Who Does What in Health Care: References and Resources

Nursing World

Information online at American Nurses Association's site, Nursing World

• 1997 Prescriptive Authority Chart
  Available http://www.nursingworld.org/gova/1997dea.htm
  

  Chart showing state by state prescriptive authority of RNs.

• ANA Position Statement Index
  Available http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements.aspx
  

  Numerous position statements on topics related to who does what including unlicensed assistive personnel, RN first assistants , maintaining standards during nursing shortages.

• ANA Response to Pew Commission Report
  Available http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/practice/ResponsetoPewCommissionReport.aspx
  

  "Following is the text of the American Nurses Association's official response to the Pew Taskforce Report on Healthcare Workforce regulation. The ANA's response was submitted on December 5, 1996. That Pew Taskforce report, Reforming Healthcare Workforce Regulation, had been issued by the Pew Taskforce in late 1995. Formal responses were solicited and will serve as the basis for a revised report to be issued in 1997."

• Title Protection for Registered Nurses -- Examples from State Nurse Practice Acts
  Available http://nursingworld.org/MainMenuCategories/ANAPoliticalPower/State/StateLegislativeAgenda/TitleNurse_1.aspx
  

  Title Protection for Registered Nurses -- Examples from State Nurse Practice Acts

Professional Organizations Response to Pew Report

These sites are generated by health care providers

• California Nurses Association -- Response to the Pew Report
  Available http://www.igc.apc.org/cna/np/pew2.htm
  

  California Nurses Association's official response to the third Pew Report.

• Medical Education and Residency Issues: Medical Education and the Future Physician Workforce
  Available http://www.aamc.org/meded/edres/workforc/pewrespo.htm
  

  AAMC Response to Pew Health Professions Commission Report: "Critical Challenges: Revitalizing the Health Professions for the 21st Century"

• Opinion on recommendation by Pew for medical schools closing
  Available http://worldmall.com/msi/secure/lib/wint96.htm
  

  Article on medical schools closing in INSIGHT which is published quarterly by MedicalSearch Institute specifically for the benefit of in-house physician recruiters. Winter 1996

Pew Commission Sites

Direct sites for information on Pew Commission's work

• Center Publications
  Available http://futurehealth.ucsf.edu/pubs.html
  

  Publications available online and by mail from the Center

• Center Task Forces
  Available http://futurehealth.ucsf.edu/taskforces.html
  

  "In the wake of the discussion stimulated by the recent Pew Health Professions Commission reports, Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century and Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century, the Center for the Health Professions has formed several taskforces that are exploring reform efforts and opportunities in specific discipline areas.

• Critical Challenges: Executive Summary
  Available http://futurehealth.ucsf.edu/summaries/challenges.html
  

  Executive summary of third Pew report

• Pew Commission's Third Report
  Available http://futurehealth.ucsf.edu/pdf_files/challenges.pdf
  

  Full text of "Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century". (66 pagesin length)

• The Pew Health Professions Commission
  Available http://futurehealth.ucsf.edu/pewcomm.html
  

  Overview of the Commission

Government sources on who does what

Federal resources

• Job description of RN
  Available gopher://gopher.umsl.edu:70/00/library/govdocs/ ooha/oohb/oohbjobs/oohb0096
  

  U.S. Labor Dept job description for RN (1994-95)

• Job descriptions
  Available gopher://gopher.umsl.edu:70/11/library/govdocs/ ooha/oohb/oohbjobs
  

  Job descriptions provided by U.S. Labor Department (1994-95)

• Nurse Staffing and Quality of Care in Health Care Organizations Research Agenda
  Available http://www.ahcpr.gov:80/news/nursagnd.htm
  

  "Following is a summary of key issues for a research agenda on nurse staffing and quality of care in hospitals. This represents a joint effort by the Agency for Health Care Policy and Research (AHCPR), the Division of Nursing (DN) of the Health Resources and Services Administration (HRSA), and the National Institute of Nursing Research (NINR)."

• President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry
  Available http://www.hcqualitycommission.gov/
  

  Advisory Commission to President Clinton. Has been asked to outline consumer bill of rights.

Foundations/Organizations

Resources on who does what in health care

• National Health Care Skill Standards Project
  Available http://www.wested.org/nhcssp
  

  "The NHCSSP is an innovative collaboration among health, industry, labor and educational organizations to develop skill standards for health care workers. Directed by West Ed (which unites Far West Laboratory for Educational Research and Development and Southwest Regional Laboratory), it is one of 22 pilot projects sponsored by the U. S. Departments of Education and Labor to identify skill standards for different industries.

• Perspectives -- Health Care Puzzle: Why Health Care Patterns Change With the Territory
  Available http://www.rwjf.org/library/hlthpuz1.htm
  

  Health Care Puzzle: Why Health Care Patterns Change With the Territory: A Report From The Robert Wood Johnson Foundation. Robert Wood Johnson Foundation-Health Tracking

Articles

Published articles on topic of who does what

• Arnold S. Relman, Dr. Business, The American Prospect
  Available http://www.prospect.org/archives/34/34relmfs.html
  

  Arnold S. Relman, "Dr. Business,"The American Prospect no. 34 (September-October 1997): 91-95.

• What Nurses Stand For
  Available http://www.theatlantic.com/atlantic/issues/97feb/nurse/nurse.htm
  

  Gordon, S. The Atlantic Monthly; February 1997; What Nurses Stand For; Volume 279, No. 2; pages 81 - 88.

Other sites

Variety of organizations, articles that relate to who does what

• Academic medicine undergoes revolution, by Sanjay Bhatt (05-Dec-95)
  Available http://www.chronicle.duke.edu/chronicle/95/12/05/01AcademicMedicine.html
  

  This is the first installment in a three-part series on major changes in medical education.

• Health care theorist addresses future of medicine, hospitals, by Tim Millington
  Available http://www.chronicle.duke.edu/chronicle/97/09/11/03HealthCare.html
  

  Story in The Chronicle (Duke University) about "Leland Kaiser, a noted health care consultant, author and futurist who spoke ... before a large crowd composed mostly of Medical Center staff. Kaiser's presentation, titled "Nursing and Health in the Next Wave of Planetary Transformation," focused on the so-called "fifth wave" of human civilization and its implications for the health care industry and nursing in particular ((11-Sep-97)

• Ignore the profit margin; industry needs more doctors - Monday, November 20, 1995
  Available http://www.chronicle.duke.edu/chronicle/1995/11/20/07IgnoreThe.html
  

  Article by Edward Benson in Chronicle at Duke University.