Download - 1120 Organizations
1120 Legal and Ethical 1120 Legal and Ethical Aspects of MidwiferyAspects of Midwifery
Professional Professional OrganizationsOrganizationsin Midwifery in Midwifery
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What are national professional associations? Private specialty organizationsComprised of professional practitioners and
consumers of that practice“Special interest” groupsInfluence state and national governmental
agencies to protect the professionThey are not neutral even though they may
present their research results and positions as unbiased
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What is the purpose of a national professional organization? Advocate for the profession Provide community education about the
benefits practitioners provideIncrease awarenessLobby to influence state and national policies
and health initiativesIncrease demand and employment opportunitiesEliminate competition
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How does the professional organization advocate for the profession?Set national education standardsEstablish practice guidelines - community standards
of practiceDevelop professional ethics and values statementsProvide community educationPrepare position papersPay lobbyist(s)Influence state licensing laws, reimbursement
policiesCollect data and participate in researchFundraise
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National Professional organizations for maternity care providersMANA - Midwives Alliance of North America NARM - North American Registry of Midwives
MEAC - Midwifery Education Accreditation Council NACPM – National Association for Certified Professional
Midwives ACNM – American College of Nurse Midwives AABC – American Association of Birth Centers ACOG - American College of Obstetricians &
GynecologistsAMA - American Medical Association
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National organizations: Maternity-Related & Consumer Advocacy
CIMS – Coalition to Improve Maternity Services CfM – Citizens for MidwiferyAPHA – American Public Health AssociationALACE –Association of Labor Assistants and
Childbirth Educators and DoulasDONA – Doulas of North AmericaICEA – International Childbirth Education
AssociationICAN – International Cesarean Awareness
NetworkLLLI – La Leche League International
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The Midwives Model of CareThe Midwives Model of Care is based on the fact that pregnancy and
birth are normal life processes. The Midwives Model of Care includes:
Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
Minimizing technological interventions Identifying and referring women who require obstetrical attentionThe application of this woman-centered model of care has been
proven to reduce the incidence of birth injury, trauma, and cesarean section.
http://cfmidwifery.org/mmoc/ Copyright (c)
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National Direct-Entry Midwifery Organizations
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National Direct-Entry Midwifery OrganizationsSeparate organizations with separate BoardsEach supports the work of the other organizations
but they function independentlyWork together on projects like the MAMA campaignThey meet jointly twice a year
at the MANA conference in the fall joint board meeting in April
Each Board has a representative to a “Liaison Group” which meets monthly by telephone
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National Nurse-Midwifery Organizations ACNM is the parent organization; divisions are controlled by the ACNM BOD
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American Midwifery
Certification Board
(AMCB)
AMCBseparatedfrom the ACNMIn 1991
Incorporated in 1955
ACNM1925 Mary Breckenridge developed Frontier Nursing
Service in Kentucky, used public health nurses trained as midwives in England.
1940s National Organization of Public Health Nurses (NOPHN) established a section for nurse-midwives
The American College of Nurse-Midwives incorporated in 1955
Added CMs in 1994Publishes Journal of Midwifery & Women's Healthhttp://www.acnm.org/
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MANAEstablished in 1982Represents all North American midwives Recognizes diversity of educational backgrounds and
practice styles within midwifery.Goal to unify & strengthen the midwifery professionPublishes MANA News quarterlyFor students: [email protected] group for students:
[email protected] memberships approved by the moderator.
Students do not need to be members of MANA to participate in this group.
http://www.mana.org/1346 slides total
For educational programs
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National Recognition of Accrediting Agencies by the U.S. Dept of Education The USDOE recognizes select accrediting agencies as reliable
authorities regarding the quality of education or training offered by the institutions or programs they accredit.
Accreditation by a recognized accrediting agency is required for institutions to participate in federal student aid programs.
Recognized by the USDOE:American College of Nurse-Midwives, Accreditation
Commission for Midwifery Education Midwifery Education Accreditation Council
http://www.ed.gov/admins/finaid/accred/index.html
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Accreditation requirements for midwifery education programs
ACNM Accreditation Commission requirements Be housed in an institution of higher educationBachelors degree is prerequisiteEducation terminates in masters degree or post-
baccalaureate certificate Provide in-hospital clinical educationMoving toward “practice doctorate” for entry levelAll CNM educational programs are accredited47 ACNM accredited nurse-midwifery programs in
U.S.
