This form is a sample of an agreement by a nurse staffing agency to supply nurses and nursing assistants to a hospital or nursing home on an as needed basis. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
New Hampshire Agreement between Care Giving Organization and Nurse Staffing Agency: In New Hampshire, a Care Giving Organization and a Nurse Staffing Agency can enter into a comprehensive agreement to ensure seamless collaboration and quality healthcare services. This agreement outlines the terms and conditions that govern the relationship between the two entities, ensuring clarity, transparency, and adherence to state regulations. The New Hampshire Agreement between a Care Giving Organization and Nurse Staffing Agency typically includes the following key elements: 1. Purpose: This section highlights the common goals of both parties, which are to deliver exceptional care services to patients, maintain a high standard of professionalism, and adhere to all relevant laws and regulations of New Hampshire. 2. Parties Involved: Clearly states the names and addresses of both the Care Giving Organization and the Nurse Staffing Agency participating in the agreement. 3. Scope of Services: Defines the services to be provided by the Nurse Staffing Agency, which can include supplying qualified and trained nursing staff, arranging schedules, managing credentialing, performing background checks, and maintaining adequate records. The Care Giving Organization specifies their requirements concerning staffing levels and professional qualifications. 4. Responsibilities of the Parties: a) Care Giving Organization: Outlines the duties and responsibilities of the Care Giving Organization, which may include providing a safe work environment, coordinating patient care, managing direct supervision of nurses, organizing orientation programs, and ensuring compliance with all applicable laws and regulations. b) Nurse Staffing Agency: Details the obligations of the Nurse Staffing Agency, including the recruitment and screening of qualified nurses, verifying credentials, conducting background checks, maintaining records, providing continuous training opportunities, and promptly addressing any disciplinary issues. 5. Compensation and Billing: Specifies the agreed method, frequency, and terms for billing and payment, including rates, invoicing procedures, payment terms, and any additional expenses to be reimbursed, such as travel or overtime costs. 6. Term and Termination: Outlines the duration of the agreement, specifying the start date and end date, as well as the termination conditions, including rights to early termination by both parties, notice periods, and procedures for resolving any disputes. 7. Confidentiality and HIPAA Compliance: Emphasizes the importance of maintaining patient confidentiality and complying with Health Insurance Portability and Accountability Act (HIPAA) regulations, where applicable, to ensure the protection of patient information and privacy. 8. Governing Law and Jurisdiction: Identifies that the agreement will be interpreted and governed by the laws of the State of New Hampshire. It also stipulates the designated jurisdiction and venue where any disputes should be addressed. Different Types of New Hampshire Agreements between Care Giving Organizations and Nurse Staffing Agencies: 1. Primary Staffing Agreement: This agreement establishes the primary partnership between a Care Giving Organization and a Nurse Staffing Agency, ensuring the provision of regular nursing staff according to the organization's needs over a specified period. 2. Supplemental Staffing Agreement: This type of agreement is entered into when the Care Giving Organization requires additional nursing staff on a temporary or short-term basis to cover for unexpected absences, increased patient demand, or special events. 3. Per Diem Staffing Agreement: This agreement caters to Care Giving Organizations that require occasional nursing staff on a per diem basis, allowing greater flexibility in staffing according to fluctuating patient volumes. 4. Travel Nursing Staffing Agreement: This specialized agreement focuses on providing qualified nurses who are willing to travel to various locations within New Hampshire, assisting organizations in remote or underserved areas in meeting their staffing needs. By establishing a well-defined New Hampshire Agreement between a Care Giving Organization and a Nurse Staffing Agency, both entities can guarantee the delivery of high-quality patient care, foster a positive work environment, and ensure compliance with all relevant laws and regulations.New Hampshire Agreement between Care Giving Organization and Nurse Staffing Agency: In New Hampshire, a Care Giving Organization and a Nurse Staffing Agency can enter into a comprehensive agreement to ensure seamless collaboration and quality healthcare services. This agreement outlines the terms and conditions that govern the relationship between the two entities, ensuring clarity, transparency, and adherence to state regulations. The New Hampshire Agreement between a Care Giving Organization and Nurse Staffing Agency typically includes the following key elements: 1. Purpose: This section highlights the common goals of both parties, which are to deliver exceptional care services to patients, maintain a high standard of professionalism, and adhere to all relevant laws and regulations of New Hampshire. 2. Parties Involved: Clearly states the names and addresses of both the Care Giving Organization and the Nurse Staffing Agency participating in the agreement. 3. Scope of Services: Defines the services to be provided by the Nurse Staffing Agency, which can include supplying qualified and trained nursing staff, arranging schedules, managing credentialing, performing background checks, and maintaining adequate records. The Care Giving Organization specifies their requirements concerning staffing levels and professional qualifications. 4. Responsibilities of the Parties: a) Care Giving Organization: Outlines the duties and responsibilities of the Care Giving Organization, which may include providing a safe work environment, coordinating patient care, managing direct supervision of nurses, organizing orientation programs, and ensuring compliance with all applicable laws and regulations. b) Nurse Staffing Agency: Details the obligations of the Nurse Staffing Agency, including the recruitment and screening of qualified nurses, verifying credentials, conducting background checks, maintaining records, providing continuous training opportunities, and promptly addressing any disciplinary issues. 5. Compensation and Billing: Specifies the agreed method, frequency, and terms for billing and payment, including rates, invoicing procedures, payment terms, and any additional expenses to be reimbursed, such as travel or overtime costs. 6. Term and Termination: Outlines the duration of the agreement, specifying the start date and end date, as well as the termination conditions, including rights to early termination by both parties, notice periods, and procedures for resolving any disputes. 7. Confidentiality and HIPAA Compliance: Emphasizes the importance of maintaining patient confidentiality and complying with Health Insurance Portability and Accountability Act (HIPAA) regulations, where applicable, to ensure the protection of patient information and privacy. 8. Governing Law and Jurisdiction: Identifies that the agreement will be interpreted and governed by the laws of the State of New Hampshire. It also stipulates the designated jurisdiction and venue where any disputes should be addressed. Different Types of New Hampshire Agreements between Care Giving Organizations and Nurse Staffing Agencies: 1. Primary Staffing Agreement: This agreement establishes the primary partnership between a Care Giving Organization and a Nurse Staffing Agency, ensuring the provision of regular nursing staff according to the organization's needs over a specified period. 2. Supplemental Staffing Agreement: This type of agreement is entered into when the Care Giving Organization requires additional nursing staff on a temporary or short-term basis to cover for unexpected absences, increased patient demand, or special events. 3. Per Diem Staffing Agreement: This agreement caters to Care Giving Organizations that require occasional nursing staff on a per diem basis, allowing greater flexibility in staffing according to fluctuating patient volumes. 4. Travel Nursing Staffing Agreement: This specialized agreement focuses on providing qualified nurses who are willing to travel to various locations within New Hampshire, assisting organizations in remote or underserved areas in meeting their staffing needs. By establishing a well-defined New Hampshire Agreement between a Care Giving Organization and a Nurse Staffing Agency, both entities can guarantee the delivery of high-quality patient care, foster a positive work environment, and ensure compliance with all relevant laws and regulations.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
