We consider the possibility that a lockdown is decreed for a subset of municipalities. Regarding the former, there are many estimates around the globe [47, 48], and a handful for Chile. However, many workers do work in a municipality other than their residences, which means that output will be lost not only in the municipality under lockdown, but also elsewhere. https://doi.org/10.1371/journal.pone.0252938, Editor: Siew Ann Cheong, You can see a map of the states, including NLC states, at https://www.ncsbn.org/nurse-licensure-compact.htm. A general finding in the literature is that the poorer the country, the lower the fraction of workers that can work from home. Video - What jurisprudence requirements must be met to get a compact privilege. And if you're an employer, the NLC enables you to quickly hire qualified nurses and grow your staff. You must complete the jurisprudence requirements of each state you want to get a compact privilege in to be eligible. A single state license only authorizes the nurse to practice in the state that issued the license. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For individuals issued a single state license in Louisiana, single-state license means a license issued by the Louisiana State Board of Nursing to practice as a registered nurse (RN) within the state of Louisiana and which does not include a multistate licensure privilege to practice in any other state. To answer this question, we compare the simulated trajectory of cumulative cases under the actual policy (scenario S0, or actual) with two extreme simulations: one without any lockdown (scenario S1, no lockdowns), and another that resembles scenario S0 until March 26, but considers a full lockdown since March 27 (scenario S2, full lockdown). Make sure to select the Department of Health/Division of Medical Quality Assurance, the selection Board of Nursing is not for the Department of Health licensing purposes. Click through the PLOS taxonomy to find articles in your field. Our interest lies in three variables: health status of the population, total output loss, and a measure of material welfare. The NLC pertains to RN and LPN licenses only. This memo informs employers about the requirements of the Nurse Licensure Compact: https://www.ncsbn.org/Legalmemotoemployers2018.pdf. The combination of these variables produces four types of worker: Type-I workers will have to leave home even under a stringent lockdown. Contributed equally to this work with: A multi-state Compact license will be issued to new applicants who qualify. Multistate Licensure - Ohio Board of Nursing The fee for this application is $25.00, payable to the Indiana Professional Licensing Agency, in accordance with IC 25-23-1-11(d)(2) and IC 25-3-1-12(d)(2). Section 4 presents the main results. Our own estimates, based on an ad-hoc classification from employment survey data, is that in the SMR the figure is 33 percent. The total number of agents is then 540,445. This effect has been noted previously; for instance, [52] estimate the lockdown effect in Tokyo to be twice as large in the rest of the country as in Tokyo itself. Still, the estimations for other regions or countries are not conclusive. See the headings below for further details and information. Hence, the question is what would have happened if, instead of locking down only seven municipalities and beginning a selective space-based lockdown, the government would have locked down all municipalities. Upgrading/converting a single state license into a multistate/compact license. As of July 2022, 39 states are part of the eNLC. Applicants seeking a multi-state (compact) license, declaring MS as the primary state of residency seeking a temporary permit must submit proof of residency. The multistate license does not provide nurses with the privilege to practice in any non-compact state. Estimates of the fraction of essential workers are subject to the differing definitions of essentiality, besides the structural differences in economic activity among countries. This measure assumes that people do not have savings; for the wide majority of the Chilean population, the lack of savings is a natural assumption, as the income may be subsistence level only with nothing for saving. You will also have to keep up-to-date with a non-compact states requirements for licensure in addition to those required by your compact license. However, the nurse may still use their previous license to practice until their new license is granted. You must meet all of the uniform license requirements to be able to qualify for this conversion. If you have not had your fingerprints done and sent to the Board in the last 60 days, you must submit fingerprints as required by the NLC statute. here. We apply our methodology to the Santiago Metropolitan Region, Chile. The characteristic population size for villages is set to n0 = 157,950, corresponding to the largest number of people present simultaneously in any rural municipality. Removing barriers to cross-border practice, the Nurse Licensure Compact (NLC) is an interstate agreement allowing a nurse to have one license and the privilege to practice in other compact states. If you are a nurse practicing in Louisiana under the privilege