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1120 Organizations


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Midwifery Organizations, powerpoint for 1120 Legal and Ethical

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1120 Organizations

  1. 1. Professional Organizations in Midwifery 40 slides total
  2. 2. Midwifery Organizations in the U S A 40 slides total
  3. 3. What are national professional organizations? <ul><li>Private specialty associations </li></ul><ul><li>Comprised of professional practitioners and consumers of that practice </li></ul><ul><li>Set national education, practice and ethics standards for that profession </li></ul><ul><li>Advocate for the profession with lobbying, community education, to influence national policies and health initiatives </li></ul><ul><li>Collect data and participate in research </li></ul>40 slides total
  4. 4. National Professional organizations for maternity care providers <ul><li>MANA - Midwives Alliance of North America </li></ul><ul><li>NARM - North American Registry of Midwives </li></ul><ul><li>MEAC - Midwifery Education Accreditation Council </li></ul><ul><li>NACPM – National Association for Certified Professional Midwives </li></ul><ul><li>ACNM – American College of Nurse Midwives </li></ul><ul><li>AABC – American Association of Birth Centers </li></ul><ul><li>ACOG - American College of Obstetricians & Gynecologists </li></ul><ul><li>AMA - American Medical Association </li></ul>40 slides total
  5. 5. National organizations: Maternity-Related & Consumer Advocacy <ul><li>CIMS – Coalition to Improve Maternity Services </li></ul><ul><li>CfM – Citizens for Midwifery </li></ul><ul><li>APHA – American Public Health Association </li></ul><ul><li>ALACE – Association of Labor Assistants and Childbirth Educators and Doulas </li></ul><ul><li>DONA – Doulas of North America </li></ul><ul><li>ICEA – International Childbirth Education Association </li></ul><ul><li>ICAN – International Cesarean Awareness Network </li></ul><ul><li>LLLI – La Leche League International </li></ul>40 slides total
  6. 6. The Midwives Model of Care <ul><li>The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes. The Midwives Model of Care includes: </li></ul><ul><li>Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle </li></ul><ul><li>Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support </li></ul><ul><li>Minimizing technological interventions </li></ul><ul><li>Identifying and referring women who require obstetrical attention </li></ul><ul><li>The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section. </li></ul>Copyright (c) 40 slides total
  7. 7. National Direct-Entry Midwifery Organizations 40 slides total
  8. 8. National Direct-Entry Midwifery Organizations <ul><li>Separate organizations with separate BODs </li></ul><ul><li>Each supports the work of the other organizations but they function independently </li></ul><ul><li>They meet jointly twice a year </li></ul><ul><ul><li>at the MANA conference in the fall </li></ul></ul><ul><ul><li>joint board meeting in April </li></ul></ul><ul><li>Each Board has a representative to a “Liaison Group” which meets monthly by telephone </li></ul>40 slides total
  9. 9. National Nurse-Midwifery Organizations ACNM is the parent organization; divisions are controlled by the ACNM BOD 40 slides total American Midwifery Certification Board (AMCB) AMCB separated from the ACNM In 1991 Incorporated in 1955
  10. 10. <ul><li>ACNM </li></ul><ul><li>1925 Mary Breckenridge developed Frontier Nursing Service in Kentucky, used public health nurses trained as midwives in England. </li></ul><ul><li>1940s National Organization of Public Health Nurses (NOPHN) established a section for nurse-midwives </li></ul><ul><li>The American College of Nurse-Midwives incorporated in 1955 </li></ul><ul><li>Added CMs in 1994 </li></ul><ul><li>Publishes Journal of Midwifery & Women's Health </li></ul><ul><li> </li></ul>40 slides total
