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Donna Mowbray, Australian Nursing and Midwifery Accreditation Council:Endorsement for Nurse Practitioners: An ANMAC Update on Standards And Criteria for the Accreditation of Nurse Practitioners
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Donna Mowbray, Australian Nursing and Midwifery Accreditation Council:Endorsement for Nurse Practitioners: An ANMAC Update on Standards And Criteria for the Accreditation of Nurse Practitioners

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Donna Mowbray, Director of Accreditation Services, Australian Nursing and Midwifery Accreditation Council (ANMAC) delivered this presentation at the 2013 Developing the Role of the Nurse Practitioner …

Donna Mowbray, Director of Accreditation Services, Australian Nursing and Midwifery Accreditation Council (ANMAC) delivered this presentation at the 2013 Developing the Role of the Nurse Practitioner conference. The event is designed for organisations and managers looking to better understand, utilise and grow the role of the nurse practitioner in their health service. For more information about the annual event, please visit the conference website: http://www.healthcareconferences.com.au/nursepractitionersconference

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  • 1. Evolution of the National Accreditation System for Nurses & Midwives DEVELOPING THE ROLE OF THE NURSE PRACTITIONER CONFERENCE Donna Mowbray – Director of Accreditation Services, ANMAC
  • 2. Outline • Background • National Law – Accreditation functions and processes • Structure • Role of Accreditation Authorities • About ANMAC and the Accreditation process • Emerging issues from the Accreditation process 2
  • 3. ANMAC Experience - Nurse Practitioner Programs • Assessment process • Transition to national scheme • Accreditation Standards • Paid employment model • Advanced Practice
  • 4. BACKGROUND - NATIONAL REGULATION OF HEALTH PROFESSIONALS
  • 5. THE OLD REGULATORY ENVIRONMENT IN AUSTRALIA Registration of Nurses and Midwives • Registration • Policy • Approval of White, JF (2011) standards Professional Competence • Health impairment • Conduct issues • Performance issues State Registration Boards Professional Standards • Code of Conduct • Code of Ethics • Standards for practice for EN, RN, RM, NPs (competencies) • Professional boundaries • Decision making framework Accreditation of Education • Accreditation of providers • Accreditation of courses • Standards for accreditation National Body - ANMC
  • 6. THE NEW CO-REGULATORY ENVIRONMENT • Code of Conduct • Code of Ethics • Standards for practice for EN, RN, RM, NPs (competencies) • Professional boundaries • Decision making framework • Registration • Policy • Approval of standards Registration of Nurses and Midwives Professional Standards Accreditation of Education Professional Competence White, JF (2011) •Accreditation of providers •Accreditation of courses •Standards for accreditation •Assessment of the equivalence of international qualifications •Recognition of international accreditation authorities National Body : ANMAC • Health impairment • Conduct issues • Performance issues Except NSW National Body: NMBA
  • 7. Background <1 July 2010 • 8 States and Territories From 1 July 2010 • One national scheme • 85 Health Profession Boards • 10 Health Profession Boards • 66 Acts of Parliament • Nationally consistent legislation 7
  • 8. Health Practitioners July 2010 1. nurses and midwives 2. chiropractors 3. dental care (including dentists, dental hygienists, dental prosthetists & dental therapists), 4. medical practitioners 5. optometrists 6. osteopaths 7. pharmacists 8. physiotherapists 9. podiatrists 10.psychologists 1. 2. 3. 4. July 2012 Aboriginal and Torres Strait Islander health practitioners Chinese medicine practitioners medical radiation practitioners occupational therapists 8
  • 9. Structure Ministerial Council Agency Management Committee National Boards Health Workforce Advisory Council Advisory Council Advice Accreditation Authorities Accreditation Authorities National National Committees Committees National Office Contract State/Territory/Regional Boards Support State and Territory Offices 9
  • 10. Legislation • The Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008 (Queensland) (Act A) – Set up the various structures • Health Practitioner Regulation National Law Act 2009 – The National Law – Full provisions for operation of the scheme, commenced 1 July 2010 (Act B) • Adoption and Consequential Bills (Bill C) • All states and territories in the Scheme since October 2010 10
  • 11. Section 2 - Objectives of the National Registration & Accreditation Scheme (a) to provide for the protection of the public by ensuring that only health practitioners who are suitably trained and qualified to practise in a competent and ethical manner are registered; and (b) to facilitate workforce mobility across Australia by reducing the administrative burden for health practitioners wishing to move between participating jurisdictions or to practise in more than one participating jurisdiction; and (c) to facilitate the provision of high quality education and training of health practitioners; and
  • 12. Section 2 - Objectives of the National Registration & Accreditation Scheme (d) to facilitate the rigorous and responsive assessment of overseas-trained health practitioners; and (e) to facilitate access to services provided by health practitioners in accordance with the public interest; and (f) to enable the continuous development of a flexible, responsive and sustainable Australian health workforce and to enable innovation in the education of, and service delivery by, health practitioners.
