The ISMA seeks member input on challenges or improvements to the state’s system that manages collaborative practice agreements (CPAs). Resolution 23-60 (Protecting Physicians’ Licenses and Patients from Unauthorized Collaborative Practice Agreements) was heard during the 2023 ISMA House of Delegates. The resolution calls on the ISMA to work with the state to implement processes that alert physicians of changes to CPAs and verify the authenticity of CPAs. View the full text of Resolution 23-60 here.
 
Under Indiana law, certain types of nonphysician practitioners (NPPs), including certified direct entry midwives (lay midwives), physician assistants (PAs) and advanced practice registered nurses (APRNs), must work in collaboration with a licensed physician as evidenced by a collaborative practice agreement typed on letterhead that contains certain elements, is signed by both the physician and the NPP, and is submitted to the appropriate licensing board.  APRNs are required to immediately notify their licensing board of any changes in or termination of collaborative agreements. PAs and lay midwives are required to provide the same notice within 30 days of a change.  

ISMA has become aware of instances when a physician was unaware they were listed as an NPP’s collaborator or when the agreement was not timely terminated.
 
ISMA is discussing this issue with relevant stakeholders. If you have experienced an issue like an NPP practicing under your medical license without your knowledge or remaining under your license after the collaborative agreement was terminated, or difficulty updating the status of a collaboration agreement, please let us know!
 
Physicians may search their own licenses on the state’s website to determine if any NPPs are listed as collaborating with you under your medical license. Search here. Additional information is also available on the PA and Nurse licensing pages on the agency’s website.
 
If you have experienced problems with the state’s processes for managing collaborative practice agreements or have suggestions on how to improve the process, please email ISMA Health Policy Analyst Jake Torrie or policy@ismanet.org.