1. CLEAR 2008 Annual Conference Anchorage, Alaska Legislative Changes to Scope of Practice Kathy Apple, RN, MS, CAE NCSBN

2. CLEAR 2008 Annual Conference Anchorage, Alaska Legislative Angst

3. CLEAR 2008 Annual Conference Anchorage, Alaska Why Now? Professions share skills or procedures Decrease in unique scopes of practice Practice evolves Access to safe competent care

4. CLEAR 2008 Annual Conference Anchorage, Alaska Interdisciplinary Effort Association of Social Work Boards (ASWB) Donna DeAngelis, LICSW, ACSW, Executive Director Federation of State Boards of Physical Therapy (FSBPT) William A. Hatherill, CEO Barbara J. Safriet, Public Member and Associate Dean and Lecturer in Law, Yale Law School Federation of State Medical Boards (FSMB) Lisa Robin, Vice-President, Leadership and Legislative Services National Board for Certification in Occupational Therapy (NBCOT) Paul Grace, MS, CAE, President/CEO National Council of State Boards of Nursing (NCSBN) Kathy Apple, MS, RN, Executive Director National Association of Boards of Pharmacy (NABP®) Carmen A. Catizone, MS, RPh, DPh, Executive Director/Secretary

5. CLEAR 2008 Annual Conference Anchorage, Alaska Legislative Considerations for Assessing Changes in Healthcare Professions Scopes of Practice

6. CLEAR 2008 Annual Conference Anchorage, Alaska Purpose Promote better consumer care across professions and competent providers Improve access to care Recognize the inevitability of overlapping scopes of practice

7. CLEAR 2008 Annual Conference Anchorage, Alaska Heart of Regulation Ensure that the public is protected from unscrupulous, incompetent and unethical practitioners Offer some assurance to the public that the regulated individual is competent to provide certain services in a safe and effective manner Provide a means by which individuals who fail to comply with the profession’s standards can be disciplined, including the revocation of licenses

8. CLEAR 2008 Annual Conference Anchorage, Alaska Foundational Basis An established history of the practice scope within the profession Education and training Supporting evidence Appropriate regulatory environment

9. CLEAR 2008 Annual Conference Anchorage, Alaska Define Scope of Practice “The rules, the regulations, and the boundaries within which a fully qualified practitioner, with substantial and appropriate training, knowledge, and experience may practice in a field of medicine or surgery, or other specifically defined field. Such practice is also governed by requirements for continuing education and professional accountability”

10. CLEAR 2008 Annual Conference Anchorage, Alaska Assumptions The purpose of regulation, public protection, should have top priority in scope of practice decisions, rather than professional self-interest.

11. CLEAR 2008 Annual Conference Anchorage, Alaska Assumptions Changes in scope of practice are inherent in our current healthcare system.

12. CLEAR 2008 Annual Conference Anchorage, Alaska Assumptions Collaboration between healthcare providers should be the professional norm.

13. CLEAR 2008 Annual Conference Anchorage, Alaska Assumptions Overlap among professions is necessary.

14. CLEAR 2008 Annual Conference Anchorage, Alaska Assumptions Practice acts should require licensees to demonstrate that they have the requisite training and competence to provide a service

15. CLEAR 2008 Annual Conference Anchorage, Alaska Basis for Decisions to Changes in Scope of Practice Historical Education & Training Evidence Regulatory Environment

16. CLEAR 2008 Annual Conference Anchorage, Alaska Collaboration and Cooperation

17. CLEAR 2008 Annual Conference Anchorage, Alaska Questions ?