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Our APRN State of Consensus 48 endorsing nursing organizations 55 states and jurisdictions

Our APRN State of Consensus 48 endorsing nursing organizations 55 states and jurisdictions 252,000 APRNs. The Campaign for APRN Consensus is 71% of the way towards our goal!. The education and oversight of APRNs.

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Our APRN State of Consensus 48 endorsing nursing organizations 55 states and jurisdictions

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  1. Our APRN State of Consensus 48 endorsing nursing organizations 55 states and jurisdictions 252,000 APRNs

  2. The Campaign for APRN Consensus is 71% of the way towards our goal!

  3. The education and oversight of APRNs Materials that assist in evaluating an individual’s care Individual training and preparation Case logs/Practice Profiles/Peer Review Graduate education in a role and population Performance Indicators/quality measures National advanced certification in a role and population NPDB Specialty training and certification State Prescription database Maintenance of certifications Patient Satisfaction Professional development & FPPE/OPPE [TJC] Continuing education Incident reports Professional Societies Complaints /claims Evidence based care Awards Outcomes analysis Board oversight Professional Portfolio Performance Review CNP Accreditation Licensure Public Regulation, Public Protection Access CNS CNM Education Certification CRNA

  4. Not all APRNs are regulated by Boards of Nursing • Nebraska has an APRN Board • Boards of Nursing may be under umbrella Boards • Some BONs are under a Board of Health or Board of Medicine or some APRN roles are regulated or co-regulated by a BOH or BOME

  5. APRN Major Elements of Consensus by 2015 All four roles…

  6. APRN Major Elements of Consensus by 2015 Points for any role…

  7. Title: APRN Clinical nurse specialist Certified nurse practitioner Certified nurse midwife Certified registered nurse anesthetist

  8. What is in a name?

  9. APRN Title

  10. APRN Roles: Clinical nurse specialist Certified nurse practitioner Certified nurse midwife Certified registered nurse anesthetist

  11. Roles Recognition 1

  12. License RN + APRN Levels of regulatory status Certification Recognition Licensure

  13. 2nd License RN + APRN License

  14. Education Completion of graduate level or post graduate level education in an APRN role

  15. Education

  16. Certification National, advanced certification in a role and population that includes wellness content and embeds gerontology content in the adult roles

  17. Points for Role Certification 2 1

  18. Let’s talk for just a moment about the concept of ‘grandfathering’ Two categories have to be thought about: • Those who are presently licensed in the state • Those who may wish to endorse into a new state.

  19. Autonomous Practice No written requirement for supervision or collaboration or other encumbrance

  20. Points for Autonomous Practice 6

  21. Points for Independent Prescribing 2 3

  22. IOM RWJ Medical societies FTC CMS Economists AAFP NGA AMA ASA APRN MGMA AARP

  23. The American Academy of Family Physicians

  24. The 2014 Legislative Season • The focus of APRN supportive bills; Licensure, Title Independent practice Independent prescribing Expanded functionality in roles Reimbursement

  25. The 2014 Legislative Season Federal bills that may pertain to APRNs • VA APRN • Military • Homecare/primary care • Tele-health and tele-med • Other provider autonomy

  26. APRN Legislative Efforts What haven’t we attempted that maybe we should?

  27. “The future is going to be different in healthcare. But how soon is that future going to get here? That is the only question” MarkMcClellan, to RWJ/AARP September 17, 2014

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