WEBVTT 00:00:03.150 --> 00:00:09.990 position:50% align:middle - [David] I'm going to pick up some of the points that Jay made in her presentation and link them 00:00:09.990 --> 00:00:11.600 position:50% align:middle to the future. 00:00:11.600 --> 00:00:23.550 position:50% align:middle So Jay presented us with quite a long and potentially frightening list of things that we are facing, 00:00:23.550 --> 00:00:26.750 position:50% align:middle but we are not alone. 00:00:26.750 --> 00:00:34.460 position:50% align:middle And to create a better tomorrow, we've got to learn from others and we've got to work together. 00:00:34.460 --> 00:00:40.551 position:50% align:middle So over the next 20 minutes or so, I'm going to give us some insights into where we might 00:00:40.551 --> 00:00:48.410 position:50% align:middle look for additional contributions in terms of how we expand our thinking. 00:00:48.410 --> 00:00:53.790 position:50% align:middle So, in the past, I have often cited American presidents. 00:00:53.790 --> 00:01:02.262 position:50% align:middle And being in the land of Lincoln, I thought I would visit some of the works that Lincoln had said. 00:01:02.262 --> 00:01:05.730 position:50% align:middle I've lent on work from Kennedy and Reagan. 00:01:05.730 --> 00:01:10.909 position:50% align:middle I've even used British prime ministers such as Churchill, and also, from time to time, 00:01:10.909 --> 00:01:13.361 position:50% align:middle great philosophers. 00:01:13.361 --> 00:01:19.900 position:50% align:middle But really, let's look a little bit at something, though, which initially you might think, 00:01:19.900 --> 00:01:23.810 position:50% align:middle "Oh, I'm not very sure about that." 00:01:23.810 --> 00:01:28.270 position:50% align:middle And let me try and, what's known as, hack your brain. 00:01:28.270 --> 00:01:33.240 position:50% align:middle So every time you see the word dogma in the future, it's not going to be something you're going 00:01:33.240 --> 00:01:38.240 position:50% align:middle to go, "Oh," but something that you're going to embrace. 00:01:38.240 --> 00:01:48.590 position:50% align:middle So when you read the words on the screen, "The dogmas of the quiet past are inadequate 00:01:48.590 --> 00:01:51.550 position:50% align:middle to the stormy present." 00:01:51.550 --> 00:01:56.380 position:50% align:middle Well, this is something that we've really learned over the last several years. 00:01:56.380 --> 00:02:03.703 position:50% align:middle We haven't been able to really rely on the things that we did previously. 00:02:03.703 --> 00:02:09.391 position:50% align:middle And we've had to be much more imaginative, creative, and get out of our comfort zone. 00:02:09.391 --> 00:02:12.880 position:50% align:middle And I'll come back to that in a moment. 00:02:12.880 --> 00:02:19.710 position:50% align:middle And the occasions are piled high with difficulty, and we must rise with the occasion. 00:02:19.710 --> 00:02:25.660 position:50% align:middle So, whilst we were out of that initial phase, and then we thought we were getting out of it, 00:02:25.660 --> 00:02:31.500 position:50% align:middle and then we were back in it, etc., etc, we're now in a world where the pace of change 00:02:31.500 --> 00:02:33.270 position:50% align:middle has really accelerated. 00:02:33.270 --> 00:02:41.780 position:50% align:middle A study that was done by McKinsey identified that in the first eight weeks of the pandemic, 00:02:41.780 --> 00:02:49.250 position:50% align:middle technology advanced the equivalent of five years worth of normal development. 00:02:49.250 --> 00:02:56.340 position:50% align:middle That is a phenomenal piece of change and it has brought with it many opportunities, 00:02:56.340 --> 00:02:59.640 position:50% align:middle but also many threats as well. 00:02:59.640 --> 00:03:07.810 position:50% align:middle Some of you have been unfortunate to have had cyber incidents, and we are all very vigilant to that. 00:03:07.810 --> 00:03:14.910 position:50% align:middle And again, there's a lot of work ahead in relation to that issue, but something that we can deal with. 00:03:14.910 --> 00:03:25.320 position:50% align:middle So by reminding ourselves about the need to take the various opportunities, 00:03:25.320 --> 00:03:32.390 position:50% align:middle we really just need to think about, as Lincoln said, "Our case is new. 00:03:32.390 --> 00:03:37.500 position:50% align:middle We must think in a new and act in a new way." 00:03:37.500 --> 00:03:39.250 position:50% align:middle These are the challenges that we face. 00:03:39.250 --> 00:03:44.820 position:50% align:middle And therefore, quite often, when I'm presented with a problem, 00:03:44.820 --> 00:03:52.390 position:50% align:middle I will go and seek out someone who isn't an expert in it, but will actually ask really good questions, 00:03:52.390 --> 00:03:56.260 position:50% align:middle which will help me to kind of clarify my thinking. 