Moser, PA, Ph.D. as they wait to be called to testify before the Assembly Business and Professions Committee.
SB 352 and SB 494 were signed by Governor Brown and became law on January 1, 2014. Both bills will impact each PA in the State across all medical settings.
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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2013 CAPA SPONSORED Legislation CAPA Scores Huge Win With Passage of MA Bill
Michael Scarano, Jr., Esq., CAPA Legal Counsel
mike scarano
When the sun came up on January 1st, 2014 in California, it ushered in a new era for California PAs. They are now able to lawfully use and supervise California’s 82,000 medical assistants (“MAs”) in treating their patients, without the supervising physician present in the office. This removed an illogical barrier to access to care which has been part of California law for decades. With the enactment of SB 352, that barrier came tumbling down. For decades, the California Nurses Association (“CNA”) stood as an impenetrable obstacle to accomplishing this vital legislative goal. Indeed, CAPA introduced legislation permitting PAs to supervise MAs without physician supervision 2 other times over the last 10+ years, only to be stymied on each attempt by the CNA, one of the most powerful lobbying groups in California. Since most medical offices require one or more MAs to function smoothly, the requirement in the Medical Practice Act that a physician be physically present in order for MAs to function made it impossible for PAs (as well as nurse practitioners) to lawfully staff an office without a physician present. Indeed, one PA in Los Angeles County was locked up in Los Angeles County jail for “aiding and abetting the unlicensed practice of medicine” after a disgruntled patient or competitor reported her use of an MA without a physician present to the L.A. County Sheriff. While countless other PAs and nurse practitioners could have met a similar fate, fortunately they did not. SB 352 removes that risk. As noted above, this was the 3rd attempt of CAPA to kick the legislative ball through the twin uprights of the California Assembly and Senate. What was different this time, you might ask? At least three things: First, CAPA hired the best health care lobbyist in Sacramento, Kathryn Scott of Capital Partners. Ably assisted by CAPA’s full time Public Policy Director, Teresa Anderson and Executive Director, Gaye Breyman, Kathryn adeptly worked the levers of the legislative machine to educate the Legislature regarding the important policy implications of this bill. (Kathryn has been instrumental in CAPA’s passage of other key legislation over the last three years.) Second, this time around, the Legislature listened to the sound policy arguments in favor of an MA bill, including the need to eliminate this illogical barrier to access to care. With a looming tidal wave of newly insured patients (including thousands of new Medi-Cal beneficiaries) expected to strain access to care as a result of the Affordable Care Act, continuing a rule which effectively precluded the operation of a medical office without a physician present simply made no sense. The Governor’s signature on SB 352 is now dry, and it is time for California PAs to prepare themselves to take advantage of this new prerogative. It is important to know that the authority to supervise MAs is not without some important conditions and limitations. Although CAPA will provide more comprehensive guidance regarding the requirements of SB 352 in its next newsletter, the following are some of the most important points: •
The PA’s supervising physician must delegate the authority to supervise MAs in the office. Though not expressly required by the bill, supervising physicians and PAs should amend their delegation of services. This amendment can be accomplished with a simple document entitled “Amendment to Delegation of Services Agreement” signed by the supervising physician and PA and attached to the existing delegation of services agreement, stating: “Physician Assistant is hereby authorized to supervise Medical Assistants, with or without the Supervising Physician physically present in the office, in accordance with the requirements of Business and Professions Code Sections 2069 through 2071.”
•
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An MA may administer medication only by intradermal, subcutaneous or intramuscular injections, and perform skin tests and additional technical supportive services only upon the specific authorization and supervision of the supervising physician, PA or NP, “Technical supportive services” are generally defined as “simple routine medical tasks and procedures that may be safely performed by a medical assistant who has limited training and functions under the supervision of a licensed physician, PA or NP.” A more detailed definition can be found in the Medical Board’s regulations in Title 16, California Code of Regulations, Section 1366(b).
CAPA – SOLID AND FOCUSED
•
MAs may not administer local anesthetic.
•
MAs may not be employed to perform inpatient care in a hospital, but may only be employed to perform outpatient services.
As noted above, CAPA will provide more information regarding the requirements imposed upon PAs when supervising MAs in the next edition of the CAPA News. In the meantime, if you have any questions regarding the appropriate use and supervision of MAs, contact Bob Miller, PA, CAPA’s extremely knowledgeable Chairperson of the Professional Practice Committee.
SB 494 Health Care Providers
Teresa Anderson, MPH, Public Policy Director
teresa anderson
Prepare, wait, anticipate…these are all words used to describe what one does to get ready for change. In 2013, CAPA was doing just that…preparing, waiting and anticipating implementation of the biggest change in national health care policy since the enactment of Medicare in 1965. Recognizing that change can be difficult we wanted to make sure we, as an association, understood how all these changes would affect the PA profession. We met with health workforce leaders, policymakers, regulators and stakeholders throughout the state to learn as much as possible about the way the PA profession could interface with the new law. One of the most significant changes enacted by the Patient Protection and Affordable Care Act (PPACA) is the individual mandate, meaning that almost every individual is required to have some form of health insurance. In California that translates to 4-6 million newly insured people with the opportunity to access health care services. Needless to say ensuring access to care rose to the top of the priority list in state policy discussions. The next step was analyzing existing policy and new policy together to identify opportunities for the PA profession to participate in addressing state health care priorities. SB 494 Health Care Providers was a natural fit when it came to addressing access to primary care providers as well as primary care services. What does SB 494 Health Care Providers do to help address the state priority to increase access to care? It aligns the state definition of primary care providers with the federal definition in the PPACA to include PAs, thus increasing the network of PCPs throughout the state. It allows for an additional 1,000 patients (health plan enrollees in managed care) to be assigned to a physician panel based on team-based care that includes a PA or NP. Paneling or empanelment is defined as direct assignment of plan enrollees to a health care provider who is responsible for the coordination of comprehensive health care services for assigned patients. In California the majority of specified plans assign enrollees to a primary care physician panel. SB 494 provides statutory authorization to more accurately reflect the increased capacity of inter-professional team-based care. The new law does not mandate the increase of a physician’s panel, rather, it allows for it as the primary care team sees fit. On January 1, 2014, SB 494 Health Care Providers became law in California giving us the opportunity to prepare, wait and anticipate the impact of the PA profession in addressing access to care under the new era of health care reform. Though PAs will be forever more defined as primary care providers in the state we will have the opportunity to assess the impact of increasing the physician/practice panel contingent upon the team-based care model as that part of the bill sunsets in 2019.
