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Consensus model for aprn regulation: Licensure accreditation certification & education

Consensus model for aprn regulation: Licensure accreditation certification & education. Amy Higgins Diane Morris Stephanie Kimbrel. Problem identification. LACK OF UNIFORMITY ACROSS STATE LINES DEFINING APRNS SCOPE OF PRACTICE ADVANCED PRACTICE EDUCATION LICENSING CREDENTIALING TITLE.

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Consensus model for aprn regulation: Licensure accreditation certification & education

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  1. Consensus modelfor aprn regulation:Licensureaccreditationcertification &education Amy Higgins Diane Morris Stephanie Kimbrel

  2. Problem identification • LACK OF UNIFORMITY ACROSS STATE LINES DEFINING APRNS • SCOPE OF PRACTICE • ADVANCED PRACTICE EDUCATION • LICENSING • CREDENTIALING • TITLE LIMITING THE ACCESSIBILITY OF HIGH QUALITY, COST-EFFECTIVE HEALTHCARE

  3. Background: TIMELINE **1940’S APRN ROLE CAME INTO EXSTENCE **EARLY 1990’S OFFICIAL CERTIFICATION EXAMS **1993 POSITION STATEMENT: NEED FOR CERTIFICATIONS **2002 2ND POSITION STATEMENT: REGULATORY CONCERNS REGARDING CERTIFICATION EXAM **2004 THE ALLIANCE FOR APRN CREDENTIALING **2008 CONSENSUS MODEL FOR APRN REGULATION: LICENSURE, ACCREDITATION, CERTIFICATION& EDUCATION 2015

  4. BACKGROUND: aprn reGULATORY MODEL

  5. Background: Lace model

  6. Ethical factors • IMPROTANT FOR THE PUBLIC TO TRUST THAT ANY APRN PROVIDING CARE IS EDUCATED, CERTIFIED, AND LICENSED WITHIN HIS/HER SCOPE OF PRACTICE. • ENSURING PATIENT THAT THEY RECEIVE SAFE AND EQUITABLE CARE.

  7. Political factors • Politically- • NEED EFFECTIVE CONSENSUS MODEL • DEFINED ROLE • REGULATIONS ACROSS ALL 50 STATES • UNITED FRONT WITH A UNIFIED VOICE

  8. Legal factors • OUTLINE THE SCOPE OF PRACTICE FOR EACH OF THE FOUR ROLES OF APRNS. • PRESCRIPTIVE AUTHORITY • AUTHORITY TO PRESCRIBE W/OUT MD INVOLVEMENT • AUTHORITY TO PRESCRIVE WITH MD COLLABORATION • WRITTEN PROTOCOL REQUIRED TO PRESCRIBE • AURTHORITY TO PRESCRIBE CONTROLLED SUBSTANCES • ADDITIONAL LIABILITY ISSUES • UNLICENSED PRACTICE OF MEDICINE • FAILURE TO ADEQUATELY DIAGNOSE • NEGLIGENCE IN THE DELIVERY OF HEALTHCARE • CONDUCT EXCEEDING MD-DELGATED AUTHORITY: RESULTING IN HARM • CONDUCT EXCEEDING SCOPE OF PRACTICE: RESULTING IN HARM • FAILURE TO REFER APPROPRIATELY

  9. Issue statement • How can the LACE model be expeditiously implemented in all states to ensure that the APRN profession continues to grow and meet the demands of changing healthcare, while increasing the APRN scope of practice and assuring that licensure, accreditation, certification, and education are uniform across all 50 states?