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Accreditation requirements for midwifery education programsMEAC requirements
Free-standing or within an institution Can accredit preceptor-apprentice dyadMeet MEAC’s 13 StandardsTeach MANA’s core competenciesLicensed by the state DOEProvide out-of-hospital clinical educationMany direct entry schools not accredited10 MEAC accredited schools/programs
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Accreditation requirements for midwifery education programs
ACNM Accreditation Commission requirements
Be housed in an institution of higher education
Bachelors degree is prerequisite
Provide in-hospital clinical education
Moving toward “practice doctorate” for entry level
47 ACNM accredited nurse-midwifery programs in U.S.
MEAC requirementsFree-standing or within an
institution Can accredit preceptor-
apprentice dyadMeet MEAC’s 13 StandardsTeach MANA’s core
competenciesLicensed by the state DOEProvide out-of-hospital
clinical education10 MEAC accredited schools/
programs1846 slides total
For Professional Practice
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US MIDWIFERY CERTIFICATION
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CertifiedProfessional
Midwives Certified Nurse
Midwives
CertifiedMidwives
ACNM CertifiedDirect-entry
midwives
NARM certified
Direct entry midwives certified in the USACPMsCertified through the North
American Registry of Midwives (NARM)
Must meet NARM requirementsEducation or
apprenticeshipNational written examSkills exam for PEP
applicantshttp://www.narm.org/
CMsCertified through the American
Midwifery Certification Board (AMCB)An ACNM branch agency6 years educationMust meet all CNM
requirements except you don’t have to be a nurse
National written examhttp://www.amcbmidwife.org/
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National Commission for Certifying Agencies (NCCA)Created in 1987 by NOCA to ensure health, welfare and safety
of the public through accrediting a variety of certification program/agencies that assess professional competence.
NCCA accredited programs certify individuals in a wide range of professions and occupations
To date, NCCA has accredited over 200 programs from more than 100 organizations.
Accredits the American Midwifery Certification Board and the North American Registry of Midwives
http://www.noca.org/Resources/NCCAAccreditation/tabid/82/Default.aspx
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Midwifery CertificationNARM (North American Registry of Midwives)
CPM – Certified Professional MidwifeAMCB (American Midwifery Certification Board)
CNM – Certified Nurse-MidwifeCM – Certified Midwife
National certification does not entitle a midwife to practice in any state unless that state’s law specifically authorizes it
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Certification requirements
AMCBGraduate an ACNM
accredited midwifery program
Pass the AMCB certification exam
AMCB exam is used to certify CNMs & CMs
NARM: Option 1Graduate a MEAC
accredited midwifery education program
Pass the NARM written certification exam
NARM: Option 2The PEP processPass the NARM written &
skills certification exams
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NARM RequirementsThe student has completed all required clinical
skills for CPM certification under direct supervision of an approved preceptor:
20 births as an active participant20 births as a primary midwife75 prenatal exams, including 20 initial exams20 newborn exams 40 postpartum exams
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NARM RequirementsAt least 10 of the required primary births
have been in out-of-hospital settings, andcontinuity of care has been provided for
at least 3 clients:4 or more prenatal visitsbirth (labor and delivery)newborn exam1 postpartum visit
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NARM RequirementsThe student has successfully performed all of
the skills on the NARM Skills Checklist These skills have been verified by at least two
preceptors approved by the school, and documentation of these skills is kept in the school records
The student has developed practice guidelines, informed consent, and an emergency care plan
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For more CPM informationby web site: http://www.narm.org
click on “How to Become a CPM”click on “Candidate Info Bulletin”print out or download the info you need
by email: [email protected] phone: 888-353-7089by efax: 630-214-8975
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AUTHORIZATION TO PRACTICEMidwives are regulated differently in each jurisdiction (country, province, state)
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Midwifery in the USAIn the United States, a
midwife must be entitled to practice by each individual state
The legal status and requirements for midwives vary from state to state
http://mana.org/laws.html
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Midwifery Laws in FloridaLicensed Midwives
must pass the NARM written exam only
