Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.8
H. M. Koenig
{"title":"Musings on Healthcare… and Seeking Value-Based Healthcare","authors":"H. M. Koenig","doi":"10.30770/2572-1852-109.2.8","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.8","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47774235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.6
J. Carter
{"title":"Collaboration, Not Competition: Working Together with Intention to Ensure Patient Safety","authors":"J. Carter","doi":"10.30770/2572-1852-109.2.6","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.6","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41369486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.4
{"title":"News & Notes","authors":"","doi":"10.30770/2572-1852-109.2.4","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.4","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.31
{"title":"State Member Board Briefs","authors":"","doi":"10.30770/2572-1852-109.2.31","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.31","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.12
Gordon Giddings
{"title":"Response to Barrett, et al, and Harter","authors":"Gordon Giddings","doi":"10.30770/2572-1852-109.2.12","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.12","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41953598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.10
R. O. Sonfist, A. Diaz, E. Barrett
{"title":"Response to “Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment? A Literature Review”","authors":"R. O. Sonfist, A. Diaz, E. Barrett","doi":"10.30770/2572-1852-109.2.10","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.10","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41515063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.30770/2572-1852-109.2.29
Punam Patel, U. Shah
{"title":"The Doctor Who Wasn't There: Technology, History, and the Limits of Telehealth","authors":"Punam Patel, U. Shah","doi":"10.30770/2572-1852-109.2.29","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.29","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46791172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.30770/2572-1852-109.1.22
Louise R Sweatman
This paper will identify existing models of professional regulatory reform that could ensure a single licensing process that results in multi-jurisdictional licensure. The paper will also distinguish models or ad hoc arrangements that fail to achieve such a result. This is a timely topic in Canada because its professional regulatory framework is being examined for modernization. The Canadian professional regulatory framework for health care providers is a legacy of the Constitution of 1867. It can be characterized as a Federation of 13 different jurisdictional systems with each province or territory having exclusive jurisdiction over regulation of its health professionals. This results in differing entry to practice requirements, standards of practice, classes or categories of registration and transfer criteria for eligibility from other provinces. The United States nursing state board regulators, the Australian Commonwealth, and their state governments have moved from their original regulatory frameworks to modern ones. Their models are more supportive of mobility, cross-border virtual care, education, and health provider professional development and well-being. Aside from recent discussions in the 4 Canadian Atlantic provinces, there has been little will, effort, or advancement to modernize the regulatory framework in Canada to support multi-jurisdictional licensure. This paper aims to briefly describe 6 existing models that support multijurisdictional licensure. In the fall of 2022, the 4 Atlantic Premiers (akin to state Governors in the US) asked each of their medical regulatory authority (akin to State Medical Boards) to develop a licensing system such that physicians could practice in all 4 Atlantic provinces without the need to acquire multiple licenses. Two models will be discussed that meet this recently stated objective of the Atlantic Premiers while the others do not.
{"title":"Models in Professional Regulation: Choices for Atlantic Canada?","authors":"Louise R Sweatman","doi":"10.30770/2572-1852-109.1.22","DOIUrl":"https://doi.org/10.30770/2572-1852-109.1.22","url":null,"abstract":"\u0000 This paper will identify existing models of professional regulatory reform that could ensure a single licensing process that results in multi-jurisdictional licensure. The paper will also distinguish models or ad hoc arrangements that fail to achieve such a result. This is a timely topic in Canada because its professional regulatory framework is being examined for modernization.\u0000 The Canadian professional regulatory framework for health care providers is a legacy of the Constitution of 1867. It can be characterized as a Federation of 13 different jurisdictional systems with each province or territory having exclusive jurisdiction over regulation of its health professionals. This results in differing entry to practice requirements, standards of practice, classes or categories of registration and transfer criteria for eligibility from other provinces.\u0000 The United States nursing state board regulators, the Australian Commonwealth, and their state governments have moved from their original regulatory frameworks to modern ones. Their models are more supportive of mobility, cross-border virtual care, education, and health provider professional development and well-being. Aside from recent discussions in the 4 Canadian Atlantic provinces, there has been little will, effort, or advancement to modernize the regulatory framework in Canada to support multi-jurisdictional licensure. This paper aims to briefly describe 6 existing models that support multijurisdictional licensure. In the fall of 2022, the 4 Atlantic Premiers (akin to state Governors in the US) asked each of their medical regulatory authority (akin to State Medical Boards) to develop a licensing system such that physicians could practice in all 4 Atlantic provinces without the need to acquire multiple licenses. Two models will be discussed that meet this recently stated objective of the Atlantic Premiers while the others do not.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49222450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.30770/2572-1852-109.1.29
Scott Metzger, O. Metzger
The opioid epidemic has caused devastation in both the state of New Jersey and the nation, highlighting the need to make opioid prescribing practices safer. Preventing unnecessary initiation of opioids and ensuring opioid therapy is discontinued when appropriate are necessary parts of combating the opioid epidemic. To give prescribers a framework to provide the safest and most effective care, in February 2021 the New Jersey State Board of Medical Examiners unanimously approved proposed updates to opioid-prescribing regulations in the state. The updated prescribing regulations in New Jersey ensure patients who receive an opioid prescription for chronic pain have the assurance of a treatment plan, an assessment of risks, and monitoring for benefits and harms of therapy. This approach preserves access to care for patients in need while minimizing risks of abuse, diversion, and addiction. New regulations define treatment plans and require specific documentation for health care providers (HCPs) treating patients with chronic pain, giving HCPs tools to prescribe safely. The success of the regulatory updates can be measured by decreases in new cases of opioid-use disorder (OUD) and overdose deaths throughout New Jersey. New Jersey's updated regulations can serve as a model with nationwide applicability.
