Newsletter
December 2016
Are Your Resuscitation Requirements Current? Make Sure You Are Ready for New IU Health Policy Requirements
Policy ADM 3.49-Cardiopulmonary Resuscitation (CPR) Certification and Maintenance for Medical Students, Residents and Fellows Effective 12/31/16
The purpose of this policy is to ensure that all Medical Students, Residents and Fellows within the IU Health system will obtain and maintain the appropriate life support certifications as stipulated by IU Health.
This policy applies to all Medical Students, Residents and Fellows within IU Health.
POLICY STATEMENT
- Medical Students
- Medical Students will be trained on and maintain current certification for AHA Basic Life Support (BLS).
- Medical Students must renew BLS certification prior to the date of expiration in order to continue to participate in patient care.
- Residents and Fellows
- Residents and Fellows will be trained on and maintain current certification for AHA Basic Life Support (BLS).
- Residents and Fellows will meet the requirements for those in programs in which advanced life support certification is required as outlined in Appendix A. Any programs excluded from Appendix A may still require advanced certifications at the discretion of the residency or fellowship.
- Residents and Fellows must renew BLS and other required certifications prior to the date of expiration in order to continue to provide patient care.
APPENDIX A - RESIDENTS AND FELLOWS CARDIOPULMONARY RESUSCITATION (CPR) CERTIFICATION REQUIREMENTS BY PROGRAM
PROCEDURES
- The Center for Physician Education shall maintain documentation of BLS and advanced certifications for Medical Students, Residents and Fellows.
- Medical Students, Residents, Fellows and designated program contacts will be notified of upcoming expiration of certifications by the Center for Physician Education.
- If notification of recertification is not received within 30 days of expiration date, access to clinical systems may be suspended.
IMPLEMENTATION PLAN
In order to comply with Resident & Medical Student ACLS/BLS/PALS Certification Compliance Policy, MS 3.49, IU Health has devised the following implementation plan:
- IU Health will provide AHA Approved Certification training for BLS, ACLS, and PALS, to Residents, Fellows, and Medical Students from October 1, 2016 – March 31, 2017.
- All Residents, Fellows and Medical Students must provide validated certification, as required per policy, to IU Health by April 1, 2017.
Frequent Asked Questions: Resuscitation Policy Implementation Period and Training Opportunities
Q: Is there a schedule available to share with residents/students?
A: No, each resident or student will receive an email, with a username already provided, that is specific to their individual email address, asking them to create a password. They can log on and register for available courses at that time. (See example)
Q: Can training be done online?
A: American Heart Association (AHA) on-line courses require the individual to attend an in-person check-off with an AHA instructor. https://www.onlineaha.org/course_format
Q: Is AHA the only approved training program accepted?
A: Yes. All BLS, ACLS, and PALS certifications must be completed by an AHA approved training center. ATLS and NRP are completed by program instructors credentialed to train for those certifications.
Q: How long are the classes?
A: BLS class is approximately 4 hours | ACLS/PALS initial training is 2 days | ACLS\PALS renewal is 1 day.
Q: When do certifications need complete?
A: All certifications must be obtained, and maintained, before March 31, 2017.
Q: What happens if certification is not complete?
A: Any provider not credentialed after March 31, 2017 will lose access to IU Health systems until current certification is provided.
Q: Does training have to be completed at IU Health?
A: No, training can be completed at any AHA approved training facility at the expense of the attendee. Residents, Fellows and Medical Students from the IUSM currently training at, or incoming, to IU Health facilities can complete their BLS and applicable ACLS or PALS through IU Health ERTI department (Wile Hall Methodist) at no cost for the course (textbooks not included and may be borrowed through library).
Q: Can training be done at another IU Health facility besides Methodist?
A: No. Currently, the ERTI Program at Methodist is the only IU Health clinical education department that will complete the training at no expense* to residents, fellows, or medical students. (*does not include materials)
Q: Can training be done elsewhere?
A: Yes. As long as the training is completed by an AHA approved training center we will accept those certifications.
Q: What are the certification requirements?
A: ALL residents, fellows and medical students must have a current BLS certificate. Residency and Fellowship Programs that have additional advanced certification requirements as mandated by the ACGME or the specific program requirements are required to be maintained while at IU Health.
Q: If I have ACLS/PALS why do I need BLS?
A: BLS has specific basic resuscitation components not taught in the advanced courses. While BLS is a recommendation of the AHA prior to taking ACLS or PALS it is not a requirement; however, IU Health requires all residents, fellows and medical students at minimum obtain, and maintain, a BLS.
Q: Some programs the residents or fellows have no patient exposure or bed side care. Is BLS still a requirement?
A: Yes. ALL residents, fellows and medical students are required at minimum to maintain a BLS certification.
Q: Some programs have residents that are non-physicians. Is BLS still a requirement?
A: Yes. ALL residents, fellows and medical students are required at minimum to maintain a BLS certification.
Q: When will residents, fellows, and medical students receive the link to register?
A: Currently, we are sending registration requests to groups with higher volumes of uncertified trainees according to the data we are provided. As of the 10/31/17 all PGY 1-3s should have received an invitation. MS 3-4s can expect their invitation early to mid-November. From Mid-November to Mid-December PGY 4-9s and MS 1-2s will begin receiving their invitations.
Q: I’ve completed my course. Who should I provide a copy of my certification?
A: Any training completed by the ERTI program will be sent to Physician Education and your profile will be updated the system. Additionally, please provide a copy to your residency/fellowship coordinator. Medical Students please provide a copy to the Continuing Medical Education (CME) office to ensure it is documented in their systems as well. Providers also have the ability to upload current certificates directly to the IU Health Center for Physician Education Portal (https://iuhealthcpe.org/)by logging on to their account and selecting -->certifications-->Upload-->Complete all mandatory fields. If no certificate number is available please select N/A.
Training at an outside facility will need to be communicated to GME coordinators and/or UME/CME to forward this information to the Center for Physician Education.
For any other questions: Please contact Rachel Williams, Project Manager –Academic Affairs Center for Physician Education, at 317-963-5585 or email at rwillia2@iuhealth.org.
Medicare Launches Quality Payment Program Website
In October, CMS released the Quality Payment Program website, an interactive site to help clinicians understand the program and successfully participate.
The Quality Payment Program has two tracks options:
- Advanced Alternative Payment Models (APMs) or
- The Merit-based Incentive Payment System (MIPS)
Participating in an Advanced APM, through Medicare Part B providers earn an incentive payment for participating in an innovative payment model. Participation in MIPS, providers earn a performance-based payment adjustment.
You’re a part of the Quality Payment Program in 2017 if you are in an Advanced APM or if you bill Medicare more than $30,000 a year and provide care for more than 100 Medicare patients a year. You must both meet the minimum billing and the number of patients to be in the program. If you are below either, you are not in the program.
For MIPS, you must also be a:
- Physician
- Physician assistant
- Nurse practitioner
- Clinical nurse specialist
- Certified registered nurse anesthetist
For more information on the Quality Payment Program please visit: https://qpp.cms.gov/
