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Collaborative Practice Agreements: Scope Expansion Without Scope Creep

  • 72 minutes
  • 38 slides
What we'll cover
  • 0:00 Why CPAs Fail Quietly
  • 8:00 Authority, Delegation, And Accountability
  • 18:00 The Clauses That Carry Weight
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What you'll take away

Practical shifts you can apply this week

  • Identify Durable CPA Elements

    Spot what separates a reliable agreement from the workaround everyone swears is temporary.

  • Compare Scope Expansion Risks

    Use common clinical scenarios to tell safe delegation from quiet substitution before it spreads.

  • Evaluate High-Stakes CPA Clauses

    Review authority, supervision, documentation, and escalation language with a practical rubric.

  • Draft Practical Guardrails

    Define where independent action fits and where a handoff needs to happen, in plain operational terms.

  • Design Audit-Ready Implementation Plans

    Build a rollout and review process that stays usable in real workflows, not just in a binder.

Agenda

What we'll cover

  1. 0:00

    Why CPAs Fail Quietly

    How vague language gets stretched by staffing pressure, speed, and habit before anyone calls it drift.

  2. 8:00

    Authority, Delegation, And Accountability

    Clarify licensure, delegation, decision ownership, and where protocols stop being enough.

  3. 18:00

    The Clauses That Carry Weight

    Break down eligibility, permitted actions, exclusions, escalation triggers, and documentation requirements.

  4. 29:00

    Scope Expansion Test Cases

    Use edge cases to separate safe capacity-building from physician-level judgment drifting into gray space.

  5. 39:00

    Implementation In Real Workflows

    Map the agreement into scheduling, inbox rules, EHR build, staffing, and training.

  6. 48:00

    Auditing For Drift And Safety

    Set chart review triggers, exception reporting, version control, and practical monitoring metrics.

  7. 55:00

    Review, Redesign, And Q&A

    Apply the review rubric, rewrite one blurry clause, and leave with a small next step for this week.

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