1120 Organizations

1120 Legal and Ethical 1120 Legal and Ethical Aspects of MidwiferyAspects of Midwifery

Professional Professional OrganizationsOrganizationsin Midwifery in Midwifery

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246 slides total

What are national professional associations? Private specialty organizationsComprised of professional practitioners and

consumers of that practice“Special interest” groupsInfluence state and national governmental

agencies to protect the professionThey are not neutral even though they may

present their research results and positions as unbiased

346 slides total

What is the purpose of a national professional organization? Advocate for the profession Provide community education about the

benefits practitioners provideIncrease awarenessLobby to influence state and national policies

and health initiativesIncrease demand and employment opportunitiesEliminate competition

446 slides total

How does the professional organization advocate for the profession?Set national education standardsEstablish practice guidelines - community standards

of practiceDevelop professional ethics and values statementsProvide community educationPrepare position papersPay lobbyist(s)Influence state licensing laws, reimbursement

policiesCollect data and participate in researchFundraise

546 slides total

National Professional organizations for maternity care providersMANA - Midwives Alliance of North America NARM - North American Registry of Midwives

MEAC - Midwifery Education Accreditation Council NACPM – National Association for Certified Professional

Midwives ACNM – American College of Nurse Midwives AABC – American Association of Birth Centers ACOG - American College of Obstetricians &

GynecologistsAMA - American Medical Association

646 slides total

National organizations: Maternity-Related & Consumer Advocacy

CIMS – Coalition to Improve Maternity Services CfM – Citizens for MidwiferyAPHA – American Public Health AssociationALACE –Association of Labor Assistants and

Childbirth Educators and DoulasDONA – Doulas of North AmericaICEA – International Childbirth Education

AssociationICAN – International Cesarean Awareness

NetworkLLLI – La Leche League International

746 slides total

The Midwives Model of CareThe Midwives Model of Care is based on the fact that pregnancy and

birth are normal life processes. The Midwives Model of Care includes:

Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle

Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support

Minimizing technological interventions Identifying and referring women who require obstetrical attentionThe application of this woman-centered model of care has been

proven to reduce the incidence of birth injury, trauma, and cesarean section.

http://cfmidwifery.org/mmoc/ Copyright (c)

846 slides total

National Direct-Entry Midwifery Organizations

946 slides total

National Direct-Entry Midwifery OrganizationsSeparate organizations with separate BoardsEach supports the work of the other organizations

but they function independentlyWork together on projects like the MAMA campaignThey meet jointly twice a year

at the MANA conference in the fall joint board meeting in April

Each Board has a representative to a “Liaison Group” which meets monthly by telephone

1046 slides total

National Nurse-Midwifery Organizations ACNM is the parent organization; divisions are controlled by the ACNM BOD

1146 slides total

American Midwifery

Certification Board

(AMCB)

AMCBseparatedfrom the ACNMIn 1991

Incorporated in 1955

ACNM1925 Mary Breckenridge developed Frontier Nursing

Service in Kentucky, used public health nurses trained as midwives in England.

1940s National Organization of Public Health Nurses (NOPHN) established a section for nurse-midwives

The American College of Nurse-Midwives incorporated in 1955

Added CMs in 1994Publishes Journal of Midwifery & Women's Healthhttp://www.acnm.org/

1246 slides total

MANAEstablished in 1982Represents all North American midwives Recognizes diversity of educational backgrounds and

practice styles within midwifery.Goal to unify & strengthen the midwifery professionPublishes MANA News quarterlyFor students: [email protected] group for students:

[email protected] memberships approved by the moderator.

Students do not need to be members of MANA to participate in this group.

http://www.mana.org/1346 slides total

For educational programs

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National Recognition of Accrediting Agencies by the U.S. Dept of Education The USDOE recognizes select accrediting agencies as reliable

authorities regarding the quality of education or training offered by the institutions or programs they accredit.

Accreditation by a recognized accrediting agency is required for institutions to participate in federal student aid programs.

Recognized by the USDOE:American College of Nurse-Midwives, Accreditation

Commission for Midwifery Education Midwifery Education Accreditation Council

http://www.ed.gov/admins/finaid/accred/index.html

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Accreditation requirements for midwifery education programs

ACNM Accreditation Commission requirements Be housed in an institution of higher educationBachelors degree is prerequisiteEducation terminates in masters degree or post-

baccalaureate certificate Provide in-hospital clinical educationMoving toward “practice doctorate” for entry levelAll CNM educational programs are accredited47 ACNM accredited nurse-midwifery programs in

U.S.

