The Pennsylvania Association of Nurse Anesthetists

Advanced Practice Nurse PowerPoint Presentation – This PowerPoint Presentation describes the roles and reimbursement rules that apply for CRNAs who bill for services provided to Medicare beneficiaries.

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The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. The National Plan and Provider Enumeration System (NPPES) collects identifying information on health care providers and assigns each a unique National Provider Identifier (NPI).

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The Patient Safety Authority is an independent state agency established under Act 13 of 2002, the Medical Care Availability and Reduction of Error (“Mcare”) Act. Under Act 13, all hospitals, birthing centers, ambulatory surgical facilities and certain abortion facilities must report what the Act defines as “Serious Events” (actual adverse events) and “Incidents” (so-called “near-misses”). The Authority analyzes and evaluates those reports so it can learn from the data reported in order to advise facilities and make recommendations for changes in healthcare practices and procedures which may be instituted to reduce the number and severity of Serious Events and Incidents.

The PSF providers online resources for clinicians to use. A search specific to nurse anesthesia came up with the following "hits"

• Dysrhythmias, Defibrillators, Pacemakers and Anesthesia
  Charles P. Kingsley M.D. PDF file
• Anesthesia for Electroconvulsive Therapy
  A Shocking Experience or Living Better Electrically
  Charles P. Kingsley M.D. PDF file
• From Pariah to Patient- Understanding Substance Abuse in the Nursing Profession
  Kevin Knipe, PHMP Program Manager PDF file
• Antibiotics & Anesthesia: Antibiotics & Anesthesia; New AHA Endocarditis Guidelines Case Study
  Marie A. DeFrancesco-Loukas, MSN, CRNP, CRNA PDF file
• Toxic Mentoring; Heightened Awareness Through Research
  Brandy Little SRNA, BSN; Marie DeFrancesco-Loukas CRNA, MSN PDF file
• Does Anesthetic Management Really Affect Long-Term Outcomes?
  Terri G. Monk M.D. PDF file
• Patient Safety: More Than Meets the Eye
  Jackie S. Rowles, CRNA, MBA, MA, FAAPM, AANA President  PDF file
• Temporary Pacemakers
  Deanna J. Tanner, Senior Clinical Specialist Medtronics  PDF file
• Cardiac Electrophysiology for the Anesthetist - Part 1
  Cindy Williams CRNA, MS HSA PDF file
• Cardiac Electrophysiology for the Anesthetist - Part 2
  Cindy Williams CRNA, MS HSA  PDF file
• Hemodynamic Changes in Obstetric Anesthesia
  Sonia Vaida  PDF file

• Getting Out of the Fishbowl! CRNAs Impacting Healthcare Outside of the OR
  Krista Bragg RN, BSN, MSN, CRNA PDF file
• Preoperative Cardiac Stents: Perioperative Management
  Mark A. Taylor, MD  PDF file
• Anaphylaxis: What Every Anesthetist Should Know….
  John M. O'Donnell CRNA, MSN PDF file
• Malignant Hyperthermia
  Barbara W Brandom, MD  PDF file
• Improving Patient Safety in the Peri-Operative Setting
  Hedy Cohen, RN, BSN, MS  PDF file
• Promoting Patient Safety Through Data Collection, Analysis and Guidance
  Michael C. Doering, Executive Director, Patient Safety Authority  PDF file
• No MUs is good MUs
  James Bocchicchio, Kevin Ponder, Robert Sykes  PDF file
• Shaken Baby Syndrome - Anesthesia Implications Case Study
  Marie A. De Francesco-Loukas, MSN, CRNP, SRNA PDF file

• The Most Influential Trends in Healthcare Affecting the Practice of Nurse Anesthesia—A Perspective
  Mary A. Golinski CRNA, PhD. PDF file
• LMA's: Airway Management and Inhalant Anesthetics
  Wanda O. Wilson CRNA, PhD., AANA President PDF file
• Update on Cardiac Anesthesia
  Charles Kingsley M.D. PDF file
• Difficult Pediatric Airway Evaluation and Treatment
  Andrew Shapiro M.D., F.A.A.P. PDF file
• ACLS Review and Recertification
  Judy Haluka B.S. R.C.I.S. PDF file
• PALS Review and Recertification
  Judy Haluka B.S. R.C.I.S. PDF file

• Treasurer--Mentorship Presentation 2006-7
  Margie Darbut CRNA, PANA Treasurer PDF file
• PANA Strategic Planning Committee 2006-7
  Committee Members: Mike Stefonetti, Margie Darbut, Fred Ackler, Mike Kinslow PDF file
• Promoting Patient Safety Through Data Collection, Analysis and Guidance
  Michael Doering MBA, Executive Director PaPSA PDF file
• Titrating Your Anesthetic - The "Bookends" of Safety
  Dean Marurek, CRNA PDF file
• Perioperative Sedation and Analgesia
  L. Jill Krasner, MD PDF file

Additional references for Dr. Krasner
Seminars in Anesthesia Vol21, No4 12-2002.pdf

