What is a collaborative practice agreement called in Pennsylvania?

In Pennsylvania, a collaborative practice agreement is called a “collaborative agreement” between a CRNP and a collaborating physician¹. For prescribing, it is called a separate “prescriptive authority collaborative agreement”¹.

The collaborative agreement must specify essential collaboration elements, including a predetermined emergency plan, the physician’s immediate availability, regular chart review, and access to a physician for referrals, protocol review, updates in diagnosis and therapeutics, and cosigning when necessary².

A prescriptive authority collaborative agreement must identify the collaborating and substitute physician(s), include license numbers, the CRNP’s specialty, permitted drug categories, how often the physician will personally see patients, and the CRNP’s professional liability coverage³. It must be reviewed and updated at least every two years or whenever changed⁴.