Page 2 - Part 1 Collaborating with Advanced Practice Providers - An Overview of State Rules

© 2019 SVMIC
Published by SVMIC

All Rights Reserved

No part of this course may be reproduced in any form or incorporated into any
information retrieval system, electronic or mechanical, without the written permission of
the copyright owner.

This course is provided for general educational purposes only. It is intended solely to
provide general information on medical-legal risk management issues. It is not intended
to constitute legal counsel and should not be relied on as a source for legal advice. This
material is intended to assist SVMIC policyholders to improve patient care and reduce
professional liability exposure. The information contained herein does not establish the

standard of care. References to cases are general and are not intended to be a
comprehensive analysis of the applicable legislation and case law. Physicians who need
or desire legal advice should consult a licensed attorney.

Faculty and Author
This course was developed by SVMIC’s Risk Education and Evaluation Services
Department: Shelly Weatherly, JD, VP; Julie Loomis, RN, JD, AVP.

CME Disclosures
No planners or speakers have relevant financial relationships to disclose.

This course is designed to inform the physician and advanced practice provider (APP) of
many important legal and practical considerations before entering into a supervisory or
collaborative relationship. Included in this course is a review of the requirements and
responsibilities for the supervision of and/or collaboration with APPs. There are
numerous specialty population focused certifications for APPs, and this course will

generally be referring only to the Advanced Practice Registered Nurse or Nurse
Practitioner (APRN, NP, Licensed Nurse Practitioner, Certified Registered Nurse
Practitioner) and the Physician Assistant (PA). This course does not undertake to outline
the specialty-specific roles, rules or regulations of certain credentialed APPs such as
orthopedic physician assistants, nurse anesthetists, clinical nurse specialists, or nurse
midwives (OPA, CRNA, CNS, CNMW). Physicians and APPs should consult with a
healthcare attorney before entering into a supervisory or collaborative arrangement.
Additionally, recommended consultation with any healthcare facilities, hospitals, nursing
homes and insurance payers providers are credentialed with, as many have additional
requirements in bylaws, accreditation agencies or in payer contracts.