Institute of Medicine (IOM) Report & Affect on Nursing
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Transcript of Institute of Medicine (IOM) Report & Affect on Nursing
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Institute of Medicine (IOM)
Report & Affect on Nursing
Donna Lester, ACNP-BC
PCAPNA President
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Committee MembersCommittee Members
Led by Donna Shalala 17 members IOM provides independent,
objective, evidence based advice to policy makers, health professional, the private sector and public.
www.iom.edu
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Four Key Messages:Four Key Messages:
QuickTime™ and a decompressor
are needed to see this picture.
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Eliminate Practice Barriers:
Eliminate Practice Barriers:
Practice to full extent of their education and training NP, CNS, CRNA & Midwives State regulations vary practice Federal Trade Commission Residency Programs for new grads
High Turnover Rate among new nurses
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APN Success Stories:APN Success Stories:
Veterans Health Administration Geisinger Health System Kaiser Permanente Indian Affairs CDC HRSA Red Cross
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Research on PracticeResearch on Practice
Compare cost, quality outcomes and access with a range of primary care models
Examine impact of expanding range of providers to certify patient for Admission, HHC, SNF or Hospice
Capture reimbursement consequences of APN, MD or other
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Practice (cont.)Practice (cont.)
Explore payment reform for NP, PA and teams
Residency programs and reallocating funds for training
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Improve Nursing Education
Improve Nursing Education
Competencies to deliver high quality care Leadership Policy System Improvement Evidence based practice Teamwork/Collaboration Public Health/Community
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Research on EducationResearch on Education
Identify combination of salary, benefit and job attributes to recruit and retain highly qualified faculty
Analyze faculty to student ratio and affect on knowledge
Identify if online is beneficial Identify and evaluate programs
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Nurses as PartnersNurses as Partners
Involved in the Redesign efforts as leaders and collaborators.
Take Responsibility Identify problems Devise improvement plan Track progress Adjust Professional growth
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Transitional Care ModelTransitional Care Model
Saw barriers to provide care to the chronically ill
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Effective Workforce Planning
Effective Workforce Planning
Better data collection Affordable Care Act
Create National Health Care Workforce Commission Gauge the demands and analyze needsDevise a way to meet the needs in all
areas of specialty and in states
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ConclusionConclusion
Nurses play a fundamental role Power lies with:
Government Businesses Health Care Organizations Insurance companies Professional organizations