Year: 2023
Resolution Number: 19
Action Taken: Approved
Status: Complete
Author(s): Leah Davis, DO
Sponsor: David Whalen, MD
On behalf of: Grand Traverse-Leelanau-Benzie County Delegation
Committee: B (Legislation)
Resolved Section(s):
RESOLVED: That MSMS affirms the urgency of defining standards for “collaborative agreements” with advanced practice registered nurses (APRN)s and that MSMS seek and support legislation that would require APRNs to work in a setting and perform tasks and procedures that are within the collaborating physician’s particular field of medicine, as qualified by residency training and/or board certification to perform; and be it furtherRESOLVED: That MSMS believes physicians who enter into collaborative or practice agreements with advanced practice registered nurses (APRNs) or physician assistants (PAs) from a location outside of Michigan must be available to answer questions and directly collaborate with the non-physician practitioners, or to examine the patient, during a majority of the hours of activity of the APRN and/or PA via video conferencing; and be it furtherRESOLVED: That MSMS supports the appropriate licensing Boards and agency investigating physicians who deliberately violate the spirit of safe collaborative medical practice with non-physicians by (1) engaging in a pattern of negligent delegation to, supervision of, or collaboration with NPPs, (2) supervising activities for which the physician is not formally trained and/or board certified, or (3) not being promptly available to communicate with the NPP and/or patient; and censure physicians who disregard collaborative requirements by aiding and abetting the unlicensed practice of medicine.
RESOLVED: That MSMS affirms the urgency of defining standards for “collaborative agreements” with advanced practice registered nurses (APRN)s and that MSMS seek and support legislation that would require APRNs to work in a setting and perform tasks and procedures that are within the collaborating physician’s particular field of medicine, as qualified by residency training and/or board certification to perform; and be it furtherRESOLVED: That MSMS believes physicians who enter into collaborative or practice agreements with advanced practice registered nurses (APRNs) or physician assistants (PAs) from a location outside of Michigan must be available to answer questions and directly collaborate with the non-physician practitioners, or to examine the patient, during a majority of the hours of activity of the APRN and/or PA via video conferencing; and be it furtherRESOLVED: That MSMS supports the appropriate licensing Boards and agency investigating physicians who deliberately violate the spirit of safe collaborative medical practice with non-physicians by (1) engaging in a pattern of negligent delegation to, supervision of, or collaboration with NPPs, (2) supervising activities for which the physician is not formally trained and/or board certified, or (3) not being promptly available to communicate with the NPP and/or patient; and censure physicians who disregard collaborative requirements by aiding and abetting the unlicensed practice of medicine.
Fiscal Note: $1,000-$2,000
Resolution: View PDF for Standards for Collaborative Agreements
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