of a different party state license, you are not required to pay any fees or complete continuing education requirements for the State of Louisiana. It is the nurses responsibility to comply with those requirements to ensure license renewal. Fig 3a depicts the composition of the set of employed workers by municipality, split in the four types defined in Section 2. We compute eigenvector centrality (defined as the eigenvector associated to the largest eigenvalue of the weighted adjacency matrix of the graph) as implied by the commuting origin-destination matrix obtained from ENE. A New Licensure Experience for Health Care Practitioners June 22, 2023 e-Licensing demonstrates the commitment of the Department to expedite licensure and verification processes. STEP 1: COMPACT ELIGIBILITY REQUIREMENTS All of the following must be in place before you can apply: *You must hold a full, unrestricted medical license in a compact-member state that is available to serve as your State of Principal Licensure. Visualization, namely, the number of workers that reside at j and go to work at k in day t. M0 reflects the initial situation, without any lockdown; different lockdown policies would produce different OD matrices each day, {Mt}, where Mt M0, as is clear from Eq 2. The Board of Nursing will accept background history reports completed by LSBN within the previous 60 days of applying for the conversion. If you are a nurse practicing in Louisiana under a single state license, you are required to renew your license to retain an active license, pay any renewal fees, and complete continuing education requirements for the State of Louisiana. At the beginning of the sixth day, sick patients are sorted between detected (with probability g) and not detected, and between isolated (with probability l) and not isolated. For answers to other questions about the PT Compact visit Resources and Tools. where Fig 1 illustrates the percentage of municipalities and the percentage of inhabitants under lockdown during the first five months of the epidemic, which is our estimation window; S5 Table in S1 File lists the implemented measures. For simplicity, Eq 6 considers negligible the probability of an individual getting infected twice or three times during the day. Nurse Licensure Compact - Louisiana State Board of Nursing Promoting Excellence in Health Care Regulation. Fig 3c depicts the fraction of total SMRs output for which each municipality is responsible (in green, dark and light); the output loss of each municipality if it is put under lockdown (in light green); the output of all other municipalities (in orange, light and dark); and the output of all other municipalities that would be lost if municipality j is put under lockdown (in light orange). Once the NCLEX is passed, a multi-state license will be issued to the nurse. Considering that Santiago has a disproportionate fraction of white-collar jobs, these estimates appear to be accurate. The red line is Googles labor-related mobility index, namely, the change in duration of stay in workplace with respect to same weekday of a reference week. Moreover, the very definition of what constitutes an essential activity could be made contingent on time and space, depending on the need. Once the application is complete and approved, you will be issued a new paper license with your same license number but it will indicate that you are now eligible to work anywhere within the Compact with the words Multi-State Registered Nurse printed on the license. Nurses are required to be licensed in the state where the recipient of nursing practice is located at the time service is provided. Any nurse desiring to be licensed as an advanced practice registered nurse must apply to LSBN and indicate that you hold a current RN license in Louisiana or holds an active multistate license RN license in another compact state. Therefore, it does not consider the increase in mortality due to congestion and inability to care for overload in the health care system, a likely event in S1 scenario. PDF SDG7 Energy Compact of Enel Chile, Government of the Santiago The data were combined to produce a set of agent types, which in turn were expanded through cloning by means of the employment surveys expansion factors, in the scale 1:15. meaning that people are counted at their municipality of residence if not working or teleworking at a particular shift, and at their municipality of work otherwise. In this group, some workers pay is protected by contracts or employer will, i.e., their wage is unconditional (type IIa). Copyright: 2021 Fosco, Zurita. When will Florida begin issuing multi-state licenses? https://doi.org/10.1371/journal.pone.0252938.g006, https://doi.org/10.1371/journal.pone.0252938.t003. Indeed, according to the regression, the large residential municipalities referred to in the previous paragraph display low centrality for their size, while the more commercial municipalities, like Santiago, Providencia and Las Condes, lie far above the regression. Louisiana is a member of the enhanced Nurse Licensure Compact (NLC). IPN), Have a valid U. S. Social Security number. Under full lockdown, the decrease in welfare is about 50 percent of the baseline. Multi-State license