Relationships Joint Statement
PA Programs
The following organizations are mutually committed to continuing to improve safe access to health care by providing patient-centered, quality care within integrated, coordinated, physician-led teams.
CAPA’s relationship with California PA Programs is natural and important. Without programs, there are no PAs. Without CAPA, the PA Practice Act in California would not be as attractive to those looking for a career where they can practice medicine as part of a high functioning team. Christy Eskes, DHSc, MPA, PA-C; is the Chair of CAPA’s PA Program Relations Committee. Christy communicates often with the PA Programs and is available to CAPA staff and the board when information is needed about the programs or when CAPA has information to provide to the programs. This consistent, timely interaction strengthens the relationship between CAPA and the PA Programs. Below is a list of the nine PA Programs in California. We are excited to soon welcome two more programs: Marshall B. Ketchum in Fullerton and Chapman University in Irvine.
Established PA Programs (alphabetical by region):
Northern California Samuel Merritt University Stanford University School of Medicine Touro University California University of California Davis Central California San Joaquin Valley College Southern California Loma Linda University Riverside County Regional Medical Center/ Riverside Community College District University of Southern California – Keck School of Medicine Western University of Health Sciences
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CAPA – SOLID AND FOCUSED
CAPA Joins the CAPP Board of Directors On July 1, 2013, CAPA became a member of the Board of Directors for the Californians Allied For Patient Protection (CAPP). We have been a longtime supporter of CAPP and MICRA. We are proud to have a seat at the board table, especially at this important time when we must protect MICRA.
In 2013, CAPA entered into a PArtnership with the California Academy of Family Physicians (CAFP) under a grant supported by Covered California. The purpose of the grant is to provide education to PAs and other providers on how to talk with their patients and other stakeholders about the implementation of this huge health care reform endeavor. Because this somewhat controversial reform has become law, it remains important to provide the information to help everyone, not only be in compliance, but to maximize the potential benefits this law may offer. Over the years CAPA has enjoyed a mutually beneficial relationship with CAFP who is administrating the grant while we are a major partner in this educational effort. The project is led by a stellar and experienced CAFP grant implementation team which provides a significant learning environment for CAPA to gain the skills to seek and lead future grant efforts - a goal for our newly formed and evolving CAPA Foundation.
CMA Leadership Academy CAPA’s Executive Committee along with Gaye Breyman and Teresa Anderson, attended the California Medical Association Leadership Academy in Las Vegas on May 31 through June 2, 2013. The CAPA Delegation met with the CMA Executive Committee and other key leaders to discuss topics impacting both organizations. We value our longstanding, excellent working relationship with the CMA.
Department of Consumer Affairs
Physician Assistant Board
2013 Brings a Smooth Transition of Power Long-time member of the Physician Assistant Committee staff, Glenn Mitchell, was sworn in as the new Executive Officer of the then Physician Assistant Committee (now PAB) succeeding retiring Executive Officer, Elberta Portman.
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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Awards · Appointments · Achievements
congratulations Honored at the 2013 CAPA Conference in Palm Springs CAPA’s Public Policy Director, Teresa Anderson, MPH worked incredibly hard during 2013 on both SB 352 (the MA bill) and SB 494 (the PA Paneling bill). We could not have a better advocate in Sacramento. She lives and breathes CAPA and PAs.
CAPA Public Policy Director, Teresa Anderson, MPH
Bill Barcellona, CAPG Senior Vice President for Government Affairs
AAPM Foundation Appoints PA to Its Board In 2013, the American Academy of Pain Medicine (AAPM) Foundation appointed Jeremy Adler, MS, PA-C, to its Board of Directors. This is great news for Adler, the PA profession and the AAPM Foundation.
Congratulations Susan Gilroy, PA-C
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CAPA – SOLID AND FOCUSED
Eric Glassman Honored with the 2013 Quinnipiac University Alumni of the Year Award
2013 Marks Retirement Year For Many PAs
Dear CAPA,
In 2013, Sue Gilroy was appointed to be a member of California’s Healthcare Associated Infections Advisory Committee (HAIAC). In addition, in the summer of 2013 she hiked to the top of Mt. Killamjanaro. Congratulations, Sue!
CAPA is very grateful for the support, dedication and time Bill Barcellona committed to us in our legislative efforts this year. CAPG co-sponsored both SB 352 and SB 494 and Bill spent many hours talking about and walking us through the exciting world of KnoxKeene regulations. His expertise in health care law and managed care was invaluable to us in achieving our success. He is a tremendous advocate and put a great deal of effort into promoting the merits of our bills and PAs.
