How Data and Evidence Can (and Should!) Inform Scope of Practice

Product type: presentation to the North Carolina Institute of Medicine Health Policy Fellows on December 9th, 2019

Author: Erin Fraher, PhD, MPP, Julie Spero, MSPH, Shikira THomas, MSPH, Evan Galloway, MPS, Heather Wilson, BA


  • Scope of practice (SOP) battles are emerging with increased frequency
  • Health professional regulation is state function result is significant variation between states
  • Strong stakeholder groups are involved in SOP battles, often focused on professional self interest, not patients’ interests
  • Lack of evidence about SOP changes makes evaluation difficult
  • Health care is changing quickly, regulation needs to adapt
  • The way forward for North Carolina is more evidence based SOP and regulation

Read the full presentation here.