Advanced Practice Updates newsletter and News
Changes to APP Structure in 2024
In 2024, National Jewish Health will be implementing a new APP leadership structure to elevate our APP workforce with greater alignment in reporting, oversight, and support for professional growth. It also will better integrate APPs within our faculty medical practice. Moving forward, APPs across the organization will report directly to advanced practice leaders, with indirect reporting to Division and Department leaders. This matrixed reporting structure is critical to the success of our new structure, with APPs fully integrated into the faculty medical practice.
The APP structure will be implemented in a phased approach, beginning with three APP Manager positions. Managers will oversee APPs across one or more Divisions in partnership with Division Chiefs and other physician leaders in these areas. Additionally, APP Lead roles will be implemented to represent front-line APPs and teams across related sub-specialty programs.
A series of “APP Open Forum” meetings will be held to discuss this new structure, and more details will follow regarding opportunities to apply for these new leadership positions.
News for Advanced Practice Providers
The Colorado Department of Regulatory Agencies (DORA) and the Colorado Medical Board finalized rulemaking for SB23-083. Rule 1.15 (formally Rule 400) is finalized and effective as of August 17, 2023.
The Colorado Medical Board finalized rules on August 17th to implement changes set forth in SB23-083: Physician Assistant (PA) Collaboration Requirements. This new law removes the requirement that a physician assistant be supervised by a physician or podiatrist except in certain circumstances.
These revisions can now be found in Medical Board Rule 1.15. The Board also has developed a Frequently Asked Questions document that may clarify any uncertainty created by these changes.
Please review these documents to familiarize yourself with the nature of collaborative agreements, and when supervising agreements are instead appropriate.
Want to learn more about Collaborative Practice? Attend CAPA's PA Professional Day
Colorado Board of Nursing Stakeholder Meeting
The Colorado Board of Nursing (BON) held a virtual Stakeholder Meeting on September 8, 2023, to receive feedback on several bills and proposed changes to Rule 1.15 Rules and Regulations for Prescriptive Authority for Advanced Practice Registered Nurses. The Permanent Rulemaking Hearing will be held on Wednesday, October 25, 2023, at 9:30 a.m. (MDT).
The Colorado Nurses Association and Colorado Society of Advanced Practice Nurses have been connecting with advocates, and encourage individuals to correspond with the BON directly about how these proposed changes will affect their practice. The proposed changes will have the greatest impact on Family Nurse Practitioners (FNP). Please see the outline below for specific proposed changes as well as the link to the full draft rule.
To obtain Full Prescriptive Authority in a Population Focus, the following shall be documented as part of the required 750 hours of Mentorship:
Family and Individuals Across the Lifespan:
- Primary Care - 350 Clinical Hours with a corresponding mentor
- Pediatrics - 150 Clinical Hours with a corresponding mentor
- Adult - 150 Clinical Hours with a corresponding mentor
- Geriatric - 50 Clinical Hours with a corresponding mentor
- Women’s Health - 50 Clinical Hours with a corresponding mentor