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Telehealth: A Challenge to the Regulation of Multistate Practice

Nursing Informatics (NI)

There is a need for more effective regulation of multistate nursing practice. Problems associated with multistate practice are complex, but need to be solved to effectively use current and future telehealth technologies that can increase delivery of quality care to vulnerable and underserved populations. The incidence of telehealth encounters has increased, but barriers prevent more common use. Current nursing licensure is a barrier to using telehealth. The National Council of State Boards of Nursing has studied this problem and has proposed mutual recognition as a model for multistate practice. Reactions to the proposal have been mixed, but in spite of continued discussion about the merits of mutual recognition, the compact has now been passed in six states and is awaiting governors’ signatures in two additional states. Nursing needs to move forward, collaborating to implement mutual recognition so that it protects public safety and welfare and reduces barriers to telehealth practice.

Policy, Politics, & Nursing Practice, Vol. 1, No. 2, 85-92 (2000)
DOI: 10.1177/152715440000100202


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