/Dr-Kirk-Tjalas-ba*****a
****@********.***
CONTACTS
Tucson, AZ 85712
EDUCATION
PhD, Theology
Masters Science Nursing
2020 Rocky Mt Un Health Pro
Post Mast Cert PMHNP
TOOLS SKILL
● Guts
● Resiliency
● Intensity
● Tenacity
● sense of Humor
● Chameleon superpowers
Dr. Kirk
Tjalas
PhD, MSN, FNP-BC, PMGNP-BC
WORK EXPERIENCE
Family & Psychiatric Nurse
Priority Medical Group I 2019- Present
• Expert in Integrated Care: Delivered healthcare services to a diverse patient population in an integrated outpatient clinic.
• Comprehensive Patient Management: Provided holistic care for people aged 2 to 92, emphasizing preventative care and chronic disease management.
• Advanced Diagnostic Skills: Managed complex
conditions, achieving a 42% increase in medical charting accuracy over three years.
• Innovative Treatment Plans: Implemented
evidence-based treatment plans, significantly improving patient health outcomes.
• Mental Health Expertise: Specialized in addressing mental health issues such as anxiety, depression, ADHD, and substance abuse.
• Efficiency Improvements: Enhanced clinic management efficiency, saving $22K monthly and reducing labor costs by 31%.
• -Patient Satisfaction: Boosted patient satisfaction from 3 to 5 stars through exceptional care and service.
• Technology Integration: Leveraged telemedicine and EHR to enhance care delivery and clinical efficiency. AWARDS
2019 Sigma Theta Tau
Walden University
2017 Teen Challenge AZ
Ambassador of Excellence
2016 Done First ADHD
Clinical Leader q1 2023
SKILL
• Advanced Clinical
Expertise
• Diagnostic Precision
• Holistic Patient Care
• Comprehensive
Patient Education
• Specialized Mental
Health Management
• Multidisciplinary
Collaboration
• E iciency Optimization
• Technological
Proficiency
• Clinical Research
Leadership
• E tC i i
HOBBIES
Gaming Cinema Music
Traveling Reading Fishing
EXPERIENCE CONTINUED
Chief Nursing Officer, President Business
Development, Nurse Consultant
National Home Health and Hospice Provider 2011 - 2023 After departing my employer in 2011, I launched a mission to transform healthcare. In just seven years, I built a formidable team of over 1,000 professionals, servicing 32 locations in 37 states. Our services include home health, hospice, palliative care, and telehealth.
Under my leadership, we achieved nationwide accreditation for each location, improved care quality, and met the quadruple aim of healthcare. Our company is renowned for its exceptional, patient-centric, world-class continuum of care, delivering the highest level of patient service.
My journey with this national home health and hospice provider underscores my commitment to excellence and my proven ability to drive substantial growth and transformation in the healthcare sector.
Why You Need to Choose Me:
1. Master Negotiator: Expert in deal-making and strategic partnerships.
2. Healthcare Leadership: Comprehensive industry
knowledge focusing on home health, hospice, and
palliative care.
3. Growth Strategist: Proven ability to build start-ups and drive business growth through consulting.
4. Top Tier Recruitment: Skilled in attracting specialized talent and leading executive teams with vision and integrity. 5. Sales Excellence: Driving revenue and performance through effective management and streamlined
operations.
6. Innovative Entrepreneur: Transforming industries with cutting-edge solutions and strategies.
/Dr-Kirk-Tjalas-ba73215a
5542 E. Spring St
****@********.***
CONTACTS
TO WHOM IT MAY CONCERN
I am writing to express my interest in a leadership position within your esteemed organization. With 23 years of nursing experience, I am a top-tier Family and Psychiatric Nurse Practitioner. My career includes initiating 70 healthcare companies, with six generating over $20 million and two exceeding $100 million in revenue. My expertise spans healthcare administration, population health innovation, and high-level consulting. I have pioneered models of care that significantly
improved population health outcomes and patient
satisfaction scores, aligning with the National Institutes of Health’s quadruple aim.
