Colorado nurse practitioner requirements - COLORADO COMMUNITY HEALTH NETWORK SCOPE OF PRACTICE MATRIX FIELD OF PRACTICE: NURSING (BOARD OF NURSING) Prepared by: Jennifer Mattern, Clinical Projects Coordinator, CCHN June 2003 ADVANCED PRACTICE NURSES: NURSE PRACTITIONER (NP) SCOPE OF PRACTICE DEFINITION According to the Colorado Nurse Practice Act: “12-38-111.5.

 
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SB22-181 Behavioral Health-care Workforce: requires the behavioral health administration (BHA) in the department of human services (department) to create and implement a behavioral health-care provider workforce plan on or before September 1, 2022. Support for families. Strong, healthy families are vitally important to strong, healthy individuals.The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. Nurse Practitioners29-1171.00Bright Outlook Updated 2023. 29-1171.00. Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication.American Association of Nurse Practitioners (AANP) AANP: State Practice Environment is a state-by-state listing of regulatory requirements for nurse practitioners. It includes a regulatory map of ...The licensing authority for APRNs in Colorado is the Board of Nursing, Division of Professions and Occupations (DPO). They issue licenses to RNs and APRNs who satisfy specific licensing requirements. To practice as a certified nurse practitioner (CNP) in Colorado, you must have obtained at least a master’s in a graduate-level nurse ...View COVID-19 State Information. You need to know all the details about NP practice in your state—from signature authority to the number of CE hours required for licensure and beyond. Learn the specifics of practicing in your state, and explore AANP’s regional structure, leadership and recognition opportunities as well.ARPNs, including nurse practitioners, must earn at least a master’s degree in a specialty role. NPs must also be licensed registered nurses in the state and pass a national certification exam. Certification is required in most states to use an ARPN title and is used to show proficiency in a nurse anesthetist, nurse midwife or nurse ... complete this form to enroll with Health First Colorado, Colorado’s Medicaid Program. Complete one of the sections below (A, B or C). Supervision for Non-Physician Practitioners (Registered Nurses only) Benefit services by registered nurses must be provided in compliance with the following requirements: and/or mentor to an Advanced Practice Nurse seeking prescriptive authority. Section 12-36-106.4, C.R.S., also requires the Board to adopt rules to implement the prescriptive authority requirements related to physicians. Title 12, Article 38 of the Colorado Revised Statutes, also known as the Nurse Practice Act, sets forth theCall DEA Registration Service Center at 1-800-882-9539 (8:30 am-5:50 pm ET). Email: [email protected] - Be sure to include your DEA Registration number in your email. Background Check: For Nurses Practicing as an APN in Colorado with an Out-Of-State Multistate RN License: For Nurses who Reside Out of State: Federal/Military Nurses and Spouses: The Nursys website will identify the status of your license, including single versus multistate.The Nurse Practice Act is a law that works together with the rules and regulations in the state of Colorado to govern safe nursing practice. This act provides the framework for safe, competent nursing practice. Included in the Nurse Practice Act are (1) the definition of “The Practice of Professional Nursing”, (2) Laws on creation of the ...Definition: Nurse Practitioner A nurse practitioner (NP) is a master's prepared nurse who provides primary care to individuals and families or communities. The setting may be in ambulatory care, acute care, or long term care. NP's may serve as health care researchers, interdisciplinary consultants, educators, and patient advocates.Board of Nursing: Advanced Practice Applications and Forms Documents. In the State of Colorado, applying for Advanced Practice Registration (APN) does not qualify you for Prescriptive Authority (RXN).Of the 31,000 nurse practitioners in California, an estimated 20,000 will be eligible to apply for expanded authority in 2023, according to the California Association of Nurse Practitioners.Advanced practice licenses are renewed biennially. The APPN must maintain certification. He or she must complete at least 30 hours of continuing education and practice a minimum of 200 hours. If the APPN has prescriptive authority, continuing education must include at least 10 hours of pharmacology.The Nurse Practice Act is a law that works together with the rules and regulations