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TRANSITIONS to PRACTICE

TRANSITIONS to PRACTICE. Christine Armstrong, MSN, CNP. What’s Next. You chose a certification exam. You joined a professional organization. AACN/AANP You apply to take the exam online. Submit transcripts electronically. Wait (patiently) for your OK to test. While you wait….

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TRANSITIONS to PRACTICE

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  1. TRANSITIONS to PRACTICE Christine Armstrong, MSN, CNP

  2. What’s Next • You chose a certification exam. • You joined a professional organization. • AACN/AANP • You apply to take the exam online. • Submit transcripts electronically. • Wait (patiently) for your OK to test.

  3. While you wait… • You apply for your APRN License • APRN Modernization Bill went into effect April 4, 2017. • You only need to apply for APRN license. • OBN site states that all applications and payments must be on line. • Can apply before you graduate and before you test. OBN will keep on file for 1 year.

  4. Application • Ohio Board of Nursing web site. • Apply on Line • Pay fees on line. • Submit Electronic Transcripts to the OBN • As there is no CTP or CTP externship, the Board will be paying close attention to your 45 hours of Pharmacology in the last 5 years.

  5. Application • The Certifying Agency must submit your test results directly to the Board. • There is no fee to submit results to Board. • New law states that you will then be granted a license as an APRN. • You will be designated a CNP, CRNA, CNM, CNS with automatic prescriptive authority with licensure. Lucky Ducks!

  6. Congratulations! • You passed your certification exam. • You have been granted a License to Practice as an APRN. • You have to be an RN to be an APRN. • DO NOT let your RN license lapse as it voids your APRN. • Leads to talking to the Board of Nursing.

  7. Practice • Compensation for services rendered. • Contract negotiation. • Malpractice Insurance. • National Provider Number. • DEA number. • Medicare Number. • Medicaid Number.

  8. SCA • Standard Care Arrangement • Written, formal guide for planning and evaluating a patient’s health care that is developed by a collaborating physician/s and an APRN. • All APRN’s must have SCA even if not Prescribing per Modernization Bill. • Must submit to OBN within 30 days of practice or change in collaborator.

  9. APRN Modernization • Collaborating now 5 APRN’s to one Physician. • Collaborating Physician/s: SCA with APRN and is continuously available to communicate with APRN in person or with technology. • Psych NP can now collaborate with Psychiatrist or Primary Care Physician.

  10. National Provider Identification • NPI number is a 10 digit numeric identifier to be used on claim forms submitted to payors. • Must have it to bill for services. • Medicare, Medicaid and private insurances. • Must update when changing practices. • Must have NPI to Apply for Medicare and Medicaid number.

  11. Schedule II • Need to have a DEA number to Prescribe Schedule II • DEA $730.00. Employer cover cost? • www.deadiversion.usdoj.gov • Need to inform OBN of DEA number. • OARRS Registration. • www.ohiopmp.gov

  12. Medicare Number • Internet-based Provider Enrolment, Chain and Ownership System. • PECOS • Submit the current version of the Medicare enrollment application (CMS-855) • Submit the correct application for your provider to the Medicare contactor servicing your state. (Palmetto)

  13. Medicaid Number • Apply on Line • Check list of documentation you need to even start application on line. • MITTS. • Must have NPI before you can apply. • Can apply for Medicare and Medicaid simultaneously.

  14. Practice • Professional organizations. • AANP • OAAPN • NEONP • Mentorship/Preceptorship. • Pay it Forward.

  15. Nurse Practitioner History • Early 1960’s PCP recruited RN’s with clinical expertise and began collaborating to provide Primary Care. • 1965 Loretta Ford and Dr. Silver founded the first NP program at the University of Colorado. • 1967 first Master’s Program for NP and Ohio was using NP’s in Public Health

  16. Nurse Practitioner History • By 1979 there were 15,000 NP programs in the US. • Ohio, especially Northeast Ohio, had a high number of programs. • Marymount Hospital, Lutheran Hospital and St. Joseph’s Hospital in Lorain, Ohio • 1980 Northeast Ohio Nurse Practitioner Group was founded.

  17. Nurse Practitioner History • Goal of NEONP was to organize for NP’s. • Legislation for certification and licensure. • Fought to be recognized as a health care provider. • Out of NEONP, founding members went on to establish OAAPN. • This brought together all Advanced Practice. CNS, CNP, Midwife, CRNA

  18. Nurse Practitioner History • 1997 Title Protection: gave NP’s the right to be paid for their Advanced Practice by Insurance Companies. • 2000 Ohio was the last State to obtain Prescriptive Authority. • 2008 APRN could prescribe Schedule II • 2017 APRN Modernization Act, removed some limits on practice.

  19. Practice • Questions???

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