Becoming a PA was the best thing to happen to me. I LOVED IT, I LIVED IT. I am retired now but use my skills as a volunteer with the Red Cross, especially with the deploying troops that take off from Camp Roberts. I support CAPA and give thanks daily to the Almighty that He steered me into the most worthwhile thing I ever did in my life. Best Regards, Lynne S. Newhouse, PA-C, RN
Published in August 2013, a note from long-time CAPA member, Lynne Newhouse, PA-C, one of many CAPA members who retired in 2013. Her love of the profession is evident as she enters this new phase of her life/career. We wish Lynne and the other PAs retiring in 2013 all the best. Thank you for the thousands of patients you cared for.
CAPA Pride of the Profession
Robert Sachs, PA-C, CAPA President, 1988 In 2010, I had the privilege to join Gaye Breyman on stage before 600+ PAs to welcome her to the very short list of recipients of CAPA’s Pride of the Profession Award. At the time, she was the 3rd to be honored with CAPA’s highest honor. Since that time, Bob Miller, PA received the award. Gaye was and remains the only nonPA to receive the award. At that time, she also received Honorary Lifetime Membership in CAPA. If you were not present for the incredible award luncheon held in Palm Springs on October 9, 2010 (or even if you were), treat yourself to the video of the spectacular award presentation. It will make you proud to be a CAPA member. Grab a cup of coffee, a beer or glass of wine, sit back and enjoy the presentation to Gaye, hosted by then Vice President, Larry Rosen, PA-C. Beth Grivett, PA-C worked many hours to gather the “I Love Gaye Breyman” photos at the end of the presentation. You will want to continue watching the video to see those. The presentation is about Gaye, but when you watch it, it is so much more. It is about the CAPA Culture that is unique, loving, special and filled with excellence in all CAPA does. Make it a priority to watch the video. You will be glad you did. 2013 marked Gaye’s 28th year with CAPA. She remains as dedicated, creative and committed to CAPA today as she was in 2010 and in the 25 years before. The CAPA Culture that Gaye helped develop and which she has nurtured all of these years is alive and well.
Recipients of the CAPA Pride of the Profession Award 2007 Karen Bass U.S. Representative for California’s 33rd District
2008 Bob Sachs, PA-C CAPA Past President President, Physician Assistant Board
2010 Gaye Breyman, CAE CAPA Executive Director
We love you, Gaye Breyman! 2012 Bob Miller, PA CAPA Past President, Treasurer Professional Practice Committee Chair
Enjoy the video on You Tube at: http://www.youtube.com/CAPAConnection
CAPA’s Pride of the Profession Award is CAPA’s highest honor. It is not an annual award.
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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2013-2014 CAPA Leadership
Adam Marks, PA-C, MPA President Exeter
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Jeremy A. Adler, MS, PA-C President-Elect Nominating Committee Chair Encinitas
CAPA – SOLID AND FOCUSED
Roy Guizado, MS, PA-C Vice President Student Affairs Committee Chair Pomona
Joy Dugan, MSPH, PA-C Secretary Vallejo
Bob Miller, PA Treasurer Professional Practice Committee Chair Huntington Beach
Ana Maldonado, MPH, DHSc, PA-C Director-At-Large San Francisco
Cherri L. PenneMyers, PA-C Director-At-Large Newport Beach
Kevin Robertson, MPH, PA-C Director-At-Large La Cresenta
Jay Willia MS, PA-C Director-A Ripon
amson, C At-Large
Dana Point, CA - June 22, 2013
Chelsea Hemming, PA-S Student Representative Pomona
Eric Glassman, MHS, PA-C CME Committee Chair Newport Beach
Mike Estrada, MS, DHSc, PA-C Committee on Diversity Chair Highland
Sonny Cline, PA-C, MA, M.Div. CAPA Political Action Committee Chair Sacramento
Christy Eskes, DHSc, MPA, PA-C PA Program Relations Chair Ontario
Saloni Swarup, PA Public Education Committee Chair Anaheim
Gaye Breyman, CAE Executive Director Santa Ana
Teresa Anderson, MPH Public Policy Director Sacramento
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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TOASTING A SUCCESSFUL YEAR
Everyone here has the sense that right now is one of those moments when we are influencing the future. — Steve Jobs October 3, 2013
CAPA’s Executive Committee with Professional Practice Committee Chair, Executive Director and Public Policy Director take a pause to reflect on the successful passage of SB 352 and the anticipated passage of SB 494 (ultimately passed). Legislation is a critical function of the Academy, and to better represent CAPA’s membership, the members elect those PA leaders who review legislation and assist the full Board of Directors in CAPA’s legislative agenda. Those individuals holding the top elected positions (President, President-Elect, Vice President and Immediate Past President (when applicable)) work directly with CAPA’s Lobbyist and Public Policy Director to thoughtfully monitor legislative actions to both advance our profession in California as well as preserve the current practice environment we enjoy. By all accounts, this model has worked incredibly well as we end one of CAPA’s most successful legislative years! At the CAPA Conference in Palm Springs we gathered together to commemorate a fantastic year of work, learning, dedication, laser focus and the fun of being part of a cohesive team that share CAPA’s vision:
Fully integrate PAs in every aspect of California’s health care.
