Institute of Medicine (IOM)

Report & Affect on Nursing

Donna Lester, ACNP-BC

PCAPNA President

Committee MembersCommittee Members

Led by Donna Shalala 17 members IOM provides independent,

objective, evidence based advice to policy makers, health professional, the private sector and public.

www.iom.edu

Four Key Messages:Four Key Messages:

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Eliminate Practice Barriers:

Eliminate Practice Barriers:

Practice to full extent of their education and training NP, CNS, CRNA & Midwives State regulations vary practice Federal Trade Commission Residency Programs for new grads

High Turnover Rate among new nurses

APN Success Stories:APN Success Stories:

Veterans Health Administration Geisinger Health System Kaiser Permanente Indian Affairs CDC HRSA Red Cross

Research on PracticeResearch on Practice

Compare cost, quality outcomes and access with a range of primary care models

Examine impact of expanding range of providers to certify patient for Admission, HHC, SNF or Hospice

Capture reimbursement consequences of APN, MD or other

Practice (cont.)Practice (cont.)

Explore payment reform for NP, PA and teams

Residency programs and reallocating funds for training

Improve Nursing Education

Improve Nursing Education

Competencies to deliver high quality care Leadership Policy System Improvement Evidence based practice Teamwork/Collaboration Public Health/Community

Research on EducationResearch on Education

Identify combination of salary, benefit and job attributes to recruit and retain highly qualified faculty

Analyze faculty to student ratio and affect on knowledge

Identify if online is beneficial Identify and evaluate programs

Nurses as PartnersNurses as Partners

Involved in the Redesign efforts as leaders and collaborators.

Take Responsibility Identify problems Devise improvement plan Track progress Adjust Professional growth

Transitional Care ModelTransitional Care Model

Saw barriers to provide care to the chronically ill

Effective Workforce Planning

Effective Workforce Planning

Better data collection Affordable Care Act

Create National Health Care Workforce Commission Gauge the demands and analyze needsDevise a way to meet the needs in all

areas of specialty and in states

ConclusionConclusion

Nurses play a fundamental role Power lies with:

Government Businesses Health Care Organizations Insurance companies Professional organizations