future of nursing: campaign for action kansas public health association september 21, 2011 shirley...
TRANSCRIPT
Future of Nursing: Campaign for Action Kansas Public Health Association
September 21, 2011
Shirley Orr, MHS, ARNP, NEA-BC
Health Care System Challenges
Fragmentation
Health Care Disparities
Aging and Sicker Population
• Life expectancy rising
• Baby boomers aging
• Chronic diseases increasing
Primary Care Shortage
• Rural and low-income areas particularly affected
• Fewer physicians entering primary care
• 32 million more people to get health insurance in 2014
High Costs
RWJF’s Commitment to Improving Care
• RWJF mission: to improve health and health care for all Americans
• Need to address challenges facing nursing to address challenges facing our health system
IOM Report
• High-quality, patient-centered health care for all will require a transformation of the health care delivery system
Campaign 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
Campaign for Action
Education
Education
• Evidence
– Significant association between educational level and patient outcomes
– 6 percent of AD grads get advanced degree, enabling them to teach and serve as PCPs, compared to 20 percent of BSN grads
Practice
• All practitioners should practice to full extent of their education and training
• Optimal care
– Physicians, nurses and other health professionals work in team-based model of care delivery
– Models of care maximize time that providers can spend on their respective roles and responsibilities to patients
Practice
• Evidence: More than 10 studies show equivalent patient outcomes when care is provided by APRN or MD for certain services
– Includes two Cochrane reviews
– Randomized clinical trial published in JAMA
– Office of Technology Assessment
• No studies show care is better in states that do not allow APRNs to practice to full extent of education and training
Practice
Collaboration
• Integrated, collaborative, patient-centered health care teams
• Foster interprofessional education, training and practice
Leadership
• Nurses bring important viewpoint to management and policy discussions
• Prepare more nurses to help lead improvements in health care quality, safety, access and value
Leadership
• Gallup survey of 1,500 opinion leaders* said nurses should have more:
– Influence in reducing medical errors, increasing quality of care, promoting wellness
– Input and impact in planning, policy development and management
* RWJF, 2010
Nurse Leaders in the Boardroom
• Survey of 1,000 U.S. hospitals* found:
– Nurses account for only 6 percent of board members
– Physicians are 20 percent of board members
– Other clinicians are 5 percent of board members
* American Hospital Association, 2011
Data
• Improve health care workforce data collection to better assess and project workforce requirements
– Research on health care workforce is fragmented
– Need data on all health professions
Diversity
Campaign Strategies
Strategic Advisory CommitteeMembers
Judy Ann Bigby, MD, Massachusetts Secretary of HHS
Sheila Burke, RN, (Chair), Harvard Kennedy School of Government
Linda Burnes Bolton, RN, CNO, Cedars Sinai Medical Center
Lloyd Dean, CEO, Catholic Healthcare West
Christina Esperat, RN, Associate Dean, Texas Tech University
Chip Kahn, President, Federation of American Hospitals
Darrell Kirch, MD, CEO, American Association of Medical Colleges
Alan Morgan, CEO, National Rural Health Association
Debra Ness, President, National Partnership for Women and Families
Bill Novelli, Professor, Georgetown University School of Business
Jack Rowe, MD, Professor, Columbia University
Antonia Villarruel, RN, Associate Dean, University of Michigan School of Nursing
Phyllis Wise, PhD, Interim President, University of Washington
Campaign for Action
Examples
Organization Commitment
National Hispanic Medical AssociationWorking with members on initiative to improve interdisciplinary education
Consumers Advancing Patient SafetyChallenged nursing members to identify and place a nurse on their board
Convenient Care Association
Working with national members who have community partners to increase Coalition involvement
Leapfrog GroupEncouraging hospitals to achieve magnet status
Target Promised to engage its clinical nurses in leadership positions and opportunities
RWJF Grantmaking Examples
New Investment Area
• The Future of Public Health Nursing 2011-2012
• PHN Workforce Enumeration
• State of Public Health Nursing Summit
• Exploration of New Models for Education--Pilots
• Links—Scope and Standards of PHN Practice; PHN Core Competencies
Campaign for Action
Map Legend
Action Coalition State
State Involvement
Campaign for Action State Involvement
OR
WA
ID
MT
WY
NV
CA
UT
AZ
CO
NM
ND
SD
NE
KS
OK
TX
MN
IA
MO
AR
LA
WI
IL
IN
MI
OH
KY
TN
MS AL
FL
GA
SC
NC
VAWV
PA
MD
DE
NY
DC
CTRI
MA
VT
NH
ME
AK
HI
NJ
UPDATED: 7.14.2011
Campaign Resources
• Visit us on the Web at: www.thefutureofnursing.org
• Follow us on twitter at: www.twitter.com/futureofnursing
• Join us on Facebook at: http://facebook.com/futureofnursing