How do I find a collaborating physician? Do I really need a contract? What should I include? Do I have to pay for collaboration? How much is it going to cost?
Isn’t it a shame we still need to talk about collaboration? Of course it is...
Unfortunately, our profession has to address this topic until the laws in all states have been revised; until every last NP has the freedom to work with full practice authority. But until that day, NPs in almost 60% of all states in the US are required to have collaborative agreements in place.
Collaboration is a major hurdle for NPs wanting to practice to the full extent of their education - regardless of employment status. Additionally, forced collaboration reduces access to healthcare, often where it is needed the most.
To the uninitiated, collaboration doesn’t seem to be a “big issue”. Many don’t understand why it matters to you, the NP and why it should matter to them, as patients. Some say, what’s the difference? “Nurse Practitioner or Doctor, don’t they all pretty much do the same?”
If only it were that simple!
Hi, I'm Barbara C. Phillips, MN, GNP, FNP-BC, FAANP. Like you, I’m an advanced practice clinician. I’ve worked in critical care, primary care, specialty care, and more. I’ve owned my own clinical and non-clinical businesses. I’ve done a lot and I’ve seen a lot…
In 2015, I relocated from Washington, a full practice state, to Missouri, a state requiring collaboration. I took my own front row seat observing just how restrictive collaborative rules really are.
Here are just some examples of what I learned about collaboration in Missouri:
But don’t think for a minute that Missouri is the only state with narrow and restrictive rules… far from it. Outdated, unrealistic rules and requirements still dictate what can and cannot be done in far too many states.
And here is the problem…
Sadly, outdated laws and rules requiring collaboration also create problems for patients and NPs alike.
You have to wonder how it is possible that a nurse practitioner is qualified to practice independently in one state, but not another? And how do you explain that a nurse practitioner can practice independently in Iowa, yet is “deemed unqualified” to work independently in Missouri, across the state line?
If you want to practice in a collaborative state, you need to find and work with a collaborator. And until the laws in all states reflect 21st-century reality, collaboration is real and you need to know about it. You need to be well informed about what is required of you.
For example, do you know:
These are questions many NPs ask themselves. As a matter of fact, often it’s these questions that hold NPs back from starting their own practices.
I receive questions from Nurse Practitioners every day. Frequently these questions are about collaboration. NPs want to know how they should handle collaboration, how they can find a collaborator, and what they can expect to pay.
To do the topic justice and cover it in depth, I decided to cover it in a book. I want you to know I just published and released my new e-book, “A Quick Guide to Collaboration”.
Now anyone wanting to learn and understand collaboration can absorb all the information in one place.
If you’ve been looking for information on how to find and work with a collaborator, successfully, “A Quick Guide to Collaboration” gives you all the information you need to get started at once.
If you're new to collaboration, the knowledge presented in this book will get you started finding and working with your own collaborator.
And if you’re already working with a collaborator, use the information to check the “quality” of your collaborative agreement. Verify that all areas are covered and you and your practice are well protected.
PS: Until full practice authority is a reality, you must know and understand your collaborative rules,.. don’t take a chance, get informed!