Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHE Susan Motley, CAE, CEO
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Transcript of Virginia Action Coalition Shirley Gibson, MSHA, RN, FACHE Susan Motley, CAE, CEO
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Virginia Action Coalition Shirley Gibson, MSHA, RN,
FACHESusan Motley, CAE, CEO
Virginia Nurses AssociationNovember 17, 2011
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To define the RWJF/AARP Center for Championing Nursing initiative
To define the Virginia Action Coalition
To describe the five workgroups To review next steps
Objectives
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IOM Future of NursingCampaign for Action
One Year Anniversary
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Link to video
Linda Burnes-BoltonVice Chair
IOM Future of Nursing
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Americans have access to high quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success
Vision
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• Field strategy to move key nursing issues forward at local, state and national levels
• In 15 states before moving nationwide
• Capture best practices, track lessons learned and identify replicable models
Short and long term
Action Coalition Goals
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Campaign for Action:Key Messages
Leadership
Access to Care
Workforce Data
Education
High-quality patient centeredcare
Inte
rpro
fessio
nal
Colla
bora
tion
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1. Remove scope of practice barriers2. Expand opportunities for interprofessional
collaboration3. Implement nurse residency programs4. Increase proportion of nurses with BSN to 80% by 20205. Double the number of nurses with doctorates6. Ensure that nurses engage in lifelong learning7. Prepare and enable nurses to lead change and
advance health8. Build an infrastructure for data collection
Future of Nursing Recommendations
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2010 Landmark IOM Report: Future of Nursing: Leading Change, Advancing Health
November 2010 RWJF/AARP Center for Championing Nursing Summit
State Action Coalitions – 5 pilots, New Jersey, New York, Michigan, Mississippi, California
Wave II – 10 States – Idaho, Utah, Colorado, New Mexico, Illinois, Indiana, Louisiana, Virginia, Florida
and Idaho
How action coalitions got started!
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Submitted February 2011 - input from more than sixty stakeholders
Awarded designation in March 2011 RWJ Foundation and AARP Center to
Champion Nursing in America Focuses on technical support and exchange of
best practices Catalyst to convene diverse stakeholder
around common themes
Virginia’s Action Coalition Application
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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
Develop strategies to ensure that nursing is skilled to provide leadership at all levels
Effective workforce planning and policy making require better data collection and an improved information infrastructure
Virginia Action Coalition Goals
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Kickoff : June 16, 2011 Nursing Roundtable Five workgroups with more than 150 participants ww.vaifn.org website Blog and wiki that are the result of the media
training that Chelsea, Lindsey and Linda participated in with AARP
Feature articles in the Virginia Nurses Today and media coverage across state for the Forty Under Forty awards
Engagement
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Funding from the Virginia Nurses Foundation, VCNP, Virginia Nurses Association, and the Virginia Partnership for Nursing
Engagement of non nursing partners PIN Synergy grant awarded to Richmond
Memorial Health Foundation and partners
Partnerships
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AARP volunteers including 4 state legislative specialists join VAC workgroups
AARP 2012 legislative platform includes supervision should be removed from the code of Virginia with regard to Nurse Practitioners
Testimony given “on the record” at Department of Health Professions Town Hall Meeting on supervision of APRNs being a barrier to access to care
AARP Partnership
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AARP 2011 Voter Education PamphletQuestions anyone running for VA General
Assembly should answer : If elected/re-elected, how would you ensure
advanced practice registered nurses can practice to the full extent of their education and expertise?
Do you support or oppose allowing advanced practice registered nurses to practice without physician supervision?
AARP Partnership
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Volunteer engagement with workgroups AARP public policy platform: Supervision
should be removed from the code of Virginia with regard to Nurse Practitioners
Testimony given “on the record” at Department of Health Professions Town Hall Meeting on barriers to access to care
AARP Partnership
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AARP raises awareness In print and on line Bulletin features article,
“Nursing Shortage will Grow as Population Ages”
(Susan Motley quoted)
More to come!
AARP Partnership
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Education Advancement
Linda Dedo and Deb ZimmermannCo-leads
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Educate nursing workforce and stakeholders on the importance of achieving higher levels of education
Support nursing leaders in the implementation of strategies to employ a more educated workforce
Convene stakeholders for the implementation of seamless education progression
Consider role of residency programs in the Commonwealth
Education Objectives
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Regional meetings with clinicians, leaders, and academia have supported objectives
A forecasting & strategy tool was developed and is available for predictive modeling
Stakeholders have agreed to meet Collaborating with recipients of Richmond
Memorial Health Foundation PIN Grant on short and long term goals for seamless education progression
Progress
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Next Steps
Create four regions in the Commonwealth for communication, collaboration, and action
Meet with Board of Nursing, Virginia Hospital and Health Care Association leaders, Community College Presidents/Nursing Chairs, Magnet Consortium, VONEL, etc.
Develop a webinar on forecasting tool Support grant holders with identification of
best practice for seamless education progression
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Access to Care
Linda Ault and Cindy FaganCo-Leads
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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
Access to Care Objectives
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One of the barriers to APRN practice was not just statutory (code) but that each facility determines what the practice parameters will be for their institution.
