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(a) A person may perform medical diagnosis and treatment as a physician assistant only if licensed by the board and authorized to practice under 12 AAC 40.408 and only within the scope of practice of the collaborating physician.
(b) A periodic method of assessment of the quality of practice must be established by the collaborating physician before an applicant is granted authorization to practice. In this subsection, "periodic method of assessment" means evaluation of medical care and clinic management.
(c) Repealed 3/27/2003.
(d) Repealed 3/27/2003.
(e) Assessments must include annual direct personal contact between the physician assistant and the primary or alternate collaborating physician, at either the physician or physician assistant's work site. The collaborating physician shall document the evaluation on a form provided by the department.
(f) Except as provided in (h) of this section, collaborative plans in effect for less than two years must include at least one direct personal contact visit with the primary or alternate collaborating physician per calendar quarter for at least four hours duration.
(g) Except as provided in (h) of this section, collaborative plans in effect for two years or more must include at least two direct personal contact visits with the primary or alternate collaborating physician per year. Each visit must be of at least four hours duration and must be at least four months apart.
(h) Physician assistants who practice under a collaborative plan for a continuous period of less than three months of each year must have at least one direct personal contact visit with the primary or alternate collaborating physician annually.
(i) Collaborative plans, regardless of duration, must have at least monthly telephone or radio contact between the physician assistant and the primary or alternate collaborating physician. Each telephone or radio contact must be documented.
(j) Contacts, whether direct personal contact or contact by telephone, radio, or other electronic means, must include reviews of patient care and review of health care records.
(k) The primary collaborating physician shall maintain records of performance assessments. The board may audit those records.
( l ) The primary collaborating physician shall maintain on file the completed records of assessment form for at least seven years after the date of the evaluation.
(m) If an alternate collaborating physician performs the evaluation, copies of the record of assessment must be provided to the primary collaborating physician for retention in the primary collaborating physician's records.
(n) In the even-numbered years, the board's executive secretary shall initiate audits of the records of assessment.
(o) Ten percent of the actively licensed physician assistants, selected randomly by computer, will be audited for records of assessment for all active collaborative plans in place at the time of audit.
(p) For an audit, the collaborating physician shall produce records of assessment for the past two calendar years immediately preceding the year of audit.
(q) If the collaborative plan has been in effect for at least one year, but less than two years, only one year of records will be audited. Collaborative plans of less than one year's duration will not be audited.
History: Eff. 1/13/80, Register 73; am 7/11/81, Register 79; am 7/4/84, Register 90; am 3/12/89, Register 109; am 6/28/97, Register 142; am 3/27/2003, Register 165
Authority: AS 08.64.100
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Last modified 7/05/2006