  11. 11. <ul><li>MANA </li></ul><ul><li>Established in 1982 </li></ul><ul><li>Represents all North American midwives </li></ul><ul><li>Recognizes diversity of educational backgrounds and practice styles within midwifery. </li></ul><ul><li>Goal to unify & strengthen the midwifery profession </li></ul><ul><li>Publishes MANA News quarterly </li></ul><ul><li>For students: [email_address] </li></ul><ul><li>Y ahoo group for students: [email_address] </li></ul><ul><li>All memberships approved by the moderator. Students do not need to be members of MANA to participate in this group. </li></ul><ul><li> </li></ul>40 slides total
  12. 12. <ul><li>For educational programs </li></ul>40 slides total
  13. 13. National Recognition of Accrediting Agencies by the U.S. Dept of Education <ul><li>The USDOE recognizes select accrediting agencies as reliable authorities regarding the quality of education or training offered by the institutions or programs they accredit. </li></ul><ul><li>Accreditation by a recognized accrediting agency is required for institutions to participate in federal student aid programs. </li></ul><ul><li>Recognized by the USDOE: </li></ul><ul><ul><li>American College of Nurse-Midwives, Accreditation Commission for Midwifery Education </li></ul></ul><ul><ul><li>Midwifery Education Accreditation Council </li></ul></ul><ul><li> </li></ul>40 slides total
  14. 14. Accreditation requirements for midwifery education programs <ul><li>ACNM Accreditation Commission requirements </li></ul><ul><li>Be housed in an institution of higher education </li></ul><ul><li>Bachelors degree is prerequisite </li></ul><ul><li>Provide in-hospital clinical education </li></ul><ul><li>Moving toward “practice doctorate” for entry level </li></ul><ul><li>47 ACNM accredited nurse-midwifery programs in U.S. </li></ul>40 slides total
  15. 15. Accreditation requirements for midwifery education programs <ul><li>MEAC requirements </li></ul><ul><ul><li>Free-standing or within an institution </li></ul></ul><ul><ul><li>Can accredit preceptor-apprentice dyad </li></ul></ul><ul><ul><li>Meet MEAC’s 13 Standards </li></ul></ul><ul><ul><li>Teach MANA’s core competencies </li></ul></ul><ul><ul><li>Licensed by the state DOE </li></ul></ul><ul><ul><li>Provide out-of-hospital clinical education </li></ul></ul>40 slides total
  16. 16. Accreditation requirements for midwifery education programs <ul><li>ACNM Accreditation Commission requirements </li></ul><ul><li>Be housed in an institution of higher education </li></ul><ul><li>Bachelors degree is prerequisite </li></ul><ul><li>Provide in-hospital clinical education </li></ul><ul><li>Moving toward “practice doctorate” for entry level </li></ul><ul><li>47 ACNM accredited nurse-midwifery programs in U.S. </li></ul><ul><li>MEAC requirements </li></ul><ul><ul><li>Free-standing or within an institution </li></ul></ul><ul><ul><li>Can accredit preceptor-apprentice dyad </li></ul></ul><ul><ul><li>Meet MEAC’s 13 Standards </li></ul></ul><ul><ul><li>Teach MANA’s core competencies </li></ul></ul><ul><ul><li>Licensed by the state DOE </li></ul></ul><ul><ul><li>Provide out-of-hospital clinical education </li></ul></ul>40 slides total
  17. 17. For Professional Practice 40 slides total
  18. 18. Direct entry midwives certified in the USA <ul><li>CPMs </li></ul><ul><li>Certified through the North American Registry of Midwives (NARM) </li></ul><ul><li>Must meet NARM requirements </li></ul><ul><ul><li>Education or apprenticeship </li></ul></ul><ul><ul><li>National written exam </li></ul></ul><ul><ul><li>Skills exam for PEP applicants </li></ul></ul><ul><li> </li></ul><ul><li>CMs </li></ul><ul><li>Certified through the American Midwifery Certification Board (AMCB) </li></ul><ul><ul><li>An ACNM branch agency </li></ul></ul><ul><ul><li>6 years education </li></ul></ul><ul><ul><li>Must meet all CNM requirements except you don’t have to be a nurse </li></ul></ul><ul><ul><li>National written exam </li></ul></ul><ul><li> </li></ul>40 slides total
  19. 19. National Commission for Certifying Agencies (NCCA) <ul><li>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. </li></ul><ul><li>  NCCA accredited programs certify individuals in a wide range of professions and occupations </li></ul><ul><li>To date, NCCA has accredited over 200 programs from more than 100 organizations. </li></ul><ul><li>Accredits the American Midwifery Certification Board and the North American Registry of Midwives </li></ul><ul><li> </li></ul>40 slides total