  10. stakeholders

  11. Policy objectives

  12. Policy alternatives

  13. Analysis for option 1: do nothing

  14. Analysis for option 1: do nothing

  15. Analysis for option 2-DNP

  16. Analysis for option 2-DNP

  17. Option 3: specialists’

  18. Option 3: specialists’

  19. Scorecard comparison

  20. summary • As the LACE model is implemented across all states, it will ensure that the APRN profession continues to grow and meet the demands of changing healthcare. The LACE model also ensures the APRN’s scope of practice is utilized to its fullest extent. It also will assure that licensure, accreditation, certification, and education are uniform across all 50 states for APRNs, creating more accessible healthcare to meet the increasing demands of the nation. LACE

  21. references • AlterNet. (2011). Number of Uninsured Americans Soars to 50 Million. Retrieved May 2011, from AlterNet: http://www.alternet.org/newsandviews/article/421278/number_of_uninsured_americans_soars_to_50_million/ • American Association of College of Nursing. (2011, Febuary). AACN Applauds president Obama's FY 2012 Budget Proposal Calling . Retrieved May 2011, from American Association of College of Nursing Calling for Increase in Nursing Education and Research: http://www.aacn.nche.edu/Media/NewsReleases/2011/FY12Budget.html • American Nurses Association. (2008). Consensus model for APRN regulation: licensure, accreditation, certification & education. Retrieved from http://www.nursingworld.org • American Nurses Association. (2011, April 29). President Obama' FY 2012 Budget, FY 2011 Continuing Resolution, Possible Government Shutdown...OH MY! Retrieved May 2011, from Capitol Update: http://www.capitolupdate.org/index.php/2011/03/president-obamas-fy-2012-budget-fy-2011-continuing-resolution-possible-government-shutdown-oh-my/ • Carlson, J. (2010). Groups Hail Funding for Nurse Training. Healthcare Business News. • Chornick, N. (2008, January-March). Advanced practice registered nurse educational programs and regulation: a need for increased communication. JONA’s Healthcare Law, Ethics, and Regulation, 10(1), 9-11. • Fealy, G. M., Carney, M., Drennan, J., Treacy, M., Burke, J., O’Connell, D., ... Sheerin, F. (2009). Models of initial training and pathways to registration: a selective review of policy in professional regulation. Journal of Nursing Management, 17, 730-738. • Guido, G. (2010). Legal and ethical issues in nursing (5th ed.). San Francisco: Pearson. • U.S> Department of Health & Human Services. (2010, August 5). HHS Awards $159.1 • Million to Support Health Care Workforce Training. Retrieved May 2011, from HHS.gov: http://www.hhs.gov/news/press/2010pres/08/20100805a.html • M. W., Mason, D. J., & Leavitt, J. K. (2007). Policy and Politics in Nursing and Healthcare. • St. Louis: Saunders Elsevier.

  22. references • Mathews, B. P., Boland, M. G., & Stanton, B. K. (2010). Removing barriers to APRN practice in the state of Hawai’i. Policy, Politics, & Nursing Practice, 11(4), 260-265. • Nursing Community. (2011). Testimony of the Nursing Community Tregarding Fiscal Year 2012 Appropriations for the Title VIII Nursing Workforce Development Programs, the National Institute of Nursing Research, and Nurse-Managed Health Clinics. • Nursing, A. A. (2010). FY 2011 Appropriations: Senate. • Oleck, L. G., Retano, A., Tebaldi, C., McGuinness, T. M., Weiss, S., Carbray, J., ... McCoy, P. (2011). Advanced practice psychiatric nurses legislative update: state of the states, 2010. Journal of American Psychiatric Nurses Association, 17(2), 171-188. • Rose, L., & Regan-Kubinski, M. (2010, December). Update on advanced practice registered nurse regulation: licensure, accreditation, certification and education. Archives of Psychiatric Nursing, 24(6), 440-441. • Sack, K. (2005, June 5). Research Finds Wide Disparities in Health Care by Race and Region. New York Times. • Stanley, J. (2009, February). Reaching consensus on a regulatory model: what does this mean for APRNs?. The Journal for Nurse Practitioners, 99-104. • Watson, E., & Hillman, H. (2010, Summer). Advanced practice registered nursing: licensure, education, scope of practice, and liability issues. Journal of Legal Nurse Consulting, 21(3), 25-29. • Yoder-Wise, P. S. (2010). LACE: the consensus model and implications beyond advanced practice. The Journal of Continuing Education in Nursing, 41(7), 291.

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