Review the posted Collaborative/Standard Care Agreement. Discuss the positive and negative aspects. Question
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Review the posted Collaborative/Standard Care Agreement. Discuss the positive and negative aspects of it.
Provide 2 peer reviewed references < 5 years old that are from a professional Advanced Practice Journal for your initial post STANDARD CARE ARRANGEMENT PROVIDER SIGNATURE PAGE The undersigned Collaborating Physician and the Advanced Practice Registered Nurse (APRN) (a) acknowledge receiving and having carefully reviewed the attached Standard Care Arrangement; (b) acknowledge they are fully aware of the terms, conditions, and covenants provided in the Standard Care Arrangement; and (c) by executing this Standard Care Arrangement Provider Signature Page, agree to, ratify, and confirm all such terms, conditions, and covenants to be effective as of _________. (the Effective Date"). Certified Nurse Practitioner: Collaborating Physician: Name: Name:__________________________ State License Number: State License Number: Specialty Certification: __________________ Specialty Certification: _____________ Area/specialty of Practice:. Area/Specialty of Practice: ___________ Practice Address: Practice Address: Contact Phone #: Contact Phone #: Signature Signature This Standard Care Arrangement Provider Signature Page may be executed in multiple counterpart copies, including by facsimile signature, no one of which need be signed by both parties, and all of which together shall form a single, fully executed original of the Standard Care Arrangement. THIS STANDARD CARE ARRANGEMENT ("Agreement") is entered into by and between the Collaborating Physician ("Physician") and the Advanced Practice Registered Nurse("APRN") who have executed the Standard Care Arrangement Provider Signature Page attached to this Agreement to be effective as of the Effective Date set forth on the Standard Care Arrangement Provider Signature Page. WHEREAS, Physician provides certain professional medical services at offices/clinics/hospitals established and operated by American Health Professionals,, on behalf of itself and as agent for its subsidiaries, affiliates, and the professional corporation(s) with which American Health Professionals or any of its subsidiaries or affiliates have a services agreement (collectively, "American Health"); WHEREAS, APRN has been retained to provide professional advanced practice nursing services at the offices/clinics/Hospitals to certain patients in accordance with APRN's training, education and experience and Physician desires to collaborate with and provide medical direction for APRN in the delivery of care to patients; WHEREAS, the parties desire to enter into this Agreement for the purpose of establishing and maintaining a practice model in which APRN provides professional health care services in collaboration with Physician; and delineating the parameters for the delivery of professional health care services by APRN including but not limited to the prescriptive authority of APRN.. NOW, THEREFORE, the parties agree as follows: Licensure/Certification. At all times during the Term (as defined in Section 7) of this Agreement: (a) APRN shall be duly licensed as an Advanced Practice Registered Nurse by the State Board of Nursing pursuant to the Nurse Practice Act, Administrative Code; (b) Physician shall be duly certified/licensed to practice medicine in state and otherwise qualified to collaborate with APRN under the state laws. APRN Scope of Practice; Duties. Health Care Services. APRN shall deliver, in collaboration with Physician, full-service professional healthcare services for all ages. The American Health Care Services shall encompass primary and occupational care and shall focus on the management and treatment of common health problems and illness, health screening and supervision, wellness and health education and counseling for those patients for which APRN has received formal training and education. This Agreement shall serve as the "Standard Care Arrangement" as defined under Laws and required for documentation of the collaborative relationship between APRN and Physician. Locations. APRN shall provide such Health Care Services at the Clinics/Offices/Hospitals listed on Schedule 2.2 , attached hereto and incorporated herein by the reference which offers services similar to the services provided at the Physician's primary practice site. Prescriptive Authority. CNP agrees to only prescribe drugs in accordance with the parameters established and maintained by the Law, including, but not limited to the following: APRN shall not prescribe any drug in violation of federal or state Law; APRN's prescriptive authority cannot exceed the prescriptive authority of the Physician; Prior to writing a prescription, the APRN must obtain a thorough patient history, conduct a physical exam, render a diagnosis, rule out contraindications for the prescribed medication, consult with the physician when necessary, and document these steps in patient medical records; Controlled substance prescribing requires US DEA certification and following the parameters established and maintained by the State Board of Nursing and Board of Pharmacy. Guidelines. Physician and APRN have each reviewed and approved the