This document summarizes various professional organizations related to midwifery in the United States. It describes national organizations that set standards for midwifery education and practice, such as MANA, NARM, MEAC, ACNM, and ACOG. It also discusses state-level organizations and regulatory bodies, providing the example of organizations and agencies in Florida. These include the Florida Department of Health, which regulates licensed healthcare practitioners, and the Council of Licensed Midwifery, which specifically oversees midwives. The document outlines certification, licensure, and legal authorization requirements for midwives to practice.

1. Professional Organizations in Midwifery 40 slides total

2. Midwifery Organizations in the U S A 40 slides total

3. What are national professional organizations? Private specialty associations Comprised of professional practitioners and consumers of that practice Set national education, practice and ethics standards for that profession Advocate for the profession with lobbying, community education, to influence national policies and health initiatives Collect data and participate in research 40 slides total

4. National Professional organizations for maternity care providers MANA - 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 & Gynecologists AMA - American Medical Association 40 slides total

5. National organizations: Maternity-Related & Consumer Advocacy CIMS – Coalition to Improve Maternity Services CfM – Citizens for Midwifery APHA – American Public Health Association ALACE – Association of Labor Assistants and Childbirth Educators and Doulas DONA – Doulas of North America ICEA – International Childbirth Education Association ICAN – International Cesarean Awareness Network LLLI – La Leche League International 40 slides total

6. The Midwives Model of Care The 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 attention The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section. Copyright (c) 40 slides total

7. National Direct-Entry Midwifery Organizations 40 slides total

8. National Direct-Entry Midwifery Organizations Separate organizations with separate BODs Each supports the work of the other organizations but they function independently They 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 40 slides total

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. ACNM 1925 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 1994 Publishes Journal of Midwifery & Women's Health http://www.acnm.org/ 40 slides total

11. MANA Established in 1982 Represents all North American midwives Recognizes diversity of educational backgrounds and practice styles within midwifery. Goal to unify & strengthen the midwifery profession Publishes MANA News quarterly For students: [email_address] Y ahoo group for students: [email_address] All memberships approved by the moderator. Students do not need to be members of MANA to participate in this group. http://www.mana.org/ 40 slides total

12. For educational programs 40 slides total

13. 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 40 slides total

14. 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. 40 slides total

15. Accreditation requirements for midwifery education programs MEAC requirements Free-standing or within an institution Can accredit preceptor-apprentice dyad Meet MEAC’s 13 Standards Teach MANA’s core competencies Licensed by the state DOE Provide out-of-hospital clinical education 40 slides total

16. 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 requirements Free-standing or within an institution Can accredit preceptor-apprentice dyad Meet MEAC’s 13 Standards Teach MANA’s core competencies Licensed by the state DOE Provide out-of-hospital clinical education 40 slides total

17. For Professional Practice 40 slides total

18. Direct entry midwives certified in the USA CPMs Certified through the North American Registry of Midwives (NARM) Must meet NARM requirements Education or apprenticeship National written exam Skills exam for PEP applicants http://www.narm.org/ CMs Certified through the American Midwifery Certification Board (AMCB) An ACNM branch agency 6 years education Must meet all CNM requirements except you don’t have to be a nurse National written exam http://www.amcbmidwife.org/ 40 slides total

19. 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 40 slides total

20. Midwifery Certification NARM (North American Registry of Midwives) CPM – Certified Professional Midwife AMCB (American Midwifery Certification Board) CNM – Certified Nurse-Midwife CM – Certified Midwife National certification does not entitle a midwife to practice in any state unless that state’s law specifically authorizes it 40 slides total

21. Certification requirements AMCB Graduate an ACNM accredited midwifery program Pass the AMCB certification exam AMCB exam is used to certify CNMs & CMs NARM: Option 1 Graduate a MEAC accredited midwifery education program Pass the NARM written certification exam NARM: Option 2 The PEP process Pass the NARM written & skills certification exams 40 slides total

22. NARM Requirements The student has completed all required clinical skills for CPM certification under direct supervision of an approved preceptor: 20 births as an active participant 20 births as a primary midwife 75 prenatal exams, including 20 initial exams 20 newborn exams 40 postpartum exams 40 slides total

23. NARM Requirements At least 10 of the required primary births have been in out-of-hospital settings, and continuity of care has been provided for at least 3 clients: 4 or more prenatal visits birth (labor and delivery) newborn exam 1 postpartum visit 40 slides total

24. NARM Requirements The 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 40 slides total

25. For more CPM information by 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: narmapps@aol.com by phone: 888-353-7089 by efax: 630-214-8975 40 slides total

26. AUTHORIZATION TO PRACTICE Midwives are regulated differently in each jurisdiction (country, province, state) 40 slides total

27. Midwifery in the USA In 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 40 slides total

28. Midwifery Laws in Florida Licensed 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 exam must be certified as CNMs to become and remain licensed in Florida are licensed as ARNPs and regulated by the Board of Nursing 40 slides total

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. 40 slides total

31. State Professional associations Private associations Comprised of professional practitioners and consumers of that practice Promote and protect the interest of the profession Advocate for the profession primarily through lobbying and legislation Establish yearly legislative platforms 40 slides total

32. State Professional organizations MAF - Midwives Association of Florida FNA - Florida Nurses Association FOGS - Florida Ob Gyn Society FMA - Florida Medical Association Fla ACNM - Florida Chapter of the American College of Nurse-Midwives FABC - Florida Association of Birth Centers FHA – Florida Hospital Association FFOM – Florida Friends of Midwives 40 slides total

33. State governmental agencies Department of Health Regulates health care practitioners Investigates complaints Department of Education Regulates midwifery schools Agency for Health Care Administration Regulates hospitals, birth centers Administers Medicaid and Medicare Department of Insurance 40 slides total

34. 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.” 40 slides total

35. Florida Department of Health Patient Rights Division of Medical Quality Assurance Florida Patient's Bill of Rights and Responsibilities. FS 381.026 http://www.doh.state.fl.us/mqa/Profiling/billofrights.htm HIPAA Privacy Practices http://www.doh.state.fl.us/planning_eval/HIPAA/index.html 40 slides total

36. Boards, councils and agencies administratively under the FL DOH Board of Medical Quality Assurance comprised of professional practitioners and consumers License, regulate and discipline practitioners Primary interest is protection of the consumer NOT protecting the licensee 40 slides total

37. FL Department of Health Board of Medical Quality Assurance Mission: 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 40 slides total

38. FL Department of Health Board of Medical Quality Assurance Florida Board of Medicine Florida Board of Nursing Florida Council of Licensed Midwifery Florida Board of Pharmacists Florida Council of Physicians Assistants All other health care boards and councils 40 slides total

39. 40 slides total

40. Laboratory laws midwives need to know Federal 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 40 slides total

41. For more information... Florida Department of Health Council of Licensed Midwifery 4052 Bald Cypress Way, Bin # CO-6 Tallahassee, FL 32399-3256 Karen Eaton, Executive Director Donna Garrett, Regulatory Specialist 1-850-245-4587 donna_garrett@doh.state.fl.us 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 40 slides total

42. For more information... To look up laws in Florida go to http://www.leg.state.fl.us To access rules contact Florida Administrative Code Online go to http://fac.dos.state.fl.us Contact MANA at www.mana.org Contact MEAC at www.meacschools.org Contact NARM at www.narm.org Contact ACNM at www.acnm.org Contact AMCB at http://www.amcbmidwife.org Contact ACOG at www.acog.org Contact AABC at www.birthcenters.org 40 slides total

43. Professional Organizations in Midwifery The End 40 slides total