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Susan Reinhard, PhD, RN, FAAN Senior Vice President & Director, AARP Public Policy Institute; Chief Strategist, Center to Champion Nursing in America 2 High-quality, patientcentered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history 3 Advancing Education Transformation Removing Barriers to Practice and Care Nursing Leadership Interprofessional Collaboration Diversity DATA 4 All practitioners should practice to the full extent of their education and training Physicians, nurses and other health professionals work in a patient centered team-based model of care delivery Models of care maximize time that providers can spend on their respective roles and responsibilities to patients 5 Evidence Studies show that APRNs permitted to practice to full extent of education and training provide equal or better care Systematic review of published literature between 1990 and 2008 indicate patient outcomes of care provided by APRNs and equivalent or better than MD Patient satisfaction • Length of stay • NPs: BP, glucose, lipid control • CNMs: Fewer C-sections, fewer episiotomies 6 7 Barbara Safriet, JD, LLM Visiting Professor of Health Law at Lewis & Clark Law School, Portland, Oregon; Former Associate Dean for Academic Affairs and Lecturer in Law at Yale Law School The Future of Nursing: Leading Change, Advancing Health - Appendix H: “Federal Options for Maximizing the Value of Advanced Practice Nurses in Providing Quality, Cost-Effective Health Care” 8 Removing Barriers to APRN Practice and Care can – Increase access to highly qualified health care providers – Decrease costs (unnecessary duplication, additional visits, etc.) – Increase patient satisfaction – Improve continuity of care – Improve health care outcomes – Enhance flexibility in delivery of care. 9 Advocacy Expert: Winifred Quinn, PhD Director, Legislation and Campaign Operations [email protected] 202-434-3956 10 • Policy Change requires Power Shift • Strategic Plan – Identify who can give you what you want – Determine your specific ask(s) – Who will make this ask and how • Coalition, Coalition, Coalition – Broad stakeholders – This issue is important for consumers, payers (employers/businesses), nurses 11 • Options Exist at the Federal Level – – – – CMS’ hospital conditions of participation rules Home Health Bill Rural Health Bill The FTC and state bills • CCNA ‘s Technical Assistance – AARP State Office Assistance – Products – More in the planning stages 12 Content Expert : Andrea Brassard, RN, DNSc, FNP Senior Strategic Policy Advisor, CCNA 202-434-3844 [email protected] 13 • CCNA Resources www.championnursing.org – Who are APRNs & Types of APRNs (charts) – “Southern States” – Improving Access to Primary Care: The Growing Role of APRNs – Removing Barriers to APRN Practice & Care • Hospital Privileges • [forthcoming] Home Care and Hospice 14 • Other Resources – Campaign for Action “Standard Presentation” cites Newhouse et al 2011 “Advanced Practice Nurse Outcomes” – Pittman & Williams research – Missouri APRN white paper – NCSBN APRN Consensus Model Toolkit – Citizen Advocacy Center – Scope of Practice Initiative • For links to these resources and MORE Sign Up for the Campaign for Action Extranet (see handout) – Contact Barbara Akinwole [email protected] with questions 15 16 • Upcoming Webinars on Removing Barriers to APRN Practice and Care – The North Dakota experience: Strategies and tactics for successful legislation – Certified Registered Nurse Anesthetists (CRNAs): Cost Savings and “Opt-Out” Update – Federal Trade Commission: Update on how the FTC can help remove barriers to practice and care • Learning Collaborative on Removing Barriers to APRN Practice and Care 17 • INQRI Webinar Regarding IOM Recommendation 6: – Lifelong Learning: Creating Partnerships to Build a Culture for Professional Growth – Thursday, May 17 at 1pm-2pm ET – Register at www.inqri.org. 18 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 19