in the state of Colorado to govern safe nursing practice. This act provides the framework for safe, competent nursing practice. Included in the Nurse Practice Act are (1) the definition of “The Practice of Professional Nursing”, (2) Laws on creation of the ...Rules and Regulations regarding a Physician's role in Prescriptive Authority for Advanced Practice Nurses. Effective July 1, 2010: Physician preceptors and mentors must comply with the full rules on Prescriptive Authority adopted by the Colorado Medical Board. Failure to comply may constitute grounds for disciplinary action as set forth in ...There are more than 355,000 nurse practitioners (NPs) licensed in the U.S. 1. More than 36,000 new NPs completed their academic programs in 2020-2021. 2. 88.0% of NPs are certified in an area of primary care, and 70.3% of all NPs deliver primary care. 3. 83.2% of full-time NPs are seeing Medicare patients and 81.9% are seeing Medicaid patients. 3.Nov 19, 2013 · To practice in Colorado, nurse practitioners must complete a nationally accredited nurse practitioner program as well as pass the national nurse practitioner certification exam. With these requirements completed, nurse practitioners in Colorado are free to diagnose and treat patients as well as give advance directives for end-of-life care. To practice in Colorado, nurse practitioners must complete a nationally accredited nurse practitioner program and pass the National Nursing Certification Exam. When these requirements are met, Colorado nurses can diagnose and treat patients and provide preventive care instructions for end-of-life care. and/or mentor to an Advanced Practice Nurse seeking prescriptive authority. Section 12-36-106.4, C.R.S., also requires the Board to adopt rules to implement the prescriptive authority requirements related to physicians. Title 12, Article 38 of the Colorado Revised Statutes, also known as the Nurse Practice Act, sets forth therequirements from 1,800 to 1,000 hours and would allow advanced practice nurses to be mentors instead of requiring physician mentorship. Background Nurse practitioners have a long history in the state of Colorado, where nurses frequently served as the primary health services in rural and remote communities. The state's growing elderly population has led to an increased demand for nursing professionals. Data from Projections Central indicates that RN jobs in Colorado should grow by nearly 28.6% from 2020-30. According to the U.S. Bureau of Labor Statistics (BLS), RNs in Colorado enjoy an average annual wage of $80,670.Nursing practice is regulated by each state and licensing requirements differ. Although all states require NPs to have an RN license, some states require a master’s degree to obtain an NP license. Arizona, California, Delaware and Louisiana all require master’s degrees. Idaho requires completion of a board-approved advanced practice nursing ...Jan 6, 2020 · Renewal: Registered nurse licenses expire on September 30 of odd- or even-numbered years and are dependent upon issuance date. Additional Information: Registered nurses who hold an active license in another compact state need not apply for licensure in Colorado, unless they plan to change their permanent residency to Colorado Download a Licensee/Discipline List. Military/Veteran Information. Customer Service Information.On January 18, 2018, Governor John Hickenlooper signed Senate Bill 18-027 Enhanced Nurse Licensure Compact. The law placed Colorado into the Enhanced Nurse Licensure Compact (NLC). As a member of the NLC, the State Board of Nursing now requires all applicants to obtain a fingerprint background check in order to obtain a nursing license in Colorado. Call DEA Registration Service Center at 1-800-882-9539 (8:30 am-5:50 pm ET). Email: [email protected] - Be sure to include your DEA Registration number in your email. To practice in Colorado, nurse practitioners must complete a nationally accredited nurse practitioner program and pass the National Nursing Certification Exam. When these requirements are met, Colorado nurses can diagnose and treat patients and provide preventive care instructions for end-of-life care.Aug 4, 2023 · Nurse Practitioner; RHC; A primary care provider (PCP) is eligible to be reimbursed as the ‘originating provider’ when present with the patient. In order for a PCP to be reimbursed as a distant provider, the PCP must be able to facilitate an in-person visit in the state of CO if necessary for treatment of the member’s condition. complete this form to enroll with Health First Colorado, Colorado’s Medicaid Program. Complete one of the sections below (A, B or C). Supervision for