WSR 04-11-100

PERMANENT RULES

DEPARTMENT OF HEALTH


(Medical Quality Assurance Commission)

[ Filed May 19, 2004, 8:40 a.m. , effective June 30, 2004 ]

Date of Adoption: April 16, 2004.

Purpose: The rule amendment is being adopted to ensure public safety by requiring the demonstration of minimal competency before being allowed to practice without direct physician supervision.

Citation of Existing Rules Affected by this Order: Amending WAC 246-918-120 Remote site -- Utilization -- Limitations, geographic.

Statutory Authority for Adoption: RCW 18.71A.020.

Other Authority: Chapter 18.71A RCW.

Adopted under notice filed as WSR 04-05-044 on February 12, 2004.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 1, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 1, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0.
Effective Date of Rule: June 30, 2004.

April 22, 2004

D. Maniece

Executive Director

OTS-6342.1


AMENDATORY SECTION(Amending WSR 96-03-073, filed 1/17/96, effective 2/17/96)

WAC 246-918-120   Remote site -- Utilization -- Limitations, geographic.   (1) No licensee shall be utilized in a remote site without approval by the commission or its designee. A remote site is defined as a setting physically separate from the sponsoring or supervising physician's primary place for meeting patients or a setting where the physician is present less than twenty-five percent of the practice time of the licensee.

(2) Approval by the commission or its designee may be granted to utilize a licensee in a remote site if:

(a) There is a demonstrated need for such utilization;

(b) Adequate provision for timely communication between the primary or alternate physician and the licensee exists;

(c) The responsible sponsoring or supervising physician spends at least ten percent of the practice time of the licensee in the remote site. In the case of part time or unique practice settings, the physician may petition the commission to modify the on-site requirement providing the sponsoring physician demonstrates that adequate supervision is being maintained by an alternate method. The commission will consider each request on an individual basis;

(d) The names of the sponsoring or supervising physician and the licensee shall be prominently displayed at the entrance to the clinic or in the reception area.

(3) No physician assistant holding an interim permit shall be utilized in a remote site setting.

[Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, 246-918-120, filed 1/17/96, effective 2/17/96. Statutory Authority: RCW 18.71.017. 92-12-089 (Order 278B), 246-918-120, filed 6/3/92, effective 7/4/92; 91-06-030 (Order 147B), recodified as 246-918-120, filed 2/26/91, effective 3/29/91. Statutory Authority: RCW 18.71A.020. 88-06-008 (Order PM 706), 308-52-147, filed 2/23/88.]

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