Private credentialing organisations lead the way

Matthew Syed wrote about the importance of due process and how it becomes an unpopular message when there are fragments of the whole which has been set up with the intention and purpose to do good and be good for the people.  Take the government for instance.  The Fourth Amendment was written to protect our privacy and was the bedrock for the HIPPA Health Insurance Privacy and Portability Act.  Yesterday I read that it was reported that Medical and Psychological data had been gathered by the IRS which included all of the State Judges.  We have to keep testing the limits of what is happening to our rights.  Rep. Tony Shipley (R-TN) has new bills regarding scope of practice for advanced practice nurses in the works and is obviously keeping abreast of the gaps between the level of preparedness and scope of practice which each state determines through legislative process which involves lobbying on behalf of stakeholders.  The system is complex and as Glenn Greenwald's writes "In complex systems, order mergers from the bottom up, from the collective actions of individual agents."  It is important for nurses to make know to State Representatives if an issue has arisen that has affected you ability to work.  Encourage then to contact Rep. Tony Shipley and raise their awareness of the issues.
The State Board if Nursing, Tennessee, were confronted by Rep. Shipley for disregarding state law.   You can see his response on YouTube.  By the way as soon as I had finished writing about the reasons for people being reported I could no longer complete the blog or post to Facebook which said I needed a new password and yahoo said that I could not access my account at this time.  Interesting!
Professor Shirley Svorny, chair of the Department of Economics at the University of California writes about the negative impact on health  care with state licensing as it stands and recommends that credentialing organisations which people with licensing belong assume dual responsibility with private employers who have closer proximity to the environment where the person concerned works and can do some early detection and reevaluation as has been adopted by the NCCA National Clinical Assessment authority and written about by Dr. Ash Samanta in the Journal of the Medical Profession.
Using the advise and guidelines given by the Lordships of the Privy Council on using primary measures such as screening and human resources before making legal charges saves clinicians from . The Lordships said "...proceeding when dealing with doctors who lapsed from professional standards, but this should not be carried to the extent of feeling it necessary to sacrifice the career of an otherwise competent and useful doctor, who presents no danger to the public, in order to satisfy demand for blame and punishment."  Sir Philip Otton asked that the state impose the Roa rest to determine whether to bring an issue into the legal realm.  Rao was accused of not responding to an out of hours phone call.  The state assessor made a statement of determination that the doctor should loose his license but this was done behind closed doors.  Then the state added two extra parts to their case stating that the doctor had a problem with alcohol and didn't have a good character. The Judge responded by dismissing the case because you cannot smear a persons character as an aside to the charges.  The Lordships concluded in cases of lesser gravity that there should be a reprimand or caution.
As mentioned with fairly recent case involving the State Board of Nursing.  "All lapses weaken an institute that is vital to our future respect for due process.  We tamper with it at our peril."  - Matthew Syed, The Times, December 23rd 2013.
Professor Shirley Svorny quotes Milton Friedman and Rueben Kessel who "argued that state licensing laws unnecessarily restrict the supply of medical care."   Furthermore, "State boards rely on private organisations for credentialing, thus it is legitimate to ask what value does licensing add?"
Professor Svorny continues "If the state licensing were eliminated tomorrow, concerns would continue to be protected by this sophisticated network of well known organisations that accredit healthcare facilities and credential medical professionals."
For example Cedars Sinai Hospital was awarded Nursing Excellence by the American Nursing Credentialing Centre.