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Institute of Medicine (IOM) Report & Affect on Nursing

Institute of Medicine (IOM) Report & Affect on Nursing. Donna Lester, ACNP-BC PCAPNA President. Committee Members. Led by Donna Shalala 17 members IOM provides independent, objective, evidence based advice to policy makers, health professional, the private sector and public. www.iom.edu.

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Institute of Medicine (IOM) Report & Affect on Nursing

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  1. Institute of Medicine (IOM) Report & Affect on Nursing Donna Lester, ACNP-BC PCAPNA President

  2. Committee Members • Led by Donna Shalala • 17 members • IOM provides independent, objective, evidence based advice to policy makers, health professional, the private sector and public. • www.iom.edu

  3. Four Key Messages:

  4. Eliminate Practice Barriers: • Practice to full extent of their education and training • NP, CNS, CRNA & Midwives • State regulations vary practice • Federal Trade Commission • Residency Programs for new grads • High Turnover Rate among new nurses

  5. APN Success Stories: • Veterans Health Administration • Geisinger Health System • Kaiser Permanente • Indian Affairs • CDC • HRSA • Red Cross

  6. Research on Practice • Compare cost, quality outcomes and access with a range of primary care models • Examine impact of expanding range of providers to certify patient for Admission, HHC, SNF or Hospice • Capture reimbursement consequences of APN, MD or other

  7. Practice (cont.) • Explore payment reform for NP, PA and teams • Residency programs and reallocating funds for training

  8. Improve Nursing Education • Competencies to deliver high quality care • Leadership • Policy • System Improvement • Evidence based practice • Teamwork/Collaboration • Public Health/Community

  9. Research on Education • Identify combination of salary, benefit and job attributes to recruit and retain highly qualified faculty • Analyze faculty to student ratio and affect on knowledge • Identify if online is beneficial • Identify and evaluate programs

  10. Nurses as Partners • Involved in the Redesign efforts as leaders and collaborators. • Take Responsibility • Identify problems • Devise improvement plan • Track progress • Adjust • Professional growth

  11. Transitional Care Model • Saw barriers to provide care to the chronically ill

  12. Effective Workforce Planning • Better data collection • Affordable Care Act • Create National Health Care Workforce Commission • Gauge the demands and analyze needs • Devise a way to meet the needs in all areas of specialty and in states

  13. Conclusion • Nurses play a fundamental role • Power lies with: • Government • Businesses • Health Care Organizations • Insurance companies • Professional organizations

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