My leadership and consulting roles have substantially improved healthcare delivery and efficiency. I have a proven record of aligning services with strategic
objectives, resulting in superior patient care and robust financial performance. My ability to attract top-tier talent and my visionary approach have consistently yielded high patient satisfaction and operational success. I am eager to bring my expertise and passion for
innovative healthcare solutions to your organization. Let’s start a conversation.
All My Best,
Kirk Tjalas
Dr. Kirk
Tjalas
PhD, MSN, FNP-BC, PMGNP-BC
/Dr-Kirk-Tjalas-ba73215a
****@********.***
5542 E. Spring St
CONTACTS
Tucson, AZ 85712
EDUCATION
2010 Universal Life Seminary
PhD, Theology
2019 Walden University
Masters Science Nursing
2020 Rocky Mt Un Health Pro
Post Mast Cert PMHNP
TOOLS SKILL
● Guts
● Resiliency
● Intensity
● Tenacity
● sense of Humor
● Chameleon superpowers
Dr. Kirk
Tjalas
PhD, MSN, FNP-BC, PMGNP-BC
WORK EXPERIENCE
Family & Psychiatric Nurse
Priority Medical Group I 2019- Present
• Expert 2019 in Integrated Care: Delivered healthcare services to a diverse patient population in an integrated outpatient clinic.
• Comprehensive Patient Management: Provided holistic care for people aged 2 to 92, emphasizing preventative care and chronic disease management.
• Advanced Diagnostic Skills: Managed complex
conditions, achieving a 42% increase in medical charting accuracy over three years.
• Innovative Treatment Plans: Implemented
evidence-based treatment plans, significantly improving patient health outcomes.
• Mental Health Expertise: Specialized in addressing mental health issues such as anxiety, depression, ADHD, and substance abuse.
• Efficiency Improvements: Enhanced clinic management efficiency, saving $22K monthly and reducing labor costs by 31%.
• -Patient Satisfaction: Boosted patient satisfaction from 3 to 5 stars through exceptional care and service.
• Technology Integration: Leveraged telemedicine and EHR to enhance care delivery and clinical efficiency. AWARDS
2019 Sigma Theta Tau
Walden University
2017 Teen Challenge AZ
Ambassador of Excellence
2016 Done First ADHD
Clinical Leader q1 2023
SKILL
• Advanced Clinical
Expertise
• Diagnostic Precision
• Holistic Patient Care
• Comprehensive
Patient Education
• Specialized Mental
Health Management
• Multidisciplinary
Collaboration
• E iciency Optimization
• Technological
Proficiency
• Clinical Research
Leadership
• Expert Crisis
HOBBIES
Gaming Cinema Music
Traveling Reading Fishing
EXPERIENCE CONTINUED
Chief Nursing Officer, President Business
Development, Nurse Consultant
National Home Health and Hospice Provider 2011 - 2023 After departing my employer in 2011, I launched a mission to transform healthcare. In just seven years, I built a formidable team of over 1,000 professionals, servicing 32 locations in 37 states. Our services include home health, hospice, palliative care, and telehealth.
Under my leadership, we achieved nationwide accreditation for each location, improved care quality, and met the quadruple aim of healthcare. Our company is renowned for its exceptional, patient-centric, world-class continuum of care, delivering the highest level of patient service.
My journey with this national home health and hospice provider underscores my commitment to excellence and my proven ability to drive substantial growth and transformation in the healthcare sector.
Why You Need to Choose Me:
1. Master Negotiator: Expert in deal-making and strategic partnerships.
2. Healthcare Leadership: Comprehensive industry
knowledge focusing on home health, hospice, and
palliative care.
3. Growth Strategist: Proven ability to build start-ups and drive business growth through consulting.
4. Top Tier Recruitment: Skilled in attracting specialized talent and leading executive teams with vision and integrity. 5. Sales Excellence: Driving revenue and performance through effective management and streamlined
operations.