00:03:56.260 --> 00:04:05.210 position:50% align:middle So part and parcel of what we are going to be doing is kind of opening up some potential solutions that we can 00:04:05.210 --> 00:04:11.160 position:50% align:middle work together with in terms of creating that new future. 00:04:11.160 --> 00:04:14.660 position:50% align:middle So you'll start to see a pattern. 00:04:14.660 --> 00:04:17.750 position:50% align:middle And for those that you don't, this one begins with a D. 00:04:17.750 --> 00:04:18.250 position:50% align:middle Guess what? 00:04:18.250 --> 00:04:20.560 position:50% align:middle The next one begins with an O, etc., etc. 00:04:20.560 --> 00:04:24.200 position:50% align:middle So you'll get the pattern. 00:04:24.200 --> 00:04:31.550 position:50% align:middle But one of the things that we've really learned over the last couple of years is the value of working 00:04:31.550 --> 00:04:39.380 position:50% align:middle with other disciplines, whether we are talking about nursing discipline groups, 00:04:39.380 --> 00:04:45.430 position:50% align:middle or whether we're talking about different healthcare discipline groups, or whether we're talking 00:04:45.430 --> 00:04:52.200 position:50% align:middle about working with other scientists, such as economists and technologists, 00:04:52.200 --> 00:04:57.650 position:50% align:middle they present to us some wonderful experiences. 00:04:57.650 --> 00:05:02.882 position:50% align:middle We've all experienced the pandemic, but what have we learned from that? 00:05:02.882 --> 00:05:06.326 position:50% align:middle There are common problems that we can identify. 00:05:06.326 --> 00:05:12.190 position:50% align:middle We can coordinate our solutions, and we can combine our efforts. 00:05:12.190 --> 00:05:13.970 position:50% align:middle Tomorrow, we will be... 00:05:13.970 --> 00:05:20.820 position:50% align:middle there's a panel discussion with the tri-council, and really the value of actually working together 00:05:20.820 --> 00:05:29.300 position:50% align:middle over the last several years has really been magnified by the fact that we all had a unique vision on what 00:05:29.300 --> 00:05:32.530 position:50% align:middle was happening, and we all had different ideas. 00:05:32.530 --> 00:05:41.150 position:50% align:middle And by bringing them together, sharing our experience, focusing on common problems, generating solutions, 00:05:41.150 --> 00:05:48.840 position:50% align:middle we were able to combine our efforts and actually reduce the time to solution quite markedly. 00:05:48.840 --> 00:05:57.660 position:50% align:middle Some of the work that Maryann Alexander led in relation to working on some of the policy gaps that we had was 00:05:57.660 --> 00:06:01.610 position:50% align:middle from beginning to end, a two-week cycle. 00:06:01.610 --> 00:06:05.180 position:50% align:middle Well, usually, that takes us a whole year of committee work. 00:06:05.180 --> 00:06:10.820 position:50% align:middle And what we were able to do was to bring people in from the different partners, 00:06:10.820 --> 00:06:17.520 position:50% align:middle and work with committed individuals that saw the value of putting forward solutions. 00:06:17.520 --> 00:06:25.020 position:50% align:middle So, some of the things that we've learned in that period of time is something I hope that we continue 00:06:25.020 --> 00:06:28.820 position:50% align:middle to hold onto. 00:06:28.820 --> 00:06:39.580 position:50% align:middle So, if we are going to move forward, working with other disciplines is going to be important 00:06:39.580 --> 00:06:43.840 position:50% align:middle because they have faced many of the challenges that we have faced and they're going to be 00:06:43.840 --> 00:06:46.320 position:50% align:middle looking for solutions. 00:06:46.320 --> 00:06:56.210 position:50% align:middle Many of you that have worked with your legislatures know that our politicians absolutely love it when we 00:06:56.210 --> 00:06:59.590 position:50% align:middle all come asking for different things. 00:06:59.590 --> 00:07:04.800 position:50% align:middle Because they just simply say, "You folks don't know what you're talking about, 00:07:04.800 --> 00:07:08.890 position:50% align:middle and I can choose to ignore you until you get it sorted out." 00:07:08.890 --> 00:07:14.310 position:50% align:middle So, really focusing together and having a consistency of message. 00:07:14.310 --> 00:07:20.190 position:50% align:middle Not the same message, but a consistent message across disciplines will enable 00:07:20.190 --> 00:07:24.200 position:50% align:middle us to move forward with some of these challenges. 00:07:27.510 --> 00:07:35.660 position:50% align:middle So, where might we turn to get some ideas about how we can solve some of these solutions? 