scope of practice

Published on

Becker’s Hospital Review

To modernize healthcare practices, regulations limiting nurses and physician assistants should be revised, according to a perspective piece published Feb. 12 in The New England Journal of Medicine. 

Authored by eight directors of health workforce research centers, the commentary suggested states implement the same scope-of-practice laws and regulations across health professions.

The authors’ collective research hasn’t found anything to support claims that relaxing scope of practice for nurses harms patients, Bianca Frogner, PhD, director of the Center for Health Workforce Studies and an associate professor at Seattle-based University of Washington School of Medicine, said in a news release. She said most studies find that relaxing scope of practice expands access and the quality of care is the same as that delivered by physicians.

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Managed Healthcare Executive

Scope of practice laws, long the province of the states and the subject of fierce lobbying, should be standardized across the country, argue healthcare workforce experts in an opinion piece published in this week’s New England Journal of Medicine. This could be more than wishful thinking because the authors may have an ally in the Trump administration.

“Greater uniformity would support health professionals’ ability to practice to the full extent of their education and training and enhance opportunities for efficient and effective health service delivery that better meets patients’ needs,” wrote Bianca Frogner, PhD, the director of Center for Health Workforce Studies at the University of Washington, and her seven colleagues…

…The other authors of the Perspective piece, titled “Modernizing Scope-of-Practice Regulations—Time to Prioritize Patients” are Erin Fraher, Joanne Spetz, Patricia Pittman, Jean Moore, Angela Beck, David Armstrong, and Peter Buerhaus.

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Dimensions of Dental Health Hygiene

Over the past decade, legislatures across the United States have grappled with scope of practice issues for health professions, including dental hygiene. Almost every state has provided new permissions or enabled conditions for broader practice in response to new technology, improved science, novel dental materials, or alternative methods for delivery of care. Downstream effects of these changes include opportunities for innovative dental hygiene practice. In addition, the fundamental shift in health care delivery away from the medical paradigm of identifying and treating existing disease toward early intervention in prevention of disease processes has had collateral effects on dentistry and dental hygiene. Dental hygienists’ competencies are grounded in patient education, motivational interviewing, and preventive and prophylactic clinical services. This expertise has positioned the profession to play a pivotal role in efforts to improve the oral health of the US population. Dental hygienists are now more commonly viewed as primary preventive oral health specialists with separate and critical responsibilities in the oral health care continuum of care.

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Naszemiasto, Bialystok News

(Translated to English) Researchers from SUNY University at Albany Center for Health Workforce Studies (CHWS) point out that increasing the professional competence of dental hygienists will translate into increased oral health throughout the community. Persons practicing such professions should be able to perform a wider range of oral hygiene.

In spite of the fact that dental hygienists occupy a largely independent workplace, specific procedures can only be performed on an order and under the supervision of a dentist. Not in all European countries, just like in Poland. Research has shown that the wider the range of dental hygienists the wider the country, the lower the incidence of caries and periodontal disease.

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Dimensions of Dental Hygiene

ALBANY, N.Y. (July 21, 2017) — Oral health workforce researchers at University at Albany’s Center for Health Workforce Studies (CHWS) have released an infographic designed to help policy makers better understand differences in dental hygiene scopes of practice across states. 

Scopes of practice for health professionals are defined in states’ laws and regulations, describing allowable services, settings and supervisory requirements. CHWS researchers examined 2014 scope-of-practice parameters for dental hygienists across the 50 states and found that that in states where dental hygiene scope of practice rules were more closely aligned with dental hygiene professional competence, there was a positive and statistically significant association with population oral health.

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Health Affairs Blog

While 2017 promises to be an eventful year in health policy, it’s worth reflecting back on what we learned in 2016. As Health Affairs Editor-in-Chief, I have the pleasure of reading hundreds of articles each year — more, I’m sure, than most of our readers have time to read. I have selected my own “top ten” for 2016. The papers I chose go beyond our “most-read” and “most-shared” articles, which, this year, were disproportionately on topics related to health care costs. My list of articles covers a broad range of topics. Many of these articles analyze the effects of a specific policy; others raise the profile of issues that deserve more attention. Some articles had unexpected findings. Their shared attribute is that the authors chose to focus on interesting and important questions.  These are my favorites for the year — whether they are yours or not, I hope you find them interesting, enjoy reading them, and learn something from them.

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MedicalXpress.com

Research conducted by the University at Albany’s Center for Health Workforce Studies (CHWS) finds that in states where dental hygienists are allowed by law to practice at higher levels of professional competence and skill, the population’s oral health notably improves. The paper, published in Health Affairs‘ December 2016 thematic issue on , examines impacts of “scope of practice” on oral health outcomes. Scope of practice for health professionals is defined by individual states’ laws and regulations, which describe permissible settings, allowable services, and requisite supervision by other health professionals.

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Newswise.com

The American Dental Hygienists’ Association (ADHA) is pleased that Health Affairs recognizes the enormous impact oral health has on the overall public health system in the U.S. by devoting an entire issue to the subject. ADHA has long advocated evidence-based oral health management strategies for the prevention of oral and systemic diseases.

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DrBicuspid.com

Does expanding a hygienist’s scope of practice translate to improved oral healthcare at the state level? Researchers from New York believe it does, according to the results of a survey published this month in Health Affairs. With the debates about dental therapists and dental telemedicine ongoing, researchers from the University at Albany in New York updated a previous study to investigate if hygienists with an expanded practice options could reduce the oral disease burden. “Scope of practice for dental hygienists … had a positive and significant association with having no teeth removed because of decay or disease,” wrote lead study author Margaret Langelier and colleagues (Health Affairs, December 2016, Vol. 35:12, pp. 2207-2215).

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The Detroit News

I have long been a proponent of legislation and policy that would expand the scope of practice for many health professionals. This means a different way of approaching our health care professionals, putting more emphasis on unique skills and roles within a health team rather than relying on traditional titles and legacy exclusiveness of a particular degree.

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