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Rural Health
Resources by Topic: Scope of practice

COVID-19 State Emergency Response: Temporarily Suspended and Waived Practice Agreement Requirements
Provides information about temporary changes to regulations related to nurse practitioners' scope of practice, supervision, and protocol requirements in all 50 states, Washington D.C., and the Atlantic Territories. Features an interactive map showing full practice states, those that have waived or suspended some or all practice agreement requirements, and those that have taken no action.
Date: 09/2021
Type: Website
Sponsoring organization: American Association of Nurse Practitioners
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COVID-19 Workforce Virtual Toolkit: Resources for Healthcare Decision-Makers Responding to COVID-19 Workforce Concerns
Resources and tools to help address healthcare workforce challenges related to the COVID-19 emergency. Addresses training, licensure, scope of practice, liability protection, workforce protection, and more.
Date: 09/2021
Type: Website
Sponsoring organization: Office of the Assistant Secretary for Preparedness and Response
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The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 09/2021
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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State Responses to Address Workforce Needs in the Initial Wave of the Pandemic
Summarizes early findings from a study examining approaches to ensuring adequate workforce capacity and strategies to expand access to needed healthcare services. Uses information from 32 interviews conducted during the first 6 months of the COVID-19 pandemic, with stakeholders from 23 states. Includes sections on regulatory flexibility, scope of practice, licensing of out-of-state providers, acute and ambulatory care services, effects on health professions education, and use of telehealth services.
Author(s): David Armstrong, Jean Moore, Dustin Moore, et al.
Date: 03/2021
Type: Document
Sponsoring organizations: Fitzhugh Mullan Institute for Health Workforce Equity, Health Workforce Technical Assistance Center
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Emergency Medical Services Personnel as Vaccinators: Status by State
Information from all states, the District of Columbia, Guam, and American Samoa, showing scope of practice by level of licensure for paramedics, advanced-emergency medical technicians, emergency medical technicians, emergency medical responders, and other intermediate levels. Features maps with shadings showing whether vaccination administration is always allowed, currently or temporarily allowed, never allowed, or under consideration for administrative or executive action. Information is current as of March 4, 2021.
Date: 03/2021
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Temporary Policy Changes for Certain Foreign Medical Graduates During the COVID-19 National Emergency
Policy memorandum offering guidance to U.S. Citizenship and Immigration Services officers in regard to H-1B foreign medical graduates who received a waiver of the 2-year foreign residence requirement through practicing medicine in response to the COVID-19 public health emergency. Provides information on assessment of full-time work requirements for these physicians during the pandemic, and outlines circumstances in which they are allowed to offer telehealth services.
Date: 05/2020
Type: Document
Sponsoring organization: U.S. Department of Homeland Security
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The Respiratory Therapist Workforce in the U.S.: Supply, Distribution, Education Pathways, and State Responses to Emergency Surges in Demand
An overview of the respiratory therapist workforce across the U.S. including their practice scope and settings, supply and distribution, education and credentialing, and work force capacity with an additional focus on the emergency related concerns of COVID-19.
Author(s): Susan M Skillman, Bianca K Frogner, Arati Dahal, Benjamin A Stubbs, Grace Guenther
Date: 04/2020
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, University of Washington
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The Behavioral Health Workforce in Rural America: Developing a National Recruitment Strategy
Describes successful strategies to recruit and retain behavioral health workers in rural areas, based on phone interviews with state-level experts in rural health and behavioral health. Explores financial incentives, education and training programs, telehealth, licensure or scope of practice changes, innovative state approaches, and policy considerations.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organization: Center for Health and Research Transformation
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Type: Document
Sponsoring organization: Clinical Advisor
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