American Health clinical practice guidelines (the "Clinical Guidelines") which such Clinical Guidelines describe the APRN scope and categories of professional services, diagnosis and treatment that may provide and for which APRN has been formally trained and educated to provide. APRN shall provide all Health Care Services in accordance with the Clinical Guidelines. Physician and APRN shall no less than every two-year basis review and, as necessary, revise the Clinical Guidelines to address new technologies or changes in services, procedures or processes. Representations. APRN represents that APRN is in good standing and not subject to disciplinary action by the BON and that the BON is not currently prohibiting the APRN from executing this Agreement. Notice to Board. APRN must provide written notification to the State Board of Nursing of any change in the collaborating physician no later than thirty (30) days after the change has taken effect. Physician Collaboration; Duties. Consultation; Patient Management. Physician may provide consultation and collaboration by telephone, radio or in-person. Physician shall be available for consultation on medical problems, complications, emergencies or patient referral by telephone or radio at all times that APRN delivers Health Care Services to patients. Substitute Physicians. Physicians shall designate one or more physicians, duly licensed/certified to practice medicine in the State with consistent scope of practice or medical competence as Physician (each a "Substitute Physician"), who will collaborate with APRN in the event Physician is unavailable for consultation due to temporary illness, injury or absence. The name, license number and attestation of each designated Substitute Physician is included as Schedule 3.3 of this Agreement. Limit on Collaboration. Physician may not simultaneously collaborate with more than five (5) APRNs with prescribing privileges. Active Practice. Physician shall at all times during the Term actively engage in direct clinical practice in the State and practice in a specialty that is the same or similar to the APRN's nursing specialty. Notice of Collaborative Agreement. Physician shall submit all notices as required by the State Medical Board using such formats as required by the State Medical Board from time to time. Joint Duties. On Site Documentation. The parties shall maintain a copy of this Agreement on file at all practice sites at which APRN and Physician provide Health Care Services pursuant to this Agreement. Annual Review; Amendment. APRN and Physician shall each review this Agreement and the Clinical Guidelines every two years during the Term. At each review, Physician shall provide APRN with verification of current licensure and certification. APRN shall provide such verification of Physician's licensure or certification to the Board of Nursing upon request. Also, at each review, Physicians and APRN shall certify that each has completed the review. Such certification is included as Schedule 4.2 of this Agreement, attached hereto and incorporated herein by reference. Compliance with American Health Policies. The parties shall comply with all company policies and procedures, as they may exist from time to time, including but not limited to policies and procedures regarding: (a) quality assurance review of patient records for patients treated by APRN; (b) consultation and referral to a physician or a designated health facility for services or emergency care that is beyond the education, training, competence or scope of practice of APRN; (c) the scope and categories of professional services, diagnosis and treatment that APRN may provide; and (d) process for resolution of disagreements between the APRN and Physician regarding patient management. Notification of Investigation. In the event that a party to Agreement is notified that the individual has become the subject of an investigation by the Medical Board or BON, the party under investigation must immediately notify the other party to Agreement. Quality Assurance; Accurate Records. APRN shall maintain accurate records documenting all physical findings concerning the patient, the diagnosis and treatment, and any prescriptions written for a patient for whom such APRN provides care. Physician shall review a representative sample of patient records, including a random sample of prescriptions written by APRN, for quality assurance and compliance with the policies and procedures developed by Premise Health including the APRN's referral of patients to other healthcare providers. Not less than annually, Physician and APRN shall communicate to perform a quality assurance review which must include the following: (i) discuss the results of the patient record review; (ii) identify any patient care issues; (iii) plan any necessary improvements in patient care delivery; and (iv) evaluate the implementation and effectiveness of past plans for improving patient care delivery. The results of quality assurance review must be documented on Schedule 4.4 of this Agreement and maintained on file at the clinic. All such records shall be available for review by the Ohio State Board of Nursing upon request. (b) On not less than a semi-annual basis, Physician and APRN shall review a representative sampling of prescriptions written by APRN, unless