Campaign for Action in Wisconsin Madison & La Crosse November 15, 2011

1. Campaign for Action in Wisconsin Madison & La Crosse November 15, 2011

2. Purpose of today’s meeting • Enhance knowledge of the IOM Report, The Future of Nursing and the Campaign for Action. • Create awareness of Wisconsin initiatives that  are aligned with the IOM and Campaign for Action recommendations. • Mobilize regional partners to plan and implement actions for the IOM recommendations.

3. Introduction Nursing Leading Change, Advancing Health Institute of Medicine Report, 2010

4. The challenge from the IOM report Produce a health care system that: • Delivers the right quality care at the right time • Patient centered • Accessible • Evidence based • Sustainable Will require transforming • the work environment • scope of practice • education • number of America’s nurses.

5. National Coalition Partners – The Center to Champion Nursing in America Who Center to Champion Nursing in America an initiative of • AARP, • the AARP Foundation and • the Robert Wood Johnson Foundation.

6. National Coalition Partners – The Center to Champion Nursing in America What The Center, a consumer-driven, national force for change Mission • To ensure all Americans have access to a highly-skilled nurse

7. 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.

9. Coalition Partners - RWHC Rural Wisconsin Healthcare Cooperative: Owned and operated by 34 rural hospitals Mission: A strong and innovative cooperative of diversified rural hospitals.

10. Rural Wisconsin Healthcare Cooperative Key Strategies: • Develop and manage programs and services... • Supports high quality, cost effective healthcare… • Encourages partnership to make their communities healthier…and • Uses strategic alliances in pursuit of its Vision.

11. Future of Nursing Key Messages & Recommendations Nurses should practice to the full extent of their education and training. • Remove scope of practice barriers. 11

12. Future of Nursing Key Messages & Recommendations Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. • Expand opportunities for nurses to lead collaboration improvement efforts. • Implement nurse residency programs. • Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. 12

13. Future of Nursing Key Messages & Recommendations Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. • Double the number of nurses with a doctorate by 2020. • Ensure that nurses engage in lifelong learning. 13

14. Future of Nursing Key Messages & Recommendations Nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States. • Prepare and enable nurses to lead change to advance health.

15. Future of Nursing Key Messages & Recommendations Effective workforce planning and policy making require better data collection and an improved information planning infrastructure. • Build an infrastructure for the collection and analysis of inter-professional health care workforce data. 15

16. Role of nurses in transforming health care Driving Forces →→→→ ←←Restraining Forces Nurse population not as diverse in race, ethnicity, gender and age. Require more education and preparation to adopt to new roles quickly. • Nurses the largest health care workforce in US. • Nurses closest to patients. • Nurses understand the science of the care processes.

17. Role of nurses in transforming health care Driving Forces →→→ ←←Restraining Forces Restrictions on scope of practice. Reimbursement limitations Profession tensions • Nurses practice across the healthcare continuum. • Nurses can become primary care providers which makes economic cent$. • Evidence links nursing care to high quality & safe care.

18. Key Message # 1Nurses should practice to the full extent of their education and training. Report Recommendations What’s happening in WI? WI Stats. Chapter 441 current protects the titles for RN, LPN, and nurse midwives. No title protection or legal definition for the advance practice roles: Advance Practice Nurses (APN) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CNS) Remove Scope-of-practice barriers

19. Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations What’s happening in WI Current Status: Licensed LPN’s 14, 165 Licensed RN’s 77,553 Diploma 10.4% Associate 32.2% BSN degree 42.9% - MSN degree 12 % PhD degree 0.4% • Increase the proportion of nurses with a BSN degree to 80 % by 2020. • Double the number of nurses with a doctorate by 2020.

20. Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations What’s happening in WI? UWHC Nurse Residency Program 1 year program for new graduates to build clinical competency RWHC Nurse Residency Program 1 year program for nurse graduate through monthly learning days support of an experienced nurse Long Term CareResidency Program collaboration between UW-Madison and Edgewood School of Nursing Implement Nurse Residency Programs

21. Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations What’s happening in WI? ANEW encourages nurses to pursue higher degrees. Professional Pathways: Seamless progression of ADN students to the BSN Completion program at Viterbo University (Jennifer Hedrick-Erickson) Ensure that nurses engage in life long learning?

22. Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Report Recommendations What’s happening in WI Patient-centered care The patient is an active participant in their health care decisions health care team conducting bedside rounding Improves patient outcomes Increase number of interdisciplinary courses Expand opportunities for nurses to lead collaboration improvement efforts.

23. Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Report Recommendations What’s happening in WI? Linking Education and Practice for Excellence in Public Health Nursing (LEAP) Goal - Improve public health nursing practice through education. An academic and practice partnership lead by UW-Madison School of Nursing Clinical Leadership Institute Goal - expand nurses’ self-knowledge, skills, and competencies in leadership. Partners UW Hospital and Clinics, Division of Nursing and Patient Care Services and the UW-Madison School of Nursing Prepare and enable nurses to lead change to advance health

24. Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Report Recommendations What’s happening in WI? Interdisciplinary Partnerships to Improve Access and Care Goal - develop educational videos for medical residents and nursing students incorporating patient and family centered care, health literacy, cultural sensitivity and patient education A collaboration to lead by AHEC (Martha McCabe to present) Prepare and enable nurses to lead change to advance health

25. Key Message # 4Effective workforce planning and policy making require better data collection and an improved information infrastructure. Report Recommendations What’s happening in WI State law requires data collection every 2 years with license renewal. Participating in a nationwide effort to collect nursing workforce supply data. DHS/DPH workforce data Public and Community Health RN Workforce Report Build an infrastructure for the collection and analysis of inter-professional health care workforce data.

26. Key Message # 4Effective workforce planning and policy making require better data collection and an improved information infrastructure. Report Recommendations What’s happening in WI Western WI Healthcare Workforce Survey Retirement and Intention Survey: Purpose workforce planning Conducted by La Crosse Medical Health Science Consortium (Joanne Sandvick or Catherine Kolkmeier will present) Build an infrastructure for the collection and analysis of inter-professional health care workforce data.

27. Purpose of today’s meeting • Enhance knowledge of the IOM Report, The Future of Nursing and the Campaign for Action. • Create awareness of Wisconsin initiatives that  are aligned with the IOM and Campaign for Action recommendations. • Mobilize regional partners to plan and implement actions for the IOM recommendations.

28. Goal for Regional Action Teams At the end of this meeting Regional Teams or individual participants will: • Commit to specific goal (s) and actions. • Report back to WCN on the outcome of that commitment. WCN will compile the information for a formal update at the 2012 WCN conference.