The Future of Nursing A Campaign for Action

The Future of Nursing: A Campaign for Action Update on Leading Change September 14, 2012 Winifred V. Quinn, Ph. D Director, Legislation and Campaign Operations Center to Champion Nursing in America

Faculty Disclosure Winifred V. Quinn, Ph. D Dr. Quinn has listed no financial interest/arrangement that would be considered a conflict of interest.

Why is AARP Involved with Nursing? AARP State Office Involvement in Campaign for Action • • All 50 states + DC, Puerto Rico and the U. S. Virgin Islands World's largest nonprofit, nonpartisan membership organization Committed to improving the health care work force Dedicated dollars

RWJF’s Commitment to Improving Care RWJF MISSION To improve health and health care for all Americans Need to address challenges facing nursing to address challenges facing our health system

A Transforming System: Trends and Drivers High costs Primary care shortage Aging and sicker population Technology Fragmentation Healthcare disparities

Rural Health Populations

What’s Different About Rural Health Care?

Nebraska At A Glance

Notes/Sources(show) Nebraska Health Professional Workforce Primary Care Health Professional Shortage Areas (HPSAs), 2012 View 50 -State Comparison NE US 109 5, 796 Population Living in a Primary Care HPSA 84, 486 59, 069, 750 Population Living in a Primary Care HPSA as % of State Population 4. 6% 19. 1% 51, 258 35, 057, 608 2. 8% 11. 4% Practitioners Needed to Remove HPSA Designation 6 7, 067 Practitioners Needed to Achieve Target Population-to-Practitioner Ratio 15 16, 030 Total Primary Care HPSA Designations Estimated Underserved Population as % of State Population

Campaign Vision All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success

Campaign for Action Pillars Advancing Education Transformation Removing Barriers to Practice and Care Interprofessional Collaboration Diversity DATA Nursing Leadership

Institute of Medicine Report High-quality, patientcentered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history

Campaign for Action State Involvement WA ME MT N D OR MN ID WY S D WI N Y MI IA NV N E U T C A PA CO IN OH IL WV KS AZ MO KY NC TN OK NM A R SC GA MS TX A L LA AK FL Map Legend Action Coalitions HI Pending Action Coalitions UPDATED: 5. 23. 12 V A V T N H MA CT N DJ E MD D C RI

Education Increase the proportion of nurses with BSN and higher degrees Increase the number of nurses with doctorates Implement nurse residency programs Promote lifelong learning

Action Coalition Strategies to Advance Education Progression • Massachusetts Action Coalition – competency based models • New Mexico Action Coalition – seamless progression from community colleges to universities. • Texas Action Coalition-shared curriculum, competency based education models, and online strategies. UT Arlington’s program with CCs, competitive tuition, and several semesters/year =

Practice and Care All practitioners should practice to the full extent of their education and training Physicians, nurses and other health professionals work in a team-based model of care delivery Models of care maximize time that providers can spend on their respective roles and responsibilities to patients

Practice and Care

Action Coalition Strategies to Advance Nursing Practice • Michigan Department of Community Health – Task Force on Nursing Practice, organizational partner with Action Coalition. • Missouri Action Coalition- White paper and legislation to remove barriers to APRN practice. • California Action Coalition – panel presentation with legislators, then AARP Advocacy Director

Data Research on health care workforce is fragmented Improved health care workforce data collection to better assess and project workforce requirements Need data on all health professions

Interprofessional Collaboration Prepare more nurses to help lead improvements in health care quality, safety, access and value Interprofessional education, training and practice Integrated, collaborative, patientcentered health care teams

Action Coalition Strategies to Foster Interprofessional Collaboration • Indiana Action Coalition – model for Interprofessional Collaboration in Education and Practice

Diversity Nurses should reflect patient population in terms of gender, race and ethnicity All nurses should provide culturally competent care

Action Coalition Strategies to Promote Diversity • Washington Center for Nursing- Diversity Network Director • Hawaii – HMSA (BCBS) Foundation issued an RFP for projects to limit health care disparities • Wisconsin- Website feature “Spotlight on Stellar Students”

Leadership Nurses bring important viewpoint to management and policy discussions

Nursing Leadership- Why Now? Transformed Health Care System Needs Nursing Leadership

Leadership Roles • Affordable Care Act • New delivery settings and payment models – examples of game changers • Accountable Care Organizations with Medicare shared savings • Patient-Centered Medical Home • Independence at Home demonstration

Nursing Leadership- Why Now? • Opportunities for nurses to provide/lead at all levels of the nursing profession: • • • Transitional care and reduced re-hospitalization Support for family caregivers Care coordination Chronic disease management Prevention

Assuming a Leadership Role What, if anything, do you think could be done to ensure that nurses take on more leadership in improving health status and delivering health care services in the United States today?

Action Coalition Strategies to Promote Nursing Leadership • Virginia Action Coalition – “ 40 Under 40” • North Carolina Action Coalition – Nursing Leadership Institute • Wyoming Action Coalition – Wyoming Nurse Leadership Institute

Campaign for Action – Technical Assistance • • State Liaisons Webinars Communications tools Learning Collaboratives Regional Experts Leadership Resource Guide Redesigned Future of Nursing: Campaign for Action website

Future of Nursing: Campaign for Action Website Gateway to all Campaign for Action activities - Visibility to a national audience - Collaboration with colleagues across the country - Connection to resources and tools

Campaign Resources Visit us on the Web http: //thefutureofnursing. org http: //championnursing. org Follow us on twitter www. twitter. com/futureofnursing http: //twitter. com/championnursing Join us on Facebook http: //facebook. com/futureofnursing http: //www. facebook. com/championnursing For Technical Assistance re: to Leadership, Jennifer Cooper at CCNA: Jcooper@aarp. org