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Scope of Practice Tools
Minnesota participated in a technical assistance project sponsored by the National Governors Association (NGA) and the National Conference State Legislatures (NCSL) focusing on scope of practice policies in 2015-2016. The Minnesota Department of Health (MDH) was the lead agency. MDH staff convened a project core team which developed two tools related to scope of practice policies:
- A framework to assist policymakers in the objective analysis of legislative proposals relating to scope of practice changes for regulated health professions/occupations
Framework for describing and evaluating scope of practice and/or new licensure proposals for policymakers (Word)
Framework for describing and evaluating scope of practice and/or new licensure proposals for policymakers (PDF) - A tool to assess barriers to the enacted scope of practice laws and identify strategies and action steps to mitigate the barriers
Barriers assessment form for scope of practice changes (Word)
Barriers assessment form for scope of practice changes (PDF)
The project core team included professional health care associations, health licensing boards, state legislators, and staff from the Minnesota Department of Health, Office of Rural Health and Primary Care.
The core team remains interested in the use and applicability of this framework. Please send any feedback on the tools and examples of their use to: nitika.moibi@state.mn.us
Framework Uses
- The Minnesota Association of Naturopathic Physicians (MNANP) Proposal – 2016
- Collaborative Practice Dental Hygiene Proposal
Frequently Asked Questions
How does the scope of practice evaluation framework (henceforth, framework) reconcile with similar requirements as noted in MS 214.001-0.002 currently in statute?
The core team that steered the development of this framework sees it as a more comprehensive alternative or supplement to the current statute. The framework draws from both the existing statute and numerous state and national sources, which are noted in the end notes included in the framework document.
How will parties interested in bringing scope of practice bills be notified of the availability and use of this framework?
MDH ORHPC plans to announce the availability of the tool in its monthly newsletter. There will also be email announcements to MDH’s healthcare workforce listserv and attendees of the project’s in-person stakeholder meeting in August 2016. The 2014-2016 Legislative Health Care Workforce Commission recommended that the legislature adopt the framework for evaluating scope of practice proposals. The Commission also recommends that the 2017 incoming chairs use the framework. In addition, MDH will also contact the Revisor’s Office, Minnesota House and Senate Research Staff regarding the availability of the framework. NCSL also plans to publish the framework on their forthcoming scope of practice website.
Who were the members of the core team?
Barbara Brandt
Director, National Center for Interprofessional Practice and Education, University of MinnesotaShirley A. Brekken
Executive Director, Minnesota Board of NursingSenator Greg Clausen
Co-chair, Legislative Health Care Workforce CommissionValerie DeFor
Executive Director, HealthForce Minnesota, Minnesota State Colleges and UniversitiesLauren Gilchrist
Health Policy Advisor, Office of Governor Mark Dayton & Lt. Governor Tina SmithRepresentative Tara Mack
Chair, Health and Human Service Reform Committee and Co-chair, Legislative Health Care Workforce Commission, Minnesota House of RepresentativesRuth Martinez
Executive Director, Minnesota Board of Medical PracticeNitika Moibi
Supervisor, Health Workforce Planning and Analysis, Office of Rural Health and Primary Care, Minnesota Department of HealthMark Schoenbaum
Director, Office of Rural Health and Primary Care, Minnesota Department of HealthSenator Kathy Sheran
Chair, Health Human Services and Housing Committee, Minnesota SenateCody Wiberg
Executive Director, Minnesota Board of PharmacyRepresentative Nick Zerwas
Health and Human Services Finance & Reform Committees, Minnesota House of RepresentativesUniversity of Minnesota academic health positions:
Leon Assael, Dean, School of Dentistry
Connie Delaney, Dean, School of Nursing
Julie Johnson, Associate Dean, College of Pharmacy
Sheila Riggs, Associate Professor and Chair, Department of Primary Dental Care
Mark Rosenberg, Vice Dean, Medical School Education
Marilyn Speedie, Dean, College of Pharmacy