Agenda

2. Agenda • Discuss the evolving health care delivery system. • Discuss the significance of the IOM recommendations and opportunities with the Future of Nursing: Campaign for Action. • Discuss nursing’s role in a transformed health care system. • Answer your questions.

3. Why is AARP Involved with Nursing? • All 50 states + DC, Puerto Rico and the U.S. Virgin Islands • World's largest nonprofit, nonpartisan membership organization • Committed to improving the health care work force • Dedicated dollars to nursing initiatives

4. RWJF’s Commitment to Improving Care Need to address challenges facing nursing to address challenges facing our health system RWJF MISSION To improve health and health care for all Americans

5. A Transforming System: Trends and Drivers Technology High costs Fragmentation Healthcare disparities Primary care shortage Aging and sicker population

6. Rural Health Populations

7. What’s Different About Rural Health Care?

8. Kansas At A Glance

9. Kansas Health Professional Workforce

10. Institute of Medicine Report High-quality, patient-centered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history

11. Report Impact Best seller on IOM’s website: 16,000 views on average each month Groups have coalesced in nearly every state to take action on the IOM recommendations Health and Human Services Secretary Kathleen Sebelius praised the IOM report recommendations in a January 2011 interview in the New England Journal of Medicine

12. 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

13. Campaign for Action Pillars Interprofessional Collaboration Diversity DATA

14. Education Increase the proportion of nurses with BSN and higher degrees Increase the number of nurses with doctorates Implement nurse residency programs Promote lifelong learning

15. Evidence Some association between educational level and patient outcomes Twenty percent of BSN graduates get advanced degrees Six percent of associate-degree graduates get advanced degrees Education

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

17. Evidence Studies show that APRNs permitted to practice to full extent of education and training provide equal or better care Patient satisfaction • Length of stay • NPs: BP, glucose, lipid control • CNMs: Fewer C-sections, fewer episiotomies Practice and Care Systematic review of published literature between 1990 and 2008 indicate patient outcomes of care provided by APRNs and equivalent or better than MD

18. Practice and Care

19. Collaboration

20. Leadership Nurses bring important viewpoint to management and policy discussions

21. Survey of 1,000 U.S. hospitals** found: Nurses account for only six percent of board members Physicians account for 20 percent of board members Other clinicians are five percent of board members TCAB: Falls with harm, “code blue” calls, 30-day re-admissions declined 71 percent of floor nurses felt their ideas counted after TCAB, up 13 percent 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 Evidence *RWJF, 2010 **American Hospital Association, 2011

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

23. Diversity Nurses should reflect patient population in terms of gender, race and ethnicity All nurses should provide culturally competent care

24. Campaign for Action State Involvement WA ME MT ND OR MN VT ID NH SD WI NY MA WY MI RI IA PA CT Map Legend Action Coalitions Pending Action Coalitions NV 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: 5.23.12

25. Progress States Florida, New York, California Community college transition to state college and community college/state college partnerships Washington Common curriculum and articulation models Georgia, Illinois, Ohio Online doctoral programs Montana Rural nurse residency program

26. Progress National Organizations CCNA Learning Collaborative on Advancing Education Transformation AACN and Jonas Center for Nursing Excellence collaboration to enhance efforts to increase doctorally-prepared faculty Leapfrog Group encouragement of Magnet status for hospitals National Hispanic Medical Association work to improve interdisciplinary education Target promise to engage clinical nurses in leadership

27. Report Implementation A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be. - Wayne Gretzky “We are skating to the puck. In the long run, you’re preparing the workforce to be deployed more effectively. You’ll have an organization that can evolve. If you don’t, you won’t have a workforce to get you over the line.” Jack Rowe, M.D.

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