1	New Innovative Health Professions and Programs Marcia K. Brand, Ph.D. Associate Administrator for Health Professions U.S. Department of Health and Human Services Health Resources and Services Administration
2	This Session Looking at the workforce Do we have the right kinds of providers – or do we need new ones? How would you go about creating new ones? How would you integrate them?
3	Typical Evolution of a Health Profession Leadership by local champion/talented local folks Drive by patient need/emerging new technology New provider trained in preceptor-style Formal educational program developed National provider organization Program accreditation and other training standards set Licensure, certification or registration - State National exams
4	Evolution of a Health Profession (cont.) Reimbursement Degree creep for providers and faculty
5	Emerging Health Professions Health professions evolve Do any ever go away or merge? Diagnostic imagers Do we ever take some aspects of one discipline’s scope of practice and combine it with another discipline to create a provider that meets a specific need? Driving factors: cost, safety, efficacy, opportunity
6	Emerging Health Professions What factors would drive such changes? How do these providers become part of the mainstream?
7	AT&T Works in More Places China, London, Moscow – Chilondoscow! New York, San Francisco, and North Dakota - New Sanfrankota!
8	Health Providers That Work in More Places Small hospital – Physician assistant, pharmacist Physapharmacist! Quick clinic Medical laboratory assistant, diagnostic imager – Medlabagnostiger! Health and wellness center Exercise physiologist and dietitian Exerphysiditian!
9	Important earlier work raises relevant questions and sets a framework Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 2001
10	Questions About Emerging Health Professions Definition Safety and efficacy Government and private sector recognition Education and training Proactive practice model and viability of profession
11	Questions About Emerging Health Professions* Definition What does the profession do and how does it provide care? Are there differences of opinion about what it is? How long has it been in existence? How is it different from or similar to other professions? Is it growing? *Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 2001
12	Questions About Emerging Health Professions* Safety and efficacy How does the profession measure the safety and efficacy of the services it providers? What do the studies say? Does the profession have a research agenda? *Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 200l
13	Questions About Emerging Health Professions* Government and private sector recognition Is the profession regulated in any State through licensure, certification or regulation? How do the rest of the States treat the profession? Can members receive payment or reimbursement for services provided from Medicare or Medicaid? Are jobs available? *Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 200l
14	Questions About Emerging Health Professions* Education and training Are education, clinical training or apprenticeships available? Are the educational opportunities standardized? Are there standardized tests? Is there continued education? *Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 200l
15	Questions About Emerging Health Professions* Proactive practice model and viability of profession Are there practice guidelines and treatment protocols? What has patient acceptance been? What professional and trade groups are working for this profession? **Dower C, O’Neil E, Hough H. Profiling the Professions: A Model for Evaluating Emerging Health Professions. San Francisco, CA: Center for the Health Professions, University of California, San Francisco. September 2001
16	Current Efforts to Create New Providers Oral health leading the way? Advanced dental hygiene practitioners Community-based dental …. Dental health aide Patient navigator
17	Contact Information Marcia K. Brand, Ph.D. Associate Administrator Bureau of Health Professions mbrand@hrsa.gov 301-443-5794