Here is what we achieved in 2015. The work continues...watch for announcements from ISAPN.
WCA is less onerous but will still be required for those working outside a hospital, hospital affiliate or ASTC
- Eliminates the specified list of services APNs can provide in the NPA and the 27 other laws that specify, “as delegated in the WCA”.
- Eliminates the requirement for joint approval of orders or guidelines
- Eliminates the required monthly collaboration meetings, allowing the two professionals to determine frequency and method.
- Eliminates the requirement for details about notice of termination
APNs who lose their collaborator may continue to practice for 90 days without a WCA.
*CNP, CNS and CNM may provide care to Medicaid patients “with or without a written collaborative agreement”, if agreed to by HFS (and DPR).
FOR NP, NM, and CNS in Hospital Affiliates*
- May be privileged to prescribe. Former language referenced ‘order’ instead of prescribe, which is why many hospital owned affiliates require a WCA.
- For those privileged to write for schedule II you will not have to seek approval for refill but will have to discuss the condition of any patients for who a controlled substance is prescribed monthly with the appropriate physician committee of the hospital affiliate or its physician designee
CRNA practice stays “status quo.