Expanded Scope of Practice: A Response to Demand for Primary Care?
November 4, 2011
Increasing the supply of primary care providers is an element of any proposal for transforming the health care delivery system. Broadening the scope of practice of non-physician providers is one way to do this. Scope of practice decisions have been the prerogative of states, some of which have indeed moved to give nurse practitioners, physician assistants, and other clinicians greater responsibility, both independently and as part of a medical team. Some suggest it may be time to consider federal standards for licensure and practice. This Forum session looked at the current situation, what states have done, what the professions have to say, and what federal policymakers might want to be thinking about.
David C. Goodman, MD, MS
Dartmouth Medical School
Linda Cronenwett, PhD, RN
Beerstecher Blackwell Term Professor
School of Nursing
University of North Carolina at Chapel Hill
Ned Calonge, MD, MPH
President and Chief Executive Officer
The Colorado Trust
Barbara Safriet, JD, LLM
Lewis & Clark Law School