Virginia Action Coalition Workgroup Update
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Transcript Virginia Action Coalition Workgroup Update
Future of Nursing
Leading Change, Advancing Health
3.2 million
100,000
30,000
Objectives
To review Institute of Medicine, Future
of Nursing Report
To define Campaign for Action
To define the Virginia Action Coalition
To describe the workgroups
IOM Future of Nursing
Campaign for Action
IOM Future of Nursing
Committee on The Robert Wood Johnson Foundation
Initiative on the Future of Nursing
Membership
Opportunity to transform health care system
Provide seamless, affordable, quality care
Nursing profession is the largest segment of the
health care workforce
Campaign for Action:
Key Messages
Interprofessional Collaboration
Education
Leadership
Access to Care
Workforce Data
High-quality
patient
centered
care
Blueprint – Four Key Messages
Nurses should practice to the full extent of their education and
training
Nurses should achieve higher levels of education and training
through an improved education system that promotes seamless
academic progression
Nurses should be full partners, with physicians and other health
professionals, in redesigning health care in the US
Effective workforce planning and policy making require better
data collection and an improved information infrastructure
Future of Nursing Recommendations
Remove scope of practice barriers
Expand opportunities for interprofessional collaboration
Implement nurse residency programs
Increase proportion of nurses with BSN to 80% by 2020
Double the number of nurses with doctorates
Ensure that nurses engage in lifelong learning
Prepare and enable nurses to lead change and advance
healthcare
Build an infrastructure for data collection
Campaign for Action
The Campaign for Action is a national initiative
coordinated through the Center to Champion Nursing in
America (CCNA), an initiative of AARP, the AARP
Foundation, and the Robert Wood Johnson Foundation.
The campaign has mobilized diverse stakeholders
nationally and in all states to address the nation’s most
pressing health care challenges – access, quality and
increasing cost – by utilizing nurses more effectively and
preparing nursing for the future.
Vision
Americans have access to high
quality, patient-centered care in
a health care system where
nurses contribute as essential
partners in achieving success
AARP Virginia
Virginia Nurses Association
Virginia Action Coalition
Co-Leads
AARP Virginia
David DeBiasi , RN,
Associate State Director –
Advocacy
VNA
Shirley Gibson, DNP,
MSHA, RN, FACHE,
President
Janet Wall, CEO
Virginia Action Coalition Goals
Nurses should practice to the full extent of their education and
training
Nurses should achieve higher levels of education and training
through an improved educational system that promotes
academic progress and explore residency programs
Nurses should be full partners, with all members of the
healthcare team in redesigning healthcare
Nurses should develop strategies to ensure that nursing is skilled
to provide leadership at all levels
Nurses should ensure effective workforce planning and policy
making require better data collection and an improved
information infrastructure
Mission
To implement the recommendations in the Institute of
Medicine report, The Future of Nursing: Leading
Change, Advancing Health
Vision
All Virginians have access to affordable, high quality
care and live in an optimal state of health
Virginia Action Coalition
Workgroups
VAC Leadership
Lindsey Jones-Cardwell, BSN, RN and Loressa Cole DNP, MBA, RN
Co-Leads
IOM Recommendation 7
Prepare and enable nurses to lead change to advance
health
Objective
Determine strategic boards to which nurse could be
appointed and work with stakeholders to identify,
mentor, and recommend individuals for those
appointments
Leadership Objectives
Continue “Nurse Leaders in the Boardroom” program
piloted with Robert Wood Johnson and AARP in
September, 2009
Continue to support Nurse Leadership Institute, a
program of the Richmond Memorial Health
Outcomes
Networking and educational event for the nurses
identified as 40 under 40
Recognized at VNF Gala - 2011
Mentoring event – May 31, 2012
Collaboration with:
