Optimizing Scopes of Practice: A View from Canada Ivy Lynn Bourgeault University of Ottawa, Telfer School of Management
CAHS Report http://cahs-acss.ca/optimizing-scopes-of-practice-new-models-of-care-for-a-new-health-care-system/
Revised Conceptual Model
Key Insights Innovations happen on the margins Scale up challenges But what about best use of existing scopes Loose on means; tight on outcomes Need performance measurement International Implications
Key Take Home Messages There is a need for the implementation of an integrative, structural framework that supports the optimization of health care professional scopes of practice and innovative models of care. FLEXIBILITY - empowering the collaborative practice team to determine the relative responsibilities of the different practitioners based upon community need ACCOUNTABILITY – ensuring the optimization of scopes of practice through an accreditation process within a professional regulatory environment.
CAHS Summit Spread information about the fabulous examples of effective and efficient interprofessional collaborative models of care and establish a change management framework that moves from one-off examples to large-scale transformations.
CAHS Stakeholder Summit Regulation, Liability. Legislation Move to a nationally coordinated regulatory approach for each health care professions (similar to Australia model) Craft & disseminate a Myth buster regarding perception of interprofessional and intraprofessional accountability.
CAHS Summit Funding, Financing, Renumeration Better align funding to population health needs. Encourage a set of funding models that will facilitate different types of care (not one size fits all)
CAHS Summit Education, Accreditation, Evaluation Structure courses on interprofessional collaboration in a way that brings together students from each of the health profession disciplines educated at that particular university/college/CEGEP Make interprofessional collaboration a requirement of accreditation for health professional educational programs