Transcript Working for the Future
Advocate Workshop November 2012 Working for the Future – Programs and Awards
Lorraine M. Jordan, CRNA, PhD, FAAN AANA Foundation Executive Director and AANA Senior Director of Research
Advancing the science of anesthesia through education and research
AANA Foundation Research
Mission
is to advance the science of anesthesia through education and research.
Goal
is to support new and seasoned investigators in nurse anesthesia through grants, fellowships and post doctoral fellowships. Programs are designed to develop researchers in nurse anesthesia.
Advancing the science of anesthesia through education and research
Advancing the science of anesthesia through education and research
Q. Does the AANA and the Foundation work together at awarding money from the AANA Foundation?
A. AANA makes all of the decisions B. Foundation makes all the decisions C. Both groups have a vote on disbursement of money from the Foundation
Advancing the science of anesthesia through education and research
AANA 2013 Research Agenda
Research Priorities for 2013
One of the top priorities for fiscal year 2013 is healthcare policy research. Additional targeted areas for funding include education, practice and clinical.
Advancing the science of anesthesia through education and research
Research Priorities for 2013 Health Services Research
1. Determine the impact of nurse anesthesia care regarding (i.e., cost effectiveness, quality): hospital readmissions, per-patient Medicare costs, quality outcome, geographical variation and identify how payment claims for CRNA services vary among state Medicare and Medicaid service areas in pain management 2. Examine the variability of the CRNA’s scope of practice in each state 3. Examine the impact that limiting CRNA scope of practice would have on cost and access 4. Assess CRNA practice patterns (specialty anesthesia services) identified by locale • 5. Explore how the implementation of health reform (i.e. ACSs/other share savings plans/payment innovations) may affect CRNA practice and reimbursement
Advancing the science of anesthesia through education and research
Research Priorities for 2013 Practice and Clinical
1. Examine the comparative effectiveness of research on competency of healthcare providers performing specific procedures including central line insertions, ultrasound and arterial-line placements.
2. Evaluate the impact of teamwork and hand offs related to patient safety 3. Assess the role of the CRNA regarding surgical site infections 4. Determine the top 10 activities anesthesia providers can do to reduce administrative costs while upholding optimal patient safety 5. Analyze the current literature detailing the competency and technical skills of CRNAs
Advancing the science of anesthesia through education and research
Research Priorities for 2013 Practice and Clinical (cont)
6. Assess the impact that clinical relationships have between healthcare providers on improving patient care (Supervision – medical direction of CRNAs for cases involving intubation, etc.) 7. Identify which situations or scenarios enable CRNAs to be or become the best patient advocate: mass casualty, incident preparedness and the role of CRNAs.
8. Describe role that RNs play in continuous epidural infusion 9. Determine if changes in surgical scheduling impact non-routine events (error prevention) 10. Analyze the comparative effectiveness of different types of innovative educational models for the preparation of nurse anesthetists on student satisfaction and performance and ultimately on performance measures reflecting safety, quality of care and health outcomes for patients served.
Advancing the science of anesthesia through education and research
Research Priorities for 2013 Practice and Clinical (cont)
11. Determine the comparative effectiveness of different types of organizational arrangements of practice (solo, group, faculty practice arrangements, salaried etc.) that influence compensation, retention in practice, age at retirement and professional satisfaction 12. Analyze the potential impact of changes in the organization and reimbursement of the nurse anesthesia care given different health reform options 13. Assess the impact of the differences in patient characteristics, practice settings, practice arrangements, case complexity and types of procedures on safety and quality 14. Create demonstration projects to evaluate innovative practice models that may improve care and the practice of nurse anesthesia in the future • 15. Explore various models of practice arrangements and environments that may led to an ideal practice environment
Advancing the science of anesthesia through education and research
Research Priorities for 2013 Education
1. Determine the value of the DNP (assess the measurable difference) 2. Examine the current design of the DNP curriculum for “best practices” in DNP education 3. Determine if critical thinking skills can be taught, measured and/or predicted.
4. Assess the effectiveness of simulation on student education as well as on continuing education, maintenance and competency for CRNAs 5. Examine the effectiveness of current criteria for admission into a nurse anesthesia program, i.e. applicant’s behavior, attitude, etc. that could be used as a way to assist educators.
