Evolution of the

National Accreditation System for Nurses & Midwives

DEVELOPING THE ROLE OF THE NURSE PRACTITIONER

CONFERENCE

Donna Mowbray – Director of Accreditation Services, ANMAC

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• Background • National Law – Accreditation functions and processes

• Structure

• Role of Accreditation Authorities

• About ANMAC and the Accreditation process

• Emerging issues from the Accreditation process

Outline

ANMAC Experience - Nurse Practitioner Programs

• Assessment process

• Transition to national scheme

• Accreditation Standards

• Paid employment model

• Advanced Practice

BACKGROUND - NATIONAL REGULATION OF

HEALTH PROFESSIONALS

Registration of Nurses and Midwives • Registration

• Policy

• Approval of standards

Professional Standards

• Code of Conduct

• Code of Ethics

• Standards for practice for EN, RN, RM, NPs (competencies)

• Professional boundaries

• Decision making framework

Professional Competence

• Health impairment

• Conduct issues

• Performance issues

Accreditation of Education

• Accreditation of providers

• Accreditation of courses

• Standards for accreditation

THE OLD REGULATORY ENVIRONMENT IN AUSTRALIA

State Registration Boards National Body - ANMC

White, JF (2011)

• Health impairment

• Conduct issues

• Performance issues

•Accreditation of providers

•Accreditation of courses

•Standards for accreditation

•Assessment of the equivalence of international qualifications

•Recognition of international accreditation authorities

• 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

Professional Competence

Accreditation of Education

THE NEW CO-REGULATORY ENVIRONMENT

Except NSW

National Body : ANMAC National Body: NMBA

White, JF (2011)

<1 July 2010

• 8 States and Territories

• 85 Health Profession Boards

• 66 Acts of Parliament

From 1 July 2010

• One national scheme

• 10 Health Profession Boards

• Nationally consistent legislation

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Background

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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

July 2012

1. Aboriginal and Torres Strait Islander health practitioners

2. Chinese medicine practitioners

3. medical radiation practitioners

4. occupational therapists

Health Practitioners

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Accreditation

Authorities Accreditation Authorities

National

Committees National

Committees

Advisory Council Health Workforce

Advisory Council

National

Boards

Agency

Management Committee

National Office

State/Territory/Regional

Boards Support

Contract

Ministerial Council

State and Territory

Offices

Advice

Structure

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• 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

Legislation

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

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.

( 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.

ACCREDITATION

• 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

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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.

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ANMC ANMAC

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’

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

THE AUSTRALIAN

NURSING & MIDWIFERY ACCREDITATION COUNCIL (ANMAC)

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

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

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

The ANMAC Governance Structure

The ANMAC Board

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

The ANMAC Accreditation System

The ANMAC Accreditation System

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

ANMAC Accreditation Committees

•Registered Nurse •Enrolled Nurse •Nurse Practitioner •Registered Midwife (and Eligible Midwife)

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

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

ANMAC Accreditation System

- The National Accreditation Framework

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

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

ANMAC Accreditation System

- Stages of the National Accreditation Scheme

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

ANMAC Experience - Nurse Practitioner Programs

• Assessment process

• Transition to national scheme

• Accreditation Standards

• Paid employment model

• Advanced Practice

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

www.anmac.org.au