our aprn state of consensus 48 endorsing nursing organizations 55 states and jurisdictions
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Our APRN State of Consensus 48 endorsing nursing organizations 55 states and jurisdictions 252,000 APRNs. The Campaign for APRN Consensus is 71% of the way towards our goal!. The education and oversight of APRNs. - PowerPoint PPT PresentationTRANSCRIPT
Our APRN State of Consensus 48 endorsing nursing organizations55 states and jurisdictions252,000 APRNs
The education and oversight of APRNsMaterials that assist in evaluating an individual’s care Individual training and preparationCase logs/Practice Profiles/Peer Review Graduate education in a role and populationPerformance Indicators/quality measures National advanced certification in a role and populationNPDB Specialty training and certification State Prescription database Maintenance of certificationsPatient Satisfaction Professional development &FPPE/OPPE [TJC] Continuing educationIncident reports Professional SocietiesComplaints /claims Evidence based careAwards Outcomes analysis Board oversight Professional PortfolioPerformance Review
Public Regulation, Public Protection Access
Licensure Accreditation
Certification Education
CNP
CNSCNM
CRNA
Not all APRNs are regulated by Boards of Nursing
• Nebraska has an APRN Board• Boards of Nursing may be under umbrella
Boards• Some BONs are under a Board of Health or
Board of Medicine or some APRN roles are regulated or co-regulated by a BOH or BOME
titlero
le
license
education
certi
fication
practice
prescribing
0102030405060708090
100
% with all points without
APRN Major Elements of Consensus by 2015All four roles…
titlero
le
license
education
certi
fication
practice
prescribing
0102030405060708090
100
% with any points without
APRN Major Elements of Consensus by 2015Points for any role…
Title: APRNClinical nurse specialist
Certified nurse practitionerCertified nurse midwife
Certified registered nurse anesthetist
New Map Points in Areas other than Practice and Prescribing Autonomy
Who needs to get this done?
Title AL, AK, AS, CO, DE,FL, IL, IN, IA,MI, NH (CNS), NJ, NY, NC, OR, PA, SD, TN, VA, WA, WI
Roles AS (CNS), FL (CNS) , IN (CRNA), MS (CNS), NH (CNS), NY (CRNA), PA (CNM, CRNA), VA (CNS), WA (CNS)
Education CA (CRNA), IN (CNP), NH (CNS), NY (CRNA, CNS), PA (CRNA, CNM), SD (CRNA), WA (CNS)
Certification CA (CNS, CNM, CNP), IN (CNP, CNS), KS, MS (CNS), NH (CNS), NY (CRNA, CNS, CNP), PA (CNM, CRNA), WA (CNS),
Licensure AL, AK, AZ, CA, CO, DC, FL, GA, IN, MD, MA, MI, MS, MO, NH (CNS), NJ, NY (CRNA,CNS), NC, OH, PA, TN, VA (CNS), WA (CNS), WY
APRN Roles:Clinical nurse specialist
Certified nurse practitionerCertified nurse midwife
Certified registered nurse anesthetist
CertificationNational, advanced certification in a role and population that includes wellness content and embeds gerontology content in the adult roles
Let’s talk for just a moment about the concept of ‘grandfathering’
Two categories have to be thought about:–Those who are presently licensed in
the state–Those who may wish to endorse into a
new state.
The 2014 Legislative Season
• The focus of APRN supportive bills;Licensure, TitleIndependent practiceIndependent prescribingExpanded functionality in rolesReimbursement
The 2014 Legislative SeasonFederal bills that may pertain to APRNs
• VA APRN• Military• Homecare/primary care• Tele-health and tele-med• Other provider autonomy
New Map Points
2011 2012 2013 2014
Title KS, OK ID, KY, TN, WV AR, AZ, MI, RI IA, KS, PA, FL
Roles IN, OK, VT MD, SC, WV IN, MI, MS, NY, OH, RI
AK**, KS, MN, NY, WA
Education VT WV ID MN, PA, WV
Certification KS, NV, OK, VT WV ID, MN, NY KS, MN, NY, PA
Licensure KS, OK IA, ID, MO, WV HI, MI. MN, MO
HI, IA, KS, MS, NY, SD
Practice autonomy
FL, IA, IL CA, KY, IA, LA, MA, WA
AR, CA, CT, FL, IL, MD, MI, MN, MO, MS,NE, NJ, NV, NY, OH, OR, RI, TX, WV
CT, FL, KS, MA, MI, MN, MO, MS, NE, NY, PA
Prescriptive authority
FL, HI, IL, MA, ND, WA
AL, FL, ID, KY, MA, MO, ND, OH
AL,* AR, CT. IL. KY. MI, MN, MO, MS, NE, NJ, NV, NY, OR, TX, WV
CT, FL, KS, KY, MN, MO, NE, NJ, NY, OK, PA, UT, WI
New Map Points in Areas other than Practice and Prescribing Autonomy
Who needs to get this done?
Title AL, AK, AS, CO, DE,FL, IL, IN, IA,MI, NH (CNS), NJ, NY, NC, OR, PA, SD, TN, VA, WA, WI
Roles AK (CNS) , AS (CNS), FL (CNS) , IN (CRNA), MS (CNS), NH (CNS), NY (CRNA), PA (CNM, CRNA), VA (CNS), WA (CNS)
Education AK (CNS), CA (CRNA), IN (CNP), NH (CNS), NY (CRNA, CNS), PA (CRNA, CNM), SD (CRNA), WA (CNS)
Certification AK (CNS), CA (CNS, CNM, CNP), IN (CNP, CNS), KS, MS (CNS), NH (CNS), NY (CRNA, CNS, CNP), PA (CNM, CRNA), WA (CNS),
LicensureAL, AK, AZ, CA, CO, DC, FL, GA, IN, MD, MA, MI, MS, MO, NH (CNS), NJ, NY (CRNA,CNS), NC, OH, PA, TN, VA (CNS), WA (CNS), WY