The Future of Nursing: A Campaign for Action Update on Leading Change September 14, 2012 Winifred V. Quinn, PhD Directo

1. The Future of Nursing: A Campaign for Action Update on Leading Change September 14, 2012 Winifred V. Quinn, PhD Director, Legislation and Campaign Operations Center to Champion Nursing in America

2. Faculty Disclosure Winifred V. Quinn, PhD Dr. Quinn has listed no financial interest/arrangement that would be considered a conflict of interest.

3. Why is AARP Involved with Nursing? AARP State Office Involvement in Campaign for Action • All 50 states + DC, Puerto Rico and the U.S. Virgin Islands • World's largest nonprofit, nonpartisan membership organization • Committed to improving the health care work force • Dedicated dollars to nursing initiatives

4. RWJF’s Commitment to Improving Care Need to address challenges facing nursing to address challenges facing our health system RWJF MISSION To improve health and health care for all Americans

5. A Transforming System: Trends and Drivers Technology High costs Fragmentation Healthcare disparities Primary care shortage Aging and sicker population

6. Rural Health Populations

7. What’s Different About Rural Health Care?

8. Nebraska At A Glance

9. Notes/Sources(show) Nebraska Health Professional Workforce

10. 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

11. Campaign for Action Pillars Interprofessional Collaboration Diversity DATA

12. Institute of Medicine Report High-quality, patient-centered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history

13. Campaign for Action State Involvement WA ME MT ND OR MN VT ID NH SD WI NY MA WY MI RI IA PA CT Map Legend Action Coalitions Pending Action Coalitions NV NE NJ IN OH UT DE IL MD CA CO WV VA KS MO KY DC NC AZ TN OK NM AR SC GA MS AL TX LA AK FL HI UPDATED: 5.23.12

14. Education Increase the proportion of nurses with BSN and higher degrees Increase the number of nurses with doctorates Implement nurse residency programs Promote lifelong learning

15. Action Coalition Strategies to Advance Education Progression • Massachusetts Action Coalition – competency based models • New Mexico Action Coalition – seamless progression from community colleges to universities. • Texas Action Coalition-shared curriculum, competency based education models, and online strategies. UT Arlington’s program with CCs, competitive tuition, and several semesters/year = 2000% increase in AD-BS students.

16. Practice and Care All practitioners should practice to the full extent of their education and training Physicians, nurses and other health professionals work in a team-based model of care delivery Models of care maximize time that providers can spend on their respective roles and responsibilities to patients

17. Practice and Care

18. Action Coalition Strategies to Advance Nursing Practice • Michigan Department of Community Health – Task Force on Nursing Practice, organizational partner with Action Coalition. • Missouri Action Coalition- White paper and legislation to remove barriers to APRN practice. • California Action Coalition – panel presentation with legislators, then AARP Advocacy Director

19. Need data on all health professions Improved health care workforce data collection to better assess and project workforce requirements Research on health care workforce is fragmented Data

20. Interprofessional Collaboration

21. Action Coalition Strategies to Foster Interprofessional Collaboration • Indiana Action Coalition – model for Interprofessional Collaboration in Education and Practice

22. Diversity Nurses should reflect patient population in terms of gender, race and ethnicity All nurses should provide culturally competent care

23. Action Coalition Strategies to Promote Diversity • Washington Center for Nursing- Diversity Network Director • Hawaii – HMSA (BCBS) Foundation issued an RFP for projects to limit health care disparities • Wisconsin- Website feature “Spotlight on Stellar Students”

24. Leadership Nurses bring important viewpoint to management and policy discussions

25. Transformed Health Care System Needs Nursing Leadership Nursing Leadership- Why Now?

26. Leadership Roles • Affordable Care Act • New delivery settings and payment models – examples of game changers • Accountable Care Organizations with Medicare shared savings • Patient-Centered Medical Home • Independence at Home demonstration

27. Nursing Leadership- Why Now? • Opportunities for nurses to provide/lead at all levels of the nursing profession: • Transitional care and reduced re-hospitalization • Support for family caregivers • Care coordination • Chronic disease management • Prevention

28. Assuming a Leadership Role What, if anything, do you think could be done to ensure that nurses take on more leadership in improving health status and delivering health care services in the United States today?

29. Action Coalition Strategies to Promote Nursing Leadership • Virginia Action Coalition – “40 Under 40” • North Carolina Action Coalition – Nursing Leadership Institute • Wyoming Action Coalition – Wyoming Nurse Leadership Institute

30. Campaign for Action – Technical Assistance • State Liaisons • Webinars • Communications tools • Learning Collaboratives • Regional Experts • Leadership Resource Guide • Redesigned Future of Nursing: Campaign for Action website

31. Future of Nursing: Campaign for Action Website Gateway to all Campaign for Action activities • Visibility to a national audience • Collaboration with colleagues across the country • Connection to resources and tools

32. Visit us on the Web http://thefutureofnursing.org http://championnursing.org Follow us on twitter www.twitter.com/futureofnursing http://twitter.com/championnursing Join us on Facebook http://facebook.com/futureofnursing http://www.facebook.com/championnursing For Technical Assistance re: to Leadership, Jennifer Cooper at CCNA: Jcooper@aarp.org Campaign Resources