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Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHE Susan Motley, CAE, CEO

Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHE Susan Motley, CAE, CEO. Virginia Nurses Association November 17, 2011. Objectives. To define the RWJF/AARP Center for Championing Nursing initiative To define the Virginia Action Coalition To describe the five workgroups

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Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHE Susan Motley, CAE, CEO

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  1. Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHESusan Motley, CAE, CEO Virginia Nurses Association November 17, 2011

  2. Objectives To define the RWJF/AARP Center for Championing Nursing initiative To define the Virginia Action Coalition To describe the five workgroups To review next steps

  3. One Year Anniversary IOM Future of NursingCampaign for Action

  4. Link to video Linda Burnes-Bolton Vice Chair IOM Future of Nursing

  5. Vision

  6. Action Coalition Goals

  7. Campaign for Action:Key Messages Education Leadership High-quality patient centered care Interprofessional Collaboration Access to Care Workforce Data

  8. Future of Nursing Recommendations Remove scope of practice barriers Expand opportunities for interprofessional collaboration Implement nurse residency programs Increase proportion of nurses with BSN to 80% by 2020 Double the number of nurses with doctorates Ensure that nurses engage in lifelong learning Prepare and enable nurses to lead change and advance health Build an infrastructure for data collection

  9. How action coalitions got started! 2010 Landmark IOM Report: Future of Nursing: Leading Change, Advancing Health November 2010 RWJF/AARP Center for Championing Nursing Summit State Action Coalitions – 5 pilots, New Jersey, New York, Michigan, Mississippi, California Wave II – 10 States – Idaho, Utah, Colorado, New Mexico, Illinois, Indiana, Louisiana, Virginia, Florida and Idaho

  10. Virginia’s Action Coalition Application Submitted February 2011 - input from more than sixty stakeholders Awarded designation in March 2011 RWJ Foundation and AARP Center to Champion Nursing in America Focuses on technical support and exchange of best practices Catalyst to convene diverse stakeholder around common themes

  11. Virginia Action Coalition Goals Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through an improved educational system that promotes academic progress and explore residency programs Nurses should be full partners, with all members of the healthcare team in redesigning healthcare Develop strategies to ensure that nursing is skilled to provide leadership at all levels Effective workforce planning and policy making require better data collection and an improved information infrastructure

  12. Engagement Kickoff : June 16, 2011 Nursing Roundtable Five workgroups with more than 150 participants ww.vaifn.org website Blog and wiki that are the result of the media training that Chelsea, Lindsey and Linda participated in with AARP Feature articles in the Virginia Nurses Today and media coverage across state for the Forty Under Forty awards

  13. Partnerships Funding from the Virginia Nurses Foundation, VCNP, Virginia Nurses Association, and the Virginia Partnership for Nursing Engagement of non nursing partners PIN Synergy grant awarded to Richmond Memorial Health Foundation and partners

  14. AARP Partnership AARP volunteers including 4 state legislative specialists join VAC workgroups AARP 2012 legislative platform includes supervision should be removed from the code of Virginia with regard to Nurse Practitioners Testimony given “on the record” at Department of Health Professions Town Hall Meeting on supervision of APRNs being a barrier to access to care

  15. AARP Partnership • AARP 2011 Voter Education Pamphlet Questions anyone running for VA General Assembly should answer : • If elected/re-elected, how would you ensure advanced practice registered nurses can practice to the full extent of their education and expertise? • Do you support or oppose allowing advanced practice registered nurses to practice without physician supervision?

  16. AARP Partnership Volunteer engagement with workgroups AARP public policy platform: Supervision should be removed from the code of Virginia with regard to Nurse Practitioners Testimony given “on the record” at Department of Health Professions Town Hall Meeting on barriers to access to care

  17. AARP Partnership • AARP raises awareness • In print and on line Bulletin features article, “Nursing Shortage will Grow as Population Ages” (Susan Motley quoted) More to come!

  18. Linda Dedo and Deb Zimmermann Co-leads Education Advancement

  19. Education Objectives Educate nursing workforce and stakeholders on the importance of achieving higher levels of education Support nursing leaders in the implementation of strategies to employ a more educated workforce Convene stakeholders for the implementation of seamless education progression Consider role of residency programs in the Commonwealth

  20. Progress Regional meetings with clinicians, leaders, and academia have supported objectives A forecasting & strategy tool was developed and is available for predictive modeling Stakeholders have agreed to meet Collaborating with recipients of Richmond Memorial Health Foundation PIN Grant on short and long term goals for seamless education progression

  21. Next Steps • Create four regions in the Commonwealth for communication, collaboration, and action • Meet with Board of Nursing, Virginia Hospital and Health Care Association leaders, Community College Presidents/Nursing Chairs, Magnet Consortium, VONEL, etc. • Develop a webinar on forecasting tool • Support grant holders with identification of best practice for seamless education progression

  22. Linda Ault and Cindy Fagan Co-Leads Access to Care

  23. Access to Care Objectives Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through an improved educational system that promotes academic progress and explore residency programs

  24. Progress • One of the barriers to APRN practice was not just statutory (code) but that each facility determines what the practice parameters will be for their institution. • This has resulted in many “myths” regarding what the various APRNs are actually licensed to do • We are in the process of publishing a series of “Myth Busters” in VNT to educate nurses regarding what the various APRNs are actually licensed to do