Non-Physician Practitioners (Registered Nurses only) Benefit services by registered nurses must be provided in compliance with the following requirements:The most common provider types covered in this category are clinics, pediatric behavioral therapists, nurse practitioners, and physicians. Stakeholder Engagement The Telemedicine and eConsults Policy Development web page will advise of the upcoming Stakeholder Engagement sessions regarding the passage of HB21-1256.Some nurses decide to go beyond the BSN and earn their MSN or DNP in order to become an aesthetic nurse practitioner. Step 2. Pass the NCLEX-RN. Once you've earned your RN degree from an accredited nursing program, you'll then need to pass the NCLEX-RN exam to become licensed by one or more states. Step 3.and/or mentor to an Advanced Practice Nurse seeking prescriptive authority. Section 12-36-106.4, C.R.S., also requires the Board to adopt rules to implement the prescriptive authority requirements related to physicians. Title 12, Article 38 of the Colorado Revised Statutes, also known as the Nurse Practice Act, sets forth theExamples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense controlled substances by the state in which they practice. AMB . Ambulance Service . AS . Animal Shelters . CCNurse practitioner (NP) Clinical nurse specialists (CNS) Certified registered nurse anesthetist (CRNA) Certified nurse midwife (CNM). Some APNs may be prepared in more than one role and CNS-NP is the most common combination. Depending on the specific practice laws in their state, APNs work with varying degrees of independence.Jul 1, 2010 · Rules and Regulations regarding a Physician's role in Prescriptive Authority for Advanced Practice Nurses. Effective July 1, 2010: Physician preceptors and mentors must comply with the full rules on Prescriptive Authority adopted by the Colorado Medical Board. Failure to comply may constitute grounds for disciplinary action as set forth in ... Rules and Regulations regarding a Physician's role in Prescriptive Authority for Advanced Practice Nurses. Effective July 1, 2010: Physician preceptors and mentors must comply with the full rules on Prescriptive Authority adopted by the Colorado Medical Board. Failure to comply may constitute grounds for disciplinary action as set forth in ...and/or mentor to an Advanced Practice Nurse seeking prescriptive authority. Section 12-36-106.4, C.R.S., also requires the Board to adopt rules to implement the prescriptive authority requirements related to physicians. Title 12, Article 38 of the Colorado Revised Statutes, also known as the Nurse Practice Act, sets forth the Sep 13, 2022 · Step 2. Submit your renewal application. Colorado has no continuing education or competency requirements. Renewing your Colorado registered nurse licensure can be done by accessing your account on the state’s Department of Regulatory Agencies website, completing the required information, and submitting the $108 fee. Advanced Practice Nurse Applications and Forms. Certified Nurse Aide Applications and Forms. Licensed Practical Nurse Applications and Forms. Registered Nurse Applications and Forms. Psychiatric Technician Applications and Forms. Fingerprinting & Background Check Information (opens in new window) ...To practice in Colorado, nurse practitioners must complete a nationally accredited nurse practitioner program and pass the National Nursing Certification Exam. When these requirements are met, Colorado nurses can diagnose and treat patients and provide preventive care instructions for end-of-life care.Nurse practitioners, including those specialized in pediatrics, are considered advanced practice registered nurses (APRNs). ARPNs must have a registered nursing (RN) license before pursuing education in an advanced type of roll. 2. In order to become an RN, a nursing candidate must first earn a diploma, associate degree or a Bachelor of Science ... All nurses are required to renew their licenses on a biennial basis with evidence of required continuing nursing education. The BON licenses qualified registered nurses to enter practice as advanced practice registered nurses (APRNs), including nurse anesthetists, nurse practitioners, clinical nurse specialists, and nurse midwives. All nurses are required to renew their licenses on a biennial basis with evidence of required continuing nursing education. The BON licenses qualified registered nurses to enter practice as advanced practice registered nurses (APRNs), including nurse anesthetists, nurse practitioners, clinical nurse specialists, and nurse midwives. Jul 31, 2020 · APN Educational Requirements. To become eligible for the