New Online for TN BME Committee on Physician Assistants ... · file: Mailing address Practice...
18
PA 1 New Online Process for Updating TN BME Committee on Physician Assistants’ Attachment 4 & 5 – Authorization for Prescribing for PAs As of May 2017, the “Authorization for Prescribing for Physician Assistants” for documenting prescribing formulary and physician supervision is now named the “PA Supervising Physician Form”. No Longer Accepted – Board of Medical Examiners will send back to you if submitted after May 1 st Table of Contents Accessing the online system ............................ 2 License and Regulatory System Sign‐in ................. 3 Creating an online account ............................. 4 Linking profile to licenses .............................. 7 Matching license results ............................... 7 PA Supervisory Request .. ............................. 8 Verify a current physician ....................... 12 Add a supervising physician ..................... 13 Class drug selection .................................... 15 Controlled drug selection ............................... 16 Review & edit Application summary .................... 17 Attestation ............................................. 17 Application summary pdf ...............................17
Transcript of New Online for TN BME Committee on Physician Assistants ... · file: Mailing address Practice...
PA
1
NewOnlineProcessforUpdatingTNBMECommitteeonPhysicianAssistants’
Attachment4&5–AuthorizationforPrescribingforPAs
AsofMay2017,the“AuthorizationforPrescribingforPhysicianAssistants”fordocumentingprescribing
formularyandphysiciansupervisionisnownamedthe“PASupervisingPhysicianForm”.
NoLongerAccepted–BoardofMedicalExaminerswillsendbacktoyouifsubmittedafterMay1st
TableofContents
Accessingtheonlinesystem............................2LicenseandRegulatorySystemSign‐in.................3Creatinganonlineaccount.............................4Linkingprofiletolicenses..............................7Matchinglicenseresults...............................7PASupervisoryRequest...............................8 Verifyacurrentphysician.......................12 Addasupervisingphysician.....................13Classdrugselection....................................15Controlleddrugselection...............................16Review&editApplicationsummary....................17Attestation.............................................17Applicationsummarypdf...............................17
PA
2
1. NewPhysicianAssistants(PAs)applyingforaTNlicenseandcurrentlylicensedPAsupdatingtheirformularyorsupervisingphysicianinformationwillnowberequiredtousetheonlinesystem.Inpreparationtoupdateyourinformation,haveaccessto:
o adesktopcomputerorlaptop(donotusephonesortablets)o theemailtowhichyouhaverequestedallcorrespondencebesento yourDEAnumbero physician’slicensenumber,ifaddingacollaborating/supervisingphysician
Tobegin,gototheTNDepartmentofHealthwebsite:https://tn.gov/health/topic/PA‐board
2.Clickon“Applications”(redarrow).
PA
3
3.Afterclickingon“Applications”,thepagecontainingCommitteeapplicationswillappear.Scrolldowntoandclickonthelinktitled“PASupervisingPhysicianForm”(yellowarrow).
4.ThiswillopentheLicensureandRegulatorySystemsign‐inpage.
PA
4
5.Gotothe“NewUser”boxandclick“BeginHereforSign‐up”(redarrow)tocreateanonlineaccountwithaUserIDandpassword.
ForALLUSERS:EvenifyouhavepreviouslyusedtheBoard’sonlineservicesbefore,youmustcreateanewaccountinthisnewsystem.
6.Provideallrequestedinformationtobeginnewaccountregistration.Indicatetheemailtowhichyouwantallboardcommunicationssend.Under“Communication”(yellowarrow),wesuggestselecting“Yes”toE‐mailCommunicationtoassuretimelyreceiptofnotices/informationfromTNDepartmentofHealth.
PA
5
Press“Next”topreviewandsaveyourregistrationinformation
7.Afteryouregisterandcreateanewaccount,[email protected].
**Onlyadesktopcomputerorlaptop(notphonesortablets)shouldbeusedtoaccessthisemailaddressandactivatelinkscontainedwithinitscontents.*Pleasecheckspamorjunkfoldersifyoudonotreceivetheemailwithinafewminutes.
