1. Licensure and Certificate to Prescribe Timeline Josanne K. Pagel MPAS, PA-C, Karuna®RMT Executive Director, PA Services Cleveland Clinic

2. Timelines Dependent upon Graduation date Dependent upon Graduation date Taking NCCPA boards Taking NCCPA boards Getting fingerprinted Getting fingerprinted OSMB meeting dates OSMB meeting dates Supervision agreements Supervision agreements Privileging within a hospital system Privileging within a hospital system Get prepared!

3. Graduation dates: Tri –C ; CSU: December Tri –C ; CSU: December Marietta; July Marietta; July Findley; December Findley; December U of Toledo: December U of Toledo: December Kettering; July Kettering; July Mt. Union: August Mt. Union: August

4. NCCPA testing Rule of thumb, can sign up for NCCPA test 7 to 14 days after your program completion (provided your program director has confirmed your program completion date) Rule of thumb, can sign up for NCCPA test 7 to 14 days after your program completion (provided your program director has confirmed your program completion date) Test results are given within 2 wks (if take on Mon. and Tues, get results immediately) Test results are given within 2 wks (if take on Mon. and Tues, get results immediately) If fail, must wait 90 days before re-testing (may only take 3x’s in one calendar year). If fail, must wait 90 days before re-testing (may only take 3x’s in one calendar year). www.nccpa.net www.nccpa.net www.nccpa.net

5. Ohio license OSMB meets on the Second Wed. and Thurs of the month OSMB meets on the Second Wed. and Thurs of the month Agenda items must be in the hands and through finance of the OSMB the second or last week of pre-ceding month Agenda items must be in the hands and through finance of the OSMB the second or last week of pre-ceding month Application for license must be complete; (do not send pieces and parts) Application for license must be complete; (do not send pieces and parts) All questions answered: Do you have a DUI? All questions answered: Do you have a DUI? Once on the agenda, if all is well, license posted on the Friday or Monday after the meeting. Once on the agenda, if all is well, license posted on the Friday or Monday after the meeting. * The OSMB does NOT give out temporary licenses! * The OSMB does NOT give out temporary licenses!

6. Hiring May be contingent upon your passing certification test, licensure and privileging May be contingent upon your passing certification test, licensure and privileging Before given a start date you must have: Before given a start date you must have: Complete hospital privileges Complete hospital privileges Approved supervision agreement (or plan with private practice) from the OSMB Approved supervision agreement (or plan with private practice) from the OSMB

7. Privileging As of Jan. 2004 JCAHO stated that all PA’s working within a hospital system must be privileged through the same system as the physicians BEFORE they are allowed to practice at that facility. As of Jan. 2004 JCAHO stated that all PA’s working within a hospital system must be privileged through the same system as the physicians BEFORE they are allowed to practice at that facility. Even if you are going into private practice, you will be affiliated with some hospital system. Even if you are going into private practice, you will be affiliated with some hospital system. Example: PA’s must be privileged by the Board of Governors at CCF before a start date is given. (our process has taken any where from 1 wk to 3 months, depending on applicant). Example: PA’s must be privileged by the Board of Governors at CCF before a start date is given. (our process has taken any where from 1 wk to 3 months, depending on applicant).

8. Privileging continued: Once applicant accepts a job offer, a privileging packet is sent out to him/her. Once applicant accepts a job offer, a privileging packet is sent out to him/her. The packet must be completed within 3-5 days and returned. The packet must be completed within 3-5 days and returned. All areas must be completed on application; including full contact information for references. All areas must be completed on application; including full contact information for references. References are key to getting through privileging seamlessly. References are key to getting through privileging seamlessly. Packets can be sent out with contingencies: obtaining certification, license, etc. Packets can be sent out with contingencies: obtaining certification, license, etc.