licensing, the nurse needs to complete a graduate or post-graduate degree educational program focused on the chosen role. Nurses who already have a graduate degree in the nursing field, are qualified based on a post-graduate certificate program. The only programs accredited by the Council ... Colorado Registered Nurses listed on the Board of Nursing Advanced Practice Registry who have been issued a Prescriptive Authority (RXN) by the Board of Nursing. Patients within the advanced practice nurse's role (NP, CNS, CNM or CRNS) and for Nurse Practitioners and Clinical Nurse Specialist, population focus (ie Neonatal, Pediatric, Women's ... Advanced Practice Nurse Registration Requirements in Colorado The Colorado Board of Nursing maintains a registry of advanced practice nurses. To be eligible for entry on the registry, professionals must hold licensure as registered nurses. Featured Programs: Sponsored School(s) Walden University Featured Program: MS in Nursing (from BSN) - Family Nurse Practitioner; MS in Nursing (fromThe Nursing Department equips students for fulfilling careers in the diverse healthcare industry. From hospitals to schools and insurance companies, a nursing degree offers abundant career opportunities. The Nursing Department is dedicated to providing top-notch education and training. The Health Sciences Department prepares graduates in Health ... The VA Western Colorado Healthcare System Nurse Practitioner Residency Program is a twelve-month post-graduate mental health care training program located in Grand Junction, Colorado. By providing intensive clinical experiences supplemented by inter-professional development activities, we prepare new graduate nurse practitioners to deliver high-quality, compassionate, and patient-centered care ...Nursing CE Courses for Nurse Practitioners in Colorado. Complete these courses towards your Colorado nursing CE requirements. Over 500 hours of CE for one low price. Ethical Issues at End of Life Nursing CE Course. 2.0 ANCC contact hours. 0.0 Pharmacology hours. SB22-181 Behavioral Health-care Workforce: requires the behavioral health administration (BHA) in the department of human services (department) to create and implement a behavioral health-care provider workforce plan on or before September 1, 2022. Support for families. Strong, healthy families are vitally important to strong, healthy individuals.The VA Western Colorado Healthcare System Nurse Practitioner Residency Program is a twelve-month post-graduate mental health care training program located in Grand Junction, Colorado. By providing intensive clinical experiences supplemented by inter-professional development activities, we prepare new graduate nurse practitioners to deliver high-quality, compassionate, and patient-centered care ... Traditionally, the RNFA in surgery has been defined as a perioperative nurse certified (RN, CNOR). NIFA conducted a student survey to find out why so many APRNs were enrolling into the program. The main responses were: Credentialing Committees required RNFA training. APRNs want to follow patients (e.g. Midwives) through the entire process.The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.Jul 12, 2023 · Become a Registered Nurse. The first step to becoming a nurse practitioner is becoming a registered nurse. You'll do this by enrolling in either an Associate Degree in Nursing (ADN) or Bachelor's Degree in Nursing (BSN) program. 2. Get Your Bachelor's Degree. If you don’t already hold a BSN, you may want to enroll in and earn your Bachelor ... View COVID-19 State Information. You need to know all the details about NP practice in your state—from signature authority to the number of CE hours required for licensure and beyond. Learn the specifics of practicing in your state, and explore AANP’s regional structure, leadership and recognition opportunities as well.The Colorado Board of Nursing accepts NetCE courses. RNs and LPNs are not required continuing education at this time. APRNs must maintain national certification. Beginning with license renewals on or after October 1, 2022, advanced practice nurses with opioid prescriptive authority are required 2 hours of substance use prevention training ...U.S. DEPARTMENT OF JUSTICE • DRUG ENFORCEMENT ADMINISTRATION Diversion Control Division • 8701 Morrissette Drive • Springfield, VA 22152 • 1-800-882-9539 Educational Requirements: The successful completion of a graduate or post- graduate nursing degree in the Role and, where applicable, the Population Focus, or equivalent as determined by the Board, for which the Applicant seeks inclusion on the APR. Some nurses decide to go beyond the BSN and earn their MSN