PA
6
8.TheLARSemailwillcontainatemporarypasswordwithalink. a.Copyornotethetemporarypasswordsoyoumaypasteorprovidewhenrequested.b.ClickonthelinkthatwillredirectyoubacktotheLicensureandRegulatorySystem.
c.AsaReturningUser(redarrow),provideyouruserID(emailpreviouslyidentified)andthetemporarypassword.Click“SignIn”.
9.TheDefaultRegistrationpageshownbelow(redarrow)willnowappear.Thetemporarypasswordyouwereprovidedwillbethe“OldPassword”.
Createanewpasswordforyouraccount.
PA
7
10.Afteryouregisteredandcreatedyournewsystemaccount,youwillbeaskedtolinkyourprofiletoexistinglicenses.
Followtheinstructionsprovidedtomatch/linkyourlicense(s).
PA
8
11.Onceyou’vematchedyourlicense,the“QuickStartMenu”willappear(yellowarrow).
12.The“QuickStartMenu”willallowyoutoreviewandupdateyourinformation.Toreviewyourinformationand/orupdateyourcollaborating/supervisingphysicians,goto: a.“Manageyourlicenseinformation” b.Clickon“SelectApplication”(redarrow)topromptadropdownmenu c.Withinthedropdownmenu,select“PASupervisoryRequest”
d.Clicktheblue“Select”button(purplearrow)
PA
9
Ifthereisanexistingrequestalreadyopen,whichhasnotbeencompleted(redarrow),youwillhavetheoption(yellowarrow)toproceedwiththeincompleterequestortostartanewapplication.Ifyouchoosetostartanewapplication,yourexistingincompleterequestwillbecancelled.
PA
10
13.Subsequentscreensinthe“PASupervisoryRequest”section,willenableyoutoreviewandupdateinformation.
Beginningwiththefirstpage,“Introduction”(yellowarrow),click“Next”inthelowerrightcorner(redarrow)tosequentiallyreviewandeditinformation,asneeded.
Althoughtabslocatedintheleftmargin(bluearrow)mayalsobeusedtonavigatepagecontent,itissuggested,foraninitialinformationreview,pagesbereviewedintheorderlisted.
Subsequentreturnstothesystemtoupdateinformationmaybefacilitatedbyuseofleftmarginnavigationtabs.
PA
11
SPECIALNOTE:Fromthe“PASupervisoryRequest–ContactInformation”screen,youwillhavetheoptiontoenterallyouraddressrecords.InordertoproceedyouMUSThavethefollowingrecordsonfile:
Mailingaddress Practiceaddress
Ifyouhavemorethanonepracticeaddresses,youmaylistotheraddresses.AtthebottomoftheContactInformationpage,under“AddAnotherContact”(yellowarrow),select“PracticeAddress”(purplearrow)asshownbelow.Emergency,practicefaxandmailingfaxaddressareoptional.
14.UpdatingSupervisingPhysicianinformation.
NOTE:The“SupervisorSelection”tab(redarrow)willallowthefollowingfunctions: VERIFYaphysician DELETEaphysician ADDaphysician.
*YoumayonlyaddONEphysicianintheexistingform.Ifyouneedtoaddmorethanonephysician,youwillneedtocompleteandexittheexistingform,andstartanew“PASupervisoryRequest”.
PA
12
a.VERIFYacurrentsupervisingphysician.Fromthe“PASupervisoryRequest–RelatedLicenses
Listing”existingphysiciansupervisorsonfileforyouwillbelisted.
Clicktheradiobuttontoconfirmanexistingsupervisoryrelationship.
PA
13
b.ADDasupervisingphysicianFromthe“PASupervisoryRequest–RelatedLicensesListing”screen,scrolltothebottomandselect“Add”(yellowarrow).YoumayonlyaddONEphysicianintheexistingform.Ifyouneedtoaddmorethanonephysician,youwillneedtocompleteandexittheexistingform,andstartanew“PASupervisoryRequest”form.
Fromthe“PASupervisoryRequest–RelatedParty‐Add”screenbelow,select“SupervisorofPhysicianAssistant”(yellowarrow)fromthe“TypeofRelationship”.Next,under“LicenseType”,specifywhetherthesupervisingphysicianisanMDorDO(redarrow).
