Page 18 - Part 2 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

be reviewed. A log of this review shall be maintained at the practice

location.
14

Arkansas

No defined number of medical records must be reviewed; however, the

required Quality Assurance Plan requires some defined record review. It
is up to the APN and physician how many charts (or percentage of

charts) will be reviewed and how often (i.e., monthly, quarterly, annually).

Georgia

The nurse protocol agreement must include a schedule for periodic

review of patient records. The delegating physician must review 100%

controlled substances quarterly and also review and sign 100% of

patient records in which an adverse outcome has occurred. Such a
review shall occur no more than 30 days after the discovery of an

adverse outcome. For all other instances, 10% of records must be

reviewed at least annually. On a quarterly basis, the delegating physician

must provide onsite observation and review of medical records to

monitor the quality of care being provided to the patients.

The PA rules require the supervising physician to countersign the

prescription drug, the device order copy or the medical record entry for

each prescription drug or device order within a reasonable time; not to

exceed seven (7) working days, unless the countersignature is required

sooner by a specific regulation, policy or requirement.

Kentucky

Supervising physicians must review and countersign a sufficient number
of overall medical notes written by the physician assistant to ensure

14 ALA. ADMIN. CODE r. 540-X-7-.28ER

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