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CAPA – SOLID AND FOCUSED
committeeS & STAFF
as of October 31, 2013
Budget Committee: Chair - Bob Miller, PA; Jeremy Adler, MS, PA-C; Gaye Breyman, CAE; Adam Marks, MPA, PA-C
CME Committee: Chair - Eric V. Glassman, MHS, PA-C; Gaye Breyman, CAE; Jennifer Carlquist, PA-C; Shelby Edwards, PA-C, MPAS; Michelle Lim Serrao, PA-C; Kevin Robertson, PA-C; Saloni Swarup, PA; Timothy Wood, MS, PA-C
Conference Planning Committee: (CME subcommittee) Chair - Timothy Wood, MS, PA-C; Tracey DelNero, PA-C; Shelby Edwards, PA-C, MPAS; Eric Glassman, MHS, PA-C; Ghina Katrib, PA-C*; Anne Walsh, PA-C, MMSc; Robin Wempe, PA-C
Committee on Diversity: Chair Michael Estrada, PA-C, MS, DHSc; Ana Maldonado, MPH, DHSc, PA-C; Adam Marks, MPA, PA-C
Executive Committee: Chair - Adam Marks, MPA, PA-C; Jeremy Adler, MS, PA-C; Roy Guizado, PA-C
Nominating Commitee: Chair - Jeremy Adler, MS, PA-C
Compensation Committee: Chair - Adam Marks, MPA, PA-C; Jeremy Adler, MS, PA-C; Bob Miller, PA
Investment Committee: Chair - Bob Miller, PA; Jeremy Adler, MS, PA-C; Roy Guizado, PA-C; Adam Marks, MPA, PA-C
PA Program Relations Committee: Chair - Christy Eskes, PA-C; Mark Christiansen, Ph.D., PA-C; Kimberly Lopipero, PA-C; Adam Marks, MPA, PA-C
Political Action Committee: Chair - Sonny Cline, PA-C, MA, M.Div.; Jeremy Adler, MS, PA-C; Gaye Breyman, CAE; Joy Dugan, MSPAS, MPH, PA-C; Cyndy Flores, PA-C;
Professional Practice Committee: Chair - Bob Miller, PA; Jeremy Adler, MS, PA-C; Teresa Anderson, MPH; Gaye Breyman, CAE; Lea Dunn, MS, PA-C; Adam Marks, MPA, PA-C; Kimberly Ward, MPH, PA-C;
Public Education Committee: Chair - Saloni Swarup, PA; Adam Marks, MPA, PA-C
Proudly Serving CAPA Members
Student Affairs Committee: Chair - Roy Guizado, PA-C; Adam Marks, MPA, PA-C; Lesa Maugh, PA-C*; Brian Tessier, PA-C
*Committee member not pictured
CAPA Office Staff
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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Paying Homage
“I am a family medicine PA with Sutter Medical Group in Elk Grove, CA. I am also a past president of CAPA (1994) and Legislative Affairs Chair shortly after that. I have to tell you, I am so proud of this organization. We learned a very long time ago that you have to be nimble and you have to be quick to respond to legislative questions.”
“I will always cherish my experience on the CAPA Board of Directors. I learned a great deal with the leadership positions I held on my way to becoming CAPA President in 2006. My year as President, I learned even more! It was rewarding and I am proud of the work we did. I remain a loyal CAPA member. I know the amount of work your CAPA leaders put in each week and the extreme commitment they must have to the PAs of California. The CAPA staff (led by Gaye Breyman) is integral to its leaders’ and to CAPA’s success. CAPA is known across the country as one of the best constituent chapters of the AAPA. That long-standing, excellent reputation comes from hard work and dedication. I am proud of CAPA and all they continue to do today. I know that 2014 will be another great year for California PAs.”
Julie Theriault, PA-C, CAPA President 1994
Jennifer Faggionato, PA-C, CAPA President 2006-2007
Peter Aronson, PA-C, CAPA President 1984
Steve Hanson, MPA, PA-C, CAPA President 1995
“I recently read Gaye Breyman’s article, What I Know For Sure. Gaye’s insights are realized in large part because she is a central and critical element to CAPA’s current status. She has been there longer than any of us! She helped shape and contribute to CAPA’s Culture (I love that descriptor!) that has garnered well-earned respect and admiration. As we watched CAPA move from an at-home office to today’s revered organization, she participated in forming a central theme essential to our collective successes - CAPA’s commitment to Team Practice and attracting strong collaborations. CAPA has learned from prior experiences. It has gotten lucky with the likes of Rod Moser, Michael Scarano, Ray Dale, Bob Sachs, many Sacramento and CMA allies, and too many more to mention. Yes, good fortune has found its way to CAPA many times over, but luck alone is not responsible for CAPA’s culture of success. A huge constellation of participants lent to this organization that remains so important and attractive to so many. CAPA’s current leaders inherited a positive momentum created by sound convictions to team practice, lifelong learning, and being smarter and better qualified than their predecessors. CAPA has grown smarter and stronger by attracting people poised and competent to address the ever-changing and challenging professional, legislative, and regulatory elements as well as wisely chosen collaboration vs. confrontation. It’s fantastic to observe CAPA’s evolution, which will continue because of dedicated professionals like its current leadership. I’m so proud of “my” CAPA.“
“I got my start in leadership through CAPA over 20 years ago, when the PA profession was small and struggling to stake out a place for itself in a large, diverse state. Even then, CAPA was always known as the Gold Standard of constituent organizations in the profession and in the AAPA. The organization known as CAPA has always been greater than the sum of its parts. Why? Because over thirty-five years of PA leaders and staff have been willing to put the needs of the profession, and the patients we serve, at the forefront of everything we have done. This selfless sacrifice has been the key to the PA profession’s success in California, and has become a core foundational value of what CAPA is really all about. I’m proud to be a member of CAPA, and proud of what we all together, as a team, have accomplished over the years. Many baby steps have become a giant leap forward on behalf of the profession and the patients we are privileged to serve. It has been an honor and a privilege to be associated with the many fine leaders and staff of the California Academy, and I know that the best is yet to come!”