Youwillalsoneedyoursupervisingphysician’slicensenumberinordertoaddthem(bluearrow).Onlyenterthenumbers(NOLETTERS).Seebelowinstructionstoobtainaphysician’slicensurenumberonline.
PA
14
Toobtainaphysician’sTennesseemedicallicensurenumberonlineGotoTNDepartmentofHealth’sLicenseVerification:https://apps.health.tn.gov/Licensure/
Ataminimum,providefirst/lastnameandprovidednumeric/lettercode.Click“Submit”.
Onceallrequiredinformationhasbeensubmittedandyouhaveselected“Next”,yoursupervisorwillbeaddedtoyoursupervisorylist.Select“Next”againtoproceedtothe“PASupervisoryRequest–SupervisorSelection”screenshownbelow.Selectthemostrecentlyaddedsupervisorandclick“Next”.Thenextpagewillincludealistofallpracticeaddressesonfileforyou.Selecttheaddresswherethenewlyaddedphysicianwillbeprovidingsupervisoryservices.Click“Next”.
PA
15
15.UpdateyourClassDrugSelection(redarrow).a.Usingthedropdownmenu(yellowarrow),diligentlyreviewandselecteachclassofdrug yoursupervisingphysicianhasagreedyoumayprescribeunderhis/herdelegation.Atthistime,youarerequiredtomakeaselectionandclick“Add”foreachclassofdrug.
Enhancementsarependingsoyoumaymakemultipleselectionsfromadropdownmenu.Whenallclassesofdrugshavebeenadded,select“Next”tocontinue.
b.Alistingofyourselections(purplearrow)willbeimmediatelyavailableforyourreview.
PA
16
16.UpdateyourControlledDrugSelection(yellowarrow).a.Usingthedropdownmenu(bluearrow),diligentlyreviewandselecteachtypeandscheduleofcontrolleddrugsyoursupervisingphysicianhasagreedyoumayprescribeunderhis/herdelegation.Click“Add”aftereachtypeandscheduleiscompleted
b.Acomprehensivelistingofselectedtypeandscheduleofcontrolleddrugs(redarrow)willbeavailableforyourreviewand/orediting.
c.ProvideyourDEAcertificatenumber
PA
17
17.Finally,asummaryofyourapplicationwillbeprovidedforyourreviewandedits.Whenreviewiscomplete,click“Submit”.
18.Whenyouhavecompletedandsubmittedallupdates,youwillbeaskedcompleteanElectronicattestationstatement.Click“Submit”.
19.Followingattestation,youwillbeprovidedwithanoptiontoviewandprintyourApplicationSummaryinpdfformat.
ExampleofpdfApplicationSummary
PA
18
20.Additionally,youwillalsoimmediatelyreceiveanemail,tothee‐mailaddressonfile,[email protected].
**Ifyoudonotreceiveacopywithinafewminutes,pleasecheckyourspamorjunkfolders.Alsoconsiderconfirmingthatthecorrectemailaddresswasprovidedwithouttypographicalerrors.
Yoursupervisingphysicianwillalsoreceiveanemailtoconfirmthecollaborativeagreement.PLEASENOTE:Yoursupervisoryrelationshipwillbenotbevalidatedunlessanduntilyoursupervisingphysicianvalidatestherelationship.Anoticeofyourpendingrequestwillbesenttoyouandyoursupervisorat15,30and45daysaftertheinitialrequest.Requestsnotvalidatedwithin60dayswillexpire.
21.Submitacopyofyourcompleted“PASupervisingPhysicianForm”(pdf)withyourinitialcredentialingpacketor“OnePacket”toProviderSupportServices([email protected]).Ifyouevermakechangestoyourformularyorsupervisingphysician(s),pleasesubmitanupdatedcopyofyourcompleteddocumenttoProviderSupportServices.
Ifyouhaveanyquestionsorconcerns,pleasereachouttoyourAdvancedPracticeleaderoremailtheOfficeofAdvancedPracticeatwww.vanderbiltoap.comforassistance.
