Nurse Practitioner Collaborative Agreement by State

Initial application forms for cooperation agreements are available from the Nursing Committee. A collaborative practice contract is a written contract that establishes an employment relationship between the nurse and the physician. Often this means that the doctor provides supervision and advice and is available for consultations with the NP. Some States may require regular face-to-face meetings or set a quota for the examination of files. Are you interested in working in virtual nursing as a doctor or nurse? Learn more about Wheel`s possibilities for virtual nurses. Especially in a virtual nursing practice, where it is advantageous to have multiple state licenses, a nurse will likely need to enter into a collaborative agreement to provide care in a particular state. NOTICE OF NEW REQUIREMENTS: Collaborative medical disclosure of all cooperation/surveillance agreements in all states; agreement signed by each attending physician; and the provision of a quality assurance plan. For nurses looking to get a multi-state license or doctors interested in working with a nurse, navigating the regulatory landscape and government oversight rules can be overwhelming. This data expands Indicator 3 of the Scoreboard: Removing Barriers to Practice and Care, which is used to measure the campaign`s progress in modernizing outdated policies (public and private), changing state and federal laws and regulations, and removing cultural and organizational barriers so that nurses with advanced practice can practice to the fullest extent of their education and training. There are a variety of New York and federal laws that affect financial relationships between physicians. Certain types of financial relationships between registered nurses and cooperating physicians are prohibited by the Education Act or the Malpractice Regulations (see, for example.

B, the Education Act § 6513, 8 NYCRR § 29.1) or other state or federal laws. NPs can refer patients to their cooperating physician if medically necessary, provided the NP does not receive anything in exchange for the referral. New York law does not require that a cooperation agreement include a payment provision. Over the past decade, the number of nurses has more than doubled, in response to the industry`s growing focus on primary care and a growing shortage of doctors. While most NP workplaces are focused on hospitals, doctors` offices, and ambulatory care centers, the explosion of more accessible and affordable virtual care has led to significant opportunities for NPs to work in telemedicine. A copy of the Collaborative Practices Agreement should be kept in NP practice environments and made available to the New York State Department of Education (SED) for review. The following is a copy of a sample agreement (20 KB) that you can use as a template. Regulations that require cooperation agreements vary from state to state and have changed frequently due to the pandemic. Consult with the nursing committee in the states of your choice to review current requirements and scope of practice restrictions.

Questions regarding collaborative practice agreements and practice protocols can be directed to the Office of the Nursing Council by email nursebd@nysed.gov or by phone at 518-474-3817, ext. 120, or by fax at 518-474-3706. It is not the responsibility of the Office of the Nursing Council to interpret the laws that govern the financial relationship between NPs and cooperating physicians. Word of mouth is often one of the best ways to find a collaborative relationship. Many nurses find medical staff through colleague referrals and other working relationships, post requests on social media groups, attend in-person and virtual industry events, join networking groups, and make connections via LinkedIn. If a collaborative practice is voluntarily terminated by either party, the physician is responsible for notifying the Medical Association within 14 days. Nurses who provide virtual care should be aware that, depending on where they practice and the services they provide, they may need medical supervision to treat patients. Laws vary, so it`s important to make sure you comply with your state`s regulations. By finding a cooperating physician, establishing a collaborative practice agreement, and ensuring that the physician has adequate liability protection, NPs are well positioned to build a successful virtual practice.

In addition to the oversight tasks imposed by the state nursing board, medical staff should regularly review patient records for quality assurance purposes and, perhaps more importantly, develop an open communication channel with the monitored NP. Once you have found an employee, you will need to formalize your relationship in writing with a cooperation agreement. Many state nursing councils or state professional care associations can provide model cooperation agreements. Overall, the responsibility of a cooperating physician is similar to that of a health care provider or executive who supervises other clinicians. .