  25. Outreach • Identifying individuals to take the Campaign for Action on the road to educate not only nursing professional groups but also non-nursing groups such as the League for Women Voters, service groups such as Rotary Clubs, legislators, business groups, health care institutions, the Virginia Chamber, and other consumers of health care on how nursing can fill the access to care gap • Call for stories: to demonstrate through real practice stories how APRNs were either able to successfully bridge a gap to care or how the current statutes hindered and negatively impact access to care throughout the state

  26. Outcomes:Consensus Bill Salient Features • elimination of “physician supervision” • new language will provide for NPs to work in collaboration and consultation with a physician in a “patient care team” model •  the practice agreement describes guidelines for the collaborative and consultative process in the work setting and prescriptive practices • the credentialing process in hospitals and health systems may serve in lieu of a practice agreement • the patient care team physician actively provides management and leadership to patients or groups of patients on the patient care  team • the requirement that the physician "regularly practice" at the same location as the NP has been eliminated • collaboration and consultation may be through telemedicine • ratios have been retained but are increased to 6:1 from 4:1

  27. Outcomes • Create a dashboard on the VAC website to track the speakers and organizations that have been addressed. To date we have visited various APRN meetings in Virginia to educate them on the VAC and recruit future speakers. • Secure more support statements for legislative change such as the one obtained by AARP • Long term goal: Implement legislative strategies to impact statutory and regulatory barriers that prevent nurses from practicing to the full extent of their education and training. • This can be done through the development of a white paper in addition to education of professional and consumer groups.

  28. Lindsey Cardwell-Jones and Loressa Cole Co-Leads Leadership

  29. Leadership Goal Develop strategies to ensure nursing is skilled to provide leadership from the bedside to the boardroom

  30. Leadership Objectives Continue to determine strategic boards to which nurses could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments Collaborate with schools of nursing to ensure the curriculum focuses on leadership skills necessary for today’s complex healthcare environment Recognize leaders “from the bedside to the board room” at the annual Virginia Nurses Foundation Excellence in Nursing gala

  31. Leadership Objectives Continue “Nurse Leaders in the Boardroom” program piloted with Robert Wood Johnson and AARP in September, 2009 Continue to support the current and expanded Nurse Leadership Institute, a program of the Richmond Memorial Health Foundation and a 2007 Partners Investing in Nursing’s Future (PIN) grantee, by participating on committees, providing scholarships, assisting in encouraging employers to nominate fellows and nurses to serve as faculty

  32. Outcomes • The Team: Over 30 Registered Nurses from diverse backgrounds and geographic locations as well as a VA AARP Volunteer • 2011 Meetings: • June 11, 2011- Orientation Conference Call • August 8, 2011- Strategy Overview & Review of Objective 1 via Conference Call • September 23, 2011- Implementation Strategy Session for Objective 1 and Overview of current Nurse Leadership Institute • Focus groups and engagement with the 40 under 40 • The Strategy: The Leadership workgroup is utilizing WikiSpace to facilitate online discussion of objectives and hosting monthly conference calls to update the team on the background of objectives and develop implementation strategies for each objective. The team is focusing on one objective each month.

  33. Nina Beaman and Richardean Benjamin Co-Leads Workforce Data

  34. Workforce Data Objective Improve data collection and information infrastructure

  35. Progress Continue participation on DHP Healthcare Workforce Data Center Conduct APRNs survey (in progress) Participation and dissemination of information from the VA Workforce Development Authority to inform RAC workgroups Participate in the Forum of State Nursing Workforce Centers (annual conference)

  36. Progress Support NCSBN’s efforts to standardize data collection Achieve consensus around the minimum data sets Develop and implement specific geographical demand models for nursing and other health professionals

  37. Progress • Conducting briefings: • Results of recent Nurse Licensure Survey • HRSA plans to discontinue RSS • Compiling current resources to inform subgroup members about workforce data group issues • Drafting talking points presentation • Drafting framework for subgroup white paper

  38. Sallie Eissler and Patti McCue Co-Leads Interdisciplinary /Team Based Care Delivery

  39. Objective Develop and deploy best practices in team/interprofessional models that promote nurses and other health care professional in all settings to practice according to their level of education and licensure to improve and transform health care to patients, families and communities

  40. Organizational Meeting • Sept. 9th; Hosted by Centra in Lynchburg • Facilitated by Pamela Cipriano, PhD, RN, NEA-BC • Diverse group of participants including nurses, physicians, chaplains, pharmacists & nurse practitioners • Presentations: Centra ED model & NP Single Provider model • Two small workgroups: ambulatory and inpatient services

  41. Next Steps • Meet quarterly in person (January 2012) • Add new and diverse participants • Identify best practices: ambulatory and inpatient • Implement pilots of interdisciplinary team based care delivery models • Develop a plan to market results • Link back to the other workgroups

  42. Virginia Action Coalition • VNA Education Day – September 24, 2011 • Linda Burnes-Bolton, Vice – Chair, CNO Cedasr-Sinai • ValentinaBrashers, MD, Professor of Nursing UVA • Co-leads update • Next steps • Co-Lead Meeting to determine next steps

  43. Virginia Action CoalitionEngage! VNA Legislative Day 27th Annual Nurses Day at the General Assembly February 8, 2012

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