1. Optimizing Scopes of Practice: A View from Canada
Ivy Lynn Bourgeault
University of Ottawa, Telfer School of Management

2. CAHS Report

3. Revised Conceptual Model

4. 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

5. 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.

6. 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.

7. 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.

8. 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)

9. 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