NBCRNA Our Mission To promote patient health and safety through - - PDF document

▶
nbcrna
SMART_READER_LITE
LIVE PREVIEW

NBCRNA Our Mission To promote patient health and safety through - - PDF document

Apr 22, 2023 358 likes •536 views

9/30/2011 NBCRNA Our Mission To promote patient health and safety through credentialing programs that support lifelong learning Our Vision To be recognized as the leader in advanced practice nurse credentialing to protect and enhance the

slide-1
SLIDE 1

9/30/2011 1

NBCRNA

Our Mission To promote patient health and safety through credentialing programs that support lifelong learning Our Vision To be recognized as the leader in advanced practice nurse credentialing to protect and enhance the value of the CRNA credential

September 2011 2 CPC | Continued Professional Certification

slide-2
SLIDE 2

9/30/2011 2

Clarification of Roles of NBCRNA vs. AANA

  • NBCRNA

– Mission is public protection

  • AANA

– Mission is CRNA advocacy

September 2011 CPC | Continued Professional Certification 4

  • Distinction important
  • Accreditors and regulators require a separation

between membership organization and the credentialing body

  • NBCRNA incorporated to provide the best

governance model for nurse anesthesia credentialing.

Today’s Agenda

  • Why change the recertification process now?
  • What is the proposed CPC Program?
  • What are the benefits of this new program?
  • Answers to common questions.
  • What are the next steps?

September 2011 5 CPC | Continued Professional Certification

slide-3
SLIDE 3

9/30/2011 3

CPC

Why change the recertification process now? Changes in Healthcare Credentialing

  • Initial certification is only a start
  • Knowledge at one point in time is no longer enough (robust

continuing education is essential)

  • Mastering competency through evidence-based learning
  • Professional growth and development must be

lifelong and integrated into practice

September 2011 CPC | Continued Professional Certification 7

slide-4
SLIDE 4

9/30/2011 4

Shift to Continuing Competency Model

  • An ongoing, dynamic

process

  • Focused on evolving

knowledge, skills and technologies

  • Continuous education,

mastery and assessment throughout your career

  • Allows for quick response to

changing trends in the healthcare landscape

September 2011 8 CPC | Continued Professional Certification

Shift to Continuing Competence

Typical methods used by other credentialing organizations to ensure Continuing Professional Competence:

  • self-assessments
  • peer/supervisory review
  • examination
  • high quality continuing

education with end-of- course assessments

  • continuing practice
  • performance reviews
  • portfolios
  • evidence-based practice

competency modules

September 2011 9 CPC | Continued Professional Certification

slide-5
SLIDE 5

9/30/2011 5

Shift to Continuing Competency

  • Credentialing organizations and
  • ther advanced practice nursing

professions have made the change

  • 73% of ABNS organizations accept

testing for recertification

  • Anesthesiologists have made the

shift to Maintenance of Certification

September 2011 CPC | Continued Professional Certification 10

Evidence Supporting Change

  • Physician certification processes that include testing are

significantly correlated with superior patient outcomes

– Sharp LK, Bashook PG, Lipsky MS, Horowitz SD, Miller SH. “Specialty Board certification and clinical outcomes: the missing link.” Academic medicine 2002: 77(6) 534-542.

  • Self-assessment of performance correlates poorly with a

provider’s actual competence

– Kruger J, Dunning D. “Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessment.” Journal of Personality and Social Psychology. 1999; 77(6) 1121-1134.

slide-6
SLIDE 6

9/30/2011 6

Evidence Supporting Change

  • Health care agencies should not rely solely on continuing

education to maintain competency

– Swankin D, LeBuhn RA, Morrison R. “Implementing continuing competency requirements for health care practitioners.” 2006. AARP Public Policy Institute, Washington DC .

  • Periodic demonstration of knowledge, skills and judgment

are critical to public safety

– Institute of Medicine “Crossing the Quality Chasm: A New Health Care System for the 21st Century.” Washington DC: National Academy Press. 2001.

September 2011 CPC | Continued Professional Certification 13

Evidence Supporting Change

  • Increased formal education and training leads to improved

test scores

– Brennan TA, et al. The role of physician specialty board certification status in the quality movement. JAMA, 2004; 292(9):1038-1043.

  • All health care provider organizations should have periodic

provider recertification with measurable demonstration of continuing competency. Testing is one method of a measurable assessment of knowledge.

– Kan N, Burkhalter B, Cooper M. Measuring the competence of health care

  • providers. Operations research issue paper, Vol 2 Bethesda MD. US Agency

for International Development (USAID) by the Quality Assurance Project (QA) 2001.

