A collaborating physician is "A licensed physician who collaborates with other medical practitioners to offer patients comprehensive care is known as a collaborating physician. A collaborating physician’s job is to give other healthcare professionals, such as nurse practitioners and physician assistants, who provide direct patient care access to their expert medical knowledge, diagnoses, and treatment suggestions...They collaborate closely with other professionals to create and carry out patient-centered care plans as an essential healthcare team member. To ensure that the upcoming generation of healthcare professionals is prepared to deliver the highest standard of care, collaborating physicians also play a critical role in mentoring and educating other healthcare practitioners. By utilizing the aggregate knowledge of the healthcare team, a collaborating physician seeks to enhance patient outcomes... The collaborating physician does not actively manage the day-to-day operations of the other healthcare professionals but instead imparts to them competent medical knowledge and guidance."*
In the state of NJ Nurse Practitioners via N.J. Stat. Ann. 45:1149 (a), do not need a physician to diagnosis or treat, but in some instances for certain insurance and other practices, an agreement with a collaborating physician must be in place. In a collaborating relationship, we are separate entities.
In the state of NJ Physician Assistant via NJAC 13:35-2B.10 A physician assistant shall engage in practice only under the direct supervision of a physician. Supervision of a physician assistant shall be continuous but shall not be construed as necessarily requiring the physical presence of the supervising physician, provided that the supervising physician and physician assistant maintain contact through electronic or other means of communication. The supervisory ratio shall be no more than four physician assistants to one physician at any one time. Upon application to the Board, the Board may alter the supervisory ratios. The supervisory ratio shall not limit the number of physician assistants with whom a supervising physician may enter into a delegation agreement. In this relationship, the entity would depend upon the facility.
Dr. Chandler is available for collaborating physician services for NJ state only, provided the NP or PA is skilled in their specific area, organized, motivated, and provides excellent patient care. In addition, you must have provide proof of medical malpractice and licenses. The physician must have access to your EMR to review charts, able to provide clinical advice, and do an annual on site visit at minimum based on volume and practice-type.
Current Collaborating Physician Duties:
A medical director's "core function of the job — overseeing a health care organization or a portion of a health care organization and ensuring quality health care — encompasses many responsibilities." These can include: "Financial and Budgeting Responsibilities... to make sure a facility’s finances facilitate patient care strategy effectiveness...Managing an organization’s budget; Monitoring an organization’s financial position, including areas such as cash flow, payroll and expenses. Strategic Responsibilities... related to strategy, which can impact a facility’s short-term and long-term vision. Those in the role can be responsible for: developing and monitoring an organization’s strategic plan; identifying health trends and introducing new treatments; planning for the implementation of new information technology. Compliance Responsibilities...Government agency laws and regulations; Centers for Medicare and Medicaid Services billing requirements; Regulations related to serving Medicare and Medicaid patients. Communication Responsibilities...how to communicate but to adjust their community strategies and communication techniques based on their audience...Interacting with patients who may be dissatisfied with their care; participating in medical staff meetings; providing follow-up information to staff and patients regarding their concerns; Interacting with the administration and senior leaders of a health care organization; facilitating communication among clinicians and staff. Human Resources Responsibilities...Hiring and promoting clinicians and staff; training clinicians and staff; evaluating employee performance."^
All of these duties may not fit into each facility. For example, at a larger facility, one may only oversee one department or one group of staff members. There could an entire compliance department, or items from the above could be controlled by another department, like human resources. In a small practice, often most of the work is done by the physician and medical director.
Current Medical Director Duties: