Inventing the Future of Healthcare Regulation

1. The Future of Healthcare RegulationMark Lane PT,Federation of State Boards of Physical TherapyJuly 10, 2009 2009 BOC Athletic Trainer Regulatory Conference

2. 2009 BOC Athletic Trainer Regulatory Conference “The best way to predict the future is to invent it.” Alan Kay

3. Regulators have the opportunity to “invent their future”

4. Invention • Creativity • Open mindedness • Willingness to change • Learn from mistakes • Active versus passive, proactive versus reactive • Perseverance

5. 2009 BOC Athletic Trainer Regulatory Conference Two Futures, two choices: • Continue on our current regulatory path • Change the face of “regulation”

6. 2009 BOC Athletic Trainer Regulatory Conference Continue on our current regulatory path: Where we are • Scope of Practice “battles” • Reactive regulation • Complaint-based • Discipline-based • Unenforceable regulation • Little assurance of ongoing clinical competency • Best for the “profession” versus best for the public Continued

7. 2009 BOC Athletic Trainer Regulatory Conference Continue on our current regulatory path: Where we are (continued): • Regulation not based on evidence of public protection • Many regulations inhibit good practice • Regulations often restrict mobility • Little collaboration between disciplines • Health care: Are regulators part of the problem?

8. 2009 BOC Athletic Trainer Regulatory Conference Continue on our current regulatory path: Where we are heading…. • Scope of practice issues will be based on recommendations by an (impartial?) commission • What is best for the public (New Mexico, Montana) • Boards will be deemed in-effective • Eliminated • Combined • Stripped of authority • Nationalized

9. 2009 BOC Athletic Trainer Regulatory Conference Continue on our current regulatory path: Where we are heading…. • Continuing Competency will be mandated • Reduction of the requirements for licensure • Mandated focus on outcomes • Much stricter criteria for sunset review • Increased public members, fewer, if any professional members • Forced licensure compacts to improve mobility not only within the country but globally

10. Change the Face of Regulation • An opportunity to impact our regulatory future

11. 2009 BOC Athletic Trainer Regulatory Conference Change the face of regulation • Interdisciplinary scope of practice document • Pro-active versus re-active • “Just Culture” • Focus on remediation versus discipline • Education and promotion of quality • Continuing competence • Peer review • Encourage good practice versus simply punish bad practice

12. 2009 BOC Athletic Trainer Regulatory Conference Change our current regulatory path: Where could be heading…. • Effective regulation • Does not inhibit good practice • Evidence-based regulation • Collaboration between disciplines for the “greater good” • Systems in place to enable pro-active regulation • Regulators play an active role in promotion of quality and remediation • Effective Continuing competency measures in place • Health Care - Part of the solution

13. 2009 BOC Athletic Trainer Regulatory Conference How We get There • Collect data • Analyze data • Collaborate, collaborate, collaborate • Change our framework • Think prevention • Expand perspective • Become “inventors”

14. 2009 BOC Athletic Trainer Regulatory Conference Two Futures, two choices: • Continue on our current regulatory path • Change the face of “regulation”

15. 2009 BOC Athletic Trainer Regulatory Conference Invention • Creativity • Open mindedness • Willingness to change • Learn from mistakes • Active versus passive, proactive versus reactive • Perseverance

16. Thank You 2009 BOC Athletic Trainer Regulatory Conference