  • 13. ( Section 3 - Guiding Principles of the National Registration & Accreditation Scheme (a) the scheme is to operate in a transparent, accountable, efficient, effective and fair way (b) fees required to be paid under the scheme are to be reasonable having regard to the efficient and effective operation of the scheme (c) restrictions on the practice of a health profession are to be imposed under the scheme only if it is necessary to ensure health services are provided safely and are of an appropriate quality.
  • 14. ACCREDITATION
  • 15. ANMC ANMAC • The Australian Nursing & Midwifery Council (ANMC) – a peak body established in 1992 to facilitate a national approach to nursing & midwifery regulation – worked with the then nursing and midwifery regulatory authorities (NMRAs) in each of the states & territories to develop national codes & standards, including: • The Codes of professional conduct and ethics for nurses & midwives • The Competency Standards for nurses, midwives, enrolled nurses & nurse practitioners • The Accreditation Standards for nursing & midwifery programs leading to registration & endorsement in Australia 16
  • 16. ANMC ANMAC • These national Codes & Standards - the critical foundation stones for the nursing & midwifery professions’ entry into the national registration and accreditation scheme (NRAS). • Also, from 1 July 2010, ANMC metamorphosed into the independent national accreditation authority for nursing & midwifery in Australia. 18
  • 17. National Law & Accreditation Section 5 – definition of an accreditation standard: ‘...a standard used to assess whether a program of study/education provider provides a person who completes the program with the knowledge, skills and professional attributes necessary to practise the profession in Australia’
  • 18. National Law & Accreditation • PART 6 - Accreditation functions  Development of accreditation standards  Assessing programs of study and providers against standards - Programs leading to registration or endorsement of registration are required to be accredited  Assessment of overseas authorities  Assessment of overseas qualified practitioners
  • 19. THE AUSTRALIAN NURSING & MIDWIFERY ACCREDITATION COUNCIL (ANMAC)
  • 20. T The Australian Nursing and Midwifery Accreditation Council (ANMAC) PRINCIPLES • Legality • Legitimacy • Validity • Efficiency • Accountability • Transparency • Inclusiveness • Ensures procedural fairness • Facilitate quality improvement • Exhibits flexibility and responsiveness • Supportive of diversity and innovation • Ongoing cycle of review
  • 21. The ANMAC Governance Structure • ANMAC Board • ANMAC Board Committees • Governance Committee • Finance, Audit & Business Committee • Standards, Accreditation and Assessment Committee • Accreditation Committees • Registered Nurse Accreditation Committee • Midwifery Accreditation Committee (Entry to Practice and Eligible Midwives) • Nurse Practitioner Accreditation Committee • Enrolled Nurse Accreditation Committee • International Consultative Committee
  • 22. The ANMAC Governance Structure • The Executive • Chief Executive Officer • Director, Corporate Services • Director, Accreditation Services • Director, International Services • The ANMAC Staff • Professional staff • ANMAC Assessors
  • 23. The ANMAC Governance Structure
  • 24. The ANMAC Board
  • 25. The ANMAC Board • • • • • • • • • • • • • Professor Jill White AM – Nominee CDNM (Chair) Ms Lee Thomas – Nominee ANF (Deputy Chair) Dr Rosemary Bryant – Nominee of Australian Government Ms Ros Donnellan-Fernandez – Nominee ACM Ms Debra Thoms– Nominee ACN Ms Faye Clarke – Nominee CATSIN Associate Adjunct Professor Fiona Stoker – Nominee of the jurisdictions Ms Leone English – Nominee of the VET Sector Professor Bob Meyenn - Educational Expert Ms Therese Findlay – Community Director Ms Joanna Holt – Community Director Ms Eileen Jerga AM – Community Director Mr Greg Sam – Community Director
