Expanding practitioner scopes of practice during public health emergencies: Experiences from the 2009 H1N1 pandemic vaccination efforts

Biosecurity and Bioterrorism

Volumn 8, Issue 3, 2010, Pages 223-231

  Courtney, Brooke ^a   Morhard, Ryan ^b   Bouri, Nidhi ^a   Cicero, Anita ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF LAW   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL PRACTICE; HUMAN; IMMUNOLOGY; INFLUENZA; INFLUENZA VIRUS A H1N1; LEGAL ASPECT; PANDEMIC; PREVENTIVE HEALTH SERVICE; PUBLIC HEALTH SERVICE; REVIEW; UNITED STATES;

HUMANS; IMMUNIZATION PROGRAMS; INFLUENZA A VIRUS, H1N1 SUBTYPE; INFLUENZA, HUMAN; PANDEMICS; PHYSICIAN'S PRACTICE PATTERNS; PUBLIC HEALTH PRACTICE; UNITED STATES;

EID: 77956499726     PISSN: 15387135     EISSN: None     Source Type: Journal    
DOI: 10.1089/bsp.2010.0036     Document Type: Review

References (52)

1. Institute of Medicine. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report. Washington, DC: National Academies Press; 2009.
2. Phillips SJ, Knebel A, eds. Mass Medical Care with Scarce Resources: A Community Planning Guide. Prepared by Health Systems Research, Inc., an Altarum company, under contract No. 290-04-0010. AHRQ Publication No. 07-10001 Rockville, MD: Agency for Healthcare Research and Quality; 2007.
3. Center for Biosecurity of UPMC. The Next Challenge in Healthcare Preparedness: Catastrophic Health Events. Prepared for the U.S. Department of Health and Human Services under Contract No. HHSO100200700038C. Washington, DC: U.S. Department of Health and Human Services; 2010.
4. Federation of State Medical Boards. Assessing Scope of Practice in Health Care Delivery: Critical Questions in Assuring Public Access and Safety. 2005. http://www.fsmb.org/pdf/2005- grpol-scope-of-practice.pdf. Accessed July 27, 2010.
5. National Council of State Boards of Nursing. Changes in Healthcare Professions' Scope of Practice: Legislative Considerations. October 2009. https://www.ncsbn.org/ScopeofPractice. pdf. Accessed July 27, 2010.
6. Johnson CK. Doctor shortage 28 states may expand nurses' role. Associated Press April 13, 2010. http://abcnews.go.com/ Health/wireStory?id=10363562. Accessed July 8, 2010.
7. Md. Code Ann., Educ. §13-516(g) (2010).
8. -225 Ill. Comp. Stat. Ann. 85/3 (2010).
9. 22 Tex. Admin. Code §295.15 (2010).
10. American Pharmacists Association. Pharmacist Immunization Center. States Where Pharmacists Can Immunize. June 2009. http://www.pharmacist.com/AM/ Template.cfm?Section= Pharmacist-Immunization-Center1&TEMPLATE=/CM/ ContentDisplay.cfm&CONTENTID=21623. Accessed June 27, 2010.
11. Foster SL. Role of Pharmacists in Vaccine Administration or Pharmacy Based Immunizations. CDC Advisory Committee on Immunization Practices (ACIP). 2009. http://www.cdc. gov/vaccines/recs/ACIP/downloads/mtg-slides-jun09/14-role. pdf. Accessed July 27, 2010.
12. American Pharmacists Association. Pharmacist Immunization Center. http://www.pharmacist.com/am/Template.cfm? Section=Pharmacist-Immunization- Center1&Template=/ TaggedPage/TaggedPageDisplay.cfm&TPLID=126& ContentID=20733. Accessed June 27, 2010.
13. Hodge JG, Anderson ED. Principles and practice of legal triage during public health emergencies. NYU Annual Survey of American Law 2008;64:249-292.
14. Association of State and Territorial Health Officials. State H1N1 Information: H1N1 Declarations and Policies. http:// www.astho.org/h1n1- emergency.aspx. Accessed June 2, 2010.
15. State of Maryland. Executive Order 01.01.2009.15. Declaration of Emergency: Emergency Medical Services Staffing for Maryland's H1N1 Influenza Vaccination Campaign. November 6, 2009. http://www.governor.maryland. gov/executiveorders/01.01.2009.15.eo.pdf. Accessed June 28, 2010.
16. State of Illinois. Gubernatorial Proclamation. February 5, 2010. http://www.idph.state.il.us/h1n1-flu/H1N1Gubernatorial- Proc-2-5-10.pdf. Accessed June 28, 2010.
17. Illinois Department of Public Health. Proclamation to Modify the Professional Scope of Practice for Emergency Medical Technicians. February 5, 2010. http://www.idph. state.il.us/h1n1-flu/IDPH-EMT-proclamation%20final- 020510.pdf. Accessed June 28, 2010.