00:07:35.660 --> 00:07:42.840 position:50% align:middle Now, when I was putting this presentation together, I wondered about which organization I would highlight. 00:07:42.840 --> 00:07:49.640 position:50% align:middle And on the basis that I was trying to spell out dogma, I ended up with the OECD, which, of course, 00:07:49.640 --> 00:07:54.030 position:50% align:middle is the Organization for Economic Co-operation and Development. 00:07:54.030 --> 00:08:02.850 position:50% align:middle But more importantly, it's actually about looking at other sources to enable us to think out-of-the-box. 00:08:02.850 --> 00:08:05.170 position:50% align:middle Doing the same old things will not work. 00:08:05.170 --> 00:08:11.400 position:50% align:middle And instead, we actually need to think, we need to act, and we need to achieve out-of-the-box. 00:08:11.400 --> 00:08:15.810 position:50% align:middle We must be comfortable at looking at the bigger picture. 00:08:15.810 --> 00:08:21.410 position:50% align:middle And for this, I encourage you to look at publications such as this one. 00:08:21.410 --> 00:08:27.870 position:50% align:middle Now, OECD stands for the Organization for Economic Co-operation and Development. 00:08:27.870 --> 00:08:31.280 position:50% align:middle It's what's known as an intergovernmental agency. 00:08:31.280 --> 00:08:35.910 position:50% align:middle It was founded in 1961, and it's actually based in Paris, 00:08:35.910 --> 00:08:43.260 position:50% align:middle and currently has 38 members of which the United States and Canada are two of them. 00:08:43.260 --> 00:08:48.637 position:50% align:middle But also some of our other partners that we work with such as Spain and New Zealand are also 00:08:48.637 --> 00:08:50.420 position:50% align:middle in that group as well. 00:08:50.420 --> 00:08:54.690 position:50% align:middle Our governments are working on these issues. 00:08:54.690 --> 00:08:56.830 position:50% align:middle They are represented around the table. 00:08:56.830 --> 00:09:04.240 position:50% align:middle Therefore, being aware of some of these issues gives us an insight into where our governments are thinking and 00:09:04.240 --> 00:09:09.360 position:50% align:middle what we might need to deal with as they come down the track. 00:09:09.360 --> 00:09:14.027 position:50% align:middle The first left most publication... 00:09:14.027 --> 00:09:21.965 position:50% align:middle No, I should say the OECD has a focus on a whole range of issues. 00:09:21.965 --> 00:09:29.440 position:50% align:middle I focused on some of their regulatory reform documents, but they also have, and certainly, 00:09:29.440 --> 00:09:32.740 position:50% align:middle the one on the right, comes from their education agenda. 00:09:32.740 --> 00:09:37.650 position:50% align:middle But there's about 27 different issues that they actually focus on regularly, 00:09:37.650 --> 00:09:44.290 position:50% align:middle many of them have got relevance for us as regulators and the profession as a whole. 00:09:44.290 --> 00:09:53.720 position:50% align:middle The framework for regulatory policy evaluation assists countries in systematically evaluating the design and 00:09:53.720 --> 00:09:59.970 position:50% align:middle the implementation of regulatory policy against the achievement of strategic objectives. 00:09:59.970 --> 00:10:05.170 position:50% align:middle So it's not just about change for the sake of it, but it's actually about moving countries', 00:10:05.170 --> 00:10:08.720 position:50% align:middle nations' services forward. 00:10:08.720 --> 00:10:17.000 position:50% align:middle The full application of the framework requires data and information on the design, implementation, 00:10:17.000 --> 00:10:19.970 position:50% align:middle and the results of regulatory policy. 00:10:19.970 --> 00:10:28.110 position:50% align:middle Increasingly, we are being asked more and more about how effective and efficient we are in our delivery 00:10:28.110 --> 00:10:31.168 position:50% align:middle of the regulatory arrangements. 00:10:31.168 --> 00:10:34.280 position:50% align:middle And this is something that we will certainly see over the... 00:10:34.280 --> 00:10:40.068 position:50% align:middle over the coming months and years, even greater acceleration on. 00:10:40.068 --> 00:10:50.790 position:50% align:middle We are also being asked to think about how we can not only have good outputs, but also good outcomes. 00:10:50.790 --> 00:10:58.420 position:50% align:middle So what is it that we as regulators do that contributes to the well-being of society and the protection of the 00:10:58.420 --> 00:11:02.111 position:50% align:middle public and other wider issues? 00:11:02.111 --> 00:11:07.380 position:50% align:middle A resource that's available to us, a resource that has many ideas. 