Sample Collaborative Practice Agreement Nurse Practitioner Pennsylvania
In the absence of justified patient safety concerns, the debate about the reasons for CPAs must take into account the needs of patients. In Pennsylvania, two nurses who complete the same accredited postgraduate program and pass the same national certification exam are not allowed to provide patient care services in Pennsylvania, for example if compared to Maryland. Documented improvements in patient outcomes in countries where nurses` professional licenses are less restrictive are likely the result of improved patient access and not variability in provider training. Licensing laws define access to health care workers and determine the availability of services in a wide range of markets. In Pennsylvania, nurse practitioners must sign a CPA with two doctors to meet the state`s licensing requirements. The agreement is a written contract outlining the benefits a nurse can provide and the conditions for the physician`s participation in care. A nurse without a CPA cannot practice. As Mr. Gilman pointed out, the CPAs are challenging two principles of competition policy for nurses with respect to professional licensing policy: are the rules harmful? As a result, do the regulations take the proposed risks effectively? A signed CPA does not mean which collaborative services, if any, are available to the nurse. The model and frequency of medical cooperation are not standardized by law or by law.
Collaboration with physicians may include on-site case consultation for all patient meetings with a physician or signing medical records. In Florida, the CPA study revealed significant variability in the collaborative services actually provided. In a national study of nurses, the majority of nurses did not see improvements in patient safety or quality as part of a CPA. The review of the restrictive profession of nurses is taking place across the country, including Pennsylvania. In 2017, Pennsylvania reintroduced laws in SB 25 and HB 100 that would allow nurses to practice without CPAs. Another debate on this topic is probably in hiring an aging population, the unmet health needs of Pennsylvania residents, and advances in other states, the nurse independent practice sewing firm. Because we consider the reasons and consequences of restrictive state occupational regulation for nurses, a “dose of competition” is needed to inform research and future policy planning.