  20. 20. Midwifery Certification <ul><li>NARM (North American Registry of Midwives) </li></ul><ul><ul><li>CPM – Certified Professional Midwife </li></ul></ul><ul><li>AMCB (American Midwifery Certification Board) </li></ul><ul><ul><li>CNM – Certified Nurse-Midwife </li></ul></ul><ul><ul><li>CM – Certified Midwife </li></ul></ul><ul><li>National certification does not entitle a midwife to practice in any state unless that state’s law specifically authorizes it </li></ul>40 slides total
  21. 21. Certification requirements <ul><li>AMCB </li></ul><ul><ul><li>Graduate an ACNM accredited midwifery program </li></ul></ul><ul><ul><li>Pass the AMCB certification exam </li></ul></ul><ul><ul><li>AMCB exam is used to certify CNMs & CMs </li></ul></ul><ul><li>NARM: Option 1 </li></ul><ul><ul><li>Graduate a MEAC accredited midwifery education program </li></ul></ul><ul><ul><li>Pass the NARM written certification exam </li></ul></ul><ul><li>NARM: Option 2 </li></ul><ul><ul><li>The PEP process </li></ul></ul><ul><ul><li>Pass the NARM written & skills certification exams </li></ul></ul>40 slides total
  22. 22. NARM Requirements <ul><li>The student has completed all required clinical skills for CPM certification under direct supervision of an approved preceptor: </li></ul><ul><ul><ul><li>20 births as an active participant </li></ul></ul></ul><ul><ul><ul><li>20 births as a primary midwife </li></ul></ul></ul><ul><ul><ul><li>75 prenatal exams, including 20 initial exams </li></ul></ul></ul><ul><ul><ul><li>20 newborn exams </li></ul></ul></ul><ul><ul><ul><li>40 postpartum exams </li></ul></ul></ul>40 slides total
  23. 23. NARM Requirements <ul><li>At least 10 of the required primary births have been in out-of-hospital settings, and </li></ul><ul><li>continuity of care has been provided for at least 3 clients: </li></ul><ul><ul><li>4 or more prenatal visits </li></ul></ul><ul><ul><li>birth (labor and delivery) </li></ul></ul><ul><ul><li>newborn exam </li></ul></ul><ul><ul><li>1 postpartum visit </li></ul></ul>40 slides total
  24. 24. NARM Requirements <ul><li>The student has successfully performed all of the skills on the NARM Skills Checklist </li></ul><ul><li>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 </li></ul><ul><li>The student has developed practice guidelines, informed consent, and an emergency care plan </li></ul>40 slides total
  25. 25. For more CPM information <ul><li>by web site: </li></ul><ul><ul><li>click on “How to Become a CPM” </li></ul></ul><ul><ul><li>click on “Candidate Info Bulletin” </li></ul></ul><ul><ul><li>print out or download the info you need </li></ul></ul><ul><li>by email: </li></ul><ul><li>by phone: 888-353-7089 </li></ul><ul><li>by efax: 630-214-8975 </li></ul>40 slides total
  26. 26. AUTHORIZATION TO PRACTICE Midwives are regulated differently in each jurisdiction (country, province, state) 40 slides total
  27. 27. Midwifery in the USA <ul><li>In the United States, a midwife must be entitled to practice by each individual state </li></ul><ul><li>The legal status and requirements for midwives vary from state to state </li></ul><ul><li> </li></ul>40 slides total
  28. 28. Midwifery Laws in Florida <ul><li>Licensed Midwives </li></ul><ul><ul><li>must pass the NARM written exam only </li></ul></ul><ul><ul><li>do not need to maintain the CPM credential to be licensed in Florida </li></ul></ul><ul><ul><li>are regulated by the Council of Licensed Midwifery </li></ul></ul><ul><li>Nurse-midwives </li></ul><ul><ul><li>must pass the ACNM certification exam </li></ul></ul><ul><ul><li>must be certified as CNMs to become and remain licensed in Florida </li></ul></ul><ul><ul><li>are licensed as ARNPs and regulated by the Board of Nursing </li></ul></ul>40 slides total
  29. 29. 40 slides total Comparison Certification Licensure For Florida midwives North American Registry of Midwives Council of Licensed Midwifery Jurisdiction National State Authority Private Government Comprised of Practitioners 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
  30. 30. 40 slides total
  31. 31. State Professional associations <ul><li>Private associations </li></ul><ul><li>Comprised of professional practitioners and consumers of that practice </li></ul><ul><li>Promote and protect the interest of the profession </li></ul><ul><li>Advocate for the profession primarily through lobbying and legislation </li></ul><ul><li>Establish yearly legislative platforms </li></ul>40 slides total