1646 slides total

Accreditation requirements for midwifery education programsMEAC requirements

Free-standing or within an institution Can accredit preceptor-apprentice dyadMeet MEAC’s 13 StandardsTeach MANA’s core competenciesLicensed by the state DOEProvide out-of-hospital clinical educationMany direct entry schools not accredited10 MEAC accredited schools/programs

1746 slides total

Accreditation requirements for midwifery education programs

ACNM Accreditation Commission requirements

Be housed in an institution of higher education

Bachelors degree is prerequisite

Provide in-hospital clinical education

Moving toward “practice doctorate” for entry level

47 ACNM accredited nurse-midwifery programs in U.S.

MEAC requirementsFree-standing or within an

institution Can accredit preceptor-

apprentice dyadMeet MEAC’s 13 StandardsTeach MANA’s core

competenciesLicensed by the state DOEProvide out-of-hospital

clinical education10 MEAC accredited schools/

programs1846 slides total

For Professional Practice

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US MIDWIFERY CERTIFICATION

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CertifiedProfessional

Midwives Certified Nurse

Midwives

CertifiedMidwives

ACNM CertifiedDirect-entry

midwives

NARM certified

Direct entry midwives certified in the USACPMsCertified through the North

American Registry of Midwives (NARM)

Must meet NARM requirementsEducation or

apprenticeshipNational written examSkills exam for PEP

applicantshttp://www.narm.org/

CMsCertified through the American

Midwifery Certification Board (AMCB)An ACNM branch agency6 years educationMust meet all CNM

requirements except you don’t have to be a nurse

National written examhttp://www.amcbmidwife.org/

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National Commission for Certifying Agencies (NCCA)Created in 1987 by NOCA to ensure health, welfare and safety

of the public through accrediting a variety of certification program/agencies that assess professional competence.

NCCA accredited programs certify individuals in a wide range of professions and occupations

To date, NCCA has accredited over 200 programs from more than 100 organizations.

Accredits the American Midwifery Certification Board and the North American Registry of Midwives

http://www.noca.org/Resources/NCCAAccreditation/tabid/82/Default.aspx

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Midwifery CertificationNARM (North American Registry of Midwives)

CPM – Certified Professional MidwifeAMCB (American Midwifery Certification Board)

CNM – Certified Nurse-MidwifeCM – Certified Midwife

National certification does not entitle a midwife to practice in any state unless that state’s law specifically authorizes it

2346 slides total

Certification requirements

AMCBGraduate an ACNM

accredited midwifery program

Pass the AMCB certification exam

AMCB exam is used to certify CNMs & CMs

NARM: Option 1Graduate a MEAC

accredited midwifery education program

Pass the NARM written certification exam

NARM: Option 2The PEP processPass the NARM written &

skills certification exams

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NARM RequirementsThe student has completed all required clinical

skills for CPM certification under direct supervision of an approved preceptor:

20 births as an active participant20 births as a primary midwife75 prenatal exams, including 20 initial exams20 newborn exams 40 postpartum exams

2546 slides total

NARM RequirementsAt least 10 of the required primary births

have been in out-of-hospital settings, andcontinuity of care has been provided for

at least 3 clients:4 or more prenatal visitsbirth (labor and delivery)newborn exam1 postpartum visit

2646 slides total

NARM RequirementsThe student has successfully performed all of

the skills on the NARM Skills Checklist These skills have been verified by at least two

preceptors approved by the school, and documentation of these skills is kept in the school records

The student has developed practice guidelines, informed consent, and an emergency care plan

2746 slides total

For more CPM informationby web site: http://www.narm.org

click on “How to Become a CPM”click on “Candidate Info Bulletin”print out or download the info you need

by email: [email protected] phone: 888-353-7089by efax: 630-214-8975

2846 slides total

AUTHORIZATION TO PRACTICEMidwives are regulated differently in each jurisdiction (country, province, state)

