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Campaign for Action in Wisconsin Madison & La CrosseNovember 15, 2011
Purpose of today’s meeting
• Enhance knowledge of the IOM Report, The Future of Nursing and the Campaign for Action.
• Create awareness of Wisconsin initiatives that are aligned with the IOM and Campaign for Action recommendations.
• Mobilize regional partners to plan and implement actions for the IOM recommendations.
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Introduction
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Nursing Leading Change, Advancing Health Institute of Medicine Report, 2010
The challenge from the IOM report
Produce a health care system that:
• Delivers the right quality care at the right time
• Patient centered• Accessible • Evidence based • Sustainable
Will require transforming • the work environment• scope of practice• education• number of America’s nurses. 4
National Coalition Partners – The Center to Champion Nursing in America
Who Center to Champion Nursing in America an initiative of• AARP, • the AARP Foundation and • the Robert Wood Johnson Foundation.
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National Coalition Partners – The Center to Champion Nursing in America
WhatThe Center, a consumer-driven, national force
for change
Mission• To ensure all Americans have access to a
highly-skilled nurse
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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.
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Coalition Partners - RWHCRural Wisconsin Healthcare
Cooperative: Owned and operated by 34 rural hospitals
Mission:
A strong and innovative cooperative of diversified rural hospitals.
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Rural Wisconsin Healthcare Cooperative
Key Strategies:• Develop and manage programs and
services... • Supports high quality, cost effective
healthcare… • Encourages partnership to make their
communities healthier…and • Uses strategic alliances in pursuit of its
Vision.10
Future of Nursing Key Messages & Recommendations
Nurses should practice to the full extent of their education and training.
• Remove scope of practice barriers.
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Future of Nursing Key Messages & RecommendationsNurses should achieve higher levels of education
and training through an improved education system that promotes seamless academic progression.
• Expand opportunities for nurses to lead collaboration improvement efforts.
• Implement nurse residency programs.• Increase the proportion of nurses with a
baccalaureate degree to 80 percent by 2020. 12
Future of Nursing Key Messages & RecommendationsNurses should achieve higher levels of education
and training through an improved education system that promotes seamless academic progression.
• Double the number of nurses with a doctorate by 2020.
• Ensure that nurses engage in lifelong learning.
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Future of Nursing Key Messages & Recommendations
Nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States.
• Prepare and enable nurses to lead change to advance health.
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Future of Nursing Key Messages & Recommendations
Effective workforce planning and policy making require better data collection and an improved information planning infrastructure.
• Build an infrastructure for the collection and analysis of inter-professional health care workforce data.
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Role of nurses in transforming health careDriving Forces →→→→Nurses the largest
health care workforce in US.
Nurses closest to patients.
Nurses understand the science of the care processes.
←←Restraining ForcesNurse population
not as diverse in race, ethnicity, gender and age.
Require more education and preparation to adopt to new roles quickly. 16
Role of nurses in transforming health careDriving Forces →→→Nurses practice
across the healthcare continuum.
Nurses can become primary care providers which makes economic cent$.
Evidence links nursing care to high quality & safe care.
←←Restraining ForcesRestrictions on
scope of practice.Reimbursement
limitationsProfession tensions
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Key Message # 1Nurses should practice to the full extent of their education and training.
Report Recommendations
Remove Scope-of-
practice barriers
What’s happening in WI?• WI Stats. Chapter 441 current
protects the titles for RN, LPN, and nurse midwives.
• No title protection or legal definition for the advance practice roles:• Advance Practice Nurses (APN) • Certified Registered Nurse
Anesthetist (CRNA)• Clinical Nurse Specialist (CNS) 18
Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression
Report Recommendations • Increase the
proportion of nurses with a BSN degree to 80 % by 2020.
• Double the number of nurses with a doctorate by 2020.
What’s happening in WICurrent Status:Licensed LPN’s 14, 165Licensed RN’s 77,553
– Diploma 10.4%– Associate 32.2%– BSN degree 42.9%- MSN degree 12 %– PhD degree 0.4%
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Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression
Report Recommendations
Implement Nurse Residency Programs
What’s happening in WI? UWHC Nurse Residency Program•1 year program for new graduates to build clinical competency RWHC Nurse Residency Program •1 year program for nurse graduate through monthly learning days•support of an experienced nurseLong Term Care Residency Program•collaboration between UW-Madison and Edgewood School of Nursing 20
Key Message # 2Nurses should achieve higher levels of education and training through an improved education system that promotes academic progression
Report Recommendations
Ensure that nurses engage
in life long learning?
What’s happening in WI?ANEW encourages nurses to
pursue higher degrees.Professional Pathways:Seamless progression of ADN
students to the BSN Completion program at Viterbo University
(Jennifer Hedrick-Erickson) 21
Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
Report Recommendations
Expand opportunities for nurses to
lead collaboration improvement
efforts.
What’s happening in WIPatient-centered care• The patient is an active
participant in their health care decisions• health care team conducting
bedside rounding• Improves patient outcomes
• Increase number of interdisciplinary courses
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Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
Report Recommendations
Prepare and enable
nurses to lead change to advance
health
What’s happening in WI?• Linking Education and Practice for
Excellence in Public Health Nursing (LEAP)• Goal - Improve public health nursing
practice through education.• An academic and practice partnership lead
by UW-Madison School of Nursing• Clinical Leadership Institute
• Goal - expand nurses’ self-knowledge, skills, and competencies in leadership.
• Partners UW Hospital and Clinics, Division of Nursing and Patient Care Services and the UW-Madison School of Nursing
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Key Message # 3 Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
Report Recommendations
Prepare and enable
nurses to lead change to advance
health
What’s happening in WI?
• Interdisciplinary Partnerships to Improve Access and Care• Goal - develop educational videos for
medical residents and nursing students incorporating patient and family centered care, health literacy, cultural sensitivity and patient education
• A collaboration to lead by AHEC
(Martha McCabe to present)24
Key Message # 4Effective workforce planning and policy making require better data collection and an improved information infrastructure.
Report Recommendations
Build an infrastructure for
the collection and analysis of
inter-professional health care
workforce data.
What’s happening in WI State law requires data
collection every 2 years with license renewal.
Participating in a nationwide effort to collect nursing workforce supply data.
DHS/DPH workforce data• Public and Community Health RN
Workforce Report
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Key Message # 4Effective workforce planning and policy making require better data collection and an improved information infrastructure.
Report Recommendations
Build an infrastructure for
the collection and analysis of
inter-professional health care
workforce data.
What’s happening in WIWestern WI Healthcare
Workforce Survey Retirement and Intention Survey: Purpose workforce planning Conducted by La Crosse
Medical Health Science Consortium
(Joanne Sandvick or Catherine Kolkmeier will present)
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Purpose of today’s meeting
• Enhance knowledge of the IOM Report, The Future of Nursing and the Campaign for Action.
• Create awareness of Wisconsin initiatives that are aligned with the IOM and Campaign for Action recommendations.
• Mobilize regional partners to plan and implement actions for the IOM recommendations.
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Goal for Regional Action Teams
At the end of this meeting Regional Teams or individual participants will:• Commit to specific goal (s) and actions.• Report back to WCN on the outcome of that
commitment.WCN will compile the information for a
formal update at the 2012 WCN conference.
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