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CAPA – SOLID AND FOCUSED
“Part of what has always made CAPA great is the culture. This intangible, but integral element has long been heralded as incredibly productive and steeped in camaraderie that makes CAPA service rewarding. We have always sought future leaders who honor and admire the culture and who are empowered and thrive as part of it. CAPA is known for its highly functioning teams and our successes could not happen without that teamwork and support. I cherish my time in CAPA leadership, am proud of our work and value the relationships I have formed in the process. As a past leader and current CAPA member, I sincerely hope you will protect and honor the CAPA Culture that has brought us so far.”
“We are fortunate to have quality people both in leadership as well as the office setting. We have a lot of professional people in these professions and that I am convinced is why we are where we are today. The overall status of CAPA is phenomenal. We are sound financially and we are sound in our footing in terms of our reputation in the State of California as an organization.”
Miguel Medina, PA-C, CAPA President 2008-2010
Sonny Cline, PA-C, MA, M.Div., CAPA Political Action Committee Chair
Michael Scarano, Jr., Esq., CAPA Legal Counsel
Roy Guizado, PA-C, Vice President
“Being a part of CAPA’s remarkable achievements over the last 25 years has been a highlight of my career. During those years, CAPA has obtained the legal authority to: give orders to registered nurses in the face of fierce opposition by the CNA (1988); write drug orders (a.k.a. prescriptions) without patient specific authority (1994) or a co-signature (2007); treat workers’ compensation patients; have PA services reimbursed by Medi-Cal to the same extent that such services would be reimbursed to a physician; supervise medical assistants without the physician physically present in the office; be taken into account in establishing the primary care panel size for HMOs; and double the number of PAs who can be supervised by a supervising physician. These accomplishments are testament to the skill and dedication of CAPA’s leadership in building coalitions, mobilizing its grassroots supporters and hiring the right legislative advocates.”
“Over the past year I have been very excited to see CAPA continue to provide transformational leadership to anticipate changes coming to the PA Profession. The current Board of Directors was instrumental in the formation and adoption of the CAPA Vision Statement. The Board embraced strategic visioning processes to guide annual goals. All these things combined allowed CAPA to guide significant changes for PAs in California. The Board, through the prudent use of partnerships and consultants, continue to provide leadership for all PAs. I see the current Board of Directors continuing the legacy of directors long ago: to fully integrate PAs into every aspect of California’s health care.”
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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Appreciation, Admiration and Acclaim “The Office of Statewide Health Planning and Development and the Song-Brown Program were thrilled when approached regarding the development of a Physician Assistant survey. The last Physician Assistant survey was completed over ten years ago and many changes have occurred since then. The timing of this report is optimal due to the onset of health care reform and the demands for more primary care providers.” Lupe Alonzo-Diaz, OSHPD Deputy Director of Healthcare Workforce Development Division
“In the 2013 legislative session CAPG and CAPA worked very closely together on two bills – SB 352 and SB 494. We were very successful in that process, CAPA led the way on that. I think that the success is really due in large part to the respect and admiration that members of the legislature have for physician assistants.” Bill Barcellona , CAPG Senior Vice President for Government Affairs
“The California Medical Association is pleased to have had the opportunity to work collaboratively with CAPA on improving patient safety within integrated, team-based care. We’re looking forward to continuing that relationship through 2014.” Dustin Corcoran, CMA CEO
“I have had the pleasure of working with CAPA very closely and I have to tell you it has been fun, it’s been interesting and you are so well represented up here in Sacramento.” Kathleen Creason, OPSC Executive Director
“Every PA in the country benefits when a state law is improved. As a member of the AAPA staff and CAPA member, I’m delighted with CAPA’s 2013 advocacy victories!” Ann Davis, MS, PA-C, AAPA Vice President of Constituent Organization Outreach and Advocacy
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CAPA – SOLID AND FOCUSED
“Much of AAPA’s strength lies in its partnerships with our constituent organizations. Having spoken at CAPA in both Palm Springs and Napa many times over the years, I was especially delighted to join CAPA leaders and conference attendees again in Palm Springs and to personally support CAPA’s advocacy this year. Congratulations and many thanks to all my friends at CAPA for the work you do on behalf of our profession. Hats off to CAPA!” Lawrence M. Herman, MPA, PA-C, DFAAPA, AAPA President
“Partnering with CAPA has been a rewarding experience on so many levels - professional and personal. Our annual legislative get-togethers, collaborating on important projects and legislation and furthering the Patient Centered Medical Home model have enhanced our close relationship. Most recently, CAPA joined CAFP and two other organizations in obtaining a Provider Outreach and Education grant from Covered California. Now we are working together to ensure every Californian has access to health care services from physicians and physician assistants.” Susan Hogeland, CAE, CAFP Executive Vice President
“I want to congratulate CAPA on a very successful year! Their responsiveness to our graduates’ seeking a solution to the State required controlled substances course was outstanding and we very much appreciate their continued support of the program and profession.” Kevin Lohenry, Ph.D., PA-C, USC Program Director
“Californians Allied for Patient Protection is the Coalition to protect MICRA. We are pleased that CAPA has been a very active member of our coalition since 2007 and became a full-fledged board member of CAPP continuing to protect MICRA in the state of California.” Lisa Maas, CAPP Executive Director
That’s a great question! Just look at the recent successes. 1.
