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Analysis of the Final WHCCAMP
Appendix B: PEW Taskforce Commission Recommendations
for Regulation of the Health Care Workforce
[It is not clear why the Commission
included this document in its report. Strengthening state regulation
of practitioners is a good idea, but if competency standards
were uniformly raised, the professions of acupuncture, chiropractic,
and naturopathy would be decimated. -- Stephen Barrett, M.D.]
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This article was posted on March 25
- States should use standardized and understandable language
for health professions regulation and its functions to clearly
describe them for consumers, provider organizations, businesses,
and the professions.
- States should standardize entry-to-practice requirements
and limit them to competence assessments for health professions
to facilitate the physical and professional mobility of the health
- States should base practice acts on demonstrated initial
and continuing competence. This process must allow and expect
different professions to share overlapping scopes of practice.
States should explore pathways to allow all professionals to
provide services to the full extent of their current knowledge,
training, experience and skills.
- States should redesign health professional boards and their
functions to reflect the interdisciplinary and public accountability
demands of the changing health care delivery system.
- Boards should educate consumers to assist them in obtaining
the information necessary to make decision about practitioners
and to improve the board's public accountability.
- Boards should cooperate with other public and private organizations
in collecting data on regulated health professions to support
effective workforce planning.
- States should require each board to develop, implement and
evaluate continuing competency requirements to assure the continuing
competence of regulated health care professionals.
- States should maintain a fair, cost-effective and uniform
disciplinary process to exclude incompetent practitioners to
protect and promote the public's health.
- States should develop evaluation tools that assess the objectives,
successes and shortcomings of their regulatory systems and bodies
to best protect and promote the public's health.
- States should understand the links, overlaps and conflicts
between their health care workforce regulatory systems and other
systems which affect the education, regulation and practice of
health care practitioners and work to develop partnerships to
streamline regulatory structures and processes.