  32. 32. State Professional organizations <ul><li>MAF - Midwives Association of Florida </li></ul><ul><li>FNA - Florida Nurses Association </li></ul><ul><li>FOGS - Florida Ob Gyn Society </li></ul><ul><li>FMA - Florida Medical Association </li></ul><ul><li>Fla ACNM - Florida Chapter of the American College of Nurse-Midwives </li></ul><ul><li>FABC - Florida Association of Birth Centers </li></ul><ul><li>FHA – Florida Hospital Association </li></ul><ul><li>FFOM – Florida Friends of Midwives </li></ul>40 slides total
  33. 33. State governmental agencies <ul><li>Department of Health </li></ul><ul><ul><li>Regulates health care practitioners </li></ul></ul><ul><ul><li>Investigates complaints </li></ul></ul><ul><li>Department of Education </li></ul><ul><ul><li>Regulates midwifery schools </li></ul></ul><ul><li>Agency for Health Care Administration </li></ul><ul><ul><li>Regulates hospitals, birth centers </li></ul></ul><ul><ul><li>Administers Medicaid and Medicare </li></ul></ul><ul><li>Department of Insurance </li></ul>40 slides total
  34. 34. Florida Department of Health Mission Statement <ul><ul><li>“ 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.” </li></ul></ul>40 slides total
  35. 35. Florida Department of Health Patient Rights <ul><li>Division of Medical Quality Assurance </li></ul><ul><li>Florida Patient's Bill of Rights and Responsibilities. </li></ul><ul><li>FS 381.026  </li></ul><ul><li> </li></ul><ul><li>HIPAA Privacy Practices </li></ul><ul><li> </li></ul>40 slides total
  36. 36. Boards, councils and agencies <ul><li>administratively under the FL DOH Board of Medical Quality Assurance </li></ul><ul><li>comprised of professional practitioners and consumers </li></ul><ul><li>License, regulate and discipline practitioners </li></ul><ul><li>Primary interest is protection of the consumer NOT protecting the licensee </li></ul>40 slides total
  37. 37. FL Department of Health Board of Medical Quality Assurance <ul><li>Mission: To promote, protect and improve the health of all people in Florida. </li></ul><ul><li>Vision: A healthier future for the people of Florida. </li></ul><ul><li>Purpose:  To protect the public through health care licensure, enforcement, and information. </li></ul><ul><li>Focus:  To be the nation's leader in quality health care regulation </li></ul>40 slides total
  38. 38. FL Department of Health Board of Medical Quality Assurance <ul><ul><li>Florida Board of Medicine </li></ul></ul><ul><ul><li>Florida Board of Nursing </li></ul></ul><ul><ul><li>Florida Council of Licensed Midwifery </li></ul></ul><ul><ul><li>Florida Board of Pharmacists </li></ul></ul><ul><ul><li>Florida Council of Physicians Assistants </li></ul></ul><ul><ul><li>All other health care boards and councils </li></ul></ul>40 slides total
  39. 39. 40 slides total
  40. 40. Laboratory laws midwives need to know <ul><ul><li>Federal CLIA information, includes application (FORM HCFA-116): </li></ul></ul><ul><ul><li>List of CLIA approved waived laboratory tests: </li></ul></ul><ul><ul><li>List of Provider-performed Microscopy Procedures: </li></ul></ul>40 slides total
  41. 41. For more information... <ul><li>Florida Department of Health Council of Licensed Midwifery </li></ul><ul><li>4052 Bald Cypress Way, Bin # CO-6 </li></ul><ul><li>Tallahassee, FL 32399-3256 </li></ul><ul><li>Karen Eaton, Executive Director </li></ul><ul><li>Donna Garrett, Regulatory Specialist </li></ul><ul><li>1-850-245-4587 </li></ul><ul><li>To find out about an individual practitioner licensed in Florida contact </li></ul><ul><li>To find out information about Florida government contact </li></ul>40 slides total
  42. 42. For more information... <ul><li>To look up laws in Florida go to </li></ul><ul><li>To access rules contact Florida Administrative Code Online go to </li></ul><ul><li>Contact MANA at </li></ul><ul><li>Contact MEAC at </li></ul><ul><li>Contact NARM at </li></ul><ul><li>Contact ACNM at </li></ul><ul><li>Contact AMCB at </li></ul><ul><li>Contact ACOG at </li></ul><ul><li>Contact AABC at </li></ul>40 slides total
  43. 43. Professional Organizations in Midwifery The End 40 slides total