Newly certified nurses must submit the New York State Education Department`s (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days of starting professional practice. The NP is not required to submit additional 4PPs with the SED. A completed 4NP form does not correspond to a common practice agreement. Form 4 NP can be downloaded from the SED website by clicking here. Questions about highly cooperative practice agreements and practical protocols can be emailed to the nursebd@nysed.gov 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. This is not an exhaustive list of questions or statements to consider for your collaborative practice agreement, but is intended to guide your development of the collaborative practice agreement for your practice. 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. Rules 21NCAC36.0810 (b) (1) (2) and 21 NCAC32M.0110(b) (1) (2) “Quality Assurance Standards for a Collaborative Practice Agreement” conclude and maintain the agreement on collaborative practice by both the primary physician and the specialist and maintained at each place of practice.
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.” What will be your process, developed by the nurse and primary supervisor for the ongoing review of care at each training site, including a written plan to assess the quality of care provided for one or more common clinical problems? Nurses (PNN) are required to practice in accordance with written protocols that reflect the department (s) of the practice in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. Many NPNs work for two or more health care providers or in an institution with patients cared for by several different physicians.