  • 26. The ANMAC Accreditation System
  • 27. The ANMAC Accreditation System
  • 28. ANMAC Standards, Accreditation & Assessment Committee • • • • • • • • • • • CHAIR: ANMAC Board member - Bob Meyenn Deputy Chair: Community Board Director – Joanna Holt Community Board Member – Therese Findlay VET sector nominee & ANMAC Director - Leone English State and Territory Director – Fiona Stoker Chair ANMAC Accreditation Committees • RN Accreditation Committee – Patrick Crookes • Midwifery Accreditation Committee – Jan Taylor • EN Accreditation Committee – Karen Scott • NP Accreditation Committee – Glenn Gardner CATSIN nominee – Robyn Coulthard CDNM nominee – Jill White ANMAC CEO - Amanda Adrian ANMAC Director of Accreditation – Donna Mowbray ANMAC Standards Development and Review Coordinator – Jackie Doolan
  • 29. ANMAC Accreditation Committees •Registered Nurse •Enrolled Nurse •Nurse Practitioner •Registered Midwife (and Eligible Midwife)
  • 30. ANMAC Accreditation Committees MEMBERSHIP: • CHAIR: academic expert • DEPUTY CHAIR: senior education expert • academics with particular skills, knowledge and experience in curriculum development • academics with expertise relevant to course being accredited • clinicians with expertise relevant to course being accredited • persons with a background in pharmacology – for programs for nurse practitioners and eligible midwives
  • 31. ANMAC Nurse Practitioner Accreditation Committee MEMBERSHIP: • • • • • • • CHAIR: Professor Glenn Gardner DEPUTY CHAIR: Dr Tom Buckley Professor Maxine Duke Professor Andrew Cashin Associate Professor Lisa McKenna Mr Christopher Helms Associate Professor Greg Kyle
  • 32. ANMAC Accreditation System - The National Accreditation Framework
  • 33. ANMAC Accreditation System - The National Accreditation Framework • ANM(A)C Accreditation Standards • Entry standards • Registered Nurses • Nurse Practitioners • Registered Midwives • Eligible Midwives – interim standards • Enrolled Nurses • Re-entry standards • Registered Nurses • Registered Midwives • Enrolled Nurses
  • 34. ANMAC Accreditation System - The National Accreditation Framework • ANMAC National Guidelines for the Accreditation of Nursing and Midwifery Courses Leading to Registration and Endorsement in Australia. • Other ANMAC policy and procedures to support the accreditation assessment and other functions • Application Packs for Education Providers • Assessment Handbook • Preliminary Review Report • Assessment Reports • Outcome of Accreditation Assessment Report
  • 35. ANMAC Accreditation System - Stages of the National Accreditation Scheme
  • 36. Summary of Stages of Accreditation Scheme • STAGE 1 - PRE-APPLICATION • STAGE 2 - ACCREDITATION ASSESSMENT • STAGE 3 - ANMAC DETERMINATION OF ACCREDITATION STATUS • STAGE 4 - REVIEW AND APPEAL • STAGE 5 - NMBA DETERMINATION ON ACCREDITED PROGRAM • STAGE 6 - ONGOING MONITORING AND REVIEW DURING PROGRAM OF ACCREDITATION PERIOD
  • 37. ANMAC Experience - Nurse Practitioner Programs • Assessment process • Transition to national scheme • Accreditation Standards • Paid employment model • Advanced Practice
  • 38. ANMAC Accreditation Assessors • The lynchpin of the national accreditation scheme • We need more of you! • Nursing & midwifery leaders • From the education sector • Higher education • VET sector • From the health service sector • Clinical nurse leaders and midwives • Health service nursing & midwifery managers • EOI – on ANMAC website
  • 39. www.anmac.org.au

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