WEBVTT 00:00:14.000 --> 00:00:18.320 position:50% align:middle - [Mariann] I believe this debate has really bubbled up throughout our states 00:00:18.320 --> 00:00:19.520 position:50% align:middle and our jurisdictions. 00:00:19.520 --> 00:00:24.054 position:50% align:middle And as a result, I believe this has offered us the opportunity to really 00:00:24.054 --> 00:00:29.315 position:50% align:middle provide education on regulatory boards throughout the United States and Canada 00:00:29.315 --> 00:00:34.195 position:50% align:middle and to really focus on why we exist, 00:00:34.195 --> 00:00:38.929 position:50% align:middle why they exist, and to reinforce that the core being 00:00:38.929 --> 00:00:44.120 position:50% align:middle of their existence is really focused on promoting public safety 00:00:44.120 --> 00:00:46.010 position:50% align:middle of consumers, clients, patients. 00:00:46.010 --> 00:00:51.930 position:50% align:middle - [Paul] I think the big issue for boards is to distinguish between occupational 00:00:51.930 --> 00:00:54.980 position:50% align:middle licensing and professional health care licensing. 00:00:54.980 --> 00:00:59.870 position:50% align:middle And it's incumbent upon our boards and our organization to provide the public and 00:00:59.870 --> 00:01:03.110 position:50% align:middle legislators with the information they need so they can make that distinction. 00:01:03.110 --> 00:01:07.300 position:50% align:middle - [William] Those who are on boards sometimes are reluctant to want to take 00:01:07.300 --> 00:01:12.560 position:50% align:middle appropriate action just because of the political realities that are existing and 00:01:12.560 --> 00:01:15.500 position:50% align:middle the potential of their own liability. 00:01:15.500 --> 00:01:23.860 position:50% align:middle - [Mary] When states make sweeping changes to their laws that we had not anticipated, 00:01:23.860 --> 00:01:29.090 position:50% align:middle even though we were going along and working with them, that sometimes 00:01:29.090 --> 00:01:38.400 position:50% align:middle interferes with our ability to collaborate with the states. 00:01:38.400 --> 00:01:42.430 position:50% align:middle Licensure protects the public in two main ways. 00:01:42.430 --> 00:01:46.280 position:50% align:middle First, it sets minimum standards of competence. 00:01:46.280 --> 00:01:51.720 position:50% align:middle The second way Licensure protects the public is that if a social worker would 00:01:51.720 --> 00:01:56.640 position:50% align:middle fall below those standards that they have pledged to adhere to, 00:01:56.640 --> 00:02:00.600 position:50% align:middle the client has legal recourse under the law to bring a complaint. 00:02:00.600 --> 00:02:05.270 position:50% align:middle - [David] It's really gone from in the 50s, 1 in 20 Americans needing a license 00:02:05.270 --> 00:02:09.890 position:50% align:middle to practice to the current situation in some states between 1 in 4 or 1 00:02:09.890 --> 00:02:10.730 position:50% align:middle in 3 even. 00:02:10.730 --> 00:02:17.150 position:50% align:middle So, it's important to actually not just simply take a one size fits all solution, 00:02:17.150 --> 00:02:24.000 position:50% align:middle but to really understand how the licensing board fundamentally protects the public 00:02:24.000 --> 00:02:25.350 position:50% align:middle in the actions that they do. 00:02:25.350 --> 00:02:28.190 position:50% align:middle - [Hamayun] People may not realize, and I think that's part of the challenge 00:02:28.190 --> 00:02:31.090 position:50% align:middle of licensing boards, is to educate the public 00:02:31.090 --> 00:02:32.130 position:50% align:middle about what they do. 00:02:32.130 --> 00:02:38.280 position:50% align:middle Most people would agree that the licensing of physicians is absolutely critical 00:02:38.280 --> 00:02:40.900 position:50% align:middle to the health, safety, and protection of the public. 00:02:40.900 --> 00:02:45.260 position:50% align:middle They have to make sure that only those who are qualified to practice medicine are 00:02:45.260 --> 00:02:47.710 position:50% align:middle actually given the right to practice medicine. 00:02:47.710 --> 00:02:50.520 position:50% align:middle - [Carmen] The medications that people take are life-saving. 