– Measure of maturity – Promising individuals for leadership positions
Advancing the science of anesthesia through education and research
Can the Foundation fund research on pediatric development and still meets its’ mission?
a. Yes B. No C. Depends
Advancing the science of anesthesia through education and research
AANA Foundation’s and the AANA’s Partnership in Research for Nurse Anesthetists
How will this help YOU?
Advancing the science of anesthesia through education and research
AANA Foundation “Foundation develops the evidence, AANA protects the practice.” PAC
AANA Foundation Research Agenda
The AANA Foundation sets a
broad research agenda
that includes the following areas: –
Science of anesthesia
–
Education
–
Practice/Clinical
–
Leadership
–
Healthcare policy Advancing the science of anesthesia through education and research
Partnership Activities Health Services Research
Unsupervised CRNAs are Unsafe CRNAs
Programmatic Funding Distribution Foundation Health Services Research AANA and Foundation’s partnership Individual CRNAs & Students Supports funding of individuals
Foundation Programs
Research Grant
(On-Line)
General Grants Wellness Grants Office Based Anesthesia Veterans Research Grant
“State of the Science”
Oral Poster Presentation -
“State of Science” General Poster Presentation
Workshops
Workforce Study Workshop
Grant Writing Workshop
Mentorship Program**
Advancing the science of anesthesia through education and research
Foundation Programs (cont)
Awards
Advocate of the Year Award
.
John F. Garde Researcher of the Year Award
Rita L. LeBlanc Philanthropist of the Year Award Janice Drake CRNA Humanitarian Award Jack Neary Pain Management Award CRNA Funding for Research and Education
Doctoral Fellowship
Post Doctoral Research Awards Palmer Carrier, CRNA Scholarship
Lorraine D. Dankowski Doctoral Fellowship Florida Association of Nurse Anesthetists Practice and Research Doctoral Fellowship Kay Wagner Pennsylvania Association of Nurse Anesthetists Practice and Research Doctoral Fellowship
Advancing the science of anesthesia through education and research
AANA Foundation Application Deadline Dates for 2013 November 1 st
Research Grants (General)
January 1 st
Advocate of the Year John F. Garde Researcher of the Year Rita L. LeBlanc Philanthropist of the Year Janice Drake CRNA Humanitarian Award Jack Neary Pain Management Award Student Scholarship Donors
April 1 st
Doctoral Fellowship Palmer Carrier, CRNA Scholarship Post Doctoral Fellowship “State of the Science” – General Poster Presentation
May 1 st
Research Grants
June 15 th
Friends for Life
March 1 st
Dean Hayden Student Research Scholarship “State of the Science” – Oral Poster Presentation Student Scholarship Applicants
Open Submission
Program Director’s Outstanding Student Researcher Award Office Based Research Grant Veterans Research Grant Wellness Grant
Advancing the science of anesthesia through education and research
Process for Review for Funding
Application is submitted Completed Application Any Fees are Accepted External Committee Evaluation is Reviewed, Evaluated & Scored Chair and Board Committee Board Committee’s Recommendation Foundation Board for Approval
Advancing the science of anesthesia through education and research
$140 000 $120 000 $100 000 $80 000 $60 000 $40 000 $20 000 $0
Student Scholarships
Advancing the science of anesthesia through education and research
$80 000 $70 000 $60 000 $50 000 $40 000 $30 000 $20 000 $10 000 $0
Research Grants
Advancing the science of anesthesia through education and research
Examples of Grants
• Effects of Acupuncture on the Hypothalamus Pituitary Adrenal Axis in Allaying Stress, an Animal Model • Anti-inflammatory Antinociceptive Effects of Ellagic Acid and Epigallocatechin Gallate • Revision and Psychometric Evaluation of the Peroperative Catastrophe Survey • Motivating a Change towards Evidenced Based Practice: Best Practice for Central Line Insertion for the Novice Anesthesia Provider
Advancing the science of anesthesia through education and research
