Questions about highly cooperative practice agreements and practical protocols can be emailed to the firstname.lastname@example.org Care Office or by phone at 518-474-3817 ext. 120 or by fax at 518-474-3706. It is not the jurisdiction of the Office for the Interpretation of Financial Relations Laws between NPNs and cooperating physicians. There must be a medical or safety doctor at all times. Protocols/CPA should include a method of consultation with contact information. The protocols are not designed to allow for an evolution of treatment for each condition in each patient. They depend on the context, which gives the AP/APRN a set of state-specific protocols, which generally include routine services provided during and in the event of a medical practice request, as well as all additional procedures for which the AP/APRN has received specific training and qualifications. The mere adoption of a medical text or other publication is generally not sufficient to meet the standards of the state physician order. For example, reference guidelines include reference practice legislation, journal articles, textbooks, approved procedure manuals, approved clinical research protocols, Agency guidelines and procedures, online protocols such as drug and laboratory referrals, and other recognized medical standards of care. There are a variety of New York and federal laws that influence the financial relationship between physicians.
Certain types of financial relationships between nurses and working physicians are prohibited by the Education Act or the Malpractice Provisions (cf.B. Education Act 6513, 8 NYCRR No. 29.1) or by other national or federal laws.  IN THE KENTUCKY- CAN APPLY APRN s without cooperation agreement. However, they must enter into a working agreement with a doctor to prescribe medication. Most states allow nurses and medical assistants to perform certain functions such as diagnosing, treating and/or prescribing medications under protocols developed in collaboration with a licensed physician. Physicians must establish a treatment protocol or cooperation agreement (CPA) with PA/APRN protocols specific to the patient population and, overall, to the standard of care. Protocols must also include a method of consultation and referral, prescription privileges and drug receptions, plans to meet a patient`s health needs in The Absence of Emergency of the AP/ARNPA, and any graphical examination or co-signature required by the physician. Finally, agreements and protocols relating to collaborative practice should be signed by the physician and by PA/APRN. A “fee split” can occur when an NP shares its income or practice expenses with a physician who is not NP`s employer. “royalty splitting,” an agreement or agreement whereby the MNP pays the cooperating physician an amount that depends on a percentage or other part of the NP`s income or income in exchange for the benefits of the cooperating physician, or otherwise dependent on it. For example, if an NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate medical practice) in exchange for the cooperating physician`s benefits, the NP and the physician are likely to practice an illegal “tariff split.” A copy of the cooperation agreement must be kept within the practical parameters of NP and made available to the New York State Education Department (SED) for consultation.
Here is a copy of an example of a cooperation agreement (20 KB) that you can use as a template. Protocols/medication forms should be consulted on all practice sites. You can develop a protocol covering multiple practice locations and relationships, but each monitoring/collaboration relationship must be accounted for individually by the use of forms within the licensing committee.