00:11:07.380 --> 00:11:12.680 position:50% align:middle And I'm not suggesting for one moment that we simply pick it up and implement it, 00:11:12.680 --> 00:11:19.680 position:50% align:middle but it gives you the questions that enable you to question yourself in terms of actually how we might do 00:11:19.680 --> 00:11:22.620 position:50% align:middle something somewhat differently. 00:11:22.620 --> 00:11:32.047 position:50% align:middle The second publication, "The Governance of Regulators," focuses on the premise that regulators are often 00:11:32.047 --> 00:11:39.000 position:50% align:middle under unprecedented pressure and they are facing a range of demands that are actually often 00:11:39.000 --> 00:11:42.970 position:50% align:middle contradictory in nature. 00:11:42.970 --> 00:11:49.040 position:50% align:middle We're being asked by governments to deregulate, to be less intrusive, 00:11:49.040 --> 00:11:53.030 position:50% align:middle but we're also being asked to be more effective. 00:11:53.030 --> 00:12:04.900 position:50% align:middle We're also being asked to be kinder and more gentle, more just, but we should not let aberrant 00:12:04.900 --> 00:12:08.460 position:50% align:middle behaviors go unpunished. 00:12:08.460 --> 00:12:16.410 position:50% align:middle We're asked to focus our efforts, but we're also being asked to be consistent. 00:12:16.410 --> 00:12:24.293 position:50% align:middle We're being asked to process things more quickly, but not to stray outside our regulatory authority. 00:12:24.293 --> 00:12:29.810 position:50% align:middle And we're being asked to be more responsive to the regulated community, 00:12:29.810 --> 00:12:34.750 position:50% align:middle but not to get captured by the industry. 00:12:34.750 --> 00:12:42.420 position:50% align:middle The report explores each of these dogmas in turn and... 00:12:42.420 --> 00:12:52.570 position:50% align:middle sorry, dilemmas in turn and offers suggestions as to how to manage the various paradoxes that we face. 00:12:52.570 --> 00:12:57.390 position:50% align:middle The third publication focuses on a real problem that we have. 00:12:57.390 --> 00:13:05.800 position:50% align:middle NCSBN, the board of directors, took a wonderful decision a number of years ago to create a journal, 00:13:05.800 --> 00:13:10.190 position:50% align:middle a journal of a nursing regulation. 00:13:10.190 --> 00:13:16.150 position:50% align:middle It has, very quickly, out-maneuvered all of the other journals in terms 00:13:16.150 --> 00:13:24.610 position:50% align:middle of its position in making regulatory contributions to the scholarship arena. 00:13:24.610 --> 00:13:31.612 position:50% align:middle That it's not enough simply to do the research, it has to be implemented. 00:13:31.612 --> 00:13:39.406 position:50% align:middle And therefore, we need to figure out how we can get that uptake much more quickly. 00:13:39.406 --> 00:13:45.190 position:50% align:middle Some of the work that was done a few years ago suggested that from the completion of a research study 00:13:45.190 --> 00:13:51.390 position:50% align:middle to its implementation, can if at all, take on average 10 years. 00:13:51.390 --> 00:13:54.560 position:50% align:middle Well, the world that we live in will not wait that long. 00:13:54.560 --> 00:14:05.410 position:50% align:middle So, part of what we need to think about is how that we use that really treasure trove of information to better 00:14:05.410 --> 00:14:08.560 position:50% align:middle move forward our agenda. 00:14:08.560 --> 00:14:17.790 position:50% align:middle So, let me just focus a little bit, if I may, on another publication, which I believe complements, 00:14:17.790 --> 00:14:22.060 position:50% align:middle very nicely, some work that NCSBN does. 00:14:22.060 --> 00:14:29.830 position:50% align:middle Every year, we produce, as part of our program of activity, an environmental scan. 00:14:29.830 --> 00:14:37.240 position:50% align:middle It is published as a supplement to the journal, which means that it is available freely 00:14:37.240 --> 00:14:39.230 position:50% align:middle for download by anyone. 00:14:39.230 --> 00:14:41.990 position:50% align:middle So, it's not behind a paywall. 00:14:41.990 --> 00:14:44.150 position:50% align:middle And the reason for that is strategic. 00:14:44.150 --> 00:14:51.460 position:50% align:middle We want people to be able to access it so that we can influence colleagues and hopefully get them to join us 00:14:51.460 --> 00:14:55.970 position:50% align:middle in terms of addressing some of the issues that we identify. 00:14:55.970 --> 00:15:01.850 position:50% align:middle The Organization for Economic Co-operation and Development produces a parallel document which is 00:15:01.850 --> 00:15:10.350 position:50% align:middle garnered from the member states of member nations that identifies, at the real micro-level, 00:15:10.350 --> 00:15:14.430 position:50% align:middle some of the changes that are impacting on regulatory policy. 