CAPA successfully passed SB 352, which removed the archaic barrier that prohibited PAs from supervising MAs across all medical office settings.
2.
CAPA successfully passed SB 494, which allows health plans to significantly increase the number of patients assigned to a practice/ physician which utilizes PAs.
3. CAPA has a full time advocate in Sacramento (Teresa Anderson) who expertly represents California PAs. In addition, to help ensure the success of sponsored bills, California PAs are also represented by high level lobbyist, Kathryn Scott. 4. CAPA works closely with and is highly regarded by CMA, CAFP, PAB, CAPG, OPSC, AAPA, OSHPD and many other professional and state regulatory agencies to improve PA practice. 5. CAPA took the lead on a project with the California Office of Statewide Health Planning & Development on a California PA workforce survey. Something that hasn’t been done in over a decade. 6. CAPA improved PA training by spearheading the updating of California PA preceptor regulations clarifying who may supervise PA students. 7.
CAPA organizes several state and regional CME conferences and a highly acclaimed Controlled Substances Education Course (CSEC) held several times each year to enhance PA practice.
8. CAPA offers three scholarships to PA students and encourages their participation in the profession. 9.
Do you think CAPA is still relevant today?
The CAPA staff and consultants are recognized regionally and nationally as consummate advocates for PAs in California.
10. CAPA publishes an award winning magazine to keep CAPA members informed. 11. CAPA maintains excellent, exclusive job listings for CAPA members. 2013 was one of CAPA’s best years ever!
HARD WORK | GREAT MEMBERS | STRONG LEADERS
25
2013 KEY Regulations CAPAsNotes We make it easy for CAPA members to be well-informed about the PA Practice Act. We have taken some of the most important sections of the PA Regulations and put them in a quick reference guide. We publish this guide once each year in the CAPA News (most recently in the March/April 2013 issue) and CAPA members may also find it on the CAPA Website. The information on these four pages is something every California PA should know. Check it out at: www.capanet.org/ Publications/CAPA-Notes/
October 1, 2013 – Radiologic Health Branch Passes PA Fluoroscopy Regulations* Responding to an issue that surfaced some years ago, CAPA supported legislation to allow PAs to use fluoroscopy during diagnostic and therapeutic procedures. The successful passage of Assembly Bill 356 was effective on January 1, 2010. However, the implementation of this new law was fittingly placed into the hands of the California Radiologic Health Branch who were tasked with determining the procedure to comply with educational requirements and the issuing of fluoroscopy permits to PAs. On October 1, 2013, the regulations passed. Discussions continue today to find appropriate accredited educational sites willing to take on this select group with a modified curriculum consisting of 40 hours of didactic and 40 hours of supervised clinical experience. This has been a slow process but does continue to move forward - slowly.
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CAPA – SOLID AND FOCUSED
Preceptor Regulations* On April 1, 2013, the regulations CAPA helped to draft and worked tirelessly to get approved, were finally approved. Several PA programs in the state sent representatives to testify at various hearings. It was another terrific team effort. This regulation brings California in line with ARC-PA Accreditation standards and allows for non-physician supervision (preceptors) of PA students while still acknowledging the primary role of physicians in the training of PAs.
Physician Availability: Elective Cosmetic Procedures* Effective July 1, 2013, whenever an elective cosmetic procedure involving the use of a laser or intense pulse light device is performed by a licensed health care provider acting within the scope of his or her license, a physician with relevant training and expertise shall be immediately available to the provider. For purposes of this section, “immediately available” means contactable by electronic or telephonic means without delay, interruptible, and able to furnish appropriate assistance and direction.
Renewal Fee Waiver for Active Duty Military Personnel* Effective January 1, 2013, the PAB must waive renewal requirements for military personnel when they are called into active duty. Renewal requirements waived for military personnel called to active duty include renewal fees, continuing education requirements and any other requirements as determined by the Board.
Compliance With the New Continuing Medical Education Regulations* Effective January 1, 2013, a PA who renews his or her license is required to certify his or her compliance with the new continuing medical education regulations. That requirement is: CME is required for all Calfiornia PAs. You may either complete 50 hours of approved Category I CME (check the PAB website for list of approved sponsors) or be certified by the NCCPA at the time of the license renewal.
*The information provided here is not complete. For complete information on these regulations and all regulations for California PAs, please visit www.pac.ca.gov
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For many years CAPA leaders have talked about starting a Foundation. In 2013, after a year of paperwork and filings with the IRS, the CAPA Foundation was born. The CAPA Foundation is a 501 (c) (3) corporation which allows us to apply for grants not open to 501 (c) (6) corporations (CAPA’s tax status). The CAPA Foundation has a separate Board of Directors and the scope and purpose is much different than CAPA’s. The Foundation’s purpose is: “The purpose of the Corporation is to promote access to health care through research and education regarding the effective use of allied health practitioners, particularly in medically underserved rural and urban areas.” We are just beginning to seek grants to fund the work of the Foundation. Stay tuned for more information on the important work of the CAPA Foundation.
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A year in review
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AAPA Calls, CAPA Takes Action
Fiscally Sound and Financially Strong
Robert Miller, PA, Treasurer At the February 2013 Board Meeting we focused on and applauded how fiscally strong CAPA has become through the years. And, how current leaders have faithfully followed past visionaries in the steadfast commitment to building a fiscally sound organization. We have accomplished this through careful and frugal budgeting with conservative investments to build a solid reserve to protect our organization’s future and the future of our profession in California. Credit also goes to Laine Ainsworth, CFP, who also attended the focused meeting. He has served as CAPA’s professional investment advisor for the last 10 years. As we recognize our current accomplishments and strengths, we should look to the past. We took this opportunity to once again honor Bob Sachs for his vision as the CAPA Treasurer in 1986 and as President in 1988. He set the tone to help determine our pathway to strength - and today we have never been in better financial shape.