2946 slides total

Midwifery in the USAIn the United States, a

midwife must be entitled to practice by each individual state

The legal status and requirements for midwives vary from state to state

http://mana.org/laws.html

3046 slides total

Midwifery Laws in FloridaLicensed Midwives

must pass the NARM written exam only

do not need to maintain the CPM credential to be licensed in Florida

are regulated by the Council of Licensed Midwifery

Nurse-midwives must pass the ACNM

certification exammust be certified as

CNMs to become and remain licensed in Florida

are licensed as ARNPs and regulated by the Board of Nursing

3146 slides total

Comparison Certification Licensure

For Florida midwives

North American Registry of Midwives

Council of Licensed Midwifery

Jurisdiction National State

Authority Private Government

Comprised ofPractitioners and

consumers from all over the country

State licensed practitioners and consumers

Process developed by Professionals Legislators and bureaucrats

Authorized by NCCA National Commission for Certifying Agencies State law

Benefits Insurance reimbursement, credentialing, recognition, lower malpractice rates, prestige, required in some states for licensing

Allows you to practice in the state

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3346 slides total

State Professional associationsPrivate associationsComprised of professional practitioners

and consumers of that practicePromote and protect the interest of the

professionAdvocate for the profession primarily

through lobbying and legislationEstablish yearly legislative platforms

3446 slides total

State Professional organizations

MAF - Midwives Association of FloridaFNA - Florida Nurses AssociationFOGS - Florida Ob Gyn SocietyFMA - Florida Medical Association Fla ACNM - Florida Chapter of the American

College of Nurse-Midwives FABC - Florida Association of Birth CentersFHA – Florida Hospital AssociationFFOM – Florida Friends of Midwives

3546 slides total

State governmental agenciesDepartment of Health

Regulates health care practitionersInvestigates complaints

Department of EducationRegulates midwifery schools

Agency for Health Care AdministrationRegulates hospitals, birth centersAdministers Medicaid and Medicare

Department of Insurance

3646 slides total

Florida Department of Health Mission Statement

“To promote and protect the health and safety of all people in Florida through the delivery of quality public health services and promotion of health care standards.”

3746 slides total

Florida Department of Health Patient RightsDivision of Medical Quality AssuranceFlorida Patient's Bill of Rights and Responsibilities.FS 381.026 http://www.doh.state.fl.us/mqa/Profiling/

billofrights.htmHIPAA Privacy Practiceshttp://www.doh.state.fl.us/planning_eval/HIPAA/

index.html

3846 slides total

Boards, councils and agencies administratively under the FL DOH Board of

Medical Quality Assurancecomprised of professional practitioners and

consumersLicense, regulate and discipline practitionersPrimary interest is protection of the

consumer NOT protecting the licensee

3946 slides total

FL Department of Health Board of Medical Quality AssuranceMission: To promote, protect and improve the

health of all people in Florida. Vision: A healthier future for the people of

Florida. Purpose: To protect the public through health

care licensure, enforcement, and information.Focus: To be the nation's leader in quality health

care regulation 4046 slides total

FL Department of Health Board of Medical Quality Assurance

Florida Board of MedicineFlorida Board of NursingFlorida Council of Licensed MidwiferyFlorida Board of PharmacistsFlorida Council of Physicians AssistantsAll other health care boards and councils

4146 slides total

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Laboratory laws midwives need to knowFederal CLIA information, includes application

(FORM HCFA-116): http://www.hcfa.gov/medicaid/clia/cliahome.htm

List of CLIA approved waived laboratory tests: http://www.hcfa.gov/medicaid/clia/waivetbl.pdf

List of Provider-performed Microscopy Procedures: http://www.hcfa.gov/medicaid/clia/ppmplst.htm

4346 slides total

For more information...Florida Department of Health Council of Licensed Midwifery4052 Bald Cypress Way, Bin # CO-6Tallahassee, FL 32399-3256Karen Eaton, Executive DirectorDonna Garrett, Regulatory Specialist

1-850-245-4587 [email protected] To find out about an individual practitioner licensed

in Florida contact http://www.doh.state.fl.us/To find out information about Florida government

contact http://myflorida.gov

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For more information...To look up laws in Florida go to http://www.leg.state.fl.usTo access rules contact Florida Administrative Code Online

go to http://fac.dos.state.fl.usContact MANA at www.mana.orgContact MEAC at www.meacschools.org Contact NARM at www.narm.org Contact ACNM at www.acnm.orgContact AMCB at http://www.amcbmidwife.org Contact ACOG at www.acog.orgContact AABC at www.birthcenters.org

4546 slides total

Professional Professional OrganizationsOrganizations

in Midwifery in Midwifery

4646 slides total