18. Indiana Board of Pharmacy. Order of the Indiana Board of Pharmacy. December 14, 2009. http://www.in.gov/pla/files/ IN-H1N1-protocol-age-waiver.pdf. Accessed June 28, 2010.
19. The Commonwealth of Massachusetts. Department of Public Health. Implementation of Emergency Regulations Authorizing Administration of Vaccine by Designated Health Care Professionals and Related Commissioner's Order and Guidelines. September 14, 2009. http://www.mass. gov/Eeohhs2/docs/dph/quality/ healthcare/vaccinators- implementation-letter.pdf. Accessed June 28, 2010.
20. California Emergency Medical Services Authority. Request for Emergency Approval of Local Optional Scope of Practice for Influenza Vaccine Administration. Form EMSA-0391-A. August 26, 2009. http://www.emsa.ca.gov/about/ H1N1/ EMS-Agencies.asp. Accessed June 28, 2010.
21. Ohio Admin. Code 4765:6:03 (2009).
22. State of New York. Executive Order No. 29: Declaring a Disaster Emergency in the State of New York. October 28, 2009. http://www.ny.gov/governor/ executive-orders/exeorders/ eo-29.html. Accessed June 28, 2010.
23. Ga. Code Ann. §43-34-2 (2009), as amended by Georgia House Bill 217. April 28, 2009.
24. California Emergency Medical Services Authority. Justin-Time Paramedic Vaccination Training. September 2009. http://www.emsa.ca.gov/about/files/ H1N1ParamedicVaccine TrainingBWHandouts.pdf. Accessed June 28, 2010.
25. Ohio Department of Public Safety. Emergency Medical Services. Provider Training Module: H1N1 Vaccinations by Ohio EMS Personnel (1st ed). http://ems.ohio.gov/h1n1- info.stm. Accessed June 28, 2010.
26. Louisiana Department of Health and Hospitals, Office of Public Health. Emergency Order and Protocol for the Administration of Influenza Vaccine by Eligible Pharmacists. September 10, 2009. http://www.dhh.louisiana.gov/offices/ publications/pubs-88/ExecutiveOrderPharmacistAdm.pdf.
27. Maryland Department of Health and Mental Hygiene. Expiration of the Governor's H1N1 Executive Order 01.01.2010.01 and the Secretary's January 14, 2010 Order. February 8, 2010. http://www.dhmh.state.md.us/pharmacyboard/ whatsnew/Expiration%20of%20the%20%20Governor!s% 20H1N1%20Executive%20Order%2001. 01.2010..pdf. Accessed June 28, 2010.
28. Md. Code Ann., Health Occ. § 12-508 (2010).
29. State of Maryland. Executive Order 01.01.2009.05. Declaration of Emergency: Influenza Response and Mitigation. May 1, 2009. http://www.governor. maryland.gov/executiveorders/ 01.01.2009.05.pdf. Accessed June 28, 2010.
30. State of Maryland. Executive Order 01.01.2009.19. Declaration of Continuing Emergency: Medical Services Staffing for Maryland's H1N1 Influenza Vaccination Campaign. December 11, 2009. http://mlis.state.md.us/2009RS/misc/ 2009ExecutiveOrders.pdf. Accessed June 28, 2010.
31. State of Maryland. Executive Order 01.01.2010.01. Declaration of Continuing Emergency: Medical Services Staffing for Maryland's H1N1 Influenza Vaccination Campaign. January 8, 2010. http://www.governor.maryland.gov/ executiveorders/ 01.01.2010.01.pdf. Accessed June 28, 2010.
32. Maryland Department of Health and Mental Hygiene. Order of the Maryland Secretary of Health and Mental Hygiene Authorizing Licensed, Certified Pharmacists to Administer the H1N1 Vaccine to Individuals 13 Years Old and Older: Issued Pursuant to Executive Order 01.01.2009.15. December 11, 2009. http://www.dhmh.state.md.us/pharmacyboard/ license/ H1N1%20Secretarys%20Order%20Pharmacists-1. pdf. Accessed June 30, 2010.
33. Office of Governor David A. Paterson. Governor Paterson Issues Executive Order to Assist Local Governments with Statewide H1N1 Vaccination Campaign. October 29, 2009. http://www.ny.gov/governor/printable/press-1029094- printable.html. Accessed July 2, 2010.
34. New York State, Department of Health. Executive Order Number 29: Declaring a Disaster Emergency in the State of New York. Frequently Asked Questions. November 2009. http://www.health.state.ny.us/diseases/communicable/ influenza/h1n1/frequently-asked-questions/executive- order-29.htm. Accessed July 2, 2010.
35. D.C. Mun. Regs. Tit. 17 § 6512 (2009).
36. State of Illinois. Department of Financial and Professional Regulation. Proclamation to Invoke Emergency Powers to Modify Professional License and Certification Statutes and Regulations to Provide for Medical Assessment, Screening, and Treatment, and Any Other Disaster Relief. February 5, 2010. http://www.idph.state.il.us/h1n1-flu/IDFPR- pharmacist-020510.pdf. Accessed June 18, 2010.