• Motivating a Change towards Evidenced Based Practice: Best Practice for Central Line Insertion for the Novice Anesthesia Provider • A Preventive Intervention for Rising Intraocular Pressure: Development of an Observation Scale • Impact of Isoflurane and Sevoflurane on Cortical Activity:
In Vivo
Multi-channel Electrophysiology Studies and Implications in Monitoring Consciousness
Advancing the science of anesthesia through education and research
• Patient Safety Assessment and Economic Outcomes after Implementation of a Surgical Safety Checklist in a National Cancer Institute” • The Effect of Non-Technical Skills Instruction on First Year Nurse Anesthesia Students’ Skills during Crisis Simulation • Impact of Geography, Training, and Experience on Scope of Practice among CRNAs • Evaluation of Crisis Resource Management Skills in a Simulation Environment
Advancing the science of anesthesia through education and research
Doctoral and Post Doctoral Fellowships
$160 000 $140 000 $120 000 $100 000 $80 000 $60 000 $40 000 $20 000 $0
Advancing the science of anesthesia through education and research
Examples of Doctoral Projects
• Psychoneuroimmune Responses and Chronic Pain • Impact of isoflurane and sevoflurane on cortical activity:
in vivo
multi-channel electrophysiology studies and implications in monitoring consciousness • Stakeholder Perceptions of APRN Consensus Model Implementation
Advancing the science of anesthesia through education and research
• “Incidence of Venous Air Embolism in Awake Craniotomy for Deep Brain Stimulator Implantation” • “Utilization of Computer-Based Anesthesiology Paging System for Intraoperative Emergencies in Adult Surgical Patients” • “Assessment of Recent Graduates Preparedness for Entry into Practice” • “Stop Bang Tool Usage to Detect Obstructive Sleep Apnea for the “Ionizing Radiation Exposure with Interventional Pain Management Procedures”
Advancing the science of anesthesia through education and research
140
State of the Science Poster Session Participants
120 100 80 60 40 20 0
Advancing the science of anesthesia through education and research
Examples of State of the Science
• “Continuing Clopidogrel During Elective Total Hip and Knee Arthroplasty: Assessment of Bleeding Risk and Adverse Outcomes” • “The Incidence of Postoperative Acute Kidney Injury following Bariatric Surgery” • “Platelets Potentiate Cancer Metastasis- A Review ” • “Anesthetic Care of Patients with Fontan Circulation Undergoing Scoliosis Surgery”
Advancing the science of anesthesia through education and research
AANA Foundation Doctoral Fellowship
• • • • •
Name:
Julia Lassegard, CRNA, MS
School:
University of California, Los Angeles
Research Title:
Extracranial Dissection Involving the Trigeminal Nerve Results in Acute Cephalalgia
Degree Sought:
PhD
Funding:
$10,000
Advancing the science of anesthesia through education and research
AANA Foundation Doctoral Fellowship
• • • • •
Name:
Jason Lowe, CRNA, MS
School:
Virginia Commonwealth University
Research Title:
Patient Handoffs in Anesthesia: Improving Patient Safety Using a Handoff Checklist
Degree Sought:
PhD
Funding:
$4,000
Advancing the science of anesthesia through education and research
AANA Foundation Doctoral Fellowship
• • • • •
Name:
John Gasko, CRNA, MSN
School:
Northeastern University
Research Title:
Review and Development of Current Ultrasound Guided Regional Anesthesia Curriculum for Student Registered Nurse Anesthetists
Degree Sought:
DNP
Funding:
$5,000
Advancing the science of anesthesia through education and research
Nursing Foundations Survey Benchmarks
• 15 Nursing Foundations participated in a survey January of 2012 • All of the nursing organizations funded programs • 30% played a role in the development and administrative follow up
Advancing the science of anesthesia through education and research
Programs and events; Conference Scholarships; Certification
Certification; None
What type of research activities do you support?
7 6 9 8 2 1 0 5 4 3 8 3 3 3 2 2 2 1 1 1 1 1 0 0 Presented January 13, 2011 at Nursing Foundation Alliance Meeting by L. Jordan, AANA Foundation
Advancing the science of anesthesia through education and research
Advancing the science of anesthesia through education and research