do not need to maintain the CPM credential to be licensed in Florida
are regulated by the Council of Licensed Midwifery
Nurse-midwives must pass the ACNM
certification exammust be certified as
CNMs to become and remain licensed in Florida
are licensed as ARNPs and regulated by the Board of Nursing
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Comparison Certification Licensure
For Florida midwives
North American Registry of Midwives
Council of Licensed Midwifery
Jurisdiction National State
Authority Private Government
Comprised ofPractitioners and
consumers from all over the country
State licensed practitioners and consumers
Process developed by Professionals Legislators and bureaucrats
Authorized by NCCA National Commission for Certifying Agencies State law
Benefits Insurance reimbursement, credentialing, recognition, lower malpractice rates, prestige, required in some states for licensing
Allows you to practice in the state
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State Professional associationsPrivate associationsComprised of professional practitioners
and consumers of that practicePromote and protect the interest of the
professionAdvocate for the profession primarily
through lobbying and legislationEstablish yearly legislative platforms
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State Professional organizations
MAF - Midwives Association of FloridaFNA - Florida Nurses AssociationFOGS - Florida Ob Gyn SocietyFMA - Florida Medical Association Fla ACNM - Florida Chapter of the American
College of Nurse-Midwives FABC - Florida Association of Birth CentersFHA – Florida Hospital AssociationFFOM – Florida Friends of Midwives
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State governmental agenciesDepartment of Health
Regulates health care practitionersInvestigates complaints
Department of EducationRegulates midwifery schools
Agency for Health Care AdministrationRegulates hospitals, birth centersAdministers Medicaid and Medicare
Department of Insurance
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Florida Department of Health Mission Statement
“To promote and protect the health and safety of all people in Florida through the delivery of quality public health services and promotion of health care standards.”
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Florida Department of Health Patient RightsDivision of Medical Quality AssuranceFlorida Patient's Bill of Rights and Responsibilities.FS 381.026 http://www.doh.state.fl.us/mqa/Profiling/
billofrights.htmHIPAA Privacy Practiceshttp://www.doh.state.fl.us/planning_eval/HIPAA/
index.html
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Boards, councils and agencies administratively under the FL DOH Board of
Medical Quality Assurancecomprised of professional practitioners and
consumersLicense, regulate and discipline practitionersPrimary interest is protection of the
consumer NOT protecting the licensee
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FL Department of Health Board of Medical Quality AssuranceMission: To promote, protect and improve the
health of all people in Florida. Vision: A healthier future for the people of
Florida. Purpose: To protect the public through health
care licensure, enforcement, and information.Focus: To be the nation's leader in quality health
care regulation 4046 slides total
FL Department of Health Board of Medical Quality Assurance
Florida Board of MedicineFlorida Board of NursingFlorida Council of Licensed MidwiferyFlorida Board of PharmacistsFlorida Council of Physicians AssistantsAll other health care boards and councils
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Laboratory laws midwives need to knowFederal CLIA information, includes application
(FORM HCFA-116): http://www.hcfa.gov/medicaid/clia/cliahome.htm
List of CLIA approved waived laboratory tests: http://www.hcfa.gov/medicaid/clia/waivetbl.pdf
List of Provider-performed Microscopy Procedures: http://www.hcfa.gov/medicaid/clia/ppmplst.htm
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For more information...Florida Department of Health Council of Licensed Midwifery4052 Bald Cypress Way, Bin # CO-6Tallahassee, FL 32399-3256Karen Eaton, Executive DirectorDonna Garrett, Regulatory Specialist
1-850-245-4587 [email protected] To find out about an individual practitioner licensed
in Florida contact http://www.doh.state.fl.us/To find out information about Florida government
contact http://myflorida.gov
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For more information...To look up laws in Florida go to http://www.leg.state.fl.usTo access rules contact Florida Administrative Code Online
go to http://fac.dos.state.fl.usContact MANA at www.mana.orgContact MEAC at www.meacschools.org Contact NARM at www.narm.org Contact ACNM at www.acnm.orgContact AMCB at http://www.amcbmidwife.org Contact ACOG at www.acog.orgContact AABC at www.birthcenters.org
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Professional Professional OrganizationsOrganizations
in Midwifery in Midwifery
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