W hat is the IOM?
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Transcript of W hat is the IOM?
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What is the IOM?
• The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public.
• The IOM asks and answers the nation’s most pressing questions about health and health care.
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What does the IOM do?
• They help others make informed health decisions by providing evidence upon which they can rely.
• Conduct research based on congressional mandates or requests by federal agencies and independent organizations.
• Host expert consensus committees and convenes forums, roundtables, and committees, to facilitate discussion, discovery, and critical, cross-disciplinary thinking.
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Environment and Nursing
According to the IOM future of nursing report nurses “…practice in many settings, including hospitals, schools, homes, retail health clinics, long-term care facilities, battlefields, and community and public health centers...”
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Why the Future of Nursing Report?
• The nursing profession is the largest segment of the nation’s health care workforce.
• Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act.
• A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system.
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Breaking down the Report
• Accessing primary care: barriers to Nurse Practitioners practice
• Focus on Education
• Focus on scope of practice
• Report recommendation
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Accessing Primary Care:Barriers to Nursing
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Focus on Education
• There is a need for highly educated nurses
• We need an improved education system– Nursing curricula need to be reexamined,
updated, and adaptive enough to change with patients’ changing needs and improvements in science and technology.
• Entrance into the profession
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Focus on Scope of Practice
• The problem: Inconsistent State Regulations
• The current conflicts between what Advanced Practice RNs can do based on their education and training and what they may do according to state and federal regulations must be resolved.
• Scope-of-practice regulations in all states should reflect the full extent not only of nurses but of each profession’s education and training.
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Report Recommendation: 4 key messages of the report
• Nurses should practice to the full extent of their education and training.
• Nurses should achieve higher levels of education and training through an improved education system.
• Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
• Effective workforce planning and policy making require better data collection and information infrastructure.
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Conclusion
• The United States has the opportunity to transform its health care system.
• The recommendations presented in the IOM report are directed to:– individual policy makers– national, state, and local government leaders– Tax payers– health care researchers, executives, and professionals– licensing bodies– educational institutions– philanthropic organizations – consumer advocacy organizations