00:15:14.430 --> 00:15:17.470 position:50% align:middle And this is the most recent one that was published. 00:15:17.470 --> 00:15:25.300 position:50% align:middle And as you can see, from the right-hand side of the screen, really redesigning Regulatory Policy 2.0, 00:15:25.300 --> 00:15:26.950 position:50% align:middle what's that all about? 00:15:26.950 --> 00:15:30.860 position:50% align:middle Evidence-based policy making and stakeholder engagement. 00:15:30.860 --> 00:15:37.200 position:50% align:middle So, how do we actually tailor our solutions that will be adopted and implemented? 00:15:37.200 --> 00:15:46.400 position:50% align:middle Rethinking rule-making through international regulatory co-operation, regulatory oversight, 00:15:46.400 --> 00:15:53.490 position:50% align:middle the governance of the sector of regulators, risk-based regulation, and country profiles. 00:15:53.490 --> 00:16:00.439 position:50% align:middle So if you want to know what our government is doing, whether I'm speaking from here in the United States, 00:16:00.439 --> 00:16:08.040 position:50% align:middle or if I'm back home in the UK, or if I'm in Canada, there is a very short synopsis of what each of the 00:16:08.040 --> 00:16:09.540 position:50% align:middle governments are doing. 00:16:09.540 --> 00:16:15.800 position:50% align:middle And again, that gives us an opportunity for insight to actually knock on a few doors and say, "Hey, 00:16:15.800 --> 00:16:20.170 position:50% align:middle that piece of work that you're doing with the OECD, we've got some solutions that might fit in there." 00:16:20.170 --> 00:16:25.780 position:50% align:middle And certainly, some of the work that Elliot and now Caitlin and I have done with colleagues 00:16:25.780 --> 00:16:33.260 position:50% align:middle in Washington has been about talking about how our agenda helps support their agenda and using that 00:16:33.260 --> 00:16:35.870 position:50% align:middle to inform the future. 00:16:35.870 --> 00:16:39.800 position:50% align:middle So, this is just one example. 00:16:39.800 --> 00:16:48.839 position:50% align:middle There's a similar publication from the education community which talks about the whole issue 00:16:48.839 --> 00:16:53.750 position:50% align:middle of outlook for skills. 00:16:53.750 --> 00:17:00.850 position:50% align:middle So, the competency-based movement and all of those issues, again, we have an interest in. 00:17:00.850 --> 00:17:04.620 position:50% align:middle So, these are some of the things that we need to think about. 00:17:04.620 --> 00:17:11.100 position:50% align:middle So moving on, I just want to talk about, and Jay mentioned, the issue of workforce. 00:17:11.100 --> 00:17:14.670 position:50% align:middle There's a recent publication that's just come out. 00:17:14.670 --> 00:17:23.140 position:50% align:middle It was led by what's known as a cross-party group of the UK government. 00:17:23.140 --> 00:17:29.660 position:50% align:middle And that means that both the Conservative Party, the Labor Party, and all of the independents are 00:17:29.660 --> 00:17:33.470 position:50% align:middle working together, which is a kind of novel concept, I know. 00:17:33.470 --> 00:17:40.630 position:50% align:middle But it's a novel concept of really trying to figure out where government policies should go in the longer term, 00:17:40.630 --> 00:17:47.610 position:50% align:middle not in terms of what the next election cycle is, but in terms of where we need to go to for the future. 00:17:47.610 --> 00:17:54.780 position:50% align:middle So the work that they did on probable futures and radical possibilities in relation to the global health 00:17:54.780 --> 00:18:01.790 position:50% align:middle workforce raises some really interesting data because it's actually pooled data from around the world, 00:18:01.790 --> 00:18:07.390 position:50% align:middle which actually starts to raise questions, which, I think, are important to address. 00:18:07.390 --> 00:18:11.750 position:50% align:middle So if you have any interest at all in workforce, I recommend this. 00:18:11.750 --> 00:18:13.030 position:50% align:middle And there's a summary document. 00:18:13.030 --> 00:18:15.450 position:50% align:middle So you don't even need to read all 50 pages. 00:18:15.450 --> 00:18:21.224 position:50% align:middle You can actually read a very quick three-page summary as well, but it actually gives you a flavor of some 00:18:21.224 --> 00:18:23.911 position:50% align:middle of the issues that we need to do. 00:18:23.911 --> 00:18:25.400 position:50% align:middle Why is that important? 00:18:25.400 --> 00:18:32.370 position:50% align:middle Because very soon, the World Health Organization will be publishing global guidance 00:18:32.370 --> 00:18:34.970 position:50% align:middle on health practitioner regulation. 