CAPA responded quickly to a call-to-action by the AAPA. Shortly before the AMA House of Delegates (HOD) was due to convene; the AAPA learned that a resolution was before the AMA (HOD) that would call certain aspects of medical practice, which are currently performed by PAs and well within the standard of care in many specialties across the country, into question. Although parts of the resolution were somewhat unclear, the implication was that surgery is to be performed only by physicians. We needed to act quickly to contact 35 California physicians serving as Delegates to the AMA HOD. The AAPA worked diligently with the AMA for an outcome agreeable to all.
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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A year in review
C A L I F O R N I A A C A D E M Y O F P H Y S I C I A N A S S I S TA N T S
California Physician Assistant’s Supervising Physician’s Legal Handbook
and
R. Michael Scarano, Jr. Foley & Lardner LLP CAPA General Counsel
THIRD EDITION
Professional Practice Videos Bob Miller, PA, CAPA Professional Practice Committee Chair, is your host on an enlightening series of videos depicting the history of physician assistant practice in California and the evolution of the Physician Assistant Practice Act. • PA Scope of Practice • Prescriptive Authority and Protocols • Laws and Regulations • The Surgical PA • Reimbursement Issues • The New PA and the New Job CAPA Members can view the videos on-line at www.capanet.org.
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CAPA – SOLID AND FOCUSED
California Academy of Physician Assistants
CAPA/OSHPD Workforce Survey In 2013, CAPA PArtnered with the Office of Statewide Health Planning and Development (OSHPD) to develop a workforce survey for PAs. Based on findings from the survey OSHPD has produced a survey snapshot which is available at http://www.capanet.org/ uploadedFiles/Content/PA_Laws_and_Regs/ SurveySnapshot.pdf. A comprehensive report, scheduled for publication in 2014, will provide great detail about the PA profession in California. Upon completion of the on-line survey, PAs who chose to do so were entered into a drawing for an iPad. In July, Amy Jones, PA-C (pictured below) was notified she was the lucky winner.
Third Edition of the California Physician Assistant’s and Supervising Physician’s Legal Handbook Michael Scarano, Jr., Esq. authored the California Physician Assistant’s and Supervising Physician’s Legal Handbook. It answers scores of questions in a concise, clear fashion, with citations and appendices that will permit practitioners to read the operative statutes and regulations for themselves. A “must-have” for all California practices employing PAs. Visit the CAPA website at www.capanet.org for more information or to order the book online.
CAPA’s
Political Action Committee
The CAPA Political Action Committee
CAPA Leadership – An Opportunity to Serve. An Opportunity to Grow. Kevin Robertson, MHS, PA-C joined the CAPA Board in 2013 and in November wrote an inspiring article about his experience and road to CAPA leadership. “I got involved to give back and find that while doing that, I am learning a great deal and experiencing a team environment that is gratifying and exciting. ”
CAPA Dues Have Not Been Raised In 7 Years In June 2013, CAPA members were reminded that CAPA dues are a bargain! Because of the continued strength in the number of PAs who are members of CAPA, we have been able to keep our membership dues at $175 per year. Please talk with your PA colleagues to encourage them to join CAPA so they can do their part for the PA profession in California. California Medical Assistants Association California Academy of Physician Assistants California Athletic Trainers Association California Physical Therapy Association California Association of Nurse Practitioners California Psychological Association California Pharmacists Association California Osteopathic Physicians & Surgeons California Medical Association California Optometric Association California Chiropractic Association
$100 $175 $195 $245 $250 $347 $390 $475 $800+* $813 $948
Starting with a Wine Pull in Napa and ending with a successful Silent Auction in Palm Springs, 2013 saw new enthusiasm for and interest in the CAPA PAC. Chair, Sonny Cline, PA-C, is passionate about everything he does and the CAPA PAC is no exception. Thank you to all members who contributed to the CAPA PAC either through donations when paying your membership dues and/or by participating in the CAPA PAC events at the CAPA Conferences. We hope you will contribute to the CAPA PAC each year.
*includes local medical society which varies
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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Community Outreach Scholarship Rebecca Craft Hu, PA-S Touro University, California
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2013 CAPA Scholarship Winners
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CAPA Members can log-on to the CAPA website and view Job Listings.
At The Table
Ray Dale Memorial Scholarship Chase Hungerford, PA-S University of Southern California, Keck School of Medicine Ruth Webb Minority Scholarship Alejandra Perez, PA-S Stanford University, School of Medicine
Employers know that the CAPA website is the best place to advertise for PA positions in California. CAPA was part of the Host Committee for a fundraiser on March 7, 2013 in La Jolla. Right: Speaker of the Assembly, John A. Perez, Jeremy Adler, PA-C and Assembly Majority Leader, Toni Atkins. Left: Toni Atkins, Jeremy Adler, PA-C, San Diego Mayor and Gaye Breyman, CAE
At the May 20, 2013 meeting of the Physician Assistant Board. (L to R) Sonya Earley, PA; Vice President, Cristina Gomez-Vidal Diaz; President Bob Sachs, PA-C; Catherine Hazelton; Charles Alexander, Ph.D. and Jed Grant, PA-C
June 25, 2013 - Public Policy Director, Teresa Anderson (L) and Executive Director, Gaye Breyman (R) attended a fundraiser for Assemblymember Holly Mitchell.
