© 2012 American Nurses Credentialing Center July 7, 2008 March 23, 2010 October 5, 2010 June 28, 2012 Consensus Model Affordable Care Act IOM Future of.

© 2012 American Nurses Credentialing Center

• July 7, 2008• March 23, 2010• October 5, 2010• June 28, 2012

• Consensus Model• Affordable Care Act• IOM Future of

Nursing• Supreme Court

Decision

Timeline

Diane L. Thompkins, MS, RN

Assistant Director Certification Services

April 20, 2013

APRN: The Next GenerationCertification and the Consensus Model


APRN Consensus Model

• 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

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

Vision for the Future of APRN Regulation


• 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

Barriers to Overcome


• 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)

The Future Is Now



• 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

Certification Requirements


• 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

APRN Core

• 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)

Outcomes



APRN Consensus Model

• LACE APRN Network • http://www.APRNLACE.org• A communication network that includes

organizations that represent the Licensure, Accreditation, Certification, and Education components of regulation.

LACE APRN Network



• 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.

Certification APRN Requirements


• 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)

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)

APRN Certification


• 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

Certification Key Points


Congratulations


• 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/APRN-FAQ.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

Resources

http://www.nursecredentialing.org/Certification/

http://www.nursecredentialing.org/Certification/

http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2




http://www.nursecredentialing.org/FunctionalCategory/FAQs/APRN-FAQ.html



mailto:[email protected]

mailto:[email protected]

http://www.nonpf.org/displaycommon.cfm?an=1&subarticlenbr=14



http://www.nacns.org/html/competencies.php




Questions

© 2012 American Nurses Credentialing Center July 7, 2008 March 23, 2010 October 5, 2010 June 28, 2012 Consensus Model Affordable Care Act IOM Future of.

Documents

aprn education regulation

extent of aprn education

future of aprn regulation

quality aprn care

certification aprns

certification examinations

clinical hours aprn

certification entity