WEBVTT

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- [Tim] Good afternoon, everyone,
and thank you for attending this presentation on a

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remarkable resource in the field of nursing regulation,
the newly refreshed Global Regulatory Atlas.

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In 2018, NCSBN and, in particular,
the nursing regulation and web development teams

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endeavored to create a database encapsulating the
multi-faceted profiles of global nursing regulation and

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governance in one easily accessible place.

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What started as an idea to aid in the standardization
of nursing bodies and provide guidance to regulators

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crafting standards has yielded a searchable online
database tool, free to all, that provides a cohesive,

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synthesized profile of nursing regulation, education,
accreditation, and nursing data metrics for nearly

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every country around the world.

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The Global Regulatory Atlas is the first comprehensive
resource on the regulation of nurses in countries

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around the world, a data set that researchers can
access anytime, anywhere,

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a means for regulators and educators to compare the
nursing regulations of their home jurisdiction

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with that of their neighbors,
and a tool to empower nurses considering migration to a

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different jurisdiction by providing them the
information necessary to have a path to practice.

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Now, before I dive into the six key components that
actually comprise the Atlas and give a brief

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walkthrough of the newly refreshed site,
I'd like to first talk a little bit

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about data procurement.

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With this refresh, one of our primary objectives was to
obtain survey data directly from each jurisdiction.

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We really did not want to rely on archival or
encyclopedic secondary sources.

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We wanted each jurisdiction to contribute in a way that
would enable them to feel that they were wholly and

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accurately represented within the Atlas,
and they would know that the data they provided was

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being utilized for everyone around the world to see.

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To this end, we employed various methods to get our
data surveys into the hands of those most capable

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of actually answering the questionnaires,
as Maryann alluded to,

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a task that's a lot easier said than done.

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But in order to promulgate that next step,
we leveraged, first, our WHO context, particularly,

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our research partners, be it professors, physicians,
or nurses, and regulators within that jurisdiction.

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Our research team was kind enough to collect contact
information for participants at the International

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Congress of Nurses in Montreal, in July.

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We actually contacted, well,
Chicago consulates and consulates within New York,

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requesting that they try and put us in contact with
someone capable of providing us the

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information we needed.

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And lastly, we leveraged NCSBN's extensive contact
network within the regulatory agencies

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around the world.

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Next, I'd like to transition into discussing the actual
key components that comprised the Atlas itself.

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First and foremost, we have contact information.

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In this regard, I mean the information for the
regulatory body of nursing in each jurisdiction,

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their name, address, email, and URL, hopefully,
if that is in existence,

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as we have encountered multiple jurisdictions that
don't have websites.

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To that end, it became readily evident when we started
our data collection in March that a robust contact

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network within the Atlas was going to be as important
as the actual data metrics themselves in order

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to facilitate communication between regulators and
helping the standardization of the nursing practice.

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Next, transition to governance, and in this capacity,
we felt it necessary to have a one-stop shop related

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to links to legislation and standards of each
jurisdiction, information relating to the nurse

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mobility facilitation via reciprocal agreements and
nursing compacts, and information regarding the

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regulatory council of each jurisdiction.

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We next transition to licensure and registration,
and this is the component in which we find the

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different nursing specialties that each jurisdiction
utilizes, from LPNs to advanced practice nurses,

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in addition to midwives and nursing assistants,
with the corresponding data metrics for that number

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of each category.

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We also see the initial licensure and registration
requirements within this component,

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the scope of practice,
as well as whether or not this jurisdiction requires a

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criminal background check and the methodology for
actually obtaining said criminal background check.

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Moving along, we come to education,
and in this context,

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we mean the accreditation and/or approval of nursing
institutions within each jurisdiction and whether or

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not their regulatory body actually
requires approval or accreditation.

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And if that was the case,
we really try to pay close attention to formulating

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lists for each jurisdiction that actually had every
institution that was accredited or approved

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by that jurisdiction.

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Next, we come to discipline, and in this instance,
we were concerned with the

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disciplinary data management.

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Where does that jurisdiction keep its information
regarding discipline of nurses?

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And does the public have
availability to that information?

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We also wanted to know what was the specific
disciplinary actions that each jurisdiction was capable

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of utilizing where it'd be necessary.

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Last, we wanted to hit on telehealth.

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As we all know, telehealth is being utilized at a
vastly increasing rate,

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and we felt it incumbent upon
ourselves to place all telehealth regulation,

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be it in the process of being formulated or current
legislation, within the Atlas itself.

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Next, I am going to provide a little bit of a
walkthrough through the newly refreshed site itself and

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take you to the homepage and then a sample profile.

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As we come to the homepage, you can see a sleek,
streamlined new design that not only looks incredible

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but has a vastly improved
functionality and user interface.

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The Atlas homepage is a complete redesign,
and it has been optimized for search functionality

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for users coming into the Atlas.

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As you can see, we have the six key components that I
alluded to earlier, as well as two points of access

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for locating jurisdictional data.

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This bottom one that Jen is now clicking on is actually
an improvement in and of itself,

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because in the previous iterations of the Atlas,
every jurisdiction was simply in a list.

