Illinois Nurse Practitioner Collaborative Practice Agreement

The state of Illinois is one of many states in the United States that allows nurse practitioners to practice independently, but with a caveat. In order to practice independently, nurse practitioners must enter into a collaborative practice agreement with a physician. This agreement outlines the parameters of the relationship between the nurse practitioner and the physician, including the scope of practice, supervision requirements, and other key details.

What is a Collaborative Practice Agreement?

A collaborative practice agreement is a written agreement between a nurse practitioner and a physician that outlines the terms and conditions under which the two parties will work together. The agreement is a legal document that is intended to ensure that the nurse practitioner is practicing within his or her scope of practice and that the physician is acting as a resource and supervisor for the nurse practitioner.

In Illinois, nurse practitioners are required to enter into a collaborative practice agreement with a physician in order to practice independently. This means that the nurse practitioner can diagnose, treat, and prescribe medications without the direct supervision of a physician, but the physician must be available for consultation and collaboration as needed.

The Benefits of Collaborative Practice Agreements

Collaborative practice agreements are beneficial to both nurse practitioners and physicians. For nurse practitioners, they provide a level of autonomy and independence that allows them to practice at the top of their license. This means that they can provide a wider range of services to their patients without having to rely on a physician to make decisions or prescribe medications.

For physicians, collaborative practice agreements can help ease their workload and allow them to focus on the patients who require more complex care. By working with a nurse practitioner, physicians can delegate some of the routine care responsibilities, which frees up their time for more critical cases.

Collaborative practice agreements also benefit patients by providing access to high-quality care from both nurse practitioners and physicians. Patients can receive the care they need from a team of professionals who are working together to provide the best possible care.

Key Elements of a Collaborative Practice Agreement

A collaborative practice agreement should include several key elements, including:

1. Definitions: The agreement should define the terms used throughout the document, such as « collaborative practice, » « supervision, » and « scope of practice. »

2. Scope of Practice: The agreement should outline the specific services that the nurse practitioner is authorized to provide, including diagnostic and treatment services, prescribing medications, and ordering tests.

3. Supervision Requirements: The agreement should specify the level of supervision required by the physician, which may include on-site supervision, off-site supervision, or periodic consultations.

4. Communication Protocols: The agreement should outline how the nurse practitioner and physician will communicate with one another, including how frequently they will meet and how they will exchange information.

5. Review and Reevaluation: The agreement should include a process for reviewing and reevaluating the agreement on a regular basis, such as annually.


Collaborative practice agreements are a vital component of nurse practitioner practice in Illinois. These agreements provide a framework for working collaboratively with physicians, allowing nurse practitioners to practice independently while ensuring that they are providing safe, effective care to their patients. By working together, nurse practitioners and physicians can provide high-quality care that meets the needs of their patients.