MRT
T Work
k Group Meeting Summa
ary
Work Grroup Name:
Workforce Flexibility / Change of Scope
S
of Pra
actice Work Group
G
Meeting Date, Time
e, Location:
Novembe
er 7, 2011; 10
0:00 a.m. – 3:00
3
p.m.; NY
YS Departme
ent of Health,, 90 Church St.,
S Conferen
nce
th
Room A/B
B, 4 Floor, NY,
N NY 1000
07
Members Participatting or Reprresented:
Co-chair: William Ebe
enstein, PhD;; Co-chair: George
G
Gresh
ham; Lauren Johnston; Pe
eggy Powell;;
Malley; Robe
ert Hughes, MD,
M FACS; Jean Moore, BSN, MSN; Thomas
T
Currran, DDS;
Bryan O'M
Deborah King; Joy Elw
well, DNP, FNP; Mary Elllen Yankoskyy, RDH, BS; Kathryn Hasslanger, JD,
B Stackhous
se PhD; Deborah Elliott, MBA,
M
RN; Do
ouglas Wissm
mann; Moira Dolan; Fred
MCRP; Bill
Heigel; Audrey
A
Weine
er, DSW, MPH; Valerie Grey represen
nted by Doug
glas Lentivech; Tim Johnsson;
Stephen Knight; Jean
n Heady; Davvid I. Jackson
n, MPAS, RP
PA-C;
Participa
ating MRT Member:
M
Asssemblyman Richard Gotttfried
Members Not Atten
nding or Rep
presented:
Penny B. Abulencia, RN,
R MSN; Ka
aren Colema
an; Bruce McIver; Kathlee
en Preston
Summarry of Key Me
eeting Conttent
The State
e Education Department
D
p
provided
an overview
o
of the
t organizattion's disciplined approacch to
considera
ation of propo
osed change
es in the scop
pe of practice
e for health professions.
p
T avoidancce of
The
unintende
ed conseque
ences was hig
ghlighted as a significant area of agen
ncy concern. SED alwayss
welcomess input from stakeholderss and is comm
mitted to add
dressing issues related to
o professiona
al
services, including tho
ose that mayy impact workkforce flexibillity, in an ope
en and collab
borative manner.
ussed change
es in a propo
osal for a proccess and stru
ucture to devvelop objectivve
The workk group discu
evidence regarding ch
hanges in he
ealth care workforce policies related to
o workforce flexibility
f
and
p
As an
a advisory committee
c
to the State Ed
ducation Dep
partment’s Offfice
changes in scope of practice.
ofessions, the
e proposed entity
e
would provide
p
(1) policy analysiss and researrch, (2) an
of the Pro
impartial assessment of the impaccts of policy changes
c
on cost,
c
quality, access, and patient safety,
me-limited de
emonstration
n programs to
o test new ide
eas. Using a collaborative
e,
and (3) a venue for tim
ensive, and systematic
s
prrocess, inputt would be so
olicited from a broad rang
ge of
comprehe
stakehold
ders. This prroposal carrie
es special sig
gnificance to the work gro
oup because the entity be
eing
proposed
d would be a mechanism
o
o
o
to
o assess the results of reccommendatio
ons which arre advanced to the full MR
RT and
su
ubsequently implemented
d,
to
o study propo
osals not advvanced to the
e full MRT at this time, bu
ut recommend
ded by the work
w
group for cons
sideration ovver the long te
erm, and
o study new proposals
p
submitted in the future.
to
posal would satisfy
s
the MRT’s call for a multi-year strategy from
m this work group.
g
After
The prop
considera
able deliberation, the auth
hor agreed to
o incorporate
e input from work
w
group members
m
and
d to
redistribu
ute the revise
ed proposal. Members
M
will vote via em
mail by Monda
ay November 14 on whetther
to advancce the revised proposal as
a a recomme
endation to th
he full MRT.
Chairs review
wed the resultts of the preliminary priorrity scoring process comp
pleted by worrk
The Co-C
group me
embers for th
he full set of 17
1 proposals under consideration. Me
embers score
ed each proposal
on its pottential to achieve cost savvings for the Medicaid Pro
ogram, to improve efficiency in health
h care
services, to improve quality
q
of care
e, and to havve a positive overall impa
act on Medica
aid. Revisions to
w
presente
ed to the worrk group. In response to member input, several
individuall proposals were
proposalss were referred back to th
heir author fo
or revision. Considerable
C
f
on the
discussion followed
number of
o proposals to
t be advancced to the MR
RT and how they
t
would be
b selected. The
T workgrou
up
voted to advance
a
the 12 highest scoring propo
osals in the preliminary prrioritization exxercise. If the
e
proposal for the advis
sory committe
ee to the State Education
n Departmentt is approved
d by a
a
to the MRT. Proposals not being
b
advancced to the MRT
supermajjority vote, it will also be advanced
at this tim
me will be sub
bmitted to the
e SED adviso
ory committe
ee as priority items for ana
alysis and
considera
ation over a longer term. Additionally,, work group members ad
dvanced two long term
proposalss relative to a recommend
dation that th
he Department of Health study
s
(1) the Community
Health Worker/care
W
management
m
field and ma
ake specific re
ecommendattions for implementation in
Fall of 20
012 regarding
g training, certification, an
nd career patthways for co
ommunity health workers and
related tittles; and (2) the
t training and
a roles of other
o
direct care
c
workers across long term care
settings.
Next ste
eps
DOH stafff will develop
p MRT Final Recommend
dations Form
ms for each prroposal being
g advanced and
a
distribute them to all work
w
group members.
m
DO
OH staff will also
a
prepare a draft of the
e final report the
ng the specifiications provvided. The Co
o-Chairs will advance the
e work group’’s final reportt to
MRT usin
the MRT for their cons
sideration on
n November 15. Any que
estions or cha
anges requessted by the MRT
M
ocessed ove
er the followin
ng two weekss. After review and comm
ment by the full
f MRT
will be pro
membersship, final mo
odifications will
w be made as
a appropriatte and the sla
ate of recommendations will
w
be advan
nced to the fu
ull MRT for a vote at the December
D
13
3, 2011 meetting.
MRT Workk Group Meetin
ng Summary paage 2