otherwise engaging in systematic review on an ongoing basis. Compliance with Laws. Each party agrees that it will comply with, and accept full responsibility for, all Law(s) (defined below) and industry practices in connection with the performance of their respective obligations under this Agreement. Interpretation of Agreement. This Agreement will be governed by and interpreted under the laws of the State. No waiver of a breach of any provision of this Agreement will be construed to be a waiver of any subsequent breach of the same or any other provision of this Agreement. This Agreement may not be assigned, delegated or transferred by either party. Term and Termination. The term of this Agreement shall commence on the Effective Date and remain in effect until terminated in accordance with this Section 7 (the "Term"). APRN or Physician may terminate this Agreement without cause upon forty-five (45) days prior written notice. This Agreement shall terminate immediately upon either party's loss of licensure or certification or any unappealable disciplinary action. Notices. Any notice required or permitted to be given under this Agreement shall be in writing and delivered in person or by registered or certified mail, return receipt requested, postage prepaid, addressed to the parties as set forth on the Provider Signature Page, attached hereto. SCHEDULE 2.2 HEALTH CARE SERVICE LOCATIONS List information for all Premise Health sites where NP will provide patient care: SITE # SITE NAME: ADDRESS: PHONE # SITE # SITE NAME: ADDRESS: PHONE # SITE # SITE NAME: ADDRESS: PHONE # SCHEDULE 2.4 CLINICAL PRACTICE GUIDELINES After the NP completes an appropriate and thorough history and physical examination of the patient, the NP shall render a diagnosis and prescribe any necessary prescription drugs after ruling out the existence of any recognized contraindications, and consulting with the collaborating physician when necessary, all in accordance with State law requirements regarding the NP's scope of practice and prescribing authority. In addition to clinical policies, procedures and disease-specific algorithms of care that may be available as clinical resources to the NP, the following textbooks and on-line resources are approved by the PC, the NP and the Collaborating Physician(s) to serve as general guidelines for clinical practice: Directions: Fill in lines below with proper titles of reference manual(s) and material(s): These Clinical Practice Guidelines shall be reviewed and updated by the NP and the Collaborating Physician(s) in accordance with state law and the NP's Collaborative Practice Agreement. SCHEDULE 3.2 ATTESTATION OF SUBSTITUTE PHYSICIAN The undersigned physician agrees to act as Substitute Physician for APRN in the event the Collaborating Physician identified in the Standard Care Arrangement to which this Schedule 3.3 is attached is unable to do so due to temporary illness, injury or absence. By signing this attestation, Substitute Physician acknowledges that Substitute Physician has read, understands and agrees to abide by the terms and conditions of the Standard Care Arrangement when Substitute Physician is providing such substitute services hereunder. _________________________ ______________________________ Date Signature _________________________ ______________________________ License Number Printed Name of Substitute Physician SCHEDULE 4.2 REVIEW I certify that I have conducted the required every 2 years review of this Agreement and its attachments, including all Clinical Guidelines and Schedules as of the date indicated below. _______________________________ ____________________________ CNP Physician _______________________________ ____________________________ Date Date I certify that I have conducted the required every 2 years review of this Agreement and its attachments, including all Clinical Guidelines and Schedules as of the date indicated below. _______________________________ ____________________________ CNP Physician _______________________________ ____________________________ Date Date I certify that I have conducted the required every 2 years review of this Agreement and its attachments, including all Clinical Guidelines and Schedules as of the date indicated below. _______________________________ ____________________________ CNP Physician _______________________________ ____________________________ Date Date SCHEDULE 4.5 Quality Assurance/Chart Review Conference CONFERENCE DATE: CONFERENCE TIME: ___________ CONFERENCE ATTENDEES: , APRN , COLLABORATING PHYSICIAN , OTHER In order meet the regulatory requirements of QA Chart Review Conference, the parties must: Discuss results of Patient Record Review: Identify Patient Care Issues: Plan necessary improvements in patient care delivery: Evaluate the implementation and effectiveness of past plans for improving patient care delivery: . A copy of this document shall be maintained on file at all practice sites at which APRN provides Health Care Services pursuant to this Agreement. All such records shall be available for review by the Board of Medicine or the Board of Osteopathic Medicine, as the case may be, and/or the Board of Nursing upon request. SCIENCE HEALTH SCIENCE NURSING MSN 612
Review the posted Collaborative/Standard Care Agreement. Discuss the positive and negative aspects
