KU SoN Curriculum Workshop May 4, 2012

1. KU SoN Curriculum Workshop May 4, 2012 Kansas AC Co-Lead Cindy Teel, PhD, RN, FAAN Associate Dean, Graduate Programs

2. 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

4. 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

5. 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

6. Campaign for Action Pillars Inter-professional Collaboration Diversity DATA

7. 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

8. 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

9. U.S. RN Population by Highest Educational Preparation 50% 50%

10. Practice 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

11. NP & MD care equivalent in Patient satisfaction, Length of stay, Glucose control, and BP management; NP care + in lipid control CNM care + in fewer C-sections, episiotomies & perineal lacerations Evidence Studies show that APRNs permitted to practice to full extent of education and training provide high quality care Practice Systematic review of published literature 1990-2008 indicate patient outcomes of care provided by APRNs equivalent or better than MD* *Newhouse, R. et al., (2011) Nursing Economics

12. Practice

13. Collaboration

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

15. 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

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

17. 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

18. Campaign Strategies Diverse Stakeholders Action Coalitions Policy-makers RWJF AARP Advisory Committee Research, Monitoring, Evaluation Communications Grantmaking

19. Nursing Must be Considered a Societal Issue! RWJF/AARP seeking support from: Health professionals Philanthropies Payers Educators Consumer advocates Hospitals and health systems Business Public health agencies Policy-makers

20. Campaign for Action State Involvement

21. 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

22. Kansas Action Coalition Partners

23. What we’ve been up to…. Funding !! • Health Care Foundation of Greater Kansas City • Advancing Health Care Resources in KS: Mapping Workforce Data with GIS & Creating an Information Clearinghouse • KS Dept. of Commerce as Co-Investigator • posted on Funders' Community private site • Academic Progression in Nursing 5/14/12 • Test 1 of 4 models to achieve 80/20

24. December • Creating a successful application, webinar • 4 KS AC Teams (AC Summit), formation • January • KCMHC CEO meeting, presentation • RWJ fellows involved in CFA, webinar • Involving health professionals & key stakeholders, webinar • February • Action Coalition Wave IV Application, review

25. More activities… • March • KCMHC HR Steering Committee meeting, presentation • KS Nursing Education Summit, participation • April • Hire Program Manager; Website development • KONL and KMEF presentations • May • Facebook, Twitter • APIN application

26. KS Priorities, Per March Summit, N=81

28. Transformations in Nursing: Education, Practice & Leadership Advancing Education • Seamless academic pathways; common curriculum • Employer incentives to hire BSN or support obtaining BSN; 83% of new nurses are in hospitals • Funding for pursuit of 2nd degree • Accelerated programs, e.g., BS-DNP/PhD options • Curriculum to promote IPE • Enhancing student and faculty diversity; ~10% male • Market-competitive packages for nursing faculty

29. Advancing Practice • Increasing visibility of nursing workforce • Overcoming licensing, titling, and regulation barriers; state nurse practice acts • Fostering IPP • Promote patient-centered care • Promoting employer recruitment and retention of a well-prepared workforce • Continuing research re: care processes and outcomes

30. Advancing Leadership Personal skills • Innovative thinking • Team membership & leadership • Achievement & community orientation • Organizational awareness & strategic orientation Knowledge • Health care delivery & performance • Business & finance • Human resources

31. RisaLavizzo-Mourey, M.D., M.B.ARWJF President & CEO “At the RWJF, the IOM report is our blueprint for transforming the nursing profession to help ensure that all patients receive the care they need & deserve. We …encourage others to address its recommendations to fully realize the Campaign for Action’s vision: a nation where all have access to high-quality, patient-centered care in a health care system in which nurses contribute as essential partners in achieving success.” Lavizzo-Mourey, R. (2012) Nursing Outlook

32. Messages from Diane Ebbert What will our message be?

33. 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

34. Join the KS Action Coalition • cteel@kumc.edu • cgreve@kha-net.org • jteel@kumc.edu Catch us on Facebook & Twitter http://facebook.com/kansasac https://twitter.com/#!/KansasAC Look for our new website soon!