the future of healthcare regulation mark lane pt, federation of state boards of physical therapy...

The Future of The Future of Healthcare RegulationHealthcare Regulation

Mark Lane PT,Mark Lane PT,Federation of State Boards of Federation of State Boards of

Physical TherapyPhysical Therapy

July 10, 2009July 10, 2009

2009 BOC Athletic Trainer Regulatory Conference

“The best way to predict the future is to invent it.”


Alan Kay

Regulators have the Regulators have the opportunity to “invent their opportunity to “invent their future”future”

InventionInvention

Creativity

Open mindedness

Willingness to change

Learn from mistakes

Active versus passive, proactive versus

reactive

Perseverance

Two Futures, two choices:

1. Continue on our current regulatory path

2. Change the face of “regulation”


Scope of Practice “battles” Reactive regulation Complaint-based Discipline-based Unenforceable regulation Little assurance of ongoing clinical

competency Best for the “profession” versus best

for the public


Continue on our current regulatory path: Where we are

Continued

Regulation not based on evidence of public protection

Many regulations inhibit good practice Regulations often restrict mobility Little collaboration between disciplines Health care: Are regulators part of the

problem?


Continue on our current regulatory path: Where we are (continued):

Scope of practice issues will be based on recommendations by an (impartial?) commission• What is best for the public (New Mexico,

Montana)

Boards will be deemed in-effective • Eliminated

• Combined

• Stripped of authority

• Nationalized


Continue on our current regulatory path: Where we are heading….

Continuing Competency will be mandated

Reduction of the requirements for licensure

Mandated focus on outcomes Much stricter criteria for sunset review Increased public members, fewer, if

any professional members Forced licensure compacts to improve

mobility not only within the country but globally


Continue on our current regulatory path: Where we are heading….

Change the Face of Change the Face of RegulationRegulation

An opportunity to impact our

regulatory future

Interdisciplinary scope of practice

document Pro-active versus re-active “Just Culture” Focus on remediation versus

discipline Education and promotion of quality Continuing competence Peer review Encourage good practice versus

simply punish bad practice


Change the face of regulation

Effective regulation

• Does not inhibit good practice

• Evidence-based regulation

Collaboration between disciplines for the “greater good”

Systems in place to enable pro-active regulation

Regulators play an active role in promotion of quality and remediation

Effective Continuing competency measures in place

Health Care - Part of the solution


Change our current regulatory path: Where could be heading….

Collect data Analyze data Collaborate, collaborate,

collaborate Change our framework Think prevention Expand perspective Become “inventors”


How We get There

Two Futures, two choices:

1. Continue on our current regulatory path

2. Change the face of “regulation”



InventionInvention

Creativity

Open mindedness

Willingness to change

Learn from mistakes

Active versus passive, proactive versus

reactive

Perseverance

Thank YouThank You


the future of healthcare regulation mark lane pt, federation of state boards of physical therapy...

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