HomeMy WebLinkAboutC06-227
COLLABORATIVE AGREEMENT FOR PHYSICIAN OVERSIGHT OF
EAGLE COUNTY PUBLIC HEALTH FAMILY NURSE PRACTITIONER
This Agreement ("the Agreement"), made this 11 th day of July, 2006, between Eagle County,
Colorado, Renee Dubuisson, R.N., and Valley View Hospital Association, a private non-profit
Colorado corporation ("Hospital"),
WITNESSETH:
Whereas, Eagle County ("County"), through its Department of Health and Human Services ("HHS"),
works to promote the health, safety and welfare of County residents of all ages; and
Whereas, County has determined that it would be in the interest of the health, safety and welfare of
County residents for County to provide a qualified Family Nurse Practitioner ("Nurse") to work with
established clients of HHS at the Avon Public Health Clinic; and
Whereas, Renee Dubuisson, RN, FNP-C, a Certified Family Nurse Practitioner, wishes to serve as
County's Nurse based at the Avon Public Health Clinic; and
Whereas, Colorado law requires that Practitioners work under the supervision of a licensed and
qualified physician; and
Whereas, Hospital is the owner and operator of an acute care hospital at Glenwood Springs,
Colorado, and the Eagle Valley Medical Center clinic in Eagle, Colorado; and
Whereas, Hospital employs in the clinic, Drew Werner, M.D., ("Physician") who is licensed to
practice medicine in the State of Colorado and is a resident of Eagle County; and
Whereas, Drew Werner, M.D., a Board Certified Family Practice physician fully licensed to practice
in Eagle County, and contracted through Valley View Hospital as the Eagle County Health Officer, is
willing to serve as the supervising physician for Nurse in compliance with Colorado law;
Now, therefore, County, Nurse and Hospital agree as follows:
1. Physician will supervise Nurse in her performance of her duties as County's Nurse as
required by Colorado state law, specifically including the Nurse Practice Act, C.R.S. 12-38
101 et seq., and any other applicable laws and rules regulating the authority and
responsibilities of advanced practice nurses.
2. Nurse will work under and in accordance with the supervision of Physician as set forth in
paragraphs land 4 of this Agreement and will not engage in any activities forbidden to or
inappropriate for her as a Nurse Practitioner in Colorado. Nurse will consult with Physician
from time to time and as needed in order to assure that her work is in accordance with
Colorado law and the directions of Physician.
3. County will cooperate with Physician and Nurse in enabling them to fulfill their respective
responsibilities under the Agreement.
4. Nurse's duties under this Agreement will be to provide acute primary health care to
established clients in the Avon Public Health Clinic as needed. The focus ofthe care will be
on health promotion and prevention of illness and injury for County residents. Services
provided will include education and health counseling, history and physical assessment,
diagnosis and treatment. Subject to the provisions of paragraphs I and 2 of this Agreement,
Nurse will function independently with the standards of practice established by the American
Nursing Association ("ANA"). Accordingly, routine written orders and telephone
consultation will be provided independently by Nurse without a requirement for co-signature
of Physician, but Nurse will collaborate and consult with the Physician and other health care
specialists as necessary and appropriate. Clinic performance and quality of care will meet all
applicable ANA standards. Pre-established criteria such as protocols and standards will be
used as a guide to provide consistent and comprehensive care to County residents.
Retrospective and concurrent chart review will be done to ensure that quality care is given;
Physician will review ten percent (10%) of all charts, and provide feedback to Nurse based
on such review. Nurse has and may exercise prescriptive authority and prescribe
medications in accordance with the rules of the State of Colorado Medical Board.
In witness whereof, County, Nurse and Hospital have executed this Agreement as of the date above.
COUNTY OF EAGLE, STATE OF COLORADO
By and through its Board of C unty Commissioners
ATTEST:
~ "
Renee Dubuisson, RN, FNP-C
Gary Brewer, CEO
Valley View Hospital
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