Transcript Slide 1
Campaign for Action in Wisconsin
Madison & La Crosse November 15, 2011
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Purpose of today’s meeting
• Enhance knowledge of the IOM Report, The
Future of Nursing and the Campaign for Action.
• Create awareness of Wisconsin initiatives that are aligned with the IOM and
Campaign for Action
recommendations.
• Mobilize regional partners to plan and implement actions for the IOM recommendations.
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Introduction
Nursing Leading Change, Advancing Health
Institute of Medicine Report, 2010
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The challenge from the IOM report
Produce a health care system that:
• • • • • Delivers the right quality care at the right time Patient centered Accessible Evidence based Sustainable
Will require transforming
• the work environment • • • scope of practice education number of America’s nurses.
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National Coalition Partners –
The Center to Champion Nursing in America Who
Center to Champion Nursing in America an initiative of • • AARP , the AARP Foundation and • the Robert Wood Johnson Foundation . 5
National Coalition Partners –
The Center to Champion Nursing in America What
The Center, a consumer-driven , national force for change
Mission
• To ensure all Americans have access to a highly-skilled nurse 6
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.
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Coalition Partners - RWHC
Rural Wisconsin Healthcare Cooperative:
Owned and operated by 34 rural hospitals
Mission:
A strong and innovative cooperative of diversified rural hospitals.
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Rural Wisconsin Healthcare Cooperative
Key Strategies:
• Develop and manage programs and services... • Supports high quality, cost effective healthcare… • Encourages partnership to make their communities healthier…and • Uses strategic alliances in pursuit of its Vision.
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Future of Nursing Key Messages & Recommendations
Nurses should practice to the full extent of their education and training.
•
Remove scope of practice barriers.
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Future of Nursing Key Messages & Recommendations
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression .
•
Expand opportunities for nurses to lead collaboration improvement efforts .
• •
Implement nurse residency programs.
Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
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Future of Nursing Key Messages & Recommendations
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression .
•
Double by 2020.
the number of nurses with a doctorate
•
Ensure that nurses engage in lifelong learning .
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Future of Nursing Key Messages & Recommendations
Nurses should be full partners with physicians and other health professionals, in redesigning health care States. in the United
•
Prepare and enable nurses to lead change to advance health.
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Future of Nursing Key Messages & Recommendations
Effective workforce planning and policy making require better data collection and an improved information planning infrastructure.
•
Build an infrastructure for the collection and analysis of inter-professional health care workforce data .
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Role of nurses in transforming health care
Driving Forces →→→→
Nurses the largest health care workforce in US.
Nurses closest to patients.
Nurses understand the science of the care processes.
←←Restraining Forces
Nurse population not as diverse in race, ethnicity, gender and age.
Require more education and preparation to adopt to new roles quickly.
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Role of nurses in transforming health care
Driving Forces →→→
Nurses practice across the healthcare continuum.
Nurses can become primary care providers which makes economic cent$. Evidence links nursing care to high quality & safe care.
←← Restraining Forces
Restrictions on scope of practice.
Reimbursement limitations Profession tensions
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Key Message # 1 Nurses should practice to the full extent of their education and training.
Report Recommendations
Remove Scope-of practice barriers
What’s happening in WI ?
• •
WI Stats. Chapter 441 current protects the titles for RN, LPN, and nurse midwives.
No title protection or legal definition for the advance practice roles:
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Advance Practice Nurses (APN)
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Certified Registered Nurse Anesthetist (CRNA)
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Clinical Nurse Specialist (CNS)
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Key Message # 2 Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations
•
Increase the proportion of nurses with a BSN degree to 80 % by 2020.
•
Double the number of nurses with a doctorate by 2020.
What’s happening in WI Current Status: Licensed LPN’s 14, 165 Licensed RN’s 77,553
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Diploma 10.4%
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Associate 32.2%
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BSN degree 42.9% - MSN degree 12 %
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PhD degree 0.4%
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Key Message # 2 Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations What’s happening in WI?
UWHC Nurse Residency Program
• 1 year program for new graduates to build clinical competency
Implement Nurse Residency Programs RWHC Nurse Residency Program
• 1 year program for nurse graduate through monthly learning days • support of an experienced nurse
Long Term Care Residency Program
• collaboration between UW-Madison and Edgewood School of Nursing 20
Key Message # 2 Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression Report Recommendations What’s happening in WI?
ANEW encourages nurses to pursue higher degrees.
Ensure that nurses engage in life long learning?
Professional Pathways:
Seamless progression of ADN students to the BSN Completion program at Viterbo University (Jennifer Hedrick-Erickson) 21
Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
Report What’s happening in WI Recommendations Patient-centered care Expand opportunities
• The patient is an active participant in their health
for nurses to
care decisions
lead collaboration
• health care team conducting
improvement
bedside rounding
efforts.
• Improves patient outcomes •
Increase number of interdisciplinary courses
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Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States .
Report What’s happening in WI?
Recommendations Prepare and enable
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Linking Education and Practice for Excellence in Public Health Nursing (LEAP)
• Goal - Improve public health nursing practice through education.
nurses to
• An academic and practice partnership lead by UW-Madison School of Nursing
lead change
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to advance health Clinical Leadership Institute
• Goal - expand nurses’ self-knowledge, skills, and competencies in leadership.
• Partners UW Hospital and Clinics, Division of Nursing and Patient Care Services and the UW-Madison School of Nursing 23
Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States .
Report What’s happening in WI?
Recommendations Prepare and enable nurses to lead change to advance health
•
Interdisciplinary Partnerships to Improve Access and Care
• Goal - develop educational videos for medical residents and nursing students incorporating patient and family centered care, health literacy, cultural sensitivity and patient education • A collaboration to lead by AHEC (Martha McCabe to present) 24
Key Message # 4 Effective workforce planning and policy making require better data collection and an improved information infrastructure.
Report Recommendations What’s happening in WI
State law requires data Build an collection every 2 years with infrastructure for license renewal.
the collection Participating in a nationwide effort to collect nursing and analysis of workforce supply data.
inter-
DHS/DPH workforce data professional
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Public and Community Health RN Workforce Report health care workforce data.
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Key Message # 4 Effective workforce planning and policy making require better data collection and an improved information infrastructure.
Report Recommendations What’s happening in WI Western WI Healthcare Workforce Build an Survey Retirement and infrastructure for the collection Intention Survey:
Purpose workforce planning
Conducted by La Crosse and analysis of Medical Health Science inter Consortium professional health care workforce data.
(Joanne Sandvick or Catherine Kolkmeier will present)
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Purpose of today’s meeting
• Enhance knowledge of the IOM Report, The
Future of Nursing and the Campaign for Action.
• Create awareness of Wisconsin initiatives that are aligned with the IOM and
Campaign for Action
recommendations.
• Mobilize regional partners to plan and implement actions for the IOM recommendations.
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Goal for Regional Action Teams
At the end of this meeting Regional Teams or individual participants will:
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Commit to specific goal (s) and actions.
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Report back to WCN on the outcome of that commitment.
WCN will compile the information for a formal update at the 2012 WCN conference.
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