Collaborative Practice Quality Assurance Plan - Alabama Board of 2026

1. Click ‘Get Form’ to open the Collaborative Practice Quality Assurance Plan in the editor.
2. Begin by entering the CRNP/CNM NAME and SPECIALTY in the designated fields at the top of the form.
3. Next, fill in the COLLABORATING PHYSICIAN's name. This is crucial for establishing accountability.
4. In the QUALITY ASSURANCE section, provide a documented evaluation of clinical practices against defined quality outcome measures. Ensure you summarize findings and include any recommendations for change.
5. List PATIENT DIAGNOSIS GROUP(S) that will be monitored, focusing on high-risk or problem-prone groups.
6. Specify the SAMPLE SIZE and FREQUENCY OF REVIEW, detailing how often reviews will occur (weekly, monthly, quarterly).
7. Designate personnel responsible for compiling data and ensure they are noted in the form.
8. Complete the ATTESTATION section by printing names and obtaining original signatures from both the collaborating physician and CRNP/CNM.

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