Forum Session

Expanded Scope of Practice: A Response to Demand for Primary Care?
November 4, 2011


Lisa Sprague, MBA


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
Dean Emerita
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
Visiting Professor
Lewis & Clark Law School

Slides from the presentations by Drs. Goodman, Cronenwett, and Calonge are available for download.

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