37. Me. Rev. Stat. Ann. tit. 32 §13702-A (2010).
38. American Society of Health-System Pharmacists. With Maine on Board, Pharmacists in All 50 States Can Vaccinate. November 1, 2009. http://www.ashp.org/import/news/ HealthSystemPharmacyNews/newsarticle.aspx?id= 3199. Accessed July 9, 2010.
39. Minn. Stat. §144.4197 (2010).
40. North Carolina Board of Nursing. Delegation of Immunization Administration to UAP in Defined Immunization Campaigns: Position Statement for RN and LPN Practice. September 2009. http://www.immunizenc.com/ PDFs/H1N1-delgationtoUAP.pdf. Accessed July 3, 2010.
41. State of Ohio. Emergency Proclamation Regarding the H1N1 Vaccine. October 7, 2009. http://www.law.asu.edu/ files/Centers-and-Programs/Public-Health-Law- Program/ Projects/OH%20Emergency%20Proclamation%20-% 20H1N1%20100709.pdf.
42. Tex. Occ. Code Ann. § 554.052(c-1) (2010), as amended by Texas House Bill 1409. September 1, 2009.
43. Washington State Department of Health, Office of Emergency Medical Services and Trauma System. Emergency Vaccination Information for EMS Personnel & Medical Program Directors. September 16, 2009 (in addition, ''[o]ther health care providers, such as Dentists and Podiatrists . . . could administer vaccines if they are acting under a local or state declaration of emergency under RCW 38.52. All four conditions listed . . . for EMS personnel must be in place.''). http://www.doh.wa.gov/hsqa/emstrauma/emrgvaccination. htm. Accessed July 11, 2010.
44. State of Ohio. Proclamation of Emergency. April 28, 2009. http://www2a.cdc.gov/phlp/docs/H1N1%20Influenza% 20SNS%20042809.pdf. Accessed June 28, 2010.
45. Cunningham C. Panelist, H1N1 Vaccination Campaigns: Integrated Communication, Distribution, and Administration Strategies. Institute of Medicine Regional Workshop Series. Raleigh, NC. April 15, 2010.
46. See, e.g., National Conference of Commissioners on Uniform State Laws. Uniform Emergency Volunteer Health Practitioners Act. November 1, 2007. http://www.uevhpa. org/DesktopDefault.aspx?tabindex=1&tabid=69. Accessed July 3, 2010.
47. Sorrel AL. Organized medicine pushes back on expansions of scope of practice. Am Med News January 18, 2010. http:// www.ama-assn.org/amednews/2010/ 01/18/prl20118.htm. Accessed July 27, 2010.
48. Perlino CM. The Public Health Workforce Shortage: Left Unchecked, Will We Be Protected? American Public Health Association. September 2006. http://www.apha.org/NR/ rdonlyres/8B9EBDF5-8BE8-482D-A779-7F637456A7C3/ 0/workforcebrief.pdf. Accessed July 27, 2010.
49. National Association of County and City Health Officials. Local Health Department Job Losses and Program Cuts: Overview of Survey Findings from January/February 2010 Survey. May 2010. http://www.naccho.org/topics/ infrastructure/ lhdbudget/upload/Job-Losses-and-Program-Cuts-5-10.pdf. Accessed July 27, 2010.
50. ''In Los Angeles County, public health nurses who normally staff a [screening] clinic . . . for tuberculosis, treat teens for sexually transmitted diseases, and vaccinate children against illnesses, were pulled off those duties to help staff H1N1 vaccination clinics.'' Trust for America's Health. Shortchanging America's Health: A State-by-State Look at How Public Health Dollars Are Spent and Key State Health Facts. March 2010. http:// healthyamericans.org/assets/files/ TFAH2010Shortchanging05.pdf. Accessed July 27, 2010.
51. Trust for America's Health, Infectious Diseases Society of America, Robert Wood Johnson Foundation. Adult Immunization: Shots to Save Lives. February 2010. http:// healthyamericans.org/report/73/adult-immunization-2010. Accessed July 27, 2010.
52. Schmitt K, Shimberg B. Demystifying Occupational and Professional Regulation: Answers to Questions You May Have Been Afraid to Ask. Council on Licensure, Enforcement and Regulation. 1996, cited in National Council of State Boards of Nursing. Changes in Healthcare Professions' Scope of Practice: Legislative Considerations. October 2009. https://www.ncsbn.org/ScopeofPractice. pdf. Accessed July 27, 2010.