00:18:34.970 --> 00:18:41.790 position:50% align:middle This is targeted at all health practitioners, not nurses, or doctors, or pharmacists, 00:18:41.790 --> 00:18:45.530 position:50% align:middle or physical therapists, but all of us together. 00:18:45.530 --> 00:18:54.750 position:50% align:middle And that document will start to focus much more on not just the public protection agenda, 00:18:54.750 --> 00:18:59.970 position:50% align:middle but also the workforce agenda, recognizing that regulators have a wealth 00:18:59.970 --> 00:19:04.630 position:50% align:middle of information that can be used as part of the future. 00:19:04.630 --> 00:19:15.690 position:50% align:middle So, it's important that we look at these issues if we're considering issues like blended education, 00:19:15.690 --> 00:19:22.620 position:50% align:middle remote service delivery, the co-creation of services fit for the future with a 00:19:22.620 --> 00:19:25.680 position:50% align:middle very changing health population. 00:19:25.680 --> 00:19:34.200 position:50% align:middle And all of these issues challenge us, as regulators, in terms of actually how we assure the public in terms 00:19:34.200 --> 00:19:41.780 position:50% align:middle of the preparation of practitioners, but also in terms of maintaining their safety. 00:19:41.780 --> 00:19:48.460 position:50% align:middle So, in these documents, there's some suggestions, some of them, they say are radical. 00:19:48.460 --> 00:19:52.620 position:50% align:middle I personally don't think they're radical, I think there's things that nurses have been doing 00:19:52.620 --> 00:19:57.600 position:50% align:middle for a long time, but maybe the rest has got to catch up as well. 00:19:57.600 --> 00:20:02.504 position:50% align:middle Certainly, when I was working as a director of nursing in a university teaching hospital, 00:20:02.504 --> 00:20:08.929 position:50% align:middle the concept of flexible working practices and self-rostering and all of that was taken from a 00:20:08.929 --> 00:20:14.700 position:50% align:middle concept to a reality, but you do that by liberating and empowering staff to do that. 00:20:14.700 --> 00:20:21.780 position:50% align:middle So, what is the corollary for us, as regulators, in terms of how we work more closely together 00:20:21.780 --> 00:20:25.660 position:50% align:middle in dealing with some of the problems? 00:20:25.660 --> 00:20:31.430 position:50% align:middle So as I come to the end of this, I want to move on to M, measurement. 00:20:31.430 --> 00:20:34.200 position:50% align:middle Continuous improvement and accountability. 00:20:34.200 --> 00:20:40.560 position:50% align:middle Now, NCSBN has got a strong history in some of this work. 00:20:40.560 --> 00:20:48.770 position:50% align:middle And Joey Ridenour, who is in the room, did some work, she led some work in relation to the core project. 00:20:48.770 --> 00:20:56.930 position:50% align:middle We have revisited that work recently to analyze what we can build upon, but we've also been working 00:20:56.930 --> 00:21:04.110 position:50% align:middle on reviewing sunrise provision, and the publication was published as a standalone. 00:21:04.110 --> 00:21:08.960 position:50% align:middle And interestingly enough, we're now being asked by some of the legislatures 00:21:08.960 --> 00:21:12.190 position:50% align:middle to come and talk about that and give testimony on it. 00:21:12.190 --> 00:21:19.350 position:50% align:middle We are just, at the moment, under review, is an analysis of all sunset provision 00:21:19.350 --> 00:21:26.240 position:50% align:middle across the nation, but also drawing on the parallel experiences of what a sunset is. 00:21:26.240 --> 00:21:32.600 position:50% align:middle So for example, in Canada and the UK, they tend to be referred to as judicial reviews. 00:21:32.600 --> 00:21:38.570 position:50% align:middle But using that information, we've been able to extract some domains that 00:21:38.570 --> 00:21:44.630 position:50% align:middle are important, that we need to think about how we might provide education to 00:21:44.630 --> 00:21:51.110 position:50% align:middle equip our regulatory community with the necessary skills to be effective and challenging these things. 00:21:51.110 --> 00:22:00.080 position:50% align:middle And also, we also need to think about how those all fit together to develop this regulator-driven 00:22:00.080 --> 00:22:08.290 position:50% align:middle accreditation system, which is the ongoing work in objective one of the current cycle. 00:22:08.290 --> 00:22:13.220 position:50% align:middle So A, action. 00:22:13.220 --> 00:22:17.150 position:50% align:middle I started off by saying, you know, this is all very good and well, 00:22:17.150 --> 00:22:23.620 position:50% align:middle but unless you actually take it and you implement it, it doesn't really take us very far. 00:22:23.620 --> 00:22:28.910 position:50% align:middle And our committees said, "Give me a place to stand, a lever long enough, 00:22:28.910 --> 00:22:33.890 position:50% align:middle and a fulcrum on which to place it, I will move the world." 