{"title":"A Shift Left: Revised Regulations for Opioid Prescribing in New Jersey","authors":"Scott Metzger, O. Metzger","doi":"10.30770/2572-1852-109.1.29","DOIUrl":"https://doi.org/10.30770/2572-1852-109.1.29","url":null,"abstract":"\u0000 The opioid epidemic has caused devastation in both the state of New Jersey and the nation, highlighting the need to make opioid prescribing practices safer. Preventing unnecessary initiation of opioids and ensuring opioid therapy is discontinued when appropriate are necessary parts of combating the opioid epidemic. To give prescribers a framework to provide the safest and most effective care, in February 2021 the New Jersey State Board of Medical Examiners unanimously approved proposed updates to opioid-prescribing regulations in the state. The updated prescribing regulations in New Jersey ensure patients who receive an opioid prescription for chronic pain have the assurance of a treatment plan, an assessment of risks, and monitoring for benefits and harms of therapy. This approach preserves access to care for patients in need while minimizing risks of abuse, diversion, and addiction. New regulations define treatment plans and require specific documentation for health care providers (HCPs) treating patients with chronic pain, giving HCPs tools to prescribe safely. The success of the regulatory updates can be measured by decreases in new cases of opioid-use disorder (OUD) and overdose deaths throughout New Jersey. New Jersey's updated regulations can serve as a model with nationwide applicability.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41887226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.30770/2572-1852-109.1.5
A. Nguyen, Magda Schaler-Haynes, Jolene C. Chou, M. Nowels, Danielle H Llaneza, Elissa Kozlov
New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure Program provided temporary licenses to more than 31000 out-of-state healthcare practitioners, over a quarter of whom were mental health providers. As the need for mental health care accelerated during the pandemic, especially among health disparity populations, expanding mental health provider pools may be a critical tool to increase access to care. In January 2021, we surveyed New Jersey's temporary licensees. We analyzed over 4500 mental health provider responses to examine the impact of the temporary licensure program on access to mental health care overall and on enhancing a diverse mental health workforce. Over 3700 respondents used their temporary license to provide mental health care to New Jersey patients. About 7% of respondents self-identified as Hispanic, 12% Black, 6% Asian, 1% American Indian or Alaska Native, and 0% (more than 5) Native Hawaiian or other Pacific Islander. They treated about 30100 New Jersey patients, 40% of whom were new to the provider, and 81% delivered care exclusively using telehealth. Respondents conversed with patients in at least 13 languages. About 53% served at least one patient from an underserved racial/ethnic minority group. Our findings suggest that temporary out-of-state mental health providers helped enhance mental health care continuity and access.
{"title":"Increasing Access to a Diverse Mental Health Workforce Through Emergency Reciprocity Licensure","authors":"A. Nguyen, Magda Schaler-Haynes, Jolene C. Chou, M. Nowels, Danielle H Llaneza, Elissa Kozlov","doi":"10.30770/2572-1852-109.1.5","DOIUrl":"https://doi.org/10.30770/2572-1852-109.1.5","url":null,"abstract":"\u0000 New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure Program provided temporary licenses to more than 31000 out-of-state healthcare practitioners, over a quarter of whom were mental health providers. As the need for mental health care accelerated during the pandemic, especially among health disparity populations, expanding mental health provider pools may be a critical tool to increase access to care. In January 2021, we surveyed New Jersey's temporary licensees. We analyzed over 4500 mental health provider responses to examine the impact of the temporary licensure program on access to mental health care overall and on enhancing a diverse mental health workforce. Over 3700 respondents used their temporary license to provide mental health care to New Jersey patients. About 7% of respondents self-identified as Hispanic, 12% Black, 6% Asian, 1% American Indian or Alaska Native, and 0% (more than 5) Native Hawaiian or other Pacific Islander. They treated about 30100 New Jersey patients, 40% of whom were new to the provider, and 81% delivered care exclusively using telehealth. Respondents conversed with patients in at least 13 languages. About 53% served at least one patient from an underserved racial/ethnic minority group. Our findings suggest that temporary out-of-state mental health providers helped enhance mental health care continuity and access.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45246286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}