September 2011 CPC | Continued Professional Certification 14

slide-7
SLIDE 7

9/30/2011 7

Comparison with Anesthesia Providers

Component Anesthesiology Assistant Nurse Anesthetist Anesthesiologist Frequency 2 years 2 years 10 years Licensure No RN and or APRN Medical doctor CE 40 hours 40 hours 350 hours Examinations Continuing Demonstration of Competence every 6 years No Maintenance of Certification Assessment (year 7 – 10) Practice No 850 hours Yes with case evaluation and simulation

September 2011 CPC | Continued Professional Certification 15

Comparison with APN

Component Nurse Anesthetist Certified Nurse Midwife Nurse Practitioner (AANP) Nurse Practitioner (NCC)

Frequency 2 years 5 years 5 years 5 years Licensure YES YES YES YES CE 40 hours 20 hours and 3 self learning modules (18 - 20 CE per module) 75 hours 15-50 hours Examination No Proposed in 5 years: Performance in Practice and Standard Cognitive Assessment Optional: Computer based exam or CE + practice Specialty Assessment Evaluation 125 questions in core competencies Practice 850 hours No 1000 hours No

September 2011 CPC | Continued Professional Certification 16

slide-8
SLIDE 8

9/30/2011 8

Consumer Expectations

  • Consumers expect that healthcare providers are

competent throughout their professional careers

  • Consumers believe that professional regulatory bodies

ensure licensees’ competency

  • 52% believe being licensed means periodic evaluation and

assessment

  • 95% believe healthcare professionals should be required to

show up-to-date knowledge as a condition of re-licensure

Source: Citizen Advocacy Center, 2007.

September 2011 17 CPC | Continued Professional Certification

Consumer Expectations

  • 90% believe it is important for healthcare professionals to

be periodically re-evaluated

  • 84% believe healthcare professionals should be evaluated
  • n their qualifications
  • 78% believe healthcare professionals should be required to

pass a written test of medical knowledge at least every five years

Source: Citizen Advocacy Center, 2007

September 2011 18 CPC | Continued Professional Certification

slide-9
SLIDE 9

9/30/2011 9

CPC

What is the Proposed Continued Professional Certification (CPC) Program?

A new standard for ongoing certification of registered nurse anesthetists

The Proposed CPC Program

  • Replaces NBCRNA’s current recertification program
  • Addresses ever-evolving changes in the practice of

anesthesia

  • Responds to public, governmental and other stakeholders

desire for assurance of ongoing assessment of minimum competence

  • Focuses on ongoing growth and development of

competency throughout your career

  • Incorporates the latest thinking related to learning and

credentialing

September 2011 CPC | Continued Professional Certification 20

slide-10
SLIDE 10

9/30/2011 10

Background of the Proposed CPC Program

  • 3 year study of continuing competency models

– Included benchmarking study of 331 continuing competency programs

  • Focus groups at national meetings

– Students, practitioners, educators, national and state leaders

  • Recertification Practice Analysis
  • Recertification Task Force

– Included nurse anesthesia practitioners and educators – Evidenced based review of credentialing literature

September 2011 CPC | Continued Professional Certification 21

Information Sharing

  • Over the past 2 years, the NBCRNA BOD members have

provided information at a variety of meetings about upcoming changes to the recertification program – National meetings – State meetings

  • 30 state meetings
  • Over 2,000 CRNAs in attendance

September 2011 CPC | Continued Professional Certification 22

slide-11
SLIDE 11

9/30/2011 11

Proposed Program Components

  • Recertification cycle every 4

years – 35 continuing education credits per year; some with an assessment component

  • 15 credits require some

type of assessment of learning

  • 20 credits do not require

assessment – Evidence-based self-study on the four core competencies – Work/practice requirement

September 2011 CPC | Continued Professional Certification 23

CPC Proposed Program Components

  • A practice-focused

recertification examination every 8 years – Content outline related to the knowledge and skill for everyday practice

September 2011 CPC | Continued Professional Certification 24

CPC

slide-12
SLIDE 12

9/30/2011 12

Four Core Competencies

  • Airway management techniques
  • Applied clinical pharmacology
  • Human physiology and

pathophysiology

  • Anesthesia technology

September 2011 25 CPC | Continued Professional Certification

CPC

What are the program benefits?

slide-13
SLIDE 13

9/30/2011 13

CPC

Answers to Some Common Questions Why change if research indicates we are practicing safely?

  • We agree that as a profession nurse anesthetists provide

safe care. However,

  • The current system does not validate competency or

continuing learning – Our goal is to create a more robust program – Demonstration of lifelong learning

September 2011 34 CPC | Continued Professional Certification

slide-14
SLIDE 14

9/30/2011 14

Why do we have to retake the certification exam?

  • We don’t intend for people to retake the certification

examination

  • Rather, the intent is to demonstrate continuing professional

competence with a recertification examination – Examination practice based and developed with input from practitioners – Test outline and practice exams will be available to the public – No specialty information will be included – If a CRNA is competent in practice, then passing the examination should not be difficult

September 2011 CPC | Continued Professional Certification 35

What is the controversy about grandfathering?

  • The NBCRNA is concerned about creating a double

standard or confusion among stakeholders in the validation of nurse anesthetist competency

  • It is more equitable to have all individual CRNAs participate

in the program

September 2011 CPC | Continued Professional Certification 36

slide-15
SLIDE 15

9/30/2011 15

CPC

What are the next steps? Your Voice Matters

  • Public Comment Period: September 6 through

November 14, 2011 (www.nbcrnacpc.com)

  • Program Refinement: November 2011 – January 2012
  • Board Discussion and Decision: January 2012 NBCRNA

Board Meeting

September 2011 CPC | Continued Professional Certification 39

slide-16
SLIDE 16

9/30/2011 16

Conduit for Communication

  • Learn more at www.nbcrnacpc.com

– Complete a survey and submit your comments

  • Give us your feedback during the

public comment period

  • Keep current with news and announcements

– Information on NBCRNA.com – Ongoing Q&A forum at http://nbcrna.tumblr.com

September 2011 40 CPC | Continued Professional Certification