6. Innovative Entrepreneur: Transforming industries with cutting-edge solutions and strategies.
/Dr-Kirk-Tjalas-ba73215a
5542 E. Spring St
****@********.***
CONTACTS Dr. Kirk
Tjalas
PROFESSIONAL REFERENCES
Reference Position
Davin Carlson
Desert Tech Pros
********@********.***
Tucson, AZ.
Reference Position
Dr. David Dixon
Dermawound LLC
***********@***.***
Tucson, AZ, .
Reference Position
Carmen Kosicek
PMHNP
Visionary Psychiatry
*******@***.***
Reference Position
Michelle Rodriguez
Priority Medical Group
Mrodriguez@actnowdme.
com
Reference Position
Barry Minkow
Fraud Minute
************@*****.***
(747) -2149274
Las Vegas, NV USA.
Reference Position
Jorge Rodriguez
New Beginnings Ink
Sahuarita, AZ, USA.
PhD, MSN, FNP-BC, PMGNP-BC
ARIZONA DEA Number
CALIFORNIA DEA Number
NEVADA DEA Number
Oregon DEA Number
Logged in as tjalas, kirk alan Update Profile Logoff Contact Us License/Registration Type
License/Registration Status:
License/Registration Expiration:
Address:
Residence Phone:
License/Registration Type
License/Registration Status:
License/Registration Expiration:
Address:
Residence Phone:
License/Registration Type
License/Registration Status:
License/Registration Expiration:
Address:
Residence Phone:
License/Registration Type
License/Registration Status:
License/Registration Expiration:
Address:
Residence Phone:
Back
Skip navigation
License Information
Press "Back" to return to the main menu.
License/Registration Number: 517323
Interim Permit
Delinquent
03/04/2003
License/Registration Number: 95017897
Nurse Practitioner Furnishing
Current
09/30/2026
License/Registration Number: 95017897
Nurse Practitioner
Current
09/30/2026
License/Registration Number: 607851
Registered Nurse
Current
09/30/2026
Back to Top Conditions Accessibility of Use Copyright Privacy © 2023 Policy State of California About BreEZe FAQ's Help Tutorials
6/24/24, 11:12 AM BreEZe - State of California
Name on
License Type
License
State License
License
Active Status
License Original
Issue Date
License
Expiration Date
Compact
Status
TJALAS, KIRK
ALAN
CERTIFIED NURSE
PRACTITIONER
NEVADA TEMP815057 NO EXPIRED (see
history)
08/05/2020 02/04/2021 N/A
Primary source Boards of Nursing message & notification history 08/05/2020 This temporary license/permit is issued until the applicant meets all of the licensure requirements for a permanent license. Advanced Practice license/recognition information
Focus/Specialty: Family/individual across the lifespan Prescription authority: NOT APPLICABLE
Certification expiration date: 09/17/2024
Focus/Specialty expiration date: NOT SUPPLIED
Name on
License
License
Type State License Active License Status
License Original Issue
Date
License Expiration
Date
Compact
Status
TJALAS, KIRK
ALAN
RN NEVADA TEMP815057 NO EXPIRED (see
history)
10/10/2018 03/14/2019 N/A
Primary source Boards of Nursing message & notification history 12/11/2019 This temporary license/permit is issued until the applicant meets all of the licensure requirements for a permanent license. Name on
License
License Type
State License Active License Status
License Original Issue
Date
License Expiration
Date
Compact
Status
TJALAS, KIRK RN NEW YORK 771137 YES UNENCUMBERED 06/20/2019 07/31/2027 N/A Name on
License
License Type
State License Active License Status
License Original Issue
Date
License Expiration
Date
Compact
Status
TJALAS, KIRK
ALAN
RN OREGON 201908324RN YES UNENCUMBERED 09/18/2019 08/22/2025 N/A Name on
License Type
License
State License Active License Status
License Original
Issue Date
License
Expiration
Date
Compact
Status
TJALAS, KIRK CERTIFIED NURSE
PRACTITIONER
WASHINGTON AP61199572 YES UNENCUMBERED 04/11/2022 08/22/2024 N/A Advanced Practice license/recognition information
Focus/Specialty:Family/individual across the lifespan Prescription authority: YES
Certification expiration date:09/17/2024
Focus/Specialty expiration date: NOT SUPPLIED
Name on
License
License
Type State License Active License Status
License Original
Issue Date
License
Expiration Date
Compact
Status
TJALAS, KIRK RN WASHINGTON RN60812918 Contact board of nursing
UNENCUMBERED 01/18/2018 08/22/2023 SINGLE
STATE
Authorized to Practice in
ALABAMA (RN) ARIZONA
(RN) ARKANSAS (RN)
CALIFORNIA (RN)
COLORADO (RN)
Where can the nurse practice as an RN and/or PN?