00:02:50.520 --> 00:02:53.770 position:50% align:middle But if those medications are not dispensed by competent pharmacists, 00:02:53.770 --> 00:02:58.600 position:50% align:middle then those medications are dangerous and people suffer serious consequences, 00:02:58.600 --> 00:03:03.120 position:50% align:middle State Licensure provides the assurances of competence and provides patients 00:03:03.120 --> 00:03:04.090 position:50% align:middle with a safety net. 00:03:08.259 --> 00:03:14.330 position:50% align:middle - It's important for state boards to have measurable performance goals that they can 00:03:14.330 --> 00:03:17.480 position:50% align:middle then see if they're keeping up with what needs to be done. 00:03:17.480 --> 00:03:21.730 position:50% align:middle - I think it's incumbent on boards to help the public understand the rigor of the 00:03:21.730 --> 00:03:24.390 position:50% align:middle credentialing process of the education process. 00:03:24.390 --> 00:03:27.310 position:50% align:middle Utilize public members to tell the story of the board. 00:03:27.310 --> 00:03:32.540 position:50% align:middle Number two is for the board to make public their disciplinary action cases so a 00:03:32.540 --> 00:03:37.120 position:50% align:middle consumer can determine if they want to use this or not use this individual. 00:03:37.120 --> 00:03:41.900 position:50% align:middle - We need to continue to build accountability into the regulation process 00:03:41.900 --> 00:03:43.460 position:50% align:middle throughout the whole system. 00:03:43.460 --> 00:03:47.250 position:50% align:middle But in order to do that, regulatory boards need 00:03:47.250 --> 00:03:49.230 position:50% align:middle to have adequate funding. 00:03:49.230 --> 00:03:55.070 position:50% align:middle They need to have adequate personnel and they need to have personnel who are 00:03:55.070 --> 00:03:58.030 position:50% align:middle trained to do the job of regulation. 00:03:58.030 --> 00:04:04.490 position:50% align:middle - Without agreement by the public, the legislatures of what are the goals 00:04:04.490 --> 00:04:08.400 position:50% align:middle of licensing boards and what are the resources that they have available 00:04:08.400 --> 00:04:13.310 position:50% align:middle to them, it's very difficult, but maybe it's very easy to criticize. 00:04:13.310 --> 00:04:18.910 position:50% align:middle - NCSBN has recently produced a comprehensive document that actually one 00:04:18.910 --> 00:04:24.450 position:50% align:middle by one examines these issues and actually puts out in a very factual way what it is 00:04:24.450 --> 00:04:27.302 position:50% align:middle that nursing does in relation to these elements . 00:04:30.610 --> 00:04:36.350 position:50% align:middle - We have to listen to what the consumer is saying about practice and care and 00:04:36.350 --> 00:04:37.230 position:50% align:middle delivery of that. 00:04:37.230 --> 00:04:41.190 position:50% align:middle We do all that, we can show the distinction between a credentialed 00:04:41.190 --> 00:04:43.110 position:50% align:middle profession and one that's not credentialed. 00:04:43.110 --> 00:04:47.810 position:50% align:middle - Licensing boards really try to take information from what they've experienced 00:04:47.810 --> 00:04:52.280 position:50% align:middle with their licensees, with complaints from the community that 00:04:52.280 --> 00:04:59.830 position:50% align:middle they think forward and they put into place activities that also help the public, 00:04:59.830 --> 00:05:07.340 position:50% align:middle such as identifying areas for potential continuing education that brings resources 00:05:07.340 --> 00:05:13.360 position:50% align:middle back to the profession as a result of what's impacted the public. 00:05:13.360 --> 00:05:20.380 position:50% align:middle So, I think those are also opportunities for the board to bring good resources 00:05:20.380 --> 00:05:21.410 position:50% align:middle to the public. 00:05:21.410 --> 00:05:27.690 position:50% align:middle - We need to have information available that both the profession and the public 00:05:27.690 --> 00:05:32.470 position:50% align:middle and the legislators can actually look at and compare and contrast the performance 00:05:32.470 --> 00:05:34.510 position:50% align:middle of one board against another. 00:05:34.510 --> 00:05:38.510 position:50% align:middle We also need to obviously deal with when there are complaints and problems, 00:05:38.510 --> 00:05:43.670 position:50% align:middle we need to address that in a timely way and in a proportionate way. 00:05:43.670 --> 00:05:49.340 position:50% align:middle Having a range of solutions in terms of the severity of the issues that are being 00:05:49.340 --> 00:05:53.670 position:50% align:middle addressed by modernizing regulation that will be fit for today's world, 00:05:53.670 --> 00:05:57.620 position:50% align:middle not yesterday's, that's the work of the regulator as we move forward 00:05:57.620 --> 00:05:58.913 position:50% align:middle to protect the public.