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Timeline • • • • July 7, 2008 March 23, 2010 October 5, 2010 June 28, 2012 © 2012 American Nurses Credentialing Center • Consensus Model • Affordable Care Act • IOM Future of Nursing • Supreme Court Decision APRN: The Next Generation Certification and the Consensus Model Diane L. Thompkins, MS, RN Assistant Director Certification Services April 20, 2013 APRN Consensus Model © 2012 American Nurses Credentialing Center APRN Regulation • Licensure – grants authority to practice • Accreditation – formal review and approval of education program or certification entity in nursing • Certification – formal recognition of knowledge, skills, and experience via testing • Education – formal preparation of APRN in graduate degree program © 2012 American Nurses Credentialing Center Vision for the Future of APRN Regulation • Facilitate mobility across state lines • Protect the public • Uniformity of education, certification, and licensure • Accreditation and pre-approval of APRN education programs including post-graduate programs • Consistency in APRN titles • Independent APRN practice • Increase access to care for patients © 2012 American Nurses Credentialing Center Barriers to Overcome • • • • • • • • • No common definition for APRNs Variety in APRN education Regulation varied by state Debates on scope of practice Lack of uniformity in APRN titles Specialization Certification not required in all states Barriers when crossing state lines Lack of access to care for patients © 2012 American Nurses Credentialing Center The Future Is Now • Increase the number of APRNs to meet patient healthcare needs • Improve patient access to safe, quality APRN care • Licensed as independent practitioners • APRNs practice to the full extent of APRN education and training (IOM Recommendation #1) © 2012 American Nurses Credentialing Center Certification Requirements • Measure the core and role content on all certification examinations • Psychometrically sound examinations • Hold national accreditation • Legally defensible process to determine eligibility to test • Enforce congruence between education and certification • Establish mechanisms for ongoing competence and certification maintenance • Measure specialty competencies separately from APRN core, role and population © 2012 American Nurses Credentialing Center APRN Core • Advanced physiology/pathophysiology principles that apply across the lifespan; • Advanced health assessment, which includes assessment of all human systems, • Advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad categories of agents. • Minimum 500 clinical hours © 2012 American Nurses Credentialing Center Outcomes • Independent practice is recognized for all roles. • Congruence in APRN education, certification, and licensure • Role and title reflect educational preparation and certification • APRNs practice to the full extent of their education and training (IOM, Recommendation #1) © 2012 American Nurses Credentialing Center APRN Consensus Model © 2012 American Nurses Credentialing Center LACE APRN Network • LACE APRN Network • http://www.APRNLACE.org • A communication network that includes organizations that represent the Licensure, Accreditation, Certification, and Education components of regulation. © 2012 American Nurses Credentialing Center Certification APRN Requirements • Completed a nationally accredited graduate level program that corresponds to the certification sought • A minimum of 500 faculty-supervised clinical hours • Three separate comprehensive graduate-level courses (the APRN Core) in: • advanced physiology/pathophysiology, including general principles that apply across the lifespan; • advanced health assessment, which includes assessment of all human systems, advanced assessment techniques, concepts and approaches; • advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad categories of agents. • Content in: • health promotion and/or maintenance; • differential diagnosis and disease management including the use and prescription of pharmacologic and non-pharmacologic interventions. © 2012 American Nurses Credentialing Center APRN Certification • Nurse Practitioner • • • • • • • • Adult-Gerontology Acute Care Adult-Gerontology Primary Care Family Family Psychiatric-Mental Health (across the lifespan) Pediatric Primary Care Adult (accepting applications until 12.31.2014) Acute Care (accepting applications until 12.31.2014) Adult Psychiatric Mental-Health (accepting applications until 12.31.2014) • Gerontological (accepting applications until 12.31.2014) © 2012 American Nurses Credentialing Center APRN Certification • Clinical Nurse Specialist • Adult-Gerontology (wellness through acute care available April 2014) • Pediatric (updated examination reflecting wellness through acute care available April 2014) • Adult (accepting applications until 12.31.2014) • Adult Psychiatric-Mental Health (accepting applications until 12.31.2014) • Child/Adolescent Psychiatric Mental Health (accepting applications until 12.31.2014) • Gerontological (accepting applications until 12.31.2013) © 2012 American Nurses Credentialing Center Certification Key Points • Apply and test before final degree awarded • Apply on-line • Receive results on-site • Certification review materials • Test Content Outline • Sample Test Questions • Reference List © 2012 American Nurses Credentialing Center Congratulations © 2012 American Nurses Credentialing Center Resources • Certification • 800-284-2378 • http://www.nursecredentialing.org/Certification/ • Scope of Practice • http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/ Scope-of-Practice-2 • APRN Consensus Model FAQs • http://www.nursecredentialing.org/FunctionalCategory/FAQs/APRNFAQ.html • [email protected] • [email protected] • NP Competencies • http://www.nonpf.org/displaycommon.cfm?an=1&subarticlenbr=14 • CNS Competencies • http://www.nacns.org/html/competencies.php © 2012 American Nurses Credentialing Center Questions © 2012 American Nurses Credentialing Center