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The Power of Advocacy for Nurse Practitioners Winnipeg Manitoba September 2011

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The Power of Advocacy for Nurse Practitioners Winnipeg Manitoba September 2011

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    8. Government MLA’s

    9. MLAs • a third of time at Legislature • a third of time dealing with constituency issues, helping constituents • a third of time attending community functions

    10. Important Committees Agenda and Priorities Treasury Board Health SPC

    11. Government Decision-Making Cycles 1 – Political Election Dates Final Year of Mandate Leadership Contests

    12. Government Decision-Making Cycles 2 - Budget Budget Calendar Ministry Service plans

    13. Government Decision-Making Cycles 3 - Legislative Policy development Stakeholder consultations Ministerial approval Caucus committees Legislative committees Cabinet

    14. Who Influences the Decision-Making Process? MLAs Government caucus Sharon Blady Cabinet Teresa Oswald Erin Selby Opposition caucus Heather Stefasson Myrna Driedger

    15. Who Influences the Decision-Making Process? Political Staff Ministerial Assistants Executive Assistants Premier’s Office

    16. Who Influences the Decision Making Process? Bureaucracy Deputy Ministers Assistant Deputy Ministers and Executive Directors Policy Directors

    17. Who Influences the Decision-Making Process? Media Impact of Public Opinion Today’s News Online Regional media

    18. Who Influences the Decision-Making Process? Stakeholders Professional Associations Regulatory Bodies Advocacy Groups

    19. Advocacy Opportunities Government policy initiatives are: Proactive Election platforms, the “vision” piece Advocacy: BEFORE the fact Responsive Statutory, constitutional Identified public need Advocacy: DURING the fact Reactive Political necessity Advocacy: AFTER the fact

    20. Motivation

    21. Advocacy Opportunities Meetings Hosting Events Attending Fundraisers

    22. You Are A Constituent and Voter Schedule a meeting with your local MLA, SPC Members or Health Critic Call your constituency office. Request a meeting. Send briefing materials Send a group letter to the Health Critic or SPC’s members requesting a meeting Include a patient, caregiver, to personalize

    23. Meeting Planning If presenting to a group or as a group, develop a presentation. Could be handouts, PowerPoint. If presenting as an individual, develop your core message and be prepared to support it. 25% educational, 50 % building the case, 25% the “Ask”. Leave behind material, and follow up with a summary letter Request that your MLA meet with the Health Minister with your concern.

    24. Hosting Events Host a specific event for MLA’s Invite MLA’s to your event Notify and Invite Host MLA Have an Advocacy Component to the Meeting

    25. Attending Events Develop 3 key messages Know your ask Ask who you should contact to schedule a follow up meeting Don’t monopolize their time.

    26. Nurse Practitioner Community What do you want to advocate for? Avoid ‘Awareness’ Avoid ‘We want your support’ United we stand…what is the overarching, significant need of the Nurse Practitioner Community in Sask/Man.? Have a consistent message from all groups.

    27. Core messages Three (no more!) facts, examples or ideas that support core messages Be prepared with stats, anecdotes, and third party comments Don’t get sidetracked…always return to core

    28. ACTION Proactive Treating Pain costs more than cancer, diabetes, and heart disease combined . Pain is a disease in its own right. We would like to see the Province categorize Pain as a chronic disease, and apply chronic disease management principles to pain. Reactive The Common Drug Review is detrimental to our patients in the following way. Here is a report we submitted at the request of Sheila Fraser, Auditor General of Canada. Commentary The Nurse Practitioner assigned to me was directly responsible for my rapid post surgery healing time. They maximize the work between nurses and doctors , and benefit both the system and the patient.

    29. Core messages Short and easily understood People in Edmonton are waiting a year for access to Pain Clinics. These Clinics actually reduce costs to the healthcare system. And there is more we can do. We need to develop a comprehensive pain strategy that increases the quality of life of our patients and at the same time, makes good sense fiscally. Directed at THEIR interests: no jargon or medical talk Bureaucrats in Ottawa are making decisions for what is best for patients in Alberta. This is interfering with the relationship between doctors and their patients.

    30. Reinforce your message Ask MLA’s their position This federal policy prevents doctors from following national treatment guidelines and doesn’t support our own BC Pain Strategy. What is British Columbia’s rationale for being involved? Ask them how you can help What documentation do you need from me? What would help you when you bring it up with your Cabinet colleagues? Don’t get sidetracked by ‘good news’ stories

    31. Good news comebacks

    32. Nurse Practitioner Messages Is SOLUTIONS driven. Big picture focus Appeals to Lofty Purpose and Noble Legacy Is fiscally responsible Is not divisive: all groups are on board.

    33. Nurse Practitioner’s Message Everyone needs an Elevator speech! Laura…. Annabelle…

    34. Advocacy at Events Postcards Pack Punch Posters with Tear Away Response Cards Letter Writing Campaign Develop postcards for distribution in offices, clinics. Postcard relay the message that patients should receive the insulin therapy that their doctors feel they would be most successful taking. The postcards should be designed for patients to send directly to their MLA and the Health Minister. Develop postcards for distribution in offices, clinics. Postcard relay the message that patients should receive the insulin therapy that their doctors feel they would be most successful taking. The postcards should be designed for patients to send directly to their MLA and the Health Minister.

    39. Letter Writing and Phone Calls Are tracked Gets response Begins a record and foundation for future work Can be part of a larger ‘campaign’ if key stakeholders (e.g. Patient Associations) become involved

    40. Postcards Greg Selinger Constituency Office, 123 Enfield Crescent Winnipeg , Manitoba R2H 1A8. Hugh McFayden 172 - 450 Broadway, Legislative Building Winnipeg , Manitoba R3C 0V8

    41. Postcard Messages As a Nurse Practitioner, I would like to thank you for your acknowledgement of the significant role NP’s play in reducing health care costs while improving the health outcomes of Manitoban’s. We look forward to discussing: Doubling the # of NP education spaces The ‘Grow Your Own’ Initiative Return of Service Opportunities I also look forward to discussing the role of the Nurse Practitioner with my local candidate. Best of luck in the days ahead. Name Riding

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