Sample Collaborative Practice Agreement Texas

Given the inevitable shortage of health care providers in Texas and the abundance of evidence that NPNs provide quality and inexpensive services, it is disappointing that this struggle for independence continues. Highly qualified and certified NPNs are limited by costly cooperation agreements with physicians; They are denied the opportunity to prescribe treatments independently and to make decisions about the care of their patients. There is limited evidence that this additional bureaucratic burden actually protects patients; on the contrary, clinically disenfranged NPNs can have negative consequences. How do you see full authority of practice for Texan PNs? The main opponents of extending full practice to PNs remain groups of doctors. In the article mentioned above in the Texas Tribune of 2017, Don explained. R. Read, MD – the president of the Texas Medical Association – that the TMA continues to believe that the “team care” approach (i.e. physician compensation for collaborative agreements) “best serves patients.” Texas Nurse Practitioners agree that they are part of a health team; However, their concept of “team care” is more mature and goes beyond the costly and prohibitive contracts they are supposed to put in place with physician supervision. Texas NPs can only prosper fully if they are granted the right to practice independently. Are doctors willing to forego costly cooperation agreements to expand access to health care? That would be a truly patient-centered approach.

Not allowing NPs to exercise their authority is one of the reasons Why Texas is so misplaced on health indicators for its citizens.Dr. Suzanne Alton, University of Texas Medical Branch, the limited practical conditions are particularly worrisome due to the shortage of primary service providers across the country. The Association of American Medical Colleges (April 2016) projected a deficit of between 14,900 and 35,600 primary care physicians in the United States by 2025; According to a 2013 AAMC report, Texas is even worse than in most states and ranks 42nd in the country`s 100,000-population rate. NPs in Lone Star State and other regions are well trained to meet the health needs of an aging and growing population, particularly in rural areas where the population is underserved. In fact, 89 per cent of NPs are federally trained to work in primary procurement. And despite the abundant evidence that NPNs offer safe and resource-efficient health services, Texas NPs cannot legally work within the scope of their capabilities. NPNs work more often than doctors in rural and underserved areas; Dr. Cara Young, an assistant professor at the University of Texas, Austin The Texas Tribune (Feb. 2017), said that stephanie Klick,`s state representative, R-Fort Worth, H.B. 1415, proposed eliminating the mandatory delegation requirement and thereby granting NPs autonomous prescribing privileges.

She pointed out that doctors sometimes receive up to six figures because they “delegate doctors.” It is not surprising that the main opponents of the granting of NPNs are physician organizations that would lose these lucrative contracts.