00:22:33.890 --> 00:22:43.700 position:50% align:middle I contend that we can move the world together by identifying the component parts and working in harmony 00:22:43.700 --> 00:22:46.050 position:50% align:middle to drive them forward. 00:22:46.050 --> 00:22:51.050 position:50% align:middle So, as I said, we started off with good old Abraham Lincoln. 00:22:51.050 --> 00:22:57.050 position:50% align:middle He also said, "You cannot escape the responsibilities of tomorrow by evading it today." 00:22:57.050 --> 00:23:00.930 position:50% align:middle And I know that none of you evade the responsibilities. 00:23:00.930 --> 00:23:13.210 position:50% align:middle You all stepped up to the mark during the darkest days of the COVID crisis, and we worked it together. 00:23:13.210 --> 00:23:18.550 position:50% align:middle So, returning to the words of Lincoln, who in addition to making these comments about dogma, 00:23:18.550 --> 00:23:21.370 position:50% align:middle which I hope that you start to see slightly differently. 00:23:21.370 --> 00:23:25.521 position:50% align:middle It's about working with disciplines, it's about thinking out-of-the-box, 00:23:25.521 --> 00:23:30.545 position:50% align:middle it's about taking that global perspective, it's about having good measurement, 00:23:30.545 --> 00:23:33.520 position:50% align:middle and it's also about taking action. 00:23:33.520 --> 00:23:37.570 position:50% align:middle These are the things that will move us forward. 00:23:37.570 --> 00:23:45.330 position:50% align:middle So, I know that I'm between you and food, and that's always a very dangerous place to be, okay? 00:23:45.330 --> 00:23:54.650 position:50% align:middle But wellbeing, food is important, but feeding our mind is also very important. 00:23:54.650 --> 00:23:59.370 position:50% align:middle So, before we break for lunch, I want to share a brief video. 00:23:59.370 --> 00:24:05.570 position:50% align:middle Over the next few days, you will discuss how we can best use our collective 00:24:05.570 --> 00:24:11.120 position:50% align:middle time and create the greatest amount of positive change. 00:24:11.120 --> 00:24:19.490 position:50% align:middle How can we channel our passion and pursuit of excellence for the betterment of the public? 00:24:19.490 --> 00:24:28.190 position:50% align:middle That's the real spirit behind why we created the International Center for Regulatory Scholarship. 00:24:28.190 --> 00:24:36.370 position:50% align:middle In April, I had the privilege of attending the ICRS leadership institute on the first graduation ceremony. 00:24:36.370 --> 00:24:43.039 position:50% align:middle And we had graduates from the U.S., from Canada, from as far as Kenya. 00:24:43.039 --> 00:24:47.900 position:50% align:middle We had people that had nursing backgrounds, had legal backgrounds, etc. 00:24:47.900 --> 00:24:56.660 position:50% align:middle It was a hybrid mix of individuals that were able to generate ideas off one another and in participating 00:24:56.660 --> 00:24:59.350 position:50% align:middle in the ICRS activities. 00:24:59.350 --> 00:25:07.200 position:50% align:middle I simply think that the work that they are producing is simply inspiring. 00:25:07.200 --> 00:25:09.470 position:50% align:middle It was inspiring for me. 00:25:09.470 --> 00:25:16.040 position:50% align:middle I saw some familiar faces, I saw some new individuals leading together. 00:25:16.040 --> 00:25:23.690 position:50% align:middle I want to thank the board of directors for challenging us to provide an offering like this. 00:25:23.690 --> 00:25:31.610 position:50% align:middle I want to thank Maryann Alexander and the ICRS instructors for their tireless dedication and efforts 00:25:31.610 --> 00:25:36.521 position:50% align:middle to actually really providing a product that is tailored to your needs. 00:25:36.521 --> 00:25:42.010 position:50% align:middle And it is only tailored to your needs by ensuring your participation. 00:25:42.010 --> 00:25:43.940 position:50% align:middle That's what makes the difference. 00:25:43.940 --> 00:25:51.380 position:50% align:middle So, before you can go to lunch, there's a short 3.5-minute video that I would like to show. 00:25:51.380 --> 00:25:57.190 position:50% align:middle And then lunch will be served in the VIVE room on the second floor. 00:25:57.190 --> 00:25:58.450 position:50% align:middle I hope you enjoy it. 00:25:58.450 --> 00:26:05.180 position:50% align:middle I hope you continue the fellowship of coming together and exploring these issues. 00:26:05.180 --> 00:26:11.240 position:50% align:middle And then I look forward to seeing you all back here promptly at 1 o'clock for the keynote address. 