[Maine-NPs] Re: Maine-NPs Digest, Vol 19, Issue 9

[Liz Duke]

I recall being told by a friend who works with an internal medicine practice affiliated with a critical access hospital that a certain percentage of her charts need to be cosigned. In my institution, which is not a critical access facility, all H&P, Consults, discharge summaries, operative reports, and progress notes need to be co-signed. I recently read in the AANP newsletter that Medicare recently lifted the cosignature requirement for admission H&Ps. In researching Co-signature at my institution, I am finding there are many layers of burocracy: Medicare regulations, JACHO, Maine Hospital Association rules, institution bylaws, etc. I will try to find the actual regulation from Medicare and research this further but I have not yet found any NP's who have hospital privledges in Maine without at least a "collaborative agreement" or "plan of supervision" in place. If anyone on this list serve has any more information regarding this issue, please send me an email at dukefmly at hotmail.com. Liz Duke, FNP, legislative committee co-chair....

> From: aquaj1 at hughes.net> To: maine-nps at nurse.net> Date: Thu, 18 Oct 2007 18:19:19 -0400> Subject: [Maine-NPs] Re: Maine-NPs Digest, Vol 19, Issue 9> > I work in the ER at Millinocket Regional Hospital. The other three > clinicians are PA-C's. All of our charts are co-signed . However, I was not > aware that this was a requirement for critical access hospitals. What > department do you work in? Are you considered an independent clinician?> Thanks, Joe Aquilina, N.P.> ----- Original Message ----- > From: <maine-nps-request at nurse.net>> To: <maine-nps at nurse.net>> Sent: Wednesday, October 17, 2007 3:00 PM> Subject: Maine-NPs Digest, Vol 19, Issue 9> > > > Send Maine-NPs mailing list submissions to> > maine-nps at nurse.net> >> > To subscribe or unsubscribe via the World Wide Web, visit> > http://lists.nurse.net/mailman/listinfo/maine-nps> > or, via email, send a message with subject or body 'help' to> > maine-nps-request at nurse.net> >> > You can reach the person managing the list at> > maine-nps-owner at nurse.net> >> > When replying, please edit your Subject line so it is more specific> > than "Re: Contents of Maine-NPs digest..."> >> >> > Today's Topics:> >> > 1. Critical Access Hospitals (wdicranian at tds.net)> >> >> > ----------------------------------------------------------------------> >> > Message: 1> > Date: Wed, 17 Oct 2007 13:16:04 -0500> > From: <wdicranian at tds.net>> > Subject: [Maine-NPs] Critical Access Hospitals> > To: maine-nps at nurse.net> > Message-ID: <20071017131604.GDDJS.197250.root at webfep11>> > Content-Type: text/plain; charset=utf-8> >> > Is anyone out there working under the umbrella of a Critical Access > > Hospital? If yes, how are you dealing with the requirement all mid-level > > provider notes need to be co-signed? I would appreciate any input.> > Wendy Dicranian, FNP> >> >> > ------------------------------> >> > _______________________________________________> > Maine-NPs mailing list> > Maine-NPs at nurse.net> > http://lists.nurse.net/mailman/listinfo/maine-nps> >> > End of Maine-NPs Digest, Vol 19, Issue 9> > ****************************************> > > > _______________________________________________> Maine-NPs mailing list> Maine-NPs at nurse.net> http://lists.nurse.net/mailman/listinfo/maine-nps
_________________________________________________________________
Help yourself to FREE treats served up daily at the Messenger Café. Stop by today.
http://www.cafemessenger.com/info/info_sweetstuff2.html?ocid=TXT_TAGLM_OctWLtagline
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/maine-nps/attachments/20071022/d0827f1d/attachment.html