NP - Physician collaboration, how does this work?

they didn't teach that in that Caribbean med school?

Not a clinician but work heavily in the healthcare space in consulting and IT. The collaborative agreement is all about defining the roles and responsibilities between the two practitioners. The communication, process and oversight pieces are key. A lot goes into the documentation and billing processes. Significant changes have to take place there to make the collaboration successful and compliant. What specifically are you wanting to know about?

Depends on the personality of the two. I've seen both success and failure. Failures are predominately related to not getting a clear cut agreement/process in place and sticking to it. Chart review is key to make sure the NP is delivering best practices care and the MD is providing a level of mentoring that is appropriate. The ones I've seen fall apart was ego related where the NP would not take direction very well or the Physician micro managed to a level it frustrated the NP and felt like he did not trust him/her.

The collaboration between an MD and NP is not very well defined and varies according to a state's medical board.

It is kinda like what happens in a residency program, the residents can do basically everything, but have a staff member to oversee and monitor them.

Thus, a NP can do basically everything like primary care physician, but they need a collaborating physician to monitor, review, and sign off their work. An NP could operate his/her own clinic, prescribe medications, preform simple procedures and examinations as long as his/her physician approves the treatment plans. The NP usually give his/her collaborating MD a set feed every month. NP's usually operate in more rural areas. Thus, in some cases, a primary care physician may have 4+ NP.

While this arrangement may look like a pretty good deal... There are a lot of risks involved because the MD is ultimately responsible for what the NP does. On the medical board, we received numerous reports of NP's fraudulently billing Medicare/Medicaid, prescription abuse, etc...

Since the state medical board does not regulate NP's, we can only discipline the MD. A lot of times, the MD had no idea what their NP's were doing.

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ForeverLSU02

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Not sure what you're trying to link to there.

Your state will define your relationship for the most part. I have some super successful clinics with this model in my region. There are several regular posters that can probably hook you up for a chat with similar providers.

Do you know her? Is she an intelligent individual? Can she distinguish sick from not sick?

If the NP is just out of school you will need to provide training for a good year before she is able to be fully relied on.

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You could collaborate with an Optometrist too.

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What do you figure- another month or so of this, or do you just particularly enjoy posting it in medical threads enough to keep it up longer?

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What do you figure- another month or so of this, or do you just particularly enjoy posting it in medical threads enough to keep it up longer?

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I respect the authority of the Legislatively-decided practitioners within the medical community. If you have a problem with these licensed practitioners, take it up elsewhere.