00:26:11.240 --> 00:26:16.390 position:50% align:middle So, if the technology guys can play the video, that would be great. 00:26:16.390 --> 00:26:18.200 position:50% align:middle Thank you very much. 00:26:21.500 --> 00:26:24.500 position:50% align:middle ♪ [music] ♪ 00:26:51.120 --> 00:27:00.537 position:50% align:middle - [Eileen] ICRS really was designed to provide the education and skills that are needed to succeed and be 00:27:00.537 --> 00:27:02.551 position:50% align:middle excellent as a regulator. 00:27:02.551 --> 00:27:04.870 position:50% align:middle - [Gerianne] ICRS is about development. 00:27:04.870 --> 00:27:12.827 position:50% align:middle Providing experiences, knowledge-sharing, and growing in specific areas. 00:27:12.827 --> 00:27:16.130 position:50% align:middle - [Marion] Probably the most important thing is being confident as a professional. 00:27:16.130 --> 00:27:19.600 position:50% align:middle Standing toe to toe with every other health professional. 00:27:19.600 --> 00:27:22.600 position:50% align:middle ♪ [music] ♪ 00:27:23.338 --> 00:27:29.850 position:50% align:middle - I think you will be so pleasantly surprised at the quality of the courses. 00:27:29.850 --> 00:27:34.790 position:50% align:middle These courses were for knowledge, for application, for interaction. 00:27:34.790 --> 00:27:40.940 position:50% align:middle It's a different, maybe, learning perspective than most of us have had in our academic careers. 00:27:40.940 --> 00:27:44.350 position:50% align:middle And I just found it to be absolutely fascinating. 00:27:44.350 --> 00:27:49.360 position:50% align:middle - [Caroline] And also they've delivered the program in a very systematic way. 00:27:49.360 --> 00:27:53.684 position:50% align:middle They broke down really difficult points into small manageable chunks. 00:27:53.684 --> 00:28:02.000 position:50% align:middle - [Kathy] These courses are designed to not just teach you information, but also to change the way you think. 00:28:02.000 --> 00:28:04.161 position:50% align:middle So you apply it differently. 00:28:04.161 --> 00:28:12.346 position:50% align:middle - The instructors are excellent, some of the best that I've had in my educational experiences. 00:28:12.346 --> 00:28:15.240 position:50% align:middle - It's not just about the learning. 00:28:15.240 --> 00:28:17.070 position:50% align:middle It's about your future. 00:28:17.070 --> 00:28:21.400 position:50% align:middle And you meet a network of people that you're not going to meet otherwise. 00:28:21.400 --> 00:28:28.100 position:50% align:middle - There's this tremendous mixing of everybody's skills and knowledge and relationship 00:28:28.100 --> 00:28:33.921 position:50% align:middle building that permeates throughout the whole experience, which, I think, really benefits everybody. 00:28:33.921 --> 00:28:35.250 position:50% align:middle - It was transformative. 00:28:35.250 --> 00:28:40.139 position:50% align:middle You can't go to another country and not learn so much. 00:28:40.139 --> 00:28:45.200 position:50% align:middle - It's important for different countries to learn from each other so that they can exchange 00:28:45.200 --> 00:28:46.930 position:50% align:middle information and knowledge. 00:28:46.930 --> 00:28:48.500 position:50% align:middle We need to bridge the gap. 00:28:48.500 --> 00:28:50.268 position:50% align:middle That starts from education. 00:28:50.268 --> 00:28:52.360 position:50% align:middle We meet, we exchange ideas. 00:28:52.360 --> 00:28:53.970 position:50% align:middle I think that goes a long way. 00:28:53.970 --> 00:28:56.340 position:50% align:middle The profession is really one profession. 00:28:56.340 --> 00:28:59.456 position:50% align:middle And we are speaking the same language because we do the same job. 00:28:59.456 --> 00:29:01.350 position:50% align:middle - I don't know what would hold somebody back. 00:29:01.350 --> 00:29:08.740 position:50% align:middle You know, it's an opportunity to learn along colleagues, to develop new relationships, 00:29:08.740 --> 00:29:10.582 position:50% align:middle to advance their career. 00:29:10.582 --> 00:29:15.212 position:50% align:middle - We're so busy in our lives you think, "Oh, I don't have time for this." 00:29:15.212 --> 00:29:23.390 position:50% align:middle But if you make time, it was so enriching and was really a joyful experience. 00:29:23.390 --> 00:29:28.990 position:50% align:middle And how many times does that really happen in our life when something is provided to you 00:29:28.990 --> 00:29:30.750 position:50% align:middle right at your doorstep, at your computer? 00:29:30.750 --> 00:29:36.630 position:50% align:middle - Definitely get involved with ICRS and enroll in courses, pursue the certificate, 00:29:36.630 --> 00:29:39.498 position:50% align:middle and see where that takes you.