CSA News

New toolkit available for CSA members – “Preventing Title Misappropriation and Inappropriate Scope Expansion”

Mar 30, 2022
CSA’s Practice Management Committee has created a new informational resource that can be used by anesthesiologists to help shape the policies and practices at your individual clinics/hospitals to ensure that labeling and scope for anesthesiologists is protected.

We have seen a series of efforts across the nation where nurse anesthetists have been trying to use the title of “anesthesiologist” and blur the lines between physician and nurse. This includes AANA formally changing its name to the American Association of Nurse Anesthesiology, which was sharply condemned by the ASA. Individual nurses have been adopting misleading titles and groups like New Hampshire Association of Nurse Anesthetists have tried to push the title protection issue in the courts.

These efforts to manipulate titles have serious implications for patient safety and the long-term trajectory of the anesthesiology specialty.  CSA is engaging on this issue on the legislative, regulatory and media fronts, and we want to also give you practical tools to make changes at your local level and in your facilities to counteract these patient safety issues.

The new CSA toolkit includes background information on relevant laws, including the supervision opt-out, information about how to navigate the process through your hospital’s policy infrastructure, and specific policy changes you can put in place at your facility to ensure the highest quality of care and patient safety.

The toolkit provides resources and guidance on how to engage in key areas such as:

  • Shaping the makeup of the Interdisciplinary Practice Committee (IDPC), which defines the scope of practice for Allied Health Providers (AHP) at your facility.
  • Determining the approval process and trigger points for potential scope recommendations at your facility.
  • Understanding the possibility of introducing title restriction policies through a facility’s Bylaws Committee.
  • Encouraging appropriate regulations at your facility governing supervision for nurse anesthetists.

The toolkit provides background information on the supervision requirements in California, with links to legal and practice management resources. It also provides an overview of the required composition of the IDPC, a look at the significance of Medical Staff bylaws and recommended language for bylaws changes that could be enacted by a facility to address title misappropriation. The toolkit also includes links to outside resources from the American Medical Association, American Society of Anesthesiologists, and other sources on scope and title.

The CSA Practice Management Committee is here to be a resource if you or your practice group have questions on how to address title misappropriation or scope expansion issues. We are available to do a briefing or discussion on an individual or group basis.

Please reach out and let us know what’s happening in your facility – are you facing title misappropriation issues? Are the toolkit resources helpful? Email us at PM@csahq.org