Future of Nursing: Campaign for Action

1. Future of Nursing: Campaign for Action Kansas Public Health Association September 21, 2011 Shirley Orr, MHS, ARNP, NEA-BC

2. Health Care System Challenges

3. Fragmentation

4. Health Care Disparities

5. Aging and Sicker Population • Life expectancy rising • Baby boomers aging • Chronic diseases increasing

6. Primary Care Shortage • Rural and low-income areas particularly affected • Fewer physicians entering primary care • 32 million more people to get health insurance in 2014

7. High Costs

8. RWJF’s Commitment to Improving Care • RWJF mission: to improve health and health care for all Americans • Need to address challenges facing nursing to address challenges facing our health system

9. IOM Report • High-quality, patient-centered health care for all will require a transformation of the health care delivery system

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

12. Education

13. Education • Evidence • Significant association between educational level and patient outcomes • 6 percent of AD grads get advanced degree, enabling them to teach and serve as PCPs, compared to 20 percent of BSN grads

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

15. Practice • Evidence: More than 10 studies show equivalent patient outcomes when care is provided by APRN or MD for certain services • Includes two Cochrane reviews • Randomized clinical trial published in JAMA • Office of Technology Assessment • No studies show care is better in states that do not allow APRNs to practice to full extent of education and training

16. Practice

17. Collaboration • Integrated, collaborative, patient-centered health care teams • Foster interprofessional education, training and practice

18. Leadership • Nurses bring important viewpoint to management and policy discussions • Prepare more nurses to help lead improvements in health care quality, safety, access and value

19. Leadership • Gallup survey of 1,500 opinion leaders* said nurses should have more: • Influence in reducing medical errors, increasing quality of care, promoting wellness • Input and impact in planning, policy development and management * RWJF, 2010

20. Nurse Leaders in the Boardroom • Survey of 1,000 U.S. hospitals* found: • Nurses account for only 6 percent of board members • Physicians are 20 percent of board members • Other clinicians are 5 percent of board members * American Hospital Association, 2011

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

22. Diversity

23. Campaign Strategies

24. Strategic Advisory Committee

25. Campaign for Action

26. Examples

27. RWJF Grantmaking Examples

28. New Investment Area • The Future of Public Health Nursing 2011-2012 • PHN Workforce Enumeration • State of Public Health Nursing Summit • Exploration of New Models for Education--Pilots • Links—Scope and Standards of PHN Practice; PHN Core Competencies

29. Campaign for Action

30. Campaign for Action State Involvement WA ME MT ND OR MN VT ID NH SD WI NY MA WY MI RI IA PA CT NV Map Legend Action Coalition State State Involvement 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: 7.14.2011

31. Campaign Resources • Visit us on the Web at: www.thefutureofnursing.org • Follow us on twitter at: www.twitter.com/futureofnursing • Join us on Facebook at: http://facebook.com/futureofnursing