Kentucky Nursing Capacity Consortium Update
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Transcript of Kentucky Nursing Capacity Consortium Update
Kentucky Nursing Capacity Consortium Update
Kim Dees, MSN, RN, MBA/HCMKentucky Hospital Association
Vice President of Health Professions
Sherry Holmes, MSN, RNUniversity of Kentucky College of Nursing
Coordinator of Assessments and Special Projects
Kentucky Organization of Nurse Leaders 8th Annual Conference September 21, 2012 Louisville , Kentucky
• Provide a brief overview of the 2010 IOM Report recommendations on the future of nursing
• Describe the current activities of the Kentucky Nursing Capacity Consortium (KNCC)
• Summarize the outcomes of the Pilot: Supporting Transition to Practice in Rural Kentucky
Objectives
1. Remove scope-of-practice barriers2. Expand opportunities for nurses to lead and diffuse
collaborative improvement efforts3. Implement nurse residency programs4. Increase the proportion of nurses with a baccalaureate
degree to 80% in 20205. Double the number of nurses with a doctorate by 20206. Ensure that nurses engage in lifelong learning7. Prepare and enable nurses to lead change to advance
health8. Build an infrastructure for the collection and analysis
of interprofessional health care workforce data
Institute of Medicine October 2010 Report: The Future of Nursing Leading Change, Advancing Health
KNCC applied to and was selected by the Future of Nursing Campaign for Action to become the Kentucky Action Coalition (KYAC) (9/23/2011)
http://www.campaignforaction.org is the website for the Campaign for Action
Early October the website will be upgraded to have a link to the KYAC for progress reports
Relationship of KNCC and Kentucky Action Coalition
Short term goal - position KYAC to achieve long-term goals (Fall 2011-Fall2012)
Establish plan for strengthening stakeholder base Develop media plan to influence public and health
professions awareness of the IOM Report and KYAC
Complete Rural Residency Pilot and determine need for statewide implementation
KYAC Goals and Objectives
Long term goal - Kentucky will have a highly educated nursing workforce that can practice at full scope (12+ months)
• Actively engage Kentucky nurses in policy making• Reduce barriers for APRN practice • Increase percentage of BSN and doctorally
prepared nurses• Develop tracking mechanisms to measure
outcomes of our work
KYAC Goals and Objectives
Barriers to APRN Practice
80% BSN by 2020
IOM Recommendations:KYAC Focus/KNCC Activities
Barriers to APRN Practice
IOM Recommendations:KYAC Focus/KNCC Activities
Prevent APRNs from ordering some services and performing certain exams
Prohibit reimbursement or provide reduced reimbursement – Medicaid reimburses APRNs at 75% of the physician rate
Complexity of laws produces confusion
Kentucky APRNs may practice independently; however, they must have a Collaborative Agreement for Prescriptive Authority in order to prescribe medications
Kentucky Statutes:Impact on APRN Practice
HB 512 and SB 190 bills, which would have removed the requirement that advanced practice registered nurses have a collaborative agreement with a physician in order to prescribe non-scheduled drugs, did not pass during the most recent legislative session. HB 512 did make it through the approval process within the House. SB 190 was not heard in the Senate.
Advocacy work resulted in additional House and Senator champions for the issue and the plan is to reintroduce the legislation in the next session
Legislative leadership worked with nursing to get the necessary changes made to HB 4 (This bill incorporated increased use of KASPER for reporting and monitoring prescriptions)
Legislative Update 2012
In follow‐up to House Bill 1, the Kentucky Board of Medical Licensure has issued a 39 page document for regulation of prescribing and dispensing medications which is being circulated around the state for comment
Dr. Ardis Hoven (from Lexington) has been elected president of the AMA which may impact the activity of KMA to assure that nothing happens in Kentucky that is in opposition to the AMA agenda
Legislative Preparation 2013
Pay close attention to those running for election this fall in order to determine who nursing should support
The many calls made by KNCC and KNA during the 2012 session were positively noticed by the legislators and their staff
Nursing leaders need to be knowledgeable regarding the legislation that impacts nursing practice so that they can easily educate others
VOTE
Legislative Preparation 2013
80% BSN by 2020
IOM Recommendations:KYAC Focus/KNCC Activities
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Kentucky (2008 National Sample Survey of RNs)
Est. # % Diploma
% ADNKY Est.
#
% BSNKY Est.
#
% MSN/ Doctora
teKY Est.
#US 2,596,5
9912.1% 37.6% 37.3% 13.0%
Kentucky
41,520 - 54.1%22,475
29.8%12,354
11.4%4,748
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Kentucky Board of Nursing RN Current Licensure Count - By Educ. Level & County of Residence http://www.kbn.ky.gov/stats
Kentucky Licensure StatisticsSeptember 2012
Diploma Nsg/RN
Associate Degree/Nsg
Associate Degree/Non-
Nsg Field
Baccalaureate/Nsg
Baccalaureate/Non-Nsg Field
2927 31289 46 18559 1867
Masters/Nsg Masters/Non-Nsg Field
Doctorate/Nsg Doctorate/Non-Nsg Field
5823 1254 266 220
RN-BSN KentuckyAACN, 10 Schools reporting 2010-2011◦Enrolled 708◦Graduated 217
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Exploring barriers to academic progression for Associate Degree nurses
Completed an audit of 11 anonymous transcripts from the technical and community college system
Plan developed with the technical and community college system Associate Degree programs to modify their programs to assure that all graduates are “core certified” in order to reduce the number of credits required at a state supported RN-BSN program in KY
RN-BSN: Barriers to Progression
One year project designed to assist new nurse in the transition from student to practice
Four major components:◦Support sessions for the new nurses◦Local mentoring◦Educational modules delivered via web◦Change Projects
Pilot: Supporting Transition to Practice in Rural Kentucky
Pilot did not provide base line data or conclusive findings due to lack of participation
New nurses and mentors were not given paid time to participate
Information obtained and lessons learned are applicable to the design of future residency programs
Rural Residency Pilot: Findings
KBN and KNCC will hold a joint education conference this fall (November 30 tentative date in Louisville)
Nancy Specter, from the National Council of State Boards of Nursing will deliver the keynote, “Mind the gap: Best Practices for Accelerating the Practice Readiness of Nursing Students”
Participants: hospitals/employers and educators
Joint Education Conference
Accessibility of BSN programs
Legislation regarding prescriptive authority of APRN and Medicaid authority to improve access to healthcare for Kentuckians
Engaging more practice partners into the group
Look at the need for education of nurse educators (MSN for nurse educators)
KNCC/KYAC Priorities for 2012-2013
Commit to take action on recommendations from IOM report, this is about patient-centered care and health care reform, essential that nurses mobilize
Support nurses to advance their education
Optimize the voice of nurses in supporting Kentucky legislature to eliminate barriers to APRN practice
In Conclusion
Institute of Medicine. (2011). The Future of Nursing Leading Change, Advancing Health. Washington, DC: The National Academies Press
Kentucky Board of Nursing RN Current Licensure Count - By Educ. Level & County of Residence. (September 18, 2012) http://www.kbn.ky.gov/stats
U.S. Department of Health and Human Services Health Resources and Services Administration. (September 2010) The Registered Nurse Population Findings from the 2008 National Sample Survey of Registered Nursing http://bhpr.hrsa.gov/healthworkforce/rnsurvey/2008/nssrn2008.pdf
References