Alaska Administrative Code › Title 12 - Professional Regulations › Part 1 - Boards and Commissions Subject to Centralized Licensing › Chapter 40 - State Medical Board › Article 5 - Physician Assistants › 12 AAC 40.430 - Performance and assessment of practice

Current through May 31, 2024
(a) A person may
				  perform medical diagnosis and treatment as a physician assistant only if
				  licensed by the board 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. 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(c) Repealed 3/27/2003.
(d) Repealed 3/27/2003.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 include at least monthly telephone, radio, electronic, or direct
				  personal contact between the physician assistant and the primary or alternate
				  collaborating physician during the period in which the physician assistant is
				  actively practicing under the collaborative plan. Dates of active practice
				  under the collaborative plan and monthly 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) The board's executive secretary may
				  initiate audits of performance assessment records. In any one calendar year,
				  the performance assessment records of not more than 10 percent of the actively
				  licensed physician assistants, selected randomly by computer, will be audited.
				  For each audit,
(1) the collaborating
				  physician shall produce records of assessment for the past two calendar years
				  immediately preceding the year of audit; and
(2) 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.