9. Privileging continued: Timeline dependent upon: Timeline dependent upon: NCCPA results NCCPA results OSMB license OSMB license References returning forms References returning forms Completed application w/o questions Completed application w/o questions Dates of PA privileging committee Dates of PA privileging committee Dates of BOG meetings: 2 nd and 4 th Tues Dates of BOG meetings: 2 nd and 4 th Tues

10. Example of timelines: 2010 Graduation date: Aug. 10 Graduation date: Aug. 10 NCCPA test (first date available): Aug. 20 NCCPA test (first date available): Aug. 20 Passing results: Aug. 22 Passing results: Aug. 22 Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Application in OSMB hands the next week. Application in OSMB hands the next week. On the Sept. agenda: (12-13). On the Sept. agenda: (12-13). Results on Friday-Monday, (14 or 17) Results on Friday-Monday, (14 or 17)

11. Timelines continued: Graduation date: Dec. 14 Graduation date: Dec. 14 NCCPA test; first available: Jan. 3, 2013 (no testing 12/22-12/31.) NCCPA test; first available: Jan. 3, 2013 (no testing 12/22-12/31.) Passing results: Jan. 9, 2013 Passing results: Jan. 9, 2013 Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Application in OSMB hands the next week. Application in OSMB hands the next week. On the OSMB agenda Feb. 8&9, 2013 On the OSMB agenda Feb. 8&9, 2013 Results on Friday-Monday, (10 or 13). Results on Friday-Monday, (10 or 13).

12. Timelines continued: Graduation date: July 13 Graduation date: July 13 NCCPA test; first available: July 23 NCCPA test; first available: July 23 Passing results: July 25 Passing results: July 25 Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Application to OSMB (have prepared: Certificate from PA School, fingerprinting (done in Columbus is best), all references, and NCCPA passing results) Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Make a copy of application and mail it registered or certified (so you get a receipt upon arrival at OSMB). Application in OSMB hands the next week. Application in OSMB hands the next week. On the OSMB agenda Aug. 8 & 9 On the OSMB agenda Aug. 8 & 9 Results on Friday-Monday, (10, 13) Results on Friday-Monday, (10, 13)

13. CTP You must begin your position as a PA before you apply for your CTP. You must begin your position as a PA before you apply for your CTP. WHY? You need a supervising physician to sign your application. WHY? You need a supervising physician to sign your application. CME requirements: 30 hrs of pharmacology, 15 hrs of fiscal and ethical CME (all within Ohio PA programs). Out of state new grads must complete the DVD from OAPA for fiscal and ethical. CME requirements: 30 hrs of pharmacology, 15 hrs of fiscal and ethical CME (all within Ohio PA programs). Out of state new grads must complete the DVD from OAPA for fiscal and ethical. 20 hrs of onsite supervision hours with physician 20 hrs of onsite supervision hours with physician All must be complete before you apply! All must be complete before you apply! Once completed application is in OSMB hands, processing takes about 2wks (sometimes shorter, sometimes longer). Once completed application is in OSMB hands, processing takes about 2wks (sometimes shorter, sometimes longer).

14. What can stall this process? Any formal action against you; DUI, suspensions, etc. Any formal action against you; DUI, suspensions, etc. You must be honest on all legal forms; OSMB, privileging. You must be honest on all legal forms; OSMB, privileging. All organizations use the National Data Bank and background checks now; IE: fingerprinting, etc. All organizations use the National Data Bank and background checks now; IE: fingerprinting, etc. If you answer “yes” to any questions, on disclosures, please attach thorough documentation to why you answered yes. If you answer “yes” to any questions, on disclosures, please attach thorough documentation to why you answered yes. BE HONEST AND THOROUGH! This is not a situation where it is better to seek forgiveness than ask permission! Disclose everything. BE HONEST AND THOROUGH! This is not a situation where it is better to seek forgiveness than ask permission! Disclose everything.

15. Conclusions Be prepared: Be prepared: Take the NCCPA test as soon as you can; your job offer may depend on it. Take the NCCPA test as soon as you can; your job offer may depend on it. Have your OSMB application ready (as much as you can) Have your OSMB application ready (as much as you can) Fingerprinting in Columbus is the fastest Fingerprinting in Columbus is the fastest Make sure you chose reliable references for privileging! Make sure you chose reliable references for privileging! Be nice throughout the process: Be nice throughout the process: …Out of your smile will bloom a flower… …Out of your smile will bloom a flower… Thich Nhat Hanh Thich Nhat Hanh