Federal Agencies and Defining CNM Practice
Fed Agencies and CNM Practice
Federal agencies such as Health and Human Services and the Centers for Disease Control and Prevention have played a role in defining certified nurse-midwifery practice, especially in the context of research, training programs and clinical care sites.
What Are Clinical Practice Guidelines In Maternity Care?
Clinical Practice Guidelines
Clinical Practice Guidelines are recommendations for clinicians regarding the care of patients with specific conditions and ailments.
Federal Agencies and CNM Legal Practice
Federal agencies such as Health and Human Services and the Centers for Disease Control and Prevention have played a role in defining certified nurse-midwifery practice, especially in the context of research, training programs and clinical care sites. Federal agencies have also been known to publish treatment guidelines, which may define or limit how a CNM/CM will practice. 1 In similar fashion, programs such as Medicare and Medicaid establish guidelines for practice related to their reimbursement of clinicians and health care entities. Through the Health Care and Financing Act (HCFA), limits can be placed on the type and amount of care offered in a given care setting. *
Defining Clinical Practice Guidelines
Clinical Practice Guidelines are recommendations for clinicians caring for patients with specific conditions or ailments. The Institute of Medicine defines clinical practice guidelines (CPGs) as “statements that include recommendations, intended to optimize patient care, that are informed by a systemic review of evidence and an assessment of the benefits and harms of alternative care options”.1
Diversified Midwifery Practice in the United States
As defined by the American College of Nurse-Midwives (ACNM), midwifery as practiced by CNMs and Certified Midwives (CMs) encompasses a full range of primary health care services for women from adolescence to menopause.