North Carolina: A look at the realities of 10 years in the NLC Julia L. George, RN, MSN, FRE Executive Director North Carolina Board of Nursing

Objectives Discuss the historical perspective of NLCA participation Discuss the historical perspective of NLCA participation Identify at least three exemplars of NLCA collaboration Identify at least three exemplars of NLCA collaboration

Survivor! July 1, 2000 July 1, 2000 Revenue Revenue Personnel Personnel Expenses Expenses Complaints Complaints Discipline Discipline

North Carolina Experience NC nurses working in compact states NC nurses working in compact states Actions on privilege to practice Actions on privilege to practice Actions taken by other states on NC nurses Actions taken by other states on NC nurses Nurses in AP programs Nurses in AP programs

North Carolina Experience cont… Communicate externally and internally Takes time to adjust to new model Collaboration is essential!

North Carolina Experience cont… Exemplars for: Investigation Investigation Discipline Discipline Border calls Border calls

Lessons Learned Important that home and remote state collaborate to ensure appropriate handling of case from receipt of complaint to resolution Important that home and remote state collaborate to ensure appropriate handling of case from receipt of complaint to resolution Establish relationships and trust Establish relationships and trust Use one staff member to monitor flow of information for compact cases Use one staff member to monitor flow of information for compact cases

Lessons Learned cont… Support and education of staff is very important Support and education of staff is very important Resilience is important Resilience is important Establish early communication links with border states Establish early communication links with border states There WILL be a period of adjustment! There WILL be a period of adjustment!

Concerns Need for uniform licensure requirements, Need for uniform licensure requirements, irrespective of licensure model irrespective of licensure model Timely sharing of investigative information Timely sharing of investigative information

Concerns cont… Need consistency in posting and removing current significant investigative information in Nursys Need consistency in posting and removing current significant investigative information in Nursys Need consistency in defining key terms and key licensure actions Need consistency in defining key terms and key licensure actions CBC CBC

Summary We all want the same things: Facilitation of regulation and practice that affords public protection Facilitation of regulation and practice that affords public protection Core licensure requirements that facilitate mobility and access to care Core licensure requirements that facilitate mobility and access to care