This has resulted in many “myths” regarding what the various APRNs are actually licensed to do
We are in the process of publishing a series of “Myth Busters” in VNT to educate nurses regarding what the various APRNs are actually licensed to do
Progress
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Identifying individuals to take the Campaign for Action on the road to educate not only nursing professional groups but also non-nursing groups such as the League for Women Voters, service groups such as Rotary Clubs, legislators, business groups, health care institutions, the Virginia Chamber, and other consumers of health care on how nursing can fill the access to care gap
Call for stories: to demonstrate through real practice stories how APRNs were either able to successfully bridge a gap to care or how the current statutes hindered and negatively impact access to care throughout the state
Outreach
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elimination of “physician supervision” new language will provide for NPs to work in collaboration and
consultation with a physician in a “patient care team” model the practice agreement describes guidelines for the collaborative and
consultative process in the work setting and prescriptive practices the credentialing process in hospitals and health systems may serve in
lieu of a practice agreement the patient care team physician actively provides management and
leadership to patients or groups of patients on the patient care team the requirement that the physician "regularly practice" at the same
location as the NP has been eliminated collaboration and consultation may be through telemedicine ratios have been retained but are increased to 6:1 from 4:1
Outcomes:Consensus Bill Salient Features
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Create a dashboard on the VAC website to track the speakers and organizations that have been addressed. To date we have visited various APRN meetings in Virginia to educate them on the VAC and recruit future speakers.
Secure more support statements for legislative change such as the one obtained by AARP
Long term goal: Implement legislative strategies to impact statutory and regulatory barriers that prevent nurses from practicing to the full extent of their education and training.
This can be done through the development of a white paper in addition to education of professional and consumer groups.
Outcomes
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Leadership
Lindsey Cardwell-Jones and Loressa ColeCo-Leads
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Develop strategies to ensure nursing is skilled to provide
leadership from the bedside to the boardroom
Leadership Goal
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Continue to determine strategic boards to which nurses could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments
Collaborate with schools of nursing to ensure the curriculum focuses on leadership skills necessary for today’s complex healthcare environment
Recognize leaders “from the bedside to the board room” at the annual Virginia Nurses Foundation Excellence in Nursing gala
Leadership Objectives
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Continue “Nurse Leaders in the Boardroom” program piloted with Robert Wood Johnson and AARP in September, 2009
Continue to support the current and expanded Nurse Leadership Institute, a program of the Richmond Memorial Health Foundation and a 2007 Partners Investing in Nursing’s Future (PIN) grantee, by participating on committees, providing scholarships, assisting in encouraging employers to nominate fellows and nurses to serve as faculty
Leadership Objectives
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The Team: Over 30 Registered Nurses from diverse backgrounds and geographic locations as well as a VA AARP Volunteer
2011 Meetings:June 11, 2011- Orientation Conference CallAugust 8, 2011- Strategy Overview & Review of Objective 1 via Conference CallSeptember 23, 2011- Implementation Strategy Session for Objective 1 and Overview of current Nurse Leadership InstituteFocus groups and engagement with the 40 under 40
The Strategy: The Leadership workgroup is utilizing WikiSpace to facilitate online discussion of objectives and hosting monthly conference calls to update the team on the background of objectives and develop implementation strategies for each objective. The team is focusing on one objective each month.
Outcomes
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Workforce Data
Nina Beaman and Richardean BenjaminCo-Leads
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Improve data collection and information infrastructure
Workforce Data Objective
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Continue participation on DHP Healthcare Workforce Data Center
Conduct APRNs survey (in progress) Participation and dissemination of
information from the VA Workforce Development Authority to inform RAC workgroups
Participate in the Forum of State Nursing Workforce Centers (annual conference)
Progress
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Support NCSBN’s efforts to standardize data collection
Achieve consensus around the minimum data sets
Develop and implement specific geographical demand models for nursing and other health professionals
Progress
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Conducting briefings: Results of recent Nurse Licensure Survey HRSA plans to discontinue RSS Compiling current resources to inform
subgroup members about workforce data group issues
Drafting talking points presentation Drafting framework for subgroup white paper
Progress
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Interdisciplinary /Team Based Care Delivery
Sallie Eissler and Patti McCueCo-Leads
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Develop and deploy best practices in team/interprofessional models that promote
nurses and other health care professional in all settings to practice according to their level of
education and licensure to improve and transform health care to patients, families and
communities
Objective
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Sept. 9th; Hosted by Centra in Lynchburg Facilitated by Pamela Cipriano, PhD, RN, NEA-BC
Diverse group of participants including nurses, physicians, chaplains, pharmacists & nurse practitioners
Presentations: Centra ED model & NP Single Provider model
Two small workgroups: ambulatory and inpatient services
Organizational Meeting
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Next Steps
Meet quarterly in person (January 2012) Add new and diverse participants Identify best practices: ambulatory and
inpatient Implement pilots of interdisciplinary team
based care delivery models Develop a plan to market results Link back to the other workgroups
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VNA Education Day – September 24, 2011 Linda Burnes-Bolton, Vice – Chair, CNO Cedasr-
Sinai Valentina Brashers, MD, Professor of Nursing
UVA Co-leads update
Next steps Co-Lead Meeting to determine next steps
Virginia Action Coalition
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Virginia Action CoalitionEngage!
VNA Legislative Day27th Annual Nurses Day at the General Assembly
February 8, 2012