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NM Statewide Nursing Faculty Conference. What is our shared vision? Nancy Ridenour, PhD, APRN, BC, FAAN Dean and Professor, University of New Mexico College of Nursing. Health Reform 2007-2008. Health Reform 2009.
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NM Statewide Nursing Faculty Conference What is our shared vision? Nancy Ridenour, PhD, APRN, BC, FAAN Dean and Professor, University of New Mexico College of Nursing
Health Care Costs Concentrated in Sick Few—Sickest 10% Account for 64% of Expenses Distribution of health expenditures for the U.S. population, by magnitude of expenditure, 2003 Expenditure Threshold (2003 Dollars) 1% 5% 10% $36,280 24% $12,046 49% 50% $6,992 64% $715 97% Source: S. H. Zuvekas and J. W. Cohen, “Prescription Drugs and the Changing Concentration of Health Care Expenditures,” Health Affairs, Jan/Feb 2007 26(1): 249–257.
Sources of Growth in Projected Federal Spendingon Medicare and Medicaid (Percentage of GDP) http://www.cbo.gov/publications/collections/health.cfm
Hospital Quality and Safety • 40 percent of recommended care is not received by patients. • Disparities in health care persist. • One in seven hospitalized Medicare patients experience one or more adverse event. • Patient safety measures have worsened by nearly 1 percent each year for the past 6 years. • Central line associated blood stream infections strike hundreds of thousands of patients each year. http://www.ahrq.gov/qual/qrdr08.htm
What Opportunities Do these Facts Present for Nurses? • Chronic Disease Management • Safety/Quality • Prevention/Health Promotion • Community based Care • Nurse managed Clinics • What else?.......
External Forces • Health Re-Form • Escalating medical costs • Aging population • Increasing chronicity • Workforce shortages • Funding • Decreasing state budgets • Tuition fatigue • Fill in the blank (s)________
Internal Forces • Professional rivalry • Funding • Curriculum • Team building • Multiple roles • “busy” • Lack of shared vision • Fill in the blank(s) _______
Why Should We Aspire to a Shared Vision? • Faculty shortages • Increased enrollment • Decreased budgets • Shrinking job market • Health Re-form
Implications for Nursing Education Let’s fill in the details!