Overview of scope of practice initiatives l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 24

Overview of Scope of Practice Initiatives PowerPoint PPT Presentation

Overview of Scope of Practice Initiatives Sheila Abood American Nurses Association Scope of Practice Issue Defines each health care providers lawful sphere of activity Historical context Multiple stakeholders Frequent target of organized medicine Recurring complex issue

Related searches for Overview of Scope of Practice Initiatives

Download Presentation

Overview of Scope of Practice Initiatives

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Overview of scope of practice initiatives l.jpg

Overview of Scope of Practice Initiatives

Sheila Abood

American Nurses Association


Scope of practice issue l.jpg

Scope of Practice Issue

  • Defines each health care providers lawful sphere of activity

  • Historical context

  • Multiple stakeholders

  • Frequent target of organized medicine

  • Recurring complex issue


Federation of state medical boards l.jpg

Federation of State Medical Boards

  • “Assessing Scope of Practice in Health Care Delivery: Critical Questions in Assuring Public Access and Safety” (2005)

  • Questions related to Scope Expansion

  • Resource for Legislators and Regulators

  • Medicine defining scope of health care providers


Ama environment l.jpg

AMA Environment

What did the AMA members want?

  • Involvement

  • Advocacy

  • Communication


Ama priority issues l.jpg

AMA Priority Issues

  • Medicare Physician Fee Reform

  • Pay for Performance

  • Medical Liability Reform

  • Medicare Reform

  • Expanding Coverage for the Uninsured

  • Disaster Preparedness


Scope of practice partnership l.jpg

Scope of Practice Partnership

  • What is it doing?

  • Provides financial or in kind support to federation members facing significant scope of practice issues.

  • Funds studies:

    • To determine whether allied health professionals truly fill health care voids in rural and other underserved areas.

    • To closely examine the education and training of allied health professionals and provide this information as a point of comparison for legislators.


Scope of practice partnership7 l.jpg

Scope of Practice Partnership

  • Serves as an information and advocacy clearing house for the Federation on scope of practice issues

  • AMA houses and staffs the partnership and provides a basic level of support

  • Additional support comes from state and specialty medical societies.


Scope of practice partnership8 l.jpg

Scope of Practice Partnership

  • Each initiative be it a state-specific concern or a research study will be considered by the partnership on a case by case basis.

  • An Executive Committee:

    • Reviews the issues

    • Assists in prioritizing scope of practice concerns

    • Ensures adherence to anti-trust laws

    • Focuses on maintaining the highest level of cooperation, coordination, and consensus between Federation members.


Scope of practice l.jpg

Scope of Practice

  • Steering Committee Founding Members

  • Six State Medical Associations

    • Massachusetts

    • New Mexico

    • Maine

    • Texas

    • Colorado

    • California

      Now at least 26 state medical associations


Scope of practice partnership10 l.jpg

Scope of Practice Partnership

  • Six Medical Specialty Organizations

    • American Society of Anesthesiologists

    • American Society of Plastic Surgeons

    • American Psychiatric Association

    • American Academy of Orthopedic Surgeons

    • American Academy of Ophthalmology

    • American Academy of Otolaryngology-Head and Neck Surgery.


Scope of practice partnership11 l.jpg

Scope of Practice Partnership

  • Targeted Groups

    Everyone who threatens reimbursement.

    Medicine Scope of Practice encompasses everything.

    Medical Specialty Organizations have their own targets.


2005 texas resolution 814 l.jpg

2005 Texas Resolution 814

  • Where did it come from?

  • What problem is it trying to address?


2006 texas resolution 814 l.jpg

2006 Texas Resolution 814

  • Resolve to study the qualifications, education, academic requirements, licensure, certification, independent governance, ethical standards, disciplinary processes, and peer review of limited licensure health care providers and limited independent practitioners

  • Fiscal note- $171,975

  • Progress report back by June 2006 AMA HOD


2006 american association of anesthesiologists resolution 902 l.jpg

2006 American Association of Anesthesiologists Resolution 902

  • AMA policy that state medical boards shall have full authority to regulate the practice of medicine by all persons within a state not withstanding claims to the contrary by boards of nursing, mid-level practitioners or other entities (New HOD Policy);

  • AMA, through the Scope of Practice Partnership, work jointly with state medical boards to assist law enforcement authorities in the prosecution of unlicensed medical practice by limited or mid-level practitioners (Directive to Take Action)


2006 american association of anesthesiologists resolution 90215 l.jpg

2006 American Association of Anesthesiologists Resolution 902

  • AMA, through the Scope of Practice Partnership, immediately embark on a campaign to identify and have elected or appointed to state medical boards physicians (MDs or DOs) who are committed to asserting and exercising their full authority to regulate the practice of medicine by all persons within a state notwithstanding efforts by boards of nursing or other entities that seek to unilaterally redefine their scope of practice into areas that are true medical practice. (Directive to Take Action)


Scope of practice partnership16 l.jpg

Scope of Practice Partnership

  • How this is playing out……in the states?

  • Patients First Campaign in Texas

  • Bypassing the Legislature


Ama scope of practice partnership state legislation l.jpg

AMA Scope of Practice Partnership: State Legislation

  • Legislation introduced in over 30 states attacking SOP of more than 20 health professions:

    • Licensure/Certification/Credentialing

    • General prescriptive authority

    • Authority to prescribe controlled substances

    • Opposition to expanding Scope or Authority

    • Inclusion in health insurance panels


Ama scope of practice partnership federal legislation l.jpg

AMA Scope of Practice Partnership: Federal Legislation

Healthcare Truth and Transparency Act

  • seeks to outlaw any act, speech, or practice conducted by a licensed health care provider who is not a MD, DO, DDS, or DDM that leads patients or the public to believe that the health care practitioner has the same or equivalent education, skills, or training as a physician or dentist

  • would bring these activities under the purview of the Federal Trade Commission which would be granted the ability to fine health care practitioners up to $10,000 per violation

  • Introduced in 109th Congress, what’s in store for 110th?


Coalition for patients rights l.jpg

Coalition for Patients’ Rights

  • Organized by ANA in 2006

  • Comprised of over 34 associations representing more than 3 million licensed health care providers

  • Joint statement released June 2006 “The erroneous assumption that physician organizations should determine what is best for other licensed healthcare professionals is an outdated line of thinking that does not serve today's patients.”

    www.patientsrightscoalition.org


Coalition for patients rights20 l.jpg

Coalition for Patients’ Rights


Coalition for patients rights21 l.jpg

Coalition for Patients’ Rights

  • Development of a positive and consistent message and strategy appropriately framed for the targeted audience.

  • One message or multiple messages?


Coalition for patients rights22 l.jpg

Coalition for Patients’ Rights

  • Potential Audiences

    • Nurses

    • Consumers/Patients

    • All Media

    • Payers

    • Employers

    • Business Community

    • Physicians

    • Legislators/Regulators

    • Other Health Care Providers


Coalition for patients rights23 l.jpg

Coalition for Patients’ Rights

  • To ensure that patients have access to quality healthcare provided by the full range of licensed health professionals of their choice.


Provider responsibilities l.jpg

Provider Responsibilities

  • Know your scope of practice and personal competence.

  • Be aware of state regulations governing practice.

  • Stay informed about proposed changes to scope of practice.

  • Be knowledgeable about employer policy and procedures- They may limit scope but never exceed it.


  • Login