means a license issued by the Florida Department of Health to practice as a registered nurse (RN) or a licensed practical nurse (LPN) in all Nurse Licensure Compact states under a multi-state licensure privilege. There is no grace period. If you would like to have the multistate privileges added to your license, you can apply for the multistate upgrade once your single state license has been issued. We choose the top 50 parameter configurations by fit, as measured by the Nash-Sutcliffe Model Efficiency Coefficient (NSE) of the weekly new detected cases by municipality, that is Under the assumption that conditional earners lose their income under lockdown, total welfare flow is measured by the following social utility function: Fig 3b shows labor-related commuting patterns. U.S. State Participation in the Compact The strength of connections between municipalities is conjectured to be of the upmost importance in the initial stages of the transmission of the disease. No. [22] emphasize that equilibrium is not socially optimal, because the contagion process introduces externalities. The individual health status is governed by a Markov process with the following daily transition matrix (oriented column to row): Changing the license to Military, Active will remove the multistate privileges from your license. Physician License | Interstate Medical Licensure Compact With travel nursing gaining popularity, many nurses are seeking licenses in Nursing compact states to grant their careers flexibility and allow them to travel to different states for work. The list of states that are part of the eNLC is continuously growing. There are two conditions that are particularly relevant for the co-evolution of economic activity and the disease: the ability to work from home (), and the character of essential worker that a job may or may not possess (). PT and PTA licensees who meet all eligibility requirements can purchase a compact privilege in a Compact member state and, in most cases, start practicing physical therapy in the other state almost immediately. Second, the epidemic arrived two months after it was found in Europe, but it spread with particular intensity: as of July, Chile was among the top ten countries in the world in terms of per capita infections. This simple spatial structure allows us to consider pre-pandemic heterogeneity and, fundamentally, the targeted lockdown strategy. As such, it should not be interpreted as reflecting actual welfare, even under the narrow focus on consumption, but as to the material welfare loss that would have realized should nothing had been done to alleviate deprivation. The PT Compact offers physical therapists and physical therapist assistants a fast and effective way to start practicing in states across the U.S. Click now to purchase your privilege. On January 10, 2000, the Nurse Licensure Compact Administrators (NLCA) were organized to protect the public's health and safety by promoting compliance with the laws governing the practice of nursing in each party state through the mutual recognition of party state licenses. Kentucky is a member of the NLC. Adverse action may be taken if the jurisprudence requirement is not met. Licensure Compacts | NCSBN The NLC includes important patient safety features such as facilitation of the sharing of licensure, investigative and disciplinary action information among member states. [2527] consider multi-group risk epidemic models, grouping individuals by age and/or economic activity. We apply our methodology to the SMR. Yes First, Chile is a middle-income country and, as such, its experience may shed light on the particularities of this type of country; most such studies focus on advanced economies. It is not mandatory that you obtain a multistate license and completing this application will not renew and update the expiration date on your license. Ideally, one would wish for a measure of welfare: an all-encompassing variable that considers the suffering from human losses, from illness, from the stress and anguish of unemployment and hunger, as well as from the hardships of confinement. https://accounts.binance.com/en/register?ref=P9L9FQKY. Do Vaccines Protect Against the Variants? Fig 8 illustrates it for the three degrees of confinement , assuming a municipality with half a million people present. Methodology, Any nurse who holds an unencumbered nursing license in their state of residence can apply for a compact nursing license that allows them to travel to other states to work as a nurse. Patients remain sick for another seven days. Below are the 39 states that have already enacted/implemented the eNLC as of July 2022: Ohio, a new addition to the list, has recently set its implementation date on January 1, 2023. The municipality-wide aggregates of the dummy variables in (xi,yits) are labeled as their regular-font counterparts, namely, {sjt, ijt, rjt, djt, ljt, ejt, zjt, cjt, fjt}j J when considering the municipality of residence, and with an upper bar when considering the municipality where the person is at day time-segment (t, s), . Inexpensive - Compact privileges typically cost less than regular remote state licenses. (13). The total number of cases by municipality, i.e., the cumulative