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Landing the Flight: Bringing the 30,000 Foot View to the Bedside

Landing the Flight: Bringing the 30,000 Foot View to the Bedside. Teresa L. Anderson EdD, MSN, RNC-OB, NE-BC President, Nebraska Nurses Association . Disclaimer. President of the Nebraska Nurses Association

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Landing the Flight: Bringing the 30,000 Foot View to the Bedside

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  1. Landing the Flight: Bringing the 30,000 Foot View to the Bedside Teresa L. Anderson EdD, MSN, RNC-OB, NE-BC President, Nebraska Nurses Association

  2. Disclaimer • President of the Nebraska Nurses Association • ANCC Magnet Program Consultant, the American Nurses Association, Silver Spring, Maryland • Chief Nursing Officer of Voalte, Inc., Sarasota, Florida • The speaker acknowledges the following affiliations but has no financial conflicts of interest related to the contents of this program:

  3. Objectives • Identify the trends affecting patient care in the United States today. • Discuss the potential impact of these programs on nursing policy and practice. • Describe the nursing skill set of the future.

  4. Trends and Manifestations Affordable Care Act • Guaranteed issue and community rating (premiums/pre-existing) • Individual mandate (federal subsidies sliding scale) • Minimum health insurance policy standards • Health insurance exchanges • Medicaid expansion option • Employer shared responsibility • Elimination of the “co’s” (co-pay, co-insurance, deductibles) • Fee-4-Service to “bundles” and ACOs President Obama signing the bill

  5. Trends and Manifestations Pay 4 Performance (aka P4P or Value-Based Purchasing) • Rewards for meeting pre-established targets for care delivery (quality and patient satisfaction (HCAHPS scores) • Disincentives - removal of payments for adverse “never” events • Foreign object unintentionally retained after surgery • Surgical site infection after bariatric, orthopedic, and bypass surgery • Vascular-catheter associated infection • Catheter-associated urinary tract infection • Administration of incompatible blood • Pressure ulcer stages III and IV • Falls with injury • Air embolism • Readmission within 30 days http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/pay4per.html

  6. Trends and Manifestations Meaningful Use • Stage 1 Objective domains: • Improve Quality, Safety, Efficiency • Engage Patients & Families • Improve Care Coordination • Improve Public and Population Health • Ensure Privacy and Security for Personal Health Information • Stage 2 Objectives • Increase health information exchange between providers and promote patient engagement by giving patients secure online access to their health information

  7. Meaningful Use

  8. MeaningfulUse

  9. Trends and Manifestations IOM, Future of Nursing • Nurses should practice to the full extent of their education and training. • Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression • Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States • Effective workforce planning and policy making require better data collection and an improved information infrastructure http://www.neactioncoalition.org

  10. Trends and Manifestations Magnet Recognition Program® • Global Issues in Nursing and Healthcare

  11. Potential Impact Financial • Provider • Consumer

  12. Potential Impact Technical • Costs in financial and human capital • Extension of the healthcare continuum • Chasing innovation

  13. Potential Impact Social • Communication • Confidentiality (includes social media) • Portability

  14. Potential Impact Professional (includes advocacy) • Policy and Practice www.nursingworld.org

  15. Professional Nursing Skill Set BSN, MSN, and Beyond • Specialty certifications • Cross-training to a minimum of three areas • Multiple home-unit mind set

  16. Professional Nursing Skill Set Quality, EBP, and Research • Performance improvement methodologies • Quality toolkit • Global access to information

  17. Professional Nursing Skill Set Communication and Collaboration • Interprofessional collaborative education and training • Strong professional communication

  18. Professional Nursing Skill Set Professional involvement and advocacy • Professional organization membership and leadership • Partnerships and affiliations to support healthy communities • Understanding public policy from multiple viewpoints • Legislative advocacy

  19. Professional Nursing Skill Set Strategic and Tactical Management • Networking? • Social media? • Project management?

  20. Excellence… begins AND endswith YOU!

  21. Teresa (Terry) Anderson, EdD, MSN, RNC-OB, NE-BC nnapresident@nebraskanurses.org 402-556-4274 (home) 402-679-1551 (cell)

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