Collaborative Practice Agreement Template Pharmacist

Click here to access the collaborative pharmacy practice resources listed below exclusively for tpa members. Template collaborative practice prescribing agreement page 3 of 4 pharmacist prescribing activities permitted under this agreement under the name of prescribing agreement the pharmacist identified herein will have the right to prescribe list drugs herewithin formulations the pharmacist will have the responsibility of. Opas medication therapy management committee has drafted templates for collaborative practice agreements cpas for opa members to use in their practices.

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Advancing Team Based Care Through Collaborative Practice

Fillable Online Nbcp In1touch Sample Form Nov 18 2008

About collaborative practice agreements.

Collaborative practice agreement template pharmacist. Collaborative practice agreements cpas create formal practice relationships between pharmacists and prescribers. In addition to the overview below this resource contains links to the cpa toolkit a cpa overview webinar more resources on cpas and support for pharmacists services. To a pharmacist under a protocol that allows the pharmacist to perform specific patient care functions. Pharmacist collaborative practice agreement cpa a formal agreement in which a licensed provider makes.

State laws and regulations authorizing pas are highly variable. In january 2012 the apha foundation convened a roundtable consortium in washington dc for the purposes of stimulating increased integration of collaborative practice agreements cpas and pharmacists patient care services into practice. Extent of the services authorized under the collaborative agreement depends on the states statutory and regulatory provisions for collaborative practice authority as well as the terms of the specific agreement between the pharmacist and other health care practitioners. Collaborative practice agreement templates available.

The collaborating organizations recognize the value of pharmacists as a necessary member of the patient care team and endorse use of this guide to form collaborative practice agreements. Below please find some sample collaborative practice agreements. 18 2008 pharmacist physician group collaborative practice agreement purpose the intent of this agreement is to establish a practice that will provide an optimum level of health care for patients by providing a mechanism for appropriate collaboration between one or more pharmacists and physicians. If you need help logging in to your tpa member account please click here for instructions or contact tpaif youre not a member and would like to join tpa please click here.

Comprehensive collaborative pharmacy practice checklist. These templates include a cpa general template as well as appendices for specific disease states that may be included in a cpa. A diagnosis supervises patient care and refers patients. Template that can be used as a starting point to developing a collaborative practice agreement.

Please note these agreements are being provided as samples onlycollaborative practice agreements cpas should be carefully developed to appropriately characterize the particular physician patient pharmacist relationship.