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[Venue/Audience] [Date] [Speaker name and title]

[Venue/Audience] [Date] [Speaker name and title]. Health Care System Challenges. A New Era in Health & Health Care. What Does This Mean for Providers?. Payment and reimbursement tied to new measures. Campaign Vision.

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[Venue/Audience] [Date] [Speaker name and title]

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  1. [Venue/Audience] [Date] [Speaker name and title]

  2. Health Care System Challenges

  3. A New Era in Health & Health Care

  4. What Does This Mean for Providers? Payment and reimbursement tied to new measures

  5. Campaign Vision Everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health.

  6. Institute of Medicine Report High-quality, patient-centered health care for all will require a transformation of the health care delivery system

  7. Areas of Focus Education Practice & Care Leadership Interprofessional Collaboration Diversity

  8. Promote Nurse Leadership Nurses bring a unique perspective to management and policy discussions. Nurses spend the most time with people receiving health services. Nurses are the largest segment of the health care work force. Nurses are vital to improving quality. Yet nurses account for only 6 percent of hospital board positions.

  9. Leadership Evidence • Nurse-led initiatives have: • Reduced falls with harm • Reduced “code blue” calls • Reduced 30-day re-admissions • Improved care transitions. When nurses are positioned to influence system practice and policies, it leads to improvements in quality of care, wellness, and reduced medical errors.

  10. Remove Barriers to Practice and Care Nurses provide an immediate and cost-effective solution to care shortages. All clinicians should be able to practice to the full extent of their education and training. Remove barriers that limit APRNs from expanding access to care. Utilize clinicians more efficiently.

  11. Practice and Care: A Patchwork of Laws Legal Environment for Nurse Practitioner1 Practice and Care Full practice Reduced practice Restricted Practice 1 This map shows the practice environment for nurse practitioners. For more detail about other types of APRNs, see NCSBN’s maps: https://www.ncsbn.org/2567.htm.

  12. Practice and Care Evidence APRNs improve care on a wide range of indicators. Patient satisfaction Length of stay NPs: BP, glucose, lipid control CNMs: Fewer c-sections, episiotomies Preventive care

  13. Increase Education Level of Nurses Prepare nurses to meet new challenges in health & health care. Increase the proportion of nurses with BSN and higher degrees. Increase the number of nurses with doctorates. Implement nurse residency programs.

  14. Education Evidence • Some studies show that higher proportions of BSN-prepared nurses are associated with lower rates of medication errors, mortality, and failure to rescue. • Research also shows that BSN-prepared nurses have stronger diagnostic skills and are better at evaluating interventions. • A growing body of research shows a connection between baccalaureate education and lower mortality rates. Studies show association between higher nurse education level and improved health care outcomes.

  15. Improve Workforce Diversity Nurses should reflect the population in terms of gender, race and ethnicity. Recruit the nursing workforce of the future. All nurses should provide culturally competent services and care. Greater workforce diversity may help to reduce health disparities.

  16. Interprofessional Collaboration

  17. Campaign for Action Progress Practice and Care Barriers: Massachusetts, North Dakota, and Kentucky have all removed major barriers to APRN practice and care since Campaign for Action started. New Jersey has legislation pending to remove practice and care barriers and more in pipeline. Strengthen Education and Training: Florida and Washington are now offering BSN degrees at community colleges; California, Hawaii, Montana, Oregon, and Washington have launched a shared curriculum model with community college and university partnerships. Iowa, Montana, New Jersey, and Utah have launched new nurse residency programs. Georgia, Illinois, and Ohio are offering new online doctoral programs. Interprofessional Collaboration: Indiana is well underway with an effort to adopt interprofessional collaboration in medical and nursing schools. On the national level, Medicare will pay for Graduate Nurse Education in 5 pilot states—Arizona, Illinois, North Carolina, Pennsylvania, and Texas. And community college and nursing education leaders endorsed academic progression for nurses in a joint position statement. Nurse Leadership: North Carolina and Wyoming have established Nursing Leadership Institutes. Wyoming has “graduated” 34 nurses from their institute as of 2012. New Jersey has secured 3 nurses onto public and private state boards and has six more in pipeline to assume state board positions.

  18. We Need Your Support

  19. Campaign Resources http://facebook.com/campaignforaction www.twitter.com/campaign4action Visit us on the web at www.campaignforaction.org

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