• Methadone and It's Use in Anesthesia
  Patricia G. Yocum, SRNA  PDF file
• Managing Hypertension in the Perioperative Arena
  Albert T. Cheung, M.D. PDF file
• Unintended Awareness Under General Anesthesia
  Terry C. Wicks, CRNA, MHS PDF file
• Pediatric Advanced Life Support Overview 2006
  Judy Haluka, BS, RCIS, EMT-P PDF file
• ACLS Provider Overview 2006
  Judy Haluka, BS, RCIS, EMT-P  PDF file

• Coagulation Drugs and the OR
  Jeffery Chen, MD  PDF file
• Dietary Supplements: Implications to the Anesthesia Provider
  Cathy Rosenbaum, PharmD., MBA, RPh a href="./Power Point Presentations/Dietary Supplements Anes Implications.pdf">PDF file
• Wellness & Women’s Health: Focus on Antioxidants & Other Dietary Supplements
  Cathy Rosenbaum, PharmD., MBA, RPh PDF file
• Patient Safety and the Anesthesia Gas Machine
  Bettina Dixon, CRNA MSN PDF file
• Perioperative Visual Loss Associated with Spine Surgery
  Agina M. Kempen, CRNA  PDF file
• Prevention of Dental Injuries in the OR
  Manny Vallejo, M.D., D.M.D. PDF file

• Anesthesia for Trauma
  Maribeth Massie, CRNA  PDF file
• Brachial Plexus Regional Anesthesia
  Presented by Art Zwerling, CRNA PDF file
• Applications for Continuous Femoral Nerve Block
  Aung Gyi, MD  PDF file
• Malpractice Insurance 101
  Larry Hornsby, CRNA PDF file
• Nitric Oxide Signaling and Clinical Alternatives to Nitric Oxide
  Ken McDonald, SRNA  PDF file
• Pediatric PONV
  Mark Kania, CRNA PDF file
• Reversal of Neuromuscular Blockade
  Joseph Answine, MD PDF file
• The Business of Anesthesia
  Larry Hornsby, CRNA  PDF file
• The Myths of Desflurane Deciphered
  Maribeth Massie, CRNA PDF file

• Fluids and Electrolytes
  Caleb A. Rogovin, CRNA, MS, CCRN, CEN  PDF file
• Anesthetic Management of Head and Neck Anesthesia in the Adult
  Caleb A. Rogovin, CRNA, MS, CCRN, CEN PDF file
• Implantable Devices, What You Need to Know
  Jean A. Lehman RN, RCIS  PDF file
• Interesting Trauma Cases: Anesthesia Implications
  Caleb A. Rogovin, CRNA, MS, CCRN, CEN PDF file
• Rhythm Basics
  Jean A. Lehman RN, RCIS  PDF file
• Reliable Recovery and Organ Independent Elimination
  Matthew R. Belmont, MD PDF file

• Medical Malpractice and the CRNA – Focus on Patient Safety
  Louise E. Hershkowitz, CRNA, MSHA.  PDF file
• Professional Liability Insurance Issues for CRNAs
  Louise E. Hershkowitz, CRNA, MSHA.  PDF file
• Fast-tracking with Potent Inhaled Anesthetics: Perioperative and Postoperative Considerations for Rapid Recovery and Uses with the LMA
  Ann Briggs, MS, CRNA
  Ms. Briggs was sponsored by a grant from Baxter   
  PowerPoint File
• PONV, PDNV –What’s The Impact On Ambulatory Surgery?
  Mark Kania, CRNA, BA. Mr. Kania was sponsored by a grant from GlaxoSmithKline   
  PDF file
• Inhalational Agents in Bariatric Procedures
  Susan Tranchine, CRNA, PhD. Ms. Tranchine was sponsored by a grant from Abbott  
  PDF file
• Advances in Trauma Resuscitation: Implications for the Nurse Anesthetist
  Caleb A. Rogovin, CRNA, MS, CCRN, CEN PDF file
• Endovascular Grafting for Abdominal Aortic Aneurysm Repair
  Liane Santilli, CRNA, MHS.PDF file
• Emergencies In the Office
  Larry Hornsby, CRNA PDF file
• Perioperative Hypothermia: An Old Nemesis Revisited
  Terry C. Wicks, CRNA, MHS PDF file
• Geriatric Considerations in Anesthesia
  Craig Muetterties, MD PDF file
• Planning Your Financial Future
  Ms. Armstrong, Smith Barney PDF file
• PONV and The Role of Therapeutic Decision Support
  Joseph V. Pergolizzi, Jr., M.D.PDF file
• Understanding Anesthesia Billing in the Hospital Setting
  Fred Ackler, CRNA, MS. PDF file
• ACLS Handout
  Judith M. Haluka BS, RCIS, EMT-P  PDF file
• PALS Handout.pdf
  Judith M. HalukaBS, RCIS, EMT-P  PDF file
• 12 Lead EKG Interpretation
  Judith M. Haluka BS, RCIS, EMT-P  PDF file
• ACLS Pretest: test your present knowledge
  Judith M. Haluka BS, RCIS, EMT-P  PDF file