© 2012 American Nurses Credentialing Center July 7, 2008 March 23, 2010 October 5, 2010 June 28, 2012 Consensus Model Affordable Care Act IOM Future of Nursing Supreme Court Decision Timeline

Diane L. Thompkins, MS, RN Assistant Director Certification Services April 20, 2013 APRN: The Next Generation Certification and the Consensus Model

© 2012 American Nurses Credentialing Center APRN Consensus Model

Licensure – grants authority to practice Accreditation – formal review and approval of education program or certification entity in nursing Certification – formal recognition of knowledge, skills, and experience via testing Education – formal preparation of APRN in graduate degree program APRN Regulation © 2012 American Nurses Credentialing Center

Facilitate mobility across state lines Protect the public Uniformity of education, certification, and licensure Accreditation and pre-approval of APRN education programs including post-graduate programs Consistency in APRN titles Independent APRN practice Increase access to care for patients Vision for the Future of APRN Regulation © 2012 American Nurses Credentialing Center

No common definition for APRNs Variety in APRN education Regulation varied by state Debates on scope of practice Lack of uniformity in APRN titles Specialization Certification not required in all states Barriers when crossing state lines Lack of access to care for patients Barriers to Overcome © 2012 American Nurses Credentialing Center

Increase the number of APRNs to meet patient healthcare needs Improve patient access to safe, quality APRN care Licensed as independent practitioners APRNs practice to the full extent of APRN education and training (IOM Recommendation #1) The Future Is Now © 2012 American Nurses Credentialing Center

Measure the core and role content on all certification examinations Psychometrically sound examinations Hold national accreditation Legally defensible process to determine eligibility to test Enforce congruence between education and certification Establish mechanisms for ongoing competence and certification maintenance Measure specialty competencies separately from APRN core, role and population Certification Requirements

© 2012 American Nurses Credentialing Center Advanced physiology/pathophysiology principles that apply across the lifespan; Advanced health assessment, which includes assessment of all human systems, Advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad categories of agents. Minimum 500 clinical hours APRN Core

Independent practice is recognized for all roles. Congruence in APRN education, certification, and licensure Role and title reflect educational preparation and certification APRNs practice to the full extent of their education and training (IOM, Recommendation #1) Outcomes © 2012 American Nurses Credentialing Center

APRN Consensus Model

LACE APRN Network A communication network that includes organizations that represent the Licensure, Accreditation, Certification, and Education components of regulation. LACE APRN Network © 2012 American Nurses Credentialing Center

Completed a nationally accredited graduate level program that corresponds to the certification sought A minimum of 500 faculty-supervised clinical hours Three separate comprehensive graduate-level courses (the APRN Core) in: advanced physiology/pathophysiology, including general principles that apply across the lifespan; advanced health assessment, which includes assessment of all human systems, advanced assessment techniques, concepts and approaches; advanced pharmacology, which includes pharmacodynamics, pharmacokinetics and pharmacotherapeutics of all broad categories of agents. Content in: health promotion and/or maintenance; differential diagnosis and disease management including the use and prescription of pharmacologic and non-pharmacologic interventions. Certification APRN Requirements

© 2012 American Nurses Credentialing Center Nurse Practitioner Adult-Gerontology Acute Care Adult-Gerontology Primary Care Family Family Psychiatric-Mental Health (across the lifespan) Pediatric Primary Care Adult (accepting applications until ) Acute Care (accepting applications until ) Adult Psychiatric Mental-Health (accepting applications until ) Gerontological (accepting applications until ) APRN Certification

© 2012 American Nurses Credentialing Center Clinical Nurse Specialist Adult-Gerontology (wellness through acute care available April 2014) Pediatric (updated examination reflecting wellness through acute care available April 2014) Adult (accepting applications until ) Adult Psychiatric-Mental Health (accepting applications until ) Child/Adolescent Psychiatric Mental Health (accepting applications until ) Gerontological (accepting applications until ) APRN Certification

© 2012 American Nurses Credentialing Center Apply and test before final degree awarded Apply on-line Receive results on-site Certification review materials Test Content Outline Sample Test Questions Reference List Certification Key Points

© 2012 American Nurses Credentialing Center Congratulations

© 2012 American Nurses Credentialing Center Certification Scope of Practice Scope-of-Practice-2http:// Scope-of-Practice-2 APRN Consensus Model FAQs FAQ.htmlhttp:// FAQ.html NP Competencies CNS Competencies Resources

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