American College of Cardiology

Multidisciplinary Providers

Nurse practitioners, physician assistants, registered nurses, clinical pharmacists, and clinical nurse specialists are a vital part of the cardiovascular workforce.  The Cardiac Care Associate (CCA) level of membership within the College was established because the ACC understands the importance of quality continuing education for all CV professionals, the need for the creation of cohesive cardiovascular teams, and the leadership roles these practitioners will play in the improvement of quality care for patients despite workforce shortages and increasing demand. The ACC Workforce Task Force also recognizes this fact, and is focusing several of its efforts on increasing the utilization of multidisciplinary providers in the cardiac care setting and promoting the team-based care concept.

Shortages are also projected for these professionals, so efforts to increase the numbers of multidisciplinary providers in practice must move forward as well:

Projected supply, demand, and shortages of registered nurses: 2000-2020

Resources for Multidisciplinary Providers:

Job Descriptions
Employment Agreements
Scope of Practice, Protocols, and Job Requirements
State Laws and Regulations 
Practice Information
Interdisciplinary Team Models
All Providers: Job Search at ACC Cardiology Careers
Articles of Interest

Job Descriptions

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• Example 5

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Employment Agreements

• Example 1
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• Example 3

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• Example 2

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Scope of Practice, Protocols, and Job Requirements

• Physician Assistant Scope of Practice

• Example Protocol 1
• Example Protocol 2

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State Laws and Regulations

* Included in this site are samples of Scope of Practice documents used around the country. Please note that Scope of Practice can very by state and it is up to the user to reference their state-specific laws and taylor the Scope of Practice documents to their state laws and regulations.

Physican Assistants

• State PA Licensing Boards
• Compendium of Physician Assistant State Laws and Regulations
• Summary of State Laws for Physician Assistants

• Nurse Practitioner Regulatory Information
• Nurse Practitioner Regulatory Authority
• Advanced Nurse Practice: Legal Authority, Reimbursement, Prescriptive Authority

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• National Association of Clinical Nurse Specialists Legislative Update

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Practice Information

• The Physician-PA Team
• PAs in Cardiology
• PAs and Clinical Practice Guidelines
• Professional Practice Issues
• Third Party Reimbursement for Physician Assistants

• Nurse Practitioner Practice Information
• Nurse Practitioners—practice issues from American College of Nurse Practitioners
• Nurse Practitioners Medicare Reimbursement Fact Sheet

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Interdisciplinary Team Models

Example: Role of Mid Level Providers at Utah Heart Clinic

All Providers: Job Search at ACC Cardiology Careers

Articles of Interest

What do PA, NP, and CNM spell? A revolution in health care
Make the Most of Your Staff
Health plan networks slowly embrace nurse practitioners
Are you collecting illegal dollars for “incident to” services?