MAINE (RN) MARYLAND (RN) MISSISSIPPI (RN) MISSOURI (RN) MONTANA (RN) OREGON (RN) PENNSYLVANIA (RN)
RHODE ISLAND (RN)
SOUTH CAROLINA (RN)
SOUTH DAKOTA (RN)
National Practitioner Data Bank
U.S. Department of Health and Human Services
P.O. Box 10832
Chantilly, VA 20153-0832
https://www.npdb.hrsa.gov
Page: 1 of 1
Process Date: 06/24/2024
5500000238660052
To:
From: National Practitioner Data Bank
Re: Response to Your Self-Query
TJALAS, KIRK ALAN
7620 N HARTMAN LN STE 180
TUCSON, AZ 85743-7485
This self-query response is released by the National Practitioner Data Bank (NPDB) for restricted use under the provisions of Title IV of Public Law 99-660, the Health Care Quality Improvement Act of 1986, as amended; Section 1921 of the Social Security Act; and Section 1128E of the Social Security Act.
Title IV established the NPDB as an information clearinghouse to collect and release certain information related to malpractice payment history and professional competence or conduct of physicians, dentists, and other licensed health care practitioners. Section 1921 of the Social Security Act expanded the scope of the NPDB. Section 1921 was enacted to protect program beneficiaries from unfit health care practitioners, and to improve the anti-fraud provisions of federal and state health care programs. Section 1921 authorizes the NPDB to collect certain adverse actions taken by state licensing and certification authorities, peer review organizations, and private accreditation organizations, as well as final adverse actions taken by state law or fraud enforcement agencies (including, but not limited to, state law enforcement agencies, state Medicaid Fraud Control Units, and state agencies administering or supervising the administration of a state health care program), against health care practitioners, health care entities, providers and suppliers. Section 1128E of the Social Security Act was added by Section 221(a) of Public Law 104-191, the Health Insurance Portability and Accountability Act of 1996. The statute established a national data collection program (formerly known as the Healthcare Integrity and Protection Data Bank) to combat fraud and abuse in health care delivery and to improve the quality of patient care. Section 1128E information is now collected and disclosed by the NPDB as a result of amendments made by Section 6403 of the Affordable Care Act of 2010, Public Law 111-148. Section 1128E information includes certain final adverse actions taken by federal agencies and health plans against health care practitioners, providers, and suppliers. Regulations governing the NPDB are codified at 45 CFR part 60. Responsibility for operating the NPDB resides with the Secretary of the U.S. Department of Health and Human Services (HHS), and HRSA, Division of Practitioner Data Banks. Reports from the NPDB contain limited summary information and should be used in conjunction with information from other sources in granting privileges, or in making employment, affiliation, contracting or licensure decisions. NPDB responses may contain more than one report on a particular incident, if two or more actions were taken as a result of a single incident (e.g., an exclusion from a federal or state health care program and an adverse licensure action). The NPDB is a flagging system, and a report may be included for a variety of reasons that do not necessarily reflect adversely on the professional competence or conduct of the subject named in the report. The response received from a self-query belongs to the subject of the self-query. Subjects may share the information contained in their own self-query responses with whomever they choose. If you require additional assistance, visit the NPDB web site (https://www.npdb.hrsa.gov) or contact the NPDB Customer Service Center at 1-800-***-**** (TDD: 1-703-***-****). Information Specialists are available to speak with you weekdays from 8:30 a.m. to 6:00 p. m.
