Christopher John Godfrey , PhD Hillary Knepper , MPA, PhD Andrea Sonenber g , DNSc, WHNP, CNM

1. Interdisciplinary Research at Pace: Crossing Departments, Intersecting Universities, & Pushing Innovation Christopher John Godfrey, PhD HillaryKnepper, MPA, PhD AndreaSonenberg, DNSc, WHNP, CNM JoanWalker, PhD 2012 Pace University Faculty Institute May 17-18, 2012 Pleasantville, N.Y.

2. The Projects • Web 2.0 Interdisciplinary Informatics Institute & The ‘Are You Connected Study?’ • Improving Access to Care Through Policy Regulation of Practice of Primary Care Providers • Serendipitous Encounters & Multidisciplinary Innovation: Using Narrative in Professional Education

3. Funded by the Provost’s Grants for the Thinkfinity Initiative for Innovative Teaching, Technology & Research Grant Competition

4. Web 2.0 Interdisciplinary Informatics Institute A virtual research institute focused on informatics in web-based technologies across contexts including public policy, clinical practice and education. • User perspective – How are (non-technical) professional users applying Web 2.0 technologies? • Collaboration of psychology and public administration programs

5. Web 2.0 Interdisciplinary Informatics Institute Web 2.0 in professional and civic contexts • New forms of computer-mediated communications (e.g., video-chatting/conferencing; social media; enhanced instant messaging) • Rapid adoption in professional and public sectors; little systematic evaluation and research.

6. Web 2.0 Interdisciplinary Informatics Institute Services • Data Repository (Are You Connected Project?) • Research and evaluation tools development and directories • Emerging practices and techniques indexes • Advancing research skills of students in social and behavioral sciences as well as interdisciplinary fields

7. Web 2.0 Interdisciplinary Informatics Institute Objectives • Enhance undergraduate and graduate student participation in interdisciplinary research projects • Collect qualitative and quantitative data for Are You Connected Study • Establish a virtual and interdisciplinary advisory board • Launch the Web 2.0 virtual research institute • Hold a Web 2.0 Interdisciplinary Informatics Conference

8. Are You Connected? Study Aim • Examining users perceptions of evolving rules and norms guiding use of Web 2.0 technologies in family, social, professional and public contexts • Situation and context of use • Commitment to use • Perceived value to practice/field • Expected usage outcomes • Drift of usage norms across contexts

9. Improving Access to Care Through Policy Regulation of Practice of Primary Care Providers

10. Improving Access to Care Through Policy Regulation of Practice of Primary Care Providers Purpose • To identify any association among • State regulation of practice • Proportion of Medicaid primary care services provided by Nurse Practitioners (NPs) • Select population health outcomes • This project addresses the impact of state policies related to primary health care services delivered by NPs for the populations newly insured through the 2010 Patient Protection and Affordable Care Act (PPACA).

11. Background

12. Background (cont’d) • One approach to increasing access to care is to maximize utilization of APRN services • Several studies have suggested there may be correlations among • Restrictive regulatory policies of specialized APRNs • Access to care • Health outcomes in vulnerable populations

13. IOM Report (2010) The Future of Nursing: Leading Change, Advancing Health • Nursing at the forefront of mitigating the shortage of primary care providers • 8 recommendations: optimize the roles of nurses and APRNs in improving access to primary care services for the newly insured

14. Measurement of State Regulation of Practice of APRNs • Professional Practice Index • National Center for Health Workforce Analysis, 2002: • an additive scale (total score=100) comprised of a set of indices in three categories. • to define the scope of professional practice of CNMs in each state. • Factors in three categories: • Legal status (Optimal Score=35) • Which authorizes and protects CNM practice • Reimbursement (Optimal Score=35) • Which includes specification of Medicaid payment rates for CNM practice • Prescriptive authority (Optimal Score=30) • Which authorizes extent of prescriptive authority of CNMs

15. Representative Data

16. Preliminary Data Analysis

17. Health Policy Implications • Currently there is no central data source for APRN practice patterns, cost or outcomes. • APRNs, as a professional group, have the promise to play a large role in expanding access to care for vulnerable populationsif state practice acts were consistently less restrictive in the 3 categories of regulation: • Legal status, • Reimbursement, and • Prescriptive authority

18. Health Policy Implications • Recommendations include that states must: • Modernize regulatory policy • Reduce restrictions on APRN practice acts by utilizing • Evidenced-Based regulations including: • The Consensus Model for APRN Regulation as the national framework

19. Serendipitous Encounters & Multidisciplinary Innovation: Using Narrative in Professional Education Funded by the Provost’s Grants for the Thinkfinity Initiative for Innovative Teaching, Technology & Research Grant Competition

22. Essential Question How can we harness the power of ‘the narrative instinct’ to improve teaching & learning?

23. Benefits of Narrative Approach • Recall and effective application of information is enhanced when facts are presented as story (Lin & Bransford, 2012). • Person-centered teaching practices predict student motivation and learning (Cornelius-White, 2007) and teacher well-being (Friedman, 2006).

24. Telling and receiving stories has the potential to improve education and health care.

25. Weaving Together Projects • Narrative medicine (Columbia University) • Videostories (Mt. Pleasant-Blythedale Union Free School District / Pace School of Education) • Narrative education (Pace, Columbia, Mt. Pleasant-Blythedale, Bronx High School of the Visual Arts)

26. Our Collaboration Pat Ellen MP-B UFSD Pace: School of Education Columbia: Narrative Medicine Marsha Leslie Videostories Beth BHSVA Joan Mary

27. Questions We Examine • Health care: • Who tells the story of physicians? Of patients? • Education: • Who tells the story of teachers? Of students? • How is the story told? • Parallel charting, history • What does it mean to have your story heard? • How does telling and hearing stories influence professional practice?

28. Day 1: Why tell stories? What can we learn from stories? Day 2: Eliciting & Listening to Stories Storycorps Day 3: Visualizing Stories Animation, ICP Day 4: How can we use stories to change teaching & learning in schools?

29. Current Enterprises • Take model into K-12 schools • Meet teachers on their own turf • Connect to new educational standards • Multidisciplinary dialogue

30. Pushing Innovation

31. Pushing Innovation

32. Thank you!