VONEL
VNA
VNF
Outcomes
Survey to determine boards nurses are serving –
regional, state and national
Survey also identified those wanting to serve on boards
334 Surveys completed
118 Experienced Nurse Board Leaders
181 Virginia Registered Nurses are future board leaders!
Video : Value of having a nurse serve on hospital board
http://www.youtube.com/watch?v=MXwo0m8MLa0
Local Boards
Free Clinics
Crisis Pregnancy Centers
AORN, VNA, Black Nurses
& other professional
nursing associations
Public Health Advisory
Commissions
Red Cross
Alzheimer’s Association
Church Affiliated Boards
Performing Arts Council
Historical Councils
County Board of
Supervisors
AARP
University & Community
College Councils
YMCA
State Boards
Virginia Partnership for
Nursing
Virginia Board of Nursing
Virginia Nurses
Association
Virginia Nurses
Foundation
Multiple professional
nurses associations
Virginia Board of Health
Virginia Association of
Counties
VCCS Associates Degree
Nursing Program Heads
Virginia Association of
Colleges of Nursing
Health Insurance
Exchange Governing
Body
National Boards
American Nurses
Association & Political
Action Coalition
National eHealth
Collaborative
Nurses Organization of
Veterans Affairs
American Midwifery
Certification Board
AORN Journal Editorial
Board
National Kidney
Foundation
American Academy of
Nurse Practitioners
American Organization of
Nurse Executives
Various National Nursing
Organizations
Next Steps
Survey hospitals to find boards where nurses serve
Develop a video campaign value of nurse on
Enhance the Leadership Toolkit
Develop structure for mentors and mentees serving
on boards
Publish Leadership Article with Campaign for Action
Blog for RWJF on Leadership
Leadership Development Conference for nurses who
want to serve on boards
VAC Access To Care
Cindy Fagan, RN, MSN, FNP-BC
Kathy Baker, RN, PhD, NE-BC
Co-Leads
IOM Recommendation 1
Remove scope-of-practice barriers
Objective
All nurses should practice to the fullest extent of their
training
Objective
Educate stakeholders, legislators and the public about
APRN regulatory barriers that prevent full practice
authority to continue efforts to reform outdated scope-ofpractice regulations
Outcomes
House Bill 346 passed and signed by Governor
Eliminates supervisory language
Emphasized collaboration and consultation between
NPs (LNP & CNMs) and physicians to practice in teams
Increased from 4 to 6 number of APRNs physicians
can collaborate with
Joint Boards of Nursing and Medicine have 280
days from July 1 to develop regulations
HB 346 manifested in 2013
Outcomes
APRN Video has been completed
Next Steps
Continue education of the public about the APRN scope of
practice
Conduct a gap analysis with all nurse practitioner roles in respect
to the National Council of State Boards of Nursing Consensus
Model
Meet with the Board of Nursing to review the NCSBN Consensus
Model
Consider legislation to remove the Joint Board and establish an
Advisory Group for oversight
Next Steps
Conduct research to explore how policies and practices in
hospitals in the state of Virginia either support or inhibit RNs
from practicing to their fullest extent through a Qualitative
Descriptive Case Study rebased on Yin’s Methodology for Case
Studies
Participants include nurses from all hospitals in the state
Areas include ICU, Med/Surg/Progressive Care and Emergency
Department
Include the CNOs, RNs and Advanced Practice Registered Nurses
Education Progression
Deb Zimmermann, DNP, RN, NEA-BC,
Amy Gillespie, RN, MSN, EdD
Co-leads
VAC Education Progression
IOM Recommendation 4
Increase the proportion of nurses with a baccalaureate
degree to 80 percent by 2020
Objective
Convene stakeholders on the implementation of
seamless education progression
Future of Nursing Education
The Challenge
50% of VA RNs BS prepared
32% of AD graduates attain BSN
31% of Diploma graduates attain BSN
Outcomes
Regional Groups
Eastern, Central, Northwest, North and Southwest
Inspiration to Aspiration
Interviews with nursing programs
RN-BSN Guide
Survey of RN-BSN students
Video of students
http://youtu.be/iT0ygHn4CYg
Academic Progression Models
Two statewide conferences with stakeholders
Shared models
Outcomes
Community College statewide forum
Vice Chancellor of the Community College System
Forecasting Model
Policies regarding returning to school
2 years to enroll, 5 years to complete
Hiring BSN
CNO Survey
Tuition Assistance and scholarships
Flexible schedules and weekend programs
Outcomes
Virginia Association Colleges of Nursing Meeting held
Awarded SIP Grant from RWJF
Supported Community Colleges continuing the work
of collaboration for curriculum development
Provide support in policy development for education
progression
Held Academic Progression Summit – March 28, 2014
Workforce Data Objective
Nina Beaman, PhD, MS, RN-BC (PMH), RNC-AWHC and Richardean
Benjamin, PhD, MSN, MPH, RN
Co-Leads
Improve data collection and information
infrastructure
Develop and implement specific
geographical demand models for nursing
and other health professionals
Next Steps
Identify pilots for academic progression
Models from Campaign for Action
Develop mechanisms to track organizational progress
for education progression
Outcomes
WHITE PAPER
Completed comprehensive white paper- Addressing
Nursing Workforce Issues in the Commonwealth of Virginia
Finalized
Distributed
Outcomes
Continue participation on DHP Healthcare Workforce
Data Center
Participation and dissemination of information from
the VA Workforce Development Authority to inform
AC workgroups
VHHA Workforce Development
Next Steps
Serve as data experts to other workgroups
Assist VAC with compiling necessary statistics for any
grant proposals
VAC Interdisciplinary Team-Based Care
Patti McCue, ScD., RN, MSN, NEA-BC
Bonnie Barndt-Maglio, PhD, RN
Co-Leads
IOM Recommendation 2
Expand opportunities for nurses to lead and diffuse
collaborative improvement efforts
Objective
Develop and deploy an educational program that
prepares nurses, physicians, and other care providers
to practice in a team-based, patient-centered care
model
Outcomes
Physician Foundation Grant
Expanded leadership program with MSV
Recruited 20 teams of physicians, nurses
and other health professions
Completed Evolve Team Based Education
New partnership with VHHA/MSV/VAC
Members of the Virginia Action Coalition honored for their contributions
to the nursing profession at the 2012 VNF Gala
Engage!
www.virginianurses.com
[email protected]