Physicians are required to document to the Board of Medical Licensure and Discipline that they have earned a minimum of forty (40) hours of American Medical Association, Physician Recognition Award (AMA PRA Category) 1 Credit or American Osteopathic Association (AOA Category 1a) continuing medical education credits.
At least 4 hours of continuing medical education shall be earned on topics of current concern as determined by the director of the Rhode Island Department of Health. Current topics include: Ethics, Risk Management, Opioid pain management / chronic pain management, End of life / palliative care, Antimicrobial Stewardship.
Physicians and other healthcare providers who retire or stop practicing for other reasons should do their best to provide patients with continuity of care. When practices break up or separate, keep the patients’ interests first and foremost. The Rhode Island Board of Medical Licensure and Discipline frowns upon complaints that suggest physicians are fighting over patients or “using the patients” as part of the break up. Rhode Island law specifically requires that you:
All programs complement the clinical care of providers. By the end of the program, patients will have learned how to set goals to improve their health and lifestyle, manage their symptoms and medication, work with their health care team, talk with family and doctors, relax, eat well and handle difficult emotions. By gaining these skills, patients will become activated and engaged in their care. Healthcare providers will receive feedback on the status of any patient referrals.
Physicians are required to document to the Board of Medical Licensure and Discipline that they have earned a minimum of forty (40) hours of American Medical Association, Physician Recognition Award (AMA PRA Category) 1 Credit or American Osteo Pathic Association (AOA Category 1a) continuing medical education credits.
At least 2 hours of continuing medical education shall be earned on topics of current concern as determined by the director of the Rhode Island Department of Health. Current topics include:
The Deparment, and the Warren Alpert Medical School, can help you meet your continuing educations requirements.
When filling out a death certificate do not report mechanisms or modes of dying without etiology such as:
The Rhode Island State-Supplied Vaccine program provides vaccine to healthcare providers to immunize people of all ages. A table with details about these vaccines, including their age indications, is available for healthcare providers.
Additionally, a series of immunization requirements are in place in Rhode Island to ensure that healthcare providers are properly immunized.
Children are required to have certain immunizations before they enter day care, pre-kindergarten, child care, kindergarten, 7th grade, and 12th grade. They can be exempted from immunizations for either religious or medical reasons. Religious exemption forms can be obtained from school nurses. A medical exemption form must be provided and signed by a doctor. (Medical exemption forms can be ordered online by healthcare providers.)
Healthcare providers can enroll in the program to order vaccine for both pediatric and adult patients. Enrollment must be completed online annually.
Before administering any vaccine, healthcare providers must give the current Vaccine Information Statement to patients (or their parents or guardians). This must be documented in the patient's medical record.
Non-influenza state-supplied vaccine can be provided to all children (younger than 19 years of age). Adult, insured Rhode Island residents and adults who are non-Rhode Island residents but who are covered by a Rhode Island employer’s health plan are also eligible for non-influenza state-supplied vaccine if they are:
Adults who are not in one of these categories can be vaccinated as follows:
|Patient type||Where/how to vaccinate|
|Uninsured but able to pay||Privately-purchased vaccine, St. Joseph Center for Health and Human Services, or at a pharmacy|
|Uninsured and unable to pay||Patient Assistance Program sites and St. Joseph Center for Health and Human Services|
|Insured, but not through a Rhode Island employer||Privately-purchased vaccine or at a pharmacy|
|Covered by Medicare Fee-For-Service||Can utilize SSV for influenza only, but providers will have to reimburse the Department of Health for doses administered at the purchase price of the vaccine. For all other adult vaccines, provider can purchase private stock for their patients or refer Medicare FFS patient to pharmacy.|
Medical Orders for Life Sustaining Treatment (MOLST) are instructions to follow a terminally ill patient’s wishes regarding resuscitation, feeding tubes and other life-sustaining medical treatments. The MOLST form can be used to refuse or request treatments and are completely voluntary on the part of patients. These orders can supplement Do Not Resuscitate (DNR) instructions or a COMFORT ONE bracelet. more
A physician, registered nurse practitioner, advanced practice registered nurse or physician assistant who is authorized by the patient is authorized to sign Medical Orders for Life Sustaining Treatment.
Store patient’s medical records for at least five years after the most recent patient encounter, regardless of whether the patient is alive or dead. Providers may charge a reasonable administrative fee for copying medical records; however, the transfer of medical records cannot be delayed due to non-payment of administrative fees. more
Provide copies when requested. Providers may charge a reasonable administrative fee for copying medical records; however, the transfer of medical records cannot be delayed due to non-payment of administrative fees. Records should be provided within 30 days.
Make sure that records are still available if the practice is closed.
Use Electronic Health Records which provide better way to see long term medical issues and track trends among groups of people. Healthcare providers who accept medicaid or medicare must meet "meaningful use" standards. more
Physicians Assistants work as part of a healthcare team, supervised by physicians following a written and signed agreement as required by law. Sample Agreement There are four mandatory elements of the agreement:
The level of supervision and clinical oversight must consider the:
For example, a new graduate PA with limited experience performing an invasive procedure (e.g. insertion of a central venous line or a closed thoracotomy) may require on-site supervision / oversight for immediate consultation whereas adequate supervision of a PA with demonstrated competency in performance and management of possible complications of the same procedure may be provided by phone. Adequate supervision of the same new graduate PA working in a clinic or office setting providing basic primary care could be safely provided by phone.
As with overall supervision, the quality assurance program should reflect the experience level of the PA. Consideration should be given to evaluating the performance of the new graduate PA weekly initially. As the PA demonstrates the ability to meet the quality expectations of the supervising physician the evaluation interval may be increased but is required to be performed at least yearly. Accepted forms of performance evaluation include:
Prescribing pharmaceutical stimulant(s) for ADD/ADHD is common and, at times, very appropriate. As with any controlled substance, consideration and safeguards are necessary to prescribe responsibly and to prevent diversion. Diversion of stimulants is different and more common in the adolescent and young adult populations. These patients are more likely to share their stimulants and are not aware of the risks of doing so. Prescribers have a professional duty to prevent diversion of controlled substances. Please review this educational policy in its entirety.more
Per the FDA Emergency Use Authorization, medical providers and patients are to be provided with factsheets for understanding this test.