Louisiana Administrative Code
Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS
Part XLV - Medical Professions
Subpart 3 - Practice
Chapter 45 - Physician Assistants
Section XLV-4512 - Performance Plan

Universal Citation: LA Admin Code XLV-4512

Current through Register Vol. 50, No. 9, September 20, 2024

A. For each practice setting, a PA and SP shall develop and implement a meaningful performance plan for evaluating whether the PA has performed medical services delegated by the SP with professional competence and with reasonable skill and safety to patients. At a minimum, the plan shall include:

1. for new graduates/major shift in practice:
a. different primary practice sitesif the PAs primary practice site (as defined in §1503. A of these rules e.g., the location at which a PA spends the majority of time engaged in the performance of his or her profession) is different from the SPs primary practice site then, during the first 12 months of supervised practice after passing the credentialing examination, and the first 6 months after entering into an entirely new field of practice, such as from primary care or one of its sub-specialties to a surgical specialty or sub-specialty, monthly chart review conducted by a SP of no less than 50 percent of the PAs patient encounters, as documented in the patient records;

b. same primary practice sitewhere the SP and PA work together, have the same primary practice site, routinely confer with respect to patient care, and the PA and SP document their services in the charts and records maintained at the primary practice site, the requirements of §4512. A.1.a shall be considered satisfied;

2. for all other PAs not falling within §4512. A 1: a review of such number of charts and records of the PA on a monthly basis as the SP deems appropriate to meet the purposes of §4512. A If the PA has prescriptive authority the plan shall include a review of a representative sample of the PAs prescriptions. The plan should also include any other items that the SP and PA deem appropriate to insure that the purposes of this Section are met (e.g., documented conferences between the PA and SP concerning specific patients, a sample of medical orders, referrals or consultations issued by the PA, observation of the PAs performance, the SPs examination of a patient when he or she deems such indicated, etc.).

B. The plan shall be a component of the clinical practice guidelines. The SP responsible for compliance with the plan shall be designated in the PAs clinical practice guidelines. Questions respecting the applicability of this paragraph in specific cases shall be determined at the discretion of the board.

C. Accurate records and documentation regarding the plan for each PA, including a list of the charts and any other items reviewed, shall be maintained for three years and made available to board representatives upon request.

D. For joint commission-accredited practice sites, the performance plan requirements of §4512. A.2 and §4512 B-C of these rules shall be considered satisfied if the practice site requires chart review as part of its joint commission ongoing professional practice evaluation (OPPE) process for PAs. For a hospital practice site that is joint commission-accredited, but does not require chart review as part of its OPPE process, or that not is joint commission accredited, the PA and his or her SP shall be responsible for meeting the requirements of §4512 A-C of these rules.

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1270(B)(6), 37:1360.23, and 37:1360.28.

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