I've always understood the +PNA to be favorable by just implying troughy weather downstream, but I've also recently begun to notice the stark impact that the Rockies have on eroding our cold air source, a secondary reason that a +PNA/tall west coast ridge is so important. A zonal westerly (or worse: SWerly) flow onto the west coast drives upstream flow directly perpendicular to the major axis of the Canadian Rockies in particular. If precipitation falls out of this orographic lift, then there is a strong adiabatic compression/warming east of the Rockies (a Chinook wind). This coupled with the strong -NAO block is leading to an accumulation of much warmer than average temperatures across Canada (still below freezing though), with effects extending southward into the US:
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Note the sharp line of warmer than average temperatures east of the Canadian Rockies. Even on this frame though, there's evidence of below average temperatures associated with an active southern stream undercutting and moderating conditions across the southern US (e.g. anomalies in Texas and Florida). As the 12z GEFS rolls forward, a west coast ridge begins to appear just after day 10. The Chinook wind is still present, but it's clearly dampened here with more legitimate below average temperatures across the board:
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These below average anomalies spread east and persist through the end of the model run.