South Metropolitan Higher Education Consortium

South Metropolitan Higher Education Consortium

Three Decades of Higher Education Excellence Through Collaboration

Standardized Agreements


Standard Clinical Affiliation Agreement

SMHEC spearheaded a project to develop the Standard Clinical Affiliation Agreement for use by health care providers and educational programs. This Agreement is designed to minimize the extent to which providers and educational entities need to customize an affiliation agreement for every health care program requiring a clinical rotation, thereby reducing the personnel time spent on contract review and freeing the staff to focus their efforts on other critical activities. The expeditious signing of the agreements places students in clinical rotations faster, allowing them more time to plan and organize their schedules and their lives.

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A task force including: SMHEC, Metropolitan Chicago Healthcare Council (MCHC), Illinois Hospital Association (IHA), Illinois Coalition for Nursing Resources (ICNR), and hospital staff and educators representing the entire metropolitan Chicago area participated in the development and review of this document. A number of hospitals and colleges in the Chicago Southland region volunteered to pilot the document for one year, beginning in the summer of 2006. As a part of the pilot process, the document went through a series of reviews and revisions by attorneys, hospital and college staff.



The document drafters included Associate General Counsel for Advocate Health Care, Mary Ellen Cherry, Northern Illinois University Assistant University Counsel Laura Anderson and Dianne M. Kronika, Assistant to General Counsel at Governors State University; all of whom had considerable experience with affiliation agreements.  The following concepts guided the development of the Agreement:

  1. The Agreement is framed both broadly and comprehensively, in hopes that it will be useful to and used by the majority of Illinois health care providers and educational programs when entering into clinical affiliation relationships. Thus, addressing a common point of concern, the Agreement contemplates that the higher education entity will provide proof to the health care facility that students have student professional liability coverage while participating in the clinical experience.  On another often discussed issue, the Agreement states, in lieu of providing for indemnification or cross-indemnification as between parties, that neither party shall be legally liable for bodily injury or property damage occasioned by an act, omission, or neglect chargeable to the other party.
  2. The Agreement is intended for use with any health care program that requires a clinical rotation. It may be used to cover multiple facilities and programs by listing them as included Facility Sites and Programs in respective Exhibits A and B to the Agreement. The Agreement also includes an Exhibit C to identify program-specific requirements.
  3. The drafters recognize that contracting health care providers and educational programs may on occasion need to add specific provisions to the Agreement to address unique features presented by particular affiliation arrangements. (An example would be the requirement of some religiously-affiliated providers that health care workers agree not to take actions inconsistent with ethical precepts of the church or religious entity involved.)
  4. The Agreement will accommodate evolving best practices and anticipated future requirements of the accrediting bodies.

To inquire about or receive a copy of the Standard Affiliation Agreement, contact Nikelda Cave at This email address is being protected from spambots. You need JavaScript enabled to view it.