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Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley...
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Transcript of Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley...
![Page 1: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/1.jpg)
Future of Nursing: Campaign for Action Kansas Public Health Association
September 21, 2011
Shirley Orr, MHS, ARNP, NEA-BC
![Page 2: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/2.jpg)
Health Care System Challenges
![Page 3: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/3.jpg)
Fragmentation
![Page 4: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/4.jpg)
Health Care Disparities
![Page 5: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/5.jpg)
Aging and Sicker Population
• Life expectancy rising
• Baby boomers aging
• Chronic diseases increasing
![Page 6: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/6.jpg)
Primary Care Shortage
• Rural and low-income areas particularly affected
• Fewer physicians entering primary care
• 32 million more people to get health insurance in 2014
![Page 7: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/7.jpg)
High Costs
![Page 8: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/8.jpg)
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
![Page 9: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/9.jpg)
IOM Report
• High-quality, patient-centered health care for all will require a transformation of the health care delivery system
![Page 10: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/10.jpg)
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
![Page 11: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/11.jpg)
Campaign for Action
![Page 12: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/12.jpg)
Education
![Page 13: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/13.jpg)
Education
• Evidence
– Significant association between educational level and patient outcomes
– 6 percent of AD grads get advanced degree, enabling them to teach and serve as PCPs, compared to 20 percent of BSN grads
![Page 14: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/14.jpg)
Practice
• All practitioners should practice to full extent of their education and training
• Optimal care
– Physicians, nurses and other health professionals work in team-based model of care delivery
– Models of care maximize time that providers can spend on their respective roles and responsibilities to patients
![Page 15: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/15.jpg)
Practice
• Evidence: More than 10 studies show equivalent patient outcomes when care is provided by APRN or MD for certain services
– Includes two Cochrane reviews
– Randomized clinical trial published in JAMA
– Office of Technology Assessment
• No studies show care is better in states that do not allow APRNs to practice to full extent of education and training
![Page 16: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/16.jpg)
Practice
![Page 17: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/17.jpg)
Collaboration
• Integrated, collaborative, patient-centered health care teams
• Foster interprofessional education, training and practice
![Page 18: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/18.jpg)
Leadership
• Nurses bring important viewpoint to management and policy discussions
• Prepare more nurses to help lead improvements in health care quality, safety, access and value
![Page 19: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/19.jpg)
Leadership
• Gallup survey of 1,500 opinion leaders* said nurses should have more:
– Influence in reducing medical errors, increasing quality of care, promoting wellness
– Input and impact in planning, policy development and management
* RWJF, 2010
![Page 20: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/20.jpg)
Nurse Leaders in the Boardroom
• Survey of 1,000 U.S. hospitals* found:
– Nurses account for only 6 percent of board members
– Physicians are 20 percent of board members
– Other clinicians are 5 percent of board members
* American Hospital Association, 2011
![Page 21: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/21.jpg)
Data
• Improve health care workforce data collection to better assess and project workforce requirements
– Research on health care workforce is fragmented
– Need data on all health professions
![Page 22: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/22.jpg)
Diversity
![Page 23: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/23.jpg)
Campaign Strategies
![Page 24: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/24.jpg)
Strategic Advisory CommitteeMembers
Judy Ann Bigby, MD, Massachusetts Secretary of HHS
Sheila Burke, RN, (Chair), Harvard Kennedy School of Government
Linda Burnes Bolton, RN, CNO, Cedars Sinai Medical Center
Lloyd Dean, CEO, Catholic Healthcare West
Christina Esperat, RN, Associate Dean, Texas Tech University
Chip Kahn, President, Federation of American Hospitals
Darrell Kirch, MD, CEO, American Association of Medical Colleges
Alan Morgan, CEO, National Rural Health Association
Debra Ness, President, National Partnership for Women and Families
Bill Novelli, Professor, Georgetown University School of Business
Jack Rowe, MD, Professor, Columbia University
Antonia Villarruel, RN, Associate Dean, University of Michigan School of Nursing
Phyllis Wise, PhD, Interim President, University of Washington
![Page 25: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/25.jpg)
Campaign for Action
![Page 26: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/26.jpg)
Examples
Organization Commitment
National Hispanic Medical AssociationWorking with members on initiative to improve interdisciplinary education
Consumers Advancing Patient SafetyChallenged nursing members to identify and place a nurse on their board
Convenient Care Association
Working with national members who have community partners to increase Coalition involvement
Leapfrog GroupEncouraging hospitals to achieve magnet status
Target Promised to engage its clinical nurses in leadership positions and opportunities
![Page 27: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/27.jpg)
RWJF Grantmaking Examples
![Page 28: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/28.jpg)
New Investment Area
• The Future of Public Health Nursing 2011-2012
• PHN Workforce Enumeration
• State of Public Health Nursing Summit
• Exploration of New Models for Education--Pilots
• Links—Scope and Standards of PHN Practice; PHN Core Competencies
![Page 29: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/29.jpg)
Campaign for Action
![Page 30: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/30.jpg)
Map Legend
Action Coalition State
State Involvement
Campaign for Action State Involvement
OR
WA
ID
MT
WY
NV
CA
UT
AZ
CO
NM
ND
SD
NE
KS
OK
TX
MN
IA
MO
AR
LA
WI
IL
IN
MI
OH
KY
TN
MS AL
FL
GA
SC
NC
VAWV
PA
MD
DE
NY
DC
CTRI
MA
VT
NH
ME
AK
HI
NJ
UPDATED: 7.14.2011
![Page 31: Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC.](https://reader036.fdocuments.us/reader036/viewer/2022062619/5515791855034674578b529d/html5/thumbnails/31.jpg)
Campaign Resources
• Visit us on the Web at: www.thefutureofnursing.org
• Follow us on twitter at: www.twitter.com/futureofnursing
• Join us on Facebook at: http://facebook.com/futureofnursing