(5:30 p.m. on Fridays) Eastern Time. The NPDB Customer Service Center is closed on all Federal holidays. CONFIDENTIAL DOCUMENT - FOR AUTHORIZED USE ONLY
National Practitioner Data Bank
Health Resources and Services Administration
U.S. Department of Health and Human Services
P.O. Box 10832
Chantilly, VA 20153-0832
https://www.npdb.hrsa.gov
5500000238660052
Process Date: 06/24/2024
Page: 1 of 1
TJALAS, KIRK ALAN - SELF-QUERY RESPONSE FOR AN INDIVIDUAL A. SUBJECT IDENTIFICATION INFORMATION (Recipients should verify that subject identified is, in fact, the subject of interest.) Practitioner Name:
Date of Birth:
Organization Name:
Organization Type:
Shipping Address:
Social Security Number:
TJALAS, KIRK ALAN
08/22/1971 Gender: MALE
PRIORITY MEDICAL GROUP LLL
MEDICAL GROUP/PRACTICE (365)
7620 N HARTMAN LN STE 180, TUCSON, AZ 85743-7485
6732 DEA: MT8895178, MT6879615,
MT5581978
NPI:
License:
NURSE PRACTITIONER, FAMILY AND PSYCHIATRIC MENTAL HEALTH, 234051, AZ NURSE PRACTITIONER, FAMILY AND PSYCHIATRIC MENTAL HEALTH, 95017897, CA NURSE PRACTITIONER, FAMILY AND PSYCHIATRIC MENTAL HEALTH, 815057, NV NURSE PRACTITIONER, FAMILY AND PSYCHIATRIC MENTAL HEALTH, 10028304, OR WALDEN UNIVERSITY (2019)
ROCKY MOUNTAIN UNIVERSITY OF HEALTH PROFESSIONS (2022) Professional School(s):
B. SUMMARY OF REPORTS ON FILE WITH THE NPDB AS OF 06/24/2024 The following report types have been searched:
Medical Malpractice Payment Report No Reports Health Plan Action(s): No Reports State Licensure or Certification Action No Reports Professional Society Action(s): No Reports Exclusion or Debarment Action(s): No Reports DEA/Federal Licensure Action(s): No Reports Government Administrative Action(s): No Reports Judgment or Conviction Report(s): No Reports Clinical Privileges Action(s): No Reports Peer Review Organization Action(s): No Reports Copies of these reports are provided for restricted/limited use as prescribed by statutes listed on the preceding cover page.
No Reports Found Based on the Subject Information Submitted CONFIDENTIAL DOCUMENT - FOR AUTHORIZED USE ONLY
AGREEMENT AND JOINT PROTOCOL FOR
ADVANCED PRACTICE CLINICIAN AND
COLLABORATING PHYSICIANS
AGREEMENT
This Collaborative Agreement and Joint Protocol for Advanced Practice Clinicians and Collaborating Physicians (the “Collaborative Agreement,” “Joint Protocol” or “Agreement”) is made effective on the last date the Agreement is signed by any Party (the “Effective Date”), by and between Kirk Tjalas, NP the Advanced Practice Clinician (the “APC”), and Farrukh Merchant, MD the Collaborating Physician (the “CP”), each also referred to herein as a “Party,” and collectively, as the “Parties.” WHEREAS, the APC is an individual who is duly-licensed in the state(s) set forth on Exhibit 1 [the
“Practice State(s)”] by the applicable State Board of Nursing to practice as a nurse practitioner (or
“NP”) or clinical nurse specialist with prescriptive authority; WHEREAS, the CP is a physician duly-licensed to practice medicine in the Practice State(s); WHEREAS, the CP has agreed to work in collaboration with the APC, and the APC has agreed to work in collaboration with the CP, in accordance with the terms and conditions set forth in this Joint Protocol;
NOW, THEREFORE, in consideration of the promises, terms, covenants, and conditions set forth in this Joint Protocol, and for other good and valuable consideration, the parties, desiring to be legally bound, agree as follows:
1) The APC and CP have agreed to work collaboratively to render the highest-quality health care services (the “Services”) in the state(s) listed on Exhibit 1 pursuant to rules and regulations of each Practice State as set forth in Exhibit 2 (collectively the “Governing Laws”). The Governing Laws include, but not are not limited to, state medical board rules and regulations, nursing board rules and regulations, state laws applicable to the services provided pursuant to the Collaborative Agreement (the “Services”), supervision requirements for such Collaborative Agreement, the Corporate Practice of Medicine Doctrine, and any other laws applicable in the performance of Services pursuant to the Collaborative Agreement, including, but not limited to, Federal criminal law, the False Claims Act (31 U.S.C. § 3729 et seq.), the Anti-Kickback statute (42 U.S.C. § 1320a–7b (b)), the Civil Monetary Penalties law (42 U.S.C. § 1320a–7a), and the Physician Self-referral law (42 U.S.C. § 1395nn).
