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Health Issues Discussion Group

Health Issues Discussion Group. CLEAR 2009 Denver, Colorado. Health Issues Discussion Topics. Scope of practice Dual registration in professions Emerging or new professions Influence of new technology on practice Healthcare records Reciprocity or recognition of qualifications

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Health Issues Discussion Group

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  1. Health Issues Discussion Group CLEAR 2009 Denver, Colorado

  2. Health Issues Discussion Topics • Scope of practice • Dual registration in professions • Emerging or new professions • Influence of new technology on practice • Healthcare records • Reciprocity or recognition of qualifications • Impaired Practitioners -California, Oregon

  3. Scope of practice • How defined? E.g. -Podiatry- how far up the leg? Optometry - Glaucoma? Chiropractors? • State laws/Board rules? - Canadian model - list specific acts? • Institution/employer policies? • Role of insurance/Medicare? • FL Zero Tolerance example - terminated from Medicare/Medicaid - you’re out • Role of professional organizations

  4. Dual registration in professions • Multi-jurisdictional-- • Multi-license (more than one profession) • Telepractice? • Where are the boundaries, and how diffuse should they be? • What are possible solutions for adjoining states or countries?

  5. Emerging or new professions • Naturopaths, homeopaths? • Traditional Chinese Medicine? • Physician Assistants in Canada? • Unregulated providers? • Medical Home Model & its implications • Increased home care - home dialysis - regulatory implications?

  6. Influence of new technology on practice • Internet • Online applications • EMR - the Electronic Medical Record • IPIP - Improving Performance in Practice - Practice Audit • Medical Home model • Pay for performance

  7. Healthcare records • EMR • HIPPA • VA Department of Health Professions! • Health practitioner monitoring • Inter-organizational sharing/access

  8. Reciprocity or recognition of qualifications • Interstate - what about telepractice? • Inter-country - EU requirements? • Driver’s license model • Are you asking the right question? • -Ever had: • __ an allegation of professional misconduct? • __ a charge? • __ a conviction? a disciplinary action? --by/from: __ a regulatory agency? __ another jurisdiction? __ another licensing Board?

  9. Impaired Practitioners • California • Oregon • How do you balance the needs of the practitioner versus public protection? • How can you best ensure the program is working?

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