number of new cases by municipality. The New Jersey Board of Nursing will begin accepting applications for and issuing multi-state Compact licenses on Monday, November 15. Beginning January 19, 2018, Florida will issue a multi-state license to new applicants if all requirements for compact licensure are met. Under the policy the authorities followed, cumulative infections were 56 percent lower by August 1, 2020, than under no lockdown. https://doi.org/10.1371/journal.pone.0252938.g008. Fig 11 illustrates the eventual welfare outcomes should no aid package had been delivered, assuming a parameter = 0.75. The Nurse Licensure Compact (NLC) is an interstate agreement that allows nurses (RNs and LPNs/VNs) to practice with one multistate license in all states that are part of the NLC. Neither does it consider other general equilibrium effects, such as price adjustments, innovations, or technology adaptations that are likely to occur in time. We discuss them briefly below. This is to say, increasing the loss from 8 to 10.5 percent would have had the benefit of diminishing the number of cases, from 56 percent of S1, to 92 percent. PLA: Nursing Licensing Information Before the nurse licensure compact was introduced, nurses needed to apply for and obtain a license if they wanted to work in another state. Applying For Licensure | NURSECOMPACT They both conclude that the optimal lockdown policy is not uniform. Please see our map of Compact Member States. Finally, the analysis shows a remarkable relationship between the output cost of locking down one municipality, and its eigenvector centrality, a graph-theoretical measure of node importance, as constructed from the commuting origin-destination matrix. [50], using [49]s methodology on household surveys find that for Chile, the overall figure is 27 percent. How to Apply Participating Jurisdictions 41 jurisdictions are currently part of the NLC. If I have a multistate license from another Compact State, when should I apply for licensure by endorsement in Florida? Several facts of interest are apparent in Fig 3c. I read many of your blog posts, cool, your blog is very good. Each dot corresponds to a simulation (5 realizations each in the first round, 100 realizations each in the second round). All individual contagion probabilities {it} are mutually independent. Along with a majority of state nurses associations, hospital associations and health care facilities in every state overwhelmingly support the NLC. Texas Board of Nursing - Nurse Licensure Compact Information In turn, the detection probability g is set temporarily to 1 to simulate the model, and selected afterwards to minimize the square distance between the observed and simulated number of cumulative cases for the whole SMR: Constanza Fosco, Texas Board of Nursing - Nurse Licensure Compact Information Under no restrictions, S1 shows a quick evolution: in about four months herd immunity is reached with about 70 percent of the population having caught the disease at the end. In the counterfactual scenario S1, the disease simply spreads without control. Faculty and military spouses will just need one license to teach or practice across states in the eNLC. Compact rules do not allow a license to be maintained or renewed if the nurse has a license in another party/compact state that allows them to practice in Louisiana. This application can be completed online. You can find an overview of the compact as well as a list of member states at www.ncsbn.org/nlc. We consider each agents situation at different moments within the day, explicitly move commuters between municipalities, and consider whether they are able to move or work remotely when they are under some confinement rule. PDF APPLICATION INFORMATION - National Council of State Boards of Nursing Section 2 describes the model. Since I read your article, I have been very impressed. https://doi.org/10.1371/journal.pone.0252938.g002. A nurse can apply for a compact license in 2 ways: This involves applying for a license with the state board of your primary state of residence and taking the NCLEX. Table 1 presents some descriptive statistics. Felipe Zurita, Roles Daily output falls to about 70 percent of baseline output, recovering slightly at the end. If a nurse moves from one state to another and establishes residency, the nurse must apply for licensure in that state. Thank u. The states that participate in the eNLC are not exactly the same as the original NLC. Click here to view a map showing up to date eNLC membership information. Their main findings are that lockdowns produced on average a 1015% drop in local economic activity until May 2020, and that the economic costs are proportional to the population under lockdown. The model also does a good job of explaining the municipality differences in infection rates, as can be seen in Fig 6b. Susceptible individuals thus have a probability it of catching the disease, which is sensitive to the conditions of the municipality they are in (Eq 6). Since the NLCs initial launch, advances in technology and an increasingly mobile nursing workforce and patient population have created the need to break down barriers to interstate practice. NLC | ksbn.kansas.gov Eigenvector centrality is