2) The APC and CP hereby acknowledge that they have reviewed, understand, and agree to comply with the responsibilities set forth in the Collaborative Agreement and in accordance with all applicable laws, rules, and regulations that govern the Collaborative Agreement. Both the APC and CP
This draft agreement is provided only as a guide and the information provided in this Agreement does not, and is not intended to, constitute legal advice. It is the responsibility of the parties to the agreement to ensure that the agreement is in compliance with the law and contains terms applicable or appropriate to their particular situation. The Parties should contact an attorney to obtain advice with respect to any particular legal matter. acknowledge and understand that they are responsible for providing the Services contemplated in a manner which is compliant in all respects with the law, particularly with respect to the applicable state laws listed in Exhibit 2 for collaboration and supervision requirements, and will bear all risks in connection with the Collaborative Agreement and the provision of such Services. 3) Notwithstanding anything to the contrary in this Joint Protocol: a) The APC represents and warrants that s/he currently meets the qualifications to practice as an NP or NP with prescriptive authority. The APC further represents and warrants that s/he will continue to fulfill the requirements to maintain licensure for the state(s) listed in Exhibit 1 and national certifications as required by her/his specialty. The APC who enters into this Agreement will provide the CP her/his license number upon execution of this Agreement. Proof of licensure being provided to the CP is a material term of this Collaborative Agreement, and under absolutely no circumstances may the APC begin seeing patients prior to providing proof of licensure to the CP.
b) The APC represents and warrants that s/he currently has secured, or, prior to taking any actions related to the collaborative arrangement, including but not exclusively actions relating to care of patients, will secure professional liability insurance on behalf of herself/himself which provides coverage limits that meet or exceed the statutory requirements of the Practice State, to the extent such coverage is required in the Practice State, and to the extent that coverage minimums exist in the Practice State. For absolute clarification and the avoidance of any doubt, coverage for the collaborative arrangement between the CP and the APC referenced in this Collaborative Agreement has been secured on behalf of the collaborative arrangement. Notwithstanding this provision of coverage for the collaborative arrangement, individual medical malpractice coverage for the APC must be effective from the Effective Date of this Collaborative Agreement and forward. The APC shall make proof of her/his insurance available to the Practitioner, and will furnish a copy to any regulatory board or agent upon request.
c) The APC agrees that as an APC, s/he will act as a care practitioner in the treatment of patients pursuant to this Collaborative Agreement.
d) APC shall perform assessments of patients, including history taking and physical examination prior to prescribing based upon the individual needs of patients in accordance with rights and privileges granted through state licensure and APC certification by the applicable Board(s) of Nursing listed in the Practice State(s). The nature and extent of assessments performed, and resultant diagnoses made by APC shall follow accepted standards of Advanced Nursing Practice and be in compliance with those laws listed in Exhibit 2 and any other applicable laws.