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CAPA – SOLID AND FOCUSED
Job Listings
Needy Meds Prescription Drug Discount Card Helps Californians Access/ Afford High Quality Health Care
CAPA has distributed over 60,000 NeedyMeds cards to California PAs who provide the cards to their patients. The CAPA prescription drug discount cards have been presented over 31,000 times with a savings of over $662,000. The program continues and CAPA members can request up to 500 cards at one time.
CAPA Bids a Fond Farewell to 2012-2013 Leaders
CAPA Mission Statement The Mission of the California Academy of Physician Assistants is to represent and serve physician assistants statewide. As an advocate of its members for quality health care and for their valued, unique alliance with supervising physicians, CAPA will enhance, educate and empower physician assistants for the ultimate benefit of their patients.
Michael J. De Rosa, MPH, Ph.D., PA-C PA Program Relations Committee Chair
Anthony Gauthier, PA-C, ATC Public Relations Committee Chair
CAPA Vision Statement Fully integrate PAs into every aspect of California’s health care.
Matthew Keane, PA-C Director-At-Large
Greg Mennie, PA-C, MSed Director-At-Large
Larry Rosen, PA-C Director-At-Large
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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2013 CAPA Conference Palm Springs
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PAs TRENDING Hundreds of PAs submitted a TRENDING PHOTO for this year’s CAPA Conference. What a wonderful showing of so many facets of life as a PA. The photos shown here are a very small sampling of all we received. Such warm and heartfelt captions came along with them. What a great way to start each of the meal events at the CAPA Conference, watching the photos of your colleagues’ “life events” unfold on the large screens. It was fun to watch people as they saw each photo, read the short captions and “caught up” on what was happening in the lives of their colleagues. You guys are fantastic.
2013 PAs Trending
BEST PA CONFERENCE – YEAR AFTER YEAR!
All-Star American PA Idol
All Star
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CAPA – SOLID AND FOCUSED
Jamie McCoy, PA-S (Western U) took home the title of CAPA All-Star American PA Idol. Special thanks to contestants, Stephanie Rolfo, PA-C, James Wiley, PA-C and Jamie McCoy, PA-S for putting on a great show in Palm Springs. Photo: James Wiley, PA-C; Jamie McCoy, PA-S and Stephanie Rolfo, PA-C
CURES AT CAPA CAPA and the Department of Justice Collaborate Over CURES Signups! DOJ Analyst, Leticia Tanner and CAPA President Elect, Jeremy Adler, PA-C
PAs at the CEP America Cyber Café logging on to the CURES registration site
PA STUDENTS SHINE AT CAPA CONFERENCE USC Wins CAPA’s 2013 Student Challenge Bowl in Double Overtime! 2013 Student Ambassadors Kayla Bratton – Western Whitney Burnett – USC Chelsea Durning – Western Laura Franco – Samuel Merritt Chelsey Garrison – Samuel Merritt Chelsea Hemming – Western Kathryn Johnson – Western
Lindsay Kennedy – Samuel Merritt Marisa Leal – Western Jamie McCoy – Western Ashley McGrogan – Western Marisa Rogers – Western Lindsey Smith – Western Acacia Sutherland – Western Gabriel Zapata – SJVC
HARD WORK | GREAT MEMBERS | STRONG LEADERS
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2013 CSEC & CAPA AT NAPA Controlled Substances Education Course (CSEC) urs 6 Ho a C t. I CME
In 2007, CAPA sponsored legislation known as The California Physician Team Practice Improvement Act. This was a landmark piece of legislation for PAs. One important piece of AB 3 was allowing PAs to write for controlled substances without patient specific approval IF delegated by the Supervising Physician and IF the PA took a 6-hour course. We tried to get the legislature to approve an on-line course but that didn’t happen. We were successful in getting the course to 6 hours (there was talk of a 40 hour course!). Once the Governor signed AB 3, we moved quickly to establish a course approved by the Physician Assistant Committee and the first Controlled Substances Education Course (CSEC) was held in October 2008. CAPA has held 30 courses since AB 3 was passed with a total of 4,955 PAs completing the course. In 2013, CAPA held the CSEC six times with a total attendance of 650 for all 2013 courses. Special thanks to UC Davis, USC and Western University. All three were gracious hosts to CAPA’s Controlled Substances Education Course in 2013. CAPA and those who took the Courses at all three programs were warmly welcomed.
CSEC - Napa 2/24/13 Attendance - 139 CSEC - La Jolla 4/20/13 Attendance - 114
CSEC - PS 10/2/13 Attendance - 144
CSEC - USC 7/20/13 Attendance - 77 CSEC - UC Davis 8/17/13 Attendance - 82
CSEC - Western U 11/23/13 Attendance - 94
CAPA at Napa 2013 marked CAPA’s 18th CAPA at Napa Conference. The Conference, located at the Napa Valley Marriott sells out each year. This one-day conference offers excellent CME. We hope you will join us at the 2014 CAPA at Napa conference on February 22, 2014.
Mental Health Across the Life Span On February 24, 2013 CAPA welcomed Touro University’s “Mental Health Across the Life Span” Conference to the CAPA at Napa Conference location. This was a free seminar that many CAPA Conference attendees attended on the Sunday following the conference. It was well received and will be repeated on February 23, 2014. Les Howard, PA CAPA President 1993
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CAPA – SOLID AND FOCUSED
California Academy of Physician Assistants 2318 S. Fairview St., Santa Ana, CA 92704 Phone: 714.427.0321 | Fax: 714.427.0324 Email: capa@capanet.org | Website: www.capanet.org