computed from the commuting origin-destination matrix obtained from ENE [40], December 2019 (i.e., under no lockdown). The eNLC is only for RN and LPN licenses. The contagion probability will depend on the number of present individuals in the former, but not on the latter. First, the disease spreads locally, through contact. Assessing the short-run effects of lockdown policies on - PubMed broad scope, and wide readership a perfect fit for your research every time. Upon permanently relocating to another compact state, apply for licensure by endorsement and complete the Declaration of Primary State of Residence for the new home state, which can be found on your board of nursing (BON)'s website.The declaration form is generally a page within the application.It is important to note that you must apply once . The multistate license will provide nurses with the privilege to practice in any compact state whether they are going to that state in-person or practicing via telehealth from Louisiana with a patient located in another compact state. (2), If a full-time employed worker works, she does so the first two day segments or shifts ( for s = 1, 2). The methodology combines labor market data with simulation of an agent-based model. By August 1, 2020, 58.4 percent of the year has elapsed. Nurse Licensure Compact - Florida Board of Nursing Compact states are states that have joined together to legally permit their nurses to obtain a multi-state license called a compact license. In order to qualify for multistate licensure, applicants who are internationally educated will be required to complete an English proficiency exam approved by the board and have their education evaluated in addition to the other requirements for licensure. The Board of Nursing will accept Livescan fingerprints completed within the previous 90 days of applying for the upgrade. 4. Ohio has joined the Nurse Licensure Compact (NLC), which goes into effect on January 1, 2023. If you want to live and work as a nurse in Texas, a compact state, you can apply for a compact license from Texas. How to Apply How to Apply for a Compact State Nursing License To obtain a compact nursing license and work as a nurse in a compact state, you must have proof of residence (see below) and a current, active nursing license in that same compact state. Metapopulation data-driven models have been profusely applied to assess the impacts of non-pharmaceutical interventions on the COVID-19 epidemic on specific countries or regions, but most do not consider economic activity. APRN licenses are not currently in a compact. Are current NLC states the same as the eNLC states? First, the size distribution of output is far from uniform; Santiago, the largest municipality in this regard, is responsible for as much as 16.7 percent of the regions output. (1) Recalling that pits is the municipality where i is present at day-segment (t, s), and npits ts and ipits ts are the total number of persons present and infected at that municipality, respectively, then a susceptible, non isolated, agent gets infected with probability With the eNLC, nurses can hold a multi-state license in their primary state of residence (or home residence) and practice in other states that are part of the Nurse Licensure Compact. Thus, type IIa and IIb workers are the lockdown-sensitive group and range from 9 to 66 percent of workers, depending on the municipality. This application can be completed . Your RN license will not automatically convert to a compact/multistate license. We assume for simplicity that these processes are independent. Cities are population-dense and highly interconnected areas; small villages are neither. We adopt a Monte Carlo simulation approach, and implement it on the Santiago Metropolitan Region (SMR). This Energy Compact is aimed for the Metropolitan Region of Chile, home to 7.04 million inhabitants, making it the largest region of the country. These estimates find that overall, in the US, about 37 percent of jobs can be done at home. Sorted by the latter category. Adverse actions that result in an encumbrance (i.e. (a) Eigenvector centrality vs. population. PLoS ONE 16(6): Efficient - Eligibility is verified automatically, avoiding the need for paperwork. Notice that the figure reports all cases, detected or not, so that the case numbers in S0 are 8.7-fold as high as the official figures, based on confirmed cases. A step-by-step walkthrough is available here or go directly to purchase compact privileges here. During this period, with an output loss to 10.5 percent of GDP, the infection rate would have decreased 92 percent, significantly delaying the spread of COVID and spike in infections. Log into your Louisiana Nurse Portal account and select Other Applications from the dashboard which appears immediately after you log into your account. Once the NLC is effective, nurses will be able to practice (in person or by telehealth) in other NLC states with just one multistate license obtained in their state of residence. We first simulate the model, obtaining 5 realizations for each parameter vector , l, 1 in the grid {0.01,0.02, , 0.99, 1.00} {0.05, 0.06, , 0.90} {0.05, 0.1, 0.15, 0.2}.
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