e) If required under the laws set forth in Exhibit 2 or any other applicable law, the APC shall consult at the required level with the CP prior to prescribing, ordering and/or issuing controlled substances listed in Schedules II, III, IV and V to patients. 4) Notwithstanding anything to the contrary in this Joint Protocol:
(1. a) The CP represents and warrants that s/he currently meets the qualifications to practice as a physician. The CP further represents and warrants that s/he will continue to fulfill the requirements to maintain licensure for the state(s) listed in Exhibit 1 and national certifications as required by her/his specialty. The CP who enters into this Agreement will provide the APC her/his
license number upon execution of this Agreement. Proof of licensure being provided to the APC is a material term of this Collaborative Agreement, and, under absolutely no circumstances may APC begin seeing patients prior to receiving proof of licensure from the CP.
(2. b) The CP must be readily available for communication and consultation with the APC either in person or via electronic means. In the event that the CP is unavailable for communication and consultation with the APC, the CP will make good faith efforts to make arrangements for a substitute collaborating physician to be available.
(3. c) The CP must meet a minimum of once a month over video chat with APC to check-in and provide feedback.
5) The APC and CP shall agree on patient recordkeeping methodology, including documentation of subjective complaints, objective findings, patient assessment, plan of treatment, and medications prescribed or dispensed for every patient encounter. 6) The APC and CP shall collaboratively review ten percent (10%) of records of patients treated by the APC, on a monthly basis, unless a great number or shorter period is required as set forth in Exhibit 2.
7) The APC, in accordance with rules set forth in Exhibit 2, shall consult with the CP regarding the specific number of refills of a particular medication whenever, in the APCs professional opinion, the patient’s condition warrants physician consultation, or with the frequency required by law, if applicable.
8) Medications and DMEPOS prescribed or dispensed by the APC will be recorded in the patient’s record noting date, name of drug or device, dosage, quantity, frequency, duration, instructions for patient use and authorization for refills, if any. 9) APC should abide by the accepted standards of nursing practice in accordance with the rights and privileges granted through applicable APC certification/licensure for the use of medication in emergency situations.
10) Disagreement between APC and CP regarding a patient's health management that falls within the scope of practice of both parties will be resolved by a consensus agreement in accordance with current medical and nursing peer literature consultation. In case of disagreements that cannot be resolved in this manner, the CP’s opinion will prevail. 11) The APC and CP agree that if any law or regulation governing practice by an APC as set forth in Exhibit 2 changes in a manner that alters the substance of this Collaborative Agreement, in whole or in part, then both parties will promptly meet, in good faith, to address the applicable regulatory or legislative change and to amend the Collaborative Agreement, as required, to come into compliance with the applicable regulatory or legislative change. In the event that the parties cannot agree on a good faith amendment of the Agreement or cannot otherwise resolve the applicable regulatory or legislative change within thirty (30) days after written notice thereof, either party may terminate the Agreement upon written notice to the other party. 12) This Collaborative Agreement will be suspended for reasonable cause, upon written notice, if either of the following occurs:
a) The CP indicates, in writing, to the APC her/his intent to terminate the Agreement; or
b) The APC indicates in writing to the CP her/his intent to terminate the Agreement. 13) The APC and CP acknowledge that any inappropriate or unprofessional behavior or violation of this Collaborative Agreement by either the APC or CP will be reported to her/his respective licensing board and will be grounds for terminating this Agreement. 14) Changes to any terms of this Collaborative Agreement may be implemented on an ongoing basis upon written signature of both parties.
15) This Collaborative Agreement shall be reviewed, updated as needed, and signed a minimum of once yearly by both parties.
16) The CP and APC understand the responsibilities and scope of practice issues implied by this Collaborative Agreement.
17) The CP and APC agree to undertake all good faith efforts between them to perform under this Agreement in compliance with the Corporate Practice of Medicine Doctrine, which efforts may include independently researching the applicability of the