or DNP in order to become an aesthetic nurse practitioner. Step 2. Pass the NCLEX-RN. Once you've earned your RN degree from an accredited nursing program, you'll then need to pass the NCLEX-RN exam to become licensed by one or more states. Step 3.Educational Requirements: The successful completion of a graduate or post- graduate nursing degree in the Role and, where applicable, the Population Focus, or equivalent as determined by the Board, for which the Applicant seeks inclusion on the APR. Colorado Yes. ”Prescribing mentorshop” with physician or APRN required for the first 1,000 hours of practice. (Colo. Rev. Stat. 12-38-111.6 (4.5)(b)(1)(A)). Yes. (Colo. Rev. Stat. 12-38-111.6 (1)). Yes. (Colo. Rev. Stat. 12-38-111.6 (1)). 3 semester hours or 4 quarter hours in pathophysiology, pharmacology, and physical assessment. (3 Code ...Colorado Board of Nursing Minimum Requirements. • Complete the mandatory pre-license education hours (RN and LPN) or Colorado School of Health Professions equivalent coursework to be accepted by the Colorado Board of Nursing. • Colorado licensed practical nurse candidates must have a post-secondary education that leads to a degree in ...Nurse Practitioners29-1171.00Bright Outlook Updated 2023. 29-1171.00. Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication.Oct 1, 2020 · Massachusetts. Massachusetts is considered a restricted state ( AANP, 2018) since all APRNs except for certified nurse midwives (CNM) require an agreement with a supervising physician (term used in regulations) to prescribe. PMH-CNSs have prescriptive authority, but are the only CNS group in the state that does. Nurse Practitioner as a Primary Care Provider. NPs are recognized in state policy as primary care providers. The NP must practice within a specific population focus (e.g. neonatal, pediatric, women’s health, adult, family, mental health). Colo. Board of Nursing Rules Chapter XIV 1.10. Learn more about Nurse Practitioner as a Primary Care Provider Jul 1, 2010 · Rules and Regulations regarding a Physician's role in Prescriptive Authority for Advanced Practice Nurses. Effective July 1, 2010: Physician preceptors and mentors must comply with the full rules on Prescriptive Authority adopted by the Colorado Medical Board. Failure to comply may constitute grounds for disciplinary action as set forth in ... The Board of Nursing has been working to empower Colorado nurses to determine their own scopes of practice. Using the following guidelines, a nurse may decide what is within scope, and to make certain the task or practice is documented in facility or institution policies and procedures.See full list on aanp.org Jul 31, 2020 · APN Educational Requirements. To become eligible for the licensing, the nurse needs to complete a graduate or post-graduate degree educational program focused on the chosen role. Nurses who already have a graduate degree in the nursing field, are qualified based on a post-graduate certificate program. The only programs accredited by the Council ... Jul 31, 2020 · APN Educational Requirements. To become eligible for the licensing, the nurse needs to complete a graduate or post-graduate degree educational program focused on the chosen role. Nurses who already have a graduate degree in the nursing field, are qualified based on a post-graduate certificate program. The only programs accredited by the Council ... Nurse Practitioners29-1171.00Bright Outlook Updated 2023. 29-1171.00. Diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. May order, perform, or interpret diagnostic tests such as lab work and x rays. May prescribe medication.There are more than 355,000 nurse practitioners (NPs) licensed in the U.S. 1. More than 36,000 new NPs completed their academic programs in 2020-2021. 2. 88.0% of NPs are certified in an area of primary care, and 70.3% of all NPs deliver primary care. 3. 83.2% of full-time NPs are seeing Medicare patients and 81.9% are seeing Medicaid patients. 3.See full list on aanp.org Oct 1, 2020 · Massachusetts. Massachusetts is considered a restricted state ( AANP, 2018) since all APRNs except for certified nurse midwives (CNM) require an agreement with a supervising physician (term used in regulations) to prescribe. PMH-CNSs have prescriptive authority, but are the only CNS group in the state that does. Our Family Nurse Practitioner (FNP) program is designed to provide the clinical skills and academic knowledge to promote health and treatment of physiologic and psychologic health, disease prevention, advanced physical assessment, and management of common acute and chronic illnesses. In many states, including Colorado, FNPs can practice ...