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Now, we have the availability to select from a subset,
such as Brazil, and select a state and/or province

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within that jurisdiction,
not simply compiling through the entire list

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of the Atlas itself.

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If we scroll up, I'm going to now show you a
jurisdictional profile example, and for these purposes,

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we're going to choose Portugal.

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It has nothing to do with the fact that I'm going to
Lisbon in six months for a vacation.

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Thank you.

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As I previously stated,
you see front and center the contact information

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as when we did a random sampling of jurisdictions,
asking what was the best way in which we could improve

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the Atlas, our number one response was,
"We wanted better contact information that's easily

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viewable in a very complete
and really accessible form."

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And in terms of functionality for the profile itself,
the user has the availability to click on the tab

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at the top to go to each component,
or simply scroll through the entirety of the

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jurisdiction profile,
which is a large improvement over the previous

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iteration in which users were forced to navigate back
and forth using the back and forth arrows in order

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to try and look at different
facets of the Atlas itself.

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If we scroll down, the next category, under Governance,
one of the biggest improvements in this category is

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simply the consolidation of all of these links into
this one place.

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Whereas, again, in the old version,
this data was interspersed throughout the dataset.

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We've consolidated the Nursing Laws & Regulations,
the Nurse Mobility Facilitation,

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and information throughout the council all in one
component that will enable the user to not have

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to search around for anything they're looking for.

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When we come down to the Licensure and Registration
page, we see another vast improvement.

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And that is the dropdown
menu for the nursing specialty.

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Again, in our previous iteration,
users were forced to select a nursing specialty and

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navigate back and forth using arrows.

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And now, we have a very easy system in place in which
the user simply clicks on the nursing specialty they'd

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like to view and is able to keep scrolling throughout
the website, never navigating away from the page

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they're using itself.

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One last feature that I thought...oh, excuse me.

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Another feature under the Education component that's
worthy of noting is that,

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in that same sampling in which we asked how we can
improve the Atlas, our second most requested detail was

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the approved nursing education programs,
which you can see that we've implemented here.

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Lastly, I'd like to just hit on, at the bottom,
the last updated feature, and this might seem trivial,

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but this is actually kind of a
special date feature in this regard.

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Instead of being the date in which the website itself
was last updated, each individual profile denotes when

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the information was last updated,
ensuring that the user will have the ability to know

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that their information is the most current available.

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In conclusion, nursing regulation plays a pivotal role
in safeguarding the public's health and

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ensuring professional integrity.

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As regulatory requirements evolve and change over time,
it becomes increasingly essential to stay abreast

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of these changes through reliable resources,
like the Global Regulatory Atlas.

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By remaining informed and engaged throughout the
ever-evolving regulatory landscape,

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we can continue to uphold the standards of excellence
in nursing practice.

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Thank you for allowing me the opportunity to share the
new Atlas with you.

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- [Brendan] So, Tim,
I just was hoping maybe you could also add to your

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prepared talking points the aspect about exporting some
of the data.

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The researcher in me really just thought that that was
the coolest feature,

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and I just wanted to make
sure that the audience knows that.

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- Thank you, Brendan.

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It is a really cool feature.

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The reason we didn't include it in this iteration is
just because we're working out a bug that doesn't allow

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it to be displayed at this time.

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That was in the original version.

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It just didn't make it.

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But no, within a month,
we're hoping to see the Export feature back

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into the Atlas, in which the datasets themselves can be
exported via Excel and/or PDF in their entirety.

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You have to do it one at a time,
but you do have the capability of exporting the data

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at any time.

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- [Mark] Mark Majek, Texas.

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I want to commend you guys on this because this has
become an integral part of our licensing process

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for international nurses.

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And an example I can give you is we had discernment
about who verifies licenses from Cameroon.

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Very difficult, and we're getting beatdowns from this
applicant saying, "This is correct.

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This is correct."

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We're saying no.

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We know by the Global Atlas what we can look at,
and so this update is really helpful that we look

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at every day to verify applications and the correct
group verifying the information.

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So I want to thank you for that and updating it because
we do use it almost daily.

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So thank you for doing that.

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- You're very welcome.

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And thank you for pointing that out.

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- The other piece to that
is David's talking about 2050.

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So I keep thinking, I'm hoping to be alive in 2050.

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That's my first goal as I'm thinking about that.

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So I've got a reason to live up to that point.

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Strategically, where is council heading with this?

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When I say that I know that you're new,
this might be looking out in the future, but you know,

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we all do credential evaluations,
and we all do all of this stuff.

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And council has the resources.

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We look at Nursys.

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Then we're going to have Nursys Canada.

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And so I'm asking the question,
do you have anything strategically you're looking

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at where the Global Atlas might head in documentation
and maybe downloading information to something into the

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council for international licensing?

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- We haven't actually discussed that framework as of
yet, but that's actually a really good idea.

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And I think it's something that's absolutely worth
discussing at NCSBN and something I will bring up.

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So I appreciate the suggestion in that regard.

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Thank you.

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- [Jenifer] I would be remiss,
we did not place the website link on our presentation.

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It is regulatoryatlas.com, easy access there,
or you can find it on ncsbn.org.

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It's at the bottom in our nice logo.

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- Thank you.

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- Thank you, everyone.