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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: aprnreGULATORY MODEL

  5. Background: Lace model

  6. Ethical factors • IMPROTANT FOR THE PUBLIC TO TURST 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

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