Susan C Reinhard RN Ph D FAAN Senior

Susan C. Reinhard, RN, Ph. D, FAAN Senior Vice President and Director AARP Public Policy Institute Chief Strategist, Center to Champion Nursing in America

Strategic Advisory Committee Future of Nursing: Campaign for Action IFN Team at AARP – Providing Campaign Coordination and Technical Assistance Education Hospitals & Health Systems Go v er Leadership & nn Mi of U CN AA Health Professions Strategies Collaborations Communications Inter-professional Teams s er m u s or at uc Ed ANA and NCSBN hip s r e & rtn Pa men s Wo ilie m Fa Business Engage partners to implement recommendations that improve patient care quality, access & value. Scope of Practice Target & Verizon Philanth RWJF & NNFC , SA HR S L CM DO & ropy Cedars Sinai Data/Research nm en t ns Co Research Monitoring

Access and Barriers to Care “Consumers deserve high quality, convenience, value and expanded choice in the providers who deliver their core primary care services” (John Rother, AARP, 2010) Strategies Inform, engage and motivate government, payers and business in expanding practice opportunities and payment for the full range of primary care providers. Outcomes All states remove barriers to APRNs practicing to full extent by 2020. Position APRNs as a high quality choice for consumers through effective outreach and marketing. Identify federal levers to incentivize states to modernize state scope of practice laws. By 2020, payers establish payment policies that recognize consumer choice across the range of primary care providers.

How CCNA Operates: State-Based Work • CCNA State Teams Title text here • Website • Respond to AARP State Office requests (mostly scope of practice) such as providing background information on • Restrictive collaboration • Duplicative oversight of APRN practice • Controlled substances • Reimbursement

How CCNA Operates: Federal-Level Work First “phase” of federal advocacy agenda created early based on need for improved federal funding for nursing education Title text here • Saw health reform as vehicle to win this funding - Medicare GNE Consumer perspective - consumers such as AARP members need highly educated nurses Next phase is to remove barriers to APRN care • AARP Policy Book update • AARP convened NP Roundtable • Federal barriers to APRN care – home health care, hospice, admission physical in SNF, hospital privileges, reimbursement Advocacy is done by AARP staff – Winifred Quinn, Senior Legislative Representative and Peter Reinecke, consultant

Updated AARP Policy Book Language re: Scope of Practice March 2010 Current state nurse practice acts and accompanying rules should be interpreted and/or amended where necessary to allow APRNs to fully and independently practice as defined by their education and certification.

Scope of Practice Resources Title text here available on www. championnursing. org • Access to Care and Advanced Practice Nurses: A Review of Southern U. S. Practice Laws • Improving Access to Primary Care: The Growing Role of Advanced Practice Registered Nurses • Consumer Access and Barriers to Primary Care: Physician. Nurse Practitioner Restrictive Collaboration Requirements by State (MAP)