Learning Resources

for Collaborative Practice Agreements (CPAs) CPAs are written agreements between pharmacists and authorized prescribers, most commonly physicians, allowing for the issuance, modification, or termination of drug therapy for patients.


uring public health emergencies, partnerships between pharmacies and health departments have become an increasingly useful tool to improve access to medication and vaccines. Through collaborative emergency planning efforts, pharmacies and health departments can enhance accessibility of medication and vaccines to targeted populations. One way to formalize these partnerships is to develop and implement collaborative practice agreements (CPAs), also known as collaborative drug therapy agreements (CDTAs) or collaborative practice protocols (CPPs). During an emergency, a local health official may issue a CPA, allowing for medication dispensing without prior visitation or consultation by a patient with a physician. This issuance is a critical component for coordination that can reduce burden on the healthcare system during an emergency. The following interactive websites offer CPA guidance for health departments:


ACKNOWLEDGMENTS This document was made possible through support from the Centers for Disease Control and Prevention, Cooperative Agreement 1U38OT000172-01. NACCHO is grateful for this support. The views expressed within do not necessarily represent those of the sponsor. NACCHO is also grateful for the leadership and support of Lisa M. Koonin, DrPH, MN, MPH, Senior Advisor and Lead for the Pandemic Medical Care and Countermeasures Task Force, Influenza Coordination Unit, CDC.

Collaborative Drug Therapy Agreement (CDTAs) for Influenza Antivirals in Washington State Provided by the Northwest Center for Public Health Practice (NWCPHP), in collaboration with the Washington State Pharmacy Association and Public Health – Seattle & King County, 2013 A toolkit for authorization by local health officials, pharmacists, and authorized prescribers in establishing a CPA during an emergency or influenza outbreak: • Resources for pharmacists prescribing antiviral medications • Screening form template for use by the pharmacist and patient • CPA template for agreements between the pharmacists and authorized prescribers • Toolkit materials allowing pharmacists to adequately prescribe antiviral medications

FOR MORE INFORMATION Sara Rubin, MPH, MA Senior Program Analyst, Pandemic and Catastrophic Preparedness 202-507-4193 [email protected] Andrew Roszak, JD, MPA, EMT-P Senior Director, Environmental Health, Pandemic Preparedness, and Catastrophic Response 202-471-1205 [email protected] Jack Herrmann, MSEd, NCC, LMHC Senior Advisor & Chief, Public Health Programs 202-507-4228 [email protected]

http://bit.ly/1chxoew The Collaborative Drug Therapy Agreement (CDTA): Developing Effective and Sustainable Medication Dispensing Strategies Provided by Seattle & King County Advanced Practice Center (APC), in collaboration with Public Health – Seattle & King County, NWCPHP, the Washington State Pharmacy Association, and the Washington State Board of Pharmacy, 2010. NACCHO maintains this APC website. A toolkit for health departments to identify the need to establish a CPA during a disaster-specific healthcare emergency: • Basic information and pre-planning considerations regarding CPAs • Benefits and rationale for CPA development • State-specific requirements concerning CDTAs • Eligibility, development, and review of the CDTA

The mission of the National Association of County and City Health Officials (NACCHO) is to be a leader, partner, catalyst, and voice for local health departments. 1100 17th St, NW, 7th Floor Washington, DC 20036 P 202-783-5550 F 202-783-1583


© 2013. National Association of County and City Health Officials.

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