Carey McCarthy, RN, MPH, PhD

U.S. Centers for Disease Control and Prevention (CDC)

ARC Summative Congress

Johannesburg, South Africa

June 20 2012

EVALUATING THE IMPACT OF ARC: The Regulatory Function Framework

Center for Global Health

Division of Global HIV/AIDS

Why Measure the Impact of ARC?

Raise awareness of the importance of support for

regulation strengthening

Current regulations

Priorities for improving

Generate evidence around the benefits of investing in

regulation

Show the progression of your project activities

Increase support for strengthening regulation

Evidence necessary to justify continuing support

Incremental Phases of Advancement

5 Incremental Phases of Regulations

Regulation meets global guidelines or

regional standards

Focus on continually

making small improvemnts

to regulations

Collection of data to inform

improvements

Phase 5

Regulation standardized

across the country

Tracking compliance

with the regulation

Improving the quality

Phase 4

Regulation established

and implemented

Focus on improving

the standardizati

on

Beginning to track

compliance

Phase 3

Regulation is being

developed

or

Regulation is in pilot

phases or early phases

of implementati

on

Phase 2

Regulation not yet in place yet.

or

Regulation is in planning

phases

Phase 1

5 Incremental Phases of CPD

Multiple models of

web-based CPD

available

CPD content

aligns with regional

standards or global

guidelines

Compliance with CPD is

over 75%

Phase 5

CPD content is

accredited

Various levels of

compliance with CPD

Electronic tracking of

CPD is in place

Phase 4

CPD program is

implemented across the

country

CPD is mandatory

for re-licensure

Tracking system not

yet fully electronic

Phase 3

National CPD

framework has been

developed

or

In pilot phases or

early phases (not

full implementa

tion)

Phase 2

CPD program in

planning phases.

Ministerial policy may be in place

Phase 1

5 Incremental Phases of Revising Acts

Act promulgated and gazetted

Implementation in practice

settings

Compliance and impact

monitored

Phase 5

Draft referred to legislative

body for induction

and passage

Phase 4

MoH fully engages, supports, advances,

and represents

updated draft of

policy/act

Phase 3

Updated draft of

policy/act approved by stakeholders

MoH approval for

reform agenda

Phase 2

Consensus around

agenda for change

Planning law reform to

give effect to updated

policy

Phase 1

5 Phases of Registration & Data Collection

Online registration

and renewal available.

Database linked with

MoH workforce

systems

Data is used to drive

policy and planning

Phase 5

Registration system is

electronic database

Database used for specific

queries and analysis (i.e.

nurses vacancy rate by province)

Phase 4

Registration system

primarily electronic (software)

Data regularly

updated and generates

routine workforce

reports

Phase 3

Renewal of registration

required

Both paper & electronic

(Excel) systems

Data can answer basic

queries on individual

nurses

Phase 2

Registration with council

is required to practice

Paper registration

system

Phase 1

Regulatory Functions

Registration

Licensure

Continuing Professional

Development

Accreditation

Scopes of Practice

Professional Conduct

and Discipline

Revising Legislation

CPD Regulation by Lesotho in ARC Year 1

LESOTHO PHASE 1 PHASE 2 PHASE 3 PHASE 4 PHASE 5

CPD

Ministerial

policy for

CPD in

place.

National

CPD

framework

for nurses

and

midwives

in planning

phases

National CPD

framework

developed.

Implmentatn

of CPD

program in

pilot or early

phases.

CPD not

required for

re-licensure.

CPD

program in

place across

the country.

CPD is

required for

re-licensure.

Tracking

system not

yet fully

electronic

CPD content

is

accredited.

Electronic

tracking of

CPD in

place.

Various

levels of

compliance

status exist.

Multiple

models of

web-based

CPD

available.

CPD content

aligns with

regional

standards or

global

guidelines.

Revising Nursing & Midwifery Act by Seychelles in ARC Year 1

SEYCHELLES PHASE 1 PHASE 2 PHASE 3 PHASE 4 PHASE 5

Revising Nursing

and Midwifery

Law

Consensus among key stakeholder

s around agenda or issue to be changed. Planning

law reform to give

effect to updated policy.

Updated draft of

policy/act has been approved

by stakeholder

s. MoH

approval for reform

agenda.

MoH fully engages, supports, advances

and represents

updated draft of

policy/act.

Draft referred

to legislative body for induction

and passage.

Act promulgated

and gazetted.

Implementn in nursing

and midwifery practice

environments.

Compliance and impact monitored.

Guidance on Filling out the RFF

Put your country name in the upper left corner

Go across one regulation at a time

Start from left to right reading the description of the

phase in the boxes

If the characteristics in the box accurately describe your

regulation, move to the next box

Tick marks and x’s

Once the characteristics in the box DO NOT describe

your regulation, place a circle around the previous box.

Purpose of the RFF

Show the outcomes of your work in strengthening

regulation

Demonstrate the impact of the ARC approach to

supporting regulation

Describe current regulation in the region

Highlight the regulation priorities in the region

Build the evidence base around support for regulation

and workforce strengthening

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333

Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348

E-mail: cdcinfo@cdc.gov Web: www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official

position of the Centers for Disease Control and Prevention.

Thank You

Center for Global Health

Division of Global HIV/AIDS