U.S. DEPARTMENT OF JUSTICE • DRUG ENFORCEMENT ADMINISTRATION Diversion Control Division • 8701 Morrissette Drive • Springfield, VA 22152 • 1-800-882-9539. Ubereats dollar0 delivery fee not working

colorado nurse practitioner requirements

COLORADO COMMUNITY HEALTH NETWORK SCOPE OF PRACTICE MATRIX FIELD OF PRACTICE: NURSING (BOARD OF NURSING) Prepared by: Jennifer Mattern, Clinical Projects Coordinator, CCHN June 2003 ADVANCED PRACTICE NURSES: NURSE PRACTITIONER (NP) SCOPE OF PRACTICE DEFINITION According to the Colorado Nurse Practice Act: “12-38-111.5. complete this form to enroll with Health First Colorado, Colorado’s Medicaid Program. Complete one of the sections below (A, B or C). Supervision for Non-Physician Practitioners (Registered Nurses only) Benefit services by registered nurses must be provided in compliance with the following requirements:Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice. American Association of Nurse Practitioners (AANP) AANP: State Practice Environment is a state-by-state listing of regulatory requirements for nurse practitioners. It includes a regulatory map of ...Nursing practice is regulated by each state and licensing requirements differ. Although all states require NPs to have an RN license, some states require a master’s degree to obtain an NP license. Arizona, California, Delaware and Louisiana all require master’s degrees. Idaho requires completion of a board-approved advanced practice nursing ...Temporary License Time-Frame: 4-6 weeks - Only applies to individuals licensed as a registered nurse in Canada. Permanent License Time-Frame: 4-6 weeks. Compact (eNLC): No (pending eNLC legislation) Walk-Through: No. Cost: $64.25 plus an application fee of $80.30. Application Requirements: N/A.(1) The board may authorize an advanced practice registered nurse who is listed on the advanced practice registry, has a license in good standing without disciplinary sanctions issued pursuant to section 12-255-110, and has fulfilled requirements established by the board pursuant to this section to prescribe controlled substances or prescription drugs as defined in section 12-280-103.Renewal: Registered nurse licenses expire on September 30 of odd- or even-numbered years and are dependent upon issuance date. Additional Information: Registered nurses who hold an active license in another compact state need not apply for licensure in Colorado, unless they plan to change their permanent residency to Coloradoand/or mentor to an Advanced Practice Nurse seeking prescriptive authority. Section 12-36-106.4, C.R.S., also requires the Board to adopt rules to implement the prescriptive authority requirements related to physicians. Title 12, Article 38 of the Colorado Revised Statutes, also known as the Nurse Practice Act, sets forth the The VA Western Colorado Healthcare System Nurse Practitioner Residency Program is a twelve-month post-graduate mental health care training program located in Grand Junction, Colorado. By providing intensive clinical experiences supplemented by inter-professional development activities, we prepare new graduate nurse practitioners to deliver high-quality, compassionate, and patient-centered care ...Phase 2: Intermediate Fellowship: Skills Enhancement (weeks 17-24) Fellows will move beyond daytime general internal medicine services and will gain experience from the Medical-Oncology, Consult Medicine, and Swing/Nights services. Fellows will also rotate on electives for inpatient specialties. Swing and Nights ( ~10 weeks) Fellows rotate on ...Professional Nursing Education. Approved Education / Accreditation / Degree Programs. On March 14, 2019, the revised Guidelines for Prescribing and Dispensing Opioids were adopted by all six of Colorado's prescribing and dispensing Boards: the Colorado Dental Board, the Colorado Medical Board, the State Board of Nursing, the State Board of Optometry, the Colorado Podiatry Board, and the State Board of Pharmacy, and endorsed by ...The law also provides specific exemptions to these requirements. The Boards will continue to evaluate the Policy, incorporating new legislation and collaborating with other state agencies, researchers, practitioners, patients, the Colorado Consortium for Prescription Drug Abuse Prevention, and other stakeholders to identify and evaluate outcomes..

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