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Julie Thomas, DNP, RN, CPHQ, NEA-BCCo-Chair North Texas Regional Coalition-Texas TeamTexas Team: Advancing Health through NursingSusan ReinhardThank you for joining us for todays webinar on Applying to be an Action Coalition. Im Dr. Susan Reinhard, Senior Vice President and Director of the AARP Public Policy Institute and Chief Strategist of the Center to Champion Nursing in America, an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation. With us is Dr. Susan Hassmiller, Senior Advisor for Nursing, Robert Wood Johnson Foundation; and Campaign Director, of the Future of Nursing: Campaign for Action. Sue and I are so pleased that such a wide variety of states are represented on todays Webinar. The interest in states wanting to learn more about becoming an Action Coalition is exciting. Thank you for your interest.

Before we go further, I wanted mention that we are recording todays webinar, so if you miss a section or would like to pass it on to a colleague, you can find the recording and materials by going to www.championnursing.org/events

1Implementing the Future of Nursing Recommendations2ObjectivesDescribe how to become involved in efforts to advance the Future of NursingDevelop grassroots methods for spreading the Campaign for Action at participants organizationDemonstrate increased awareness of current and planned initiatives to support the nursing and its impact on the Health of TexansPrepare to Captivate: Know your Audience

Remember Whos In Charge

We Are!

The Time is Right !IOM ReportsHealth Care Reform-Affordable Care ActPrimary Care ShortagesValue-Based PurchasingIncreased focus on Research and Evidence-based CareNational Initiatives on Quality and SafetyCare Coordination

The 8 RecommendationsRemove scope of practice barriers.Expand opportunities to lead collaborative improvement efforts.Implement nurse residency programs.Increase the proportion of nurses with BSN to 80% by 2020.Double the number of nurses with doctorate degrees by 2020.Ensure that nurses engage in life-long learning.Prepare nurses to lead change.Build an infrastructure for the collection and analysis of workforce data.First Things First: Getting Out the MessageFrontline Staff-Whats in it for me?Over 500 page report from nurses-over 2 years of workTransform Care DeliveryPlatform that supports nursings commitment to Patient CareCoalition Efforts-Website updatesStaff Newsletters Ties to Strategic Initiatives-Vision Staff Forums and Community Presentations

Vision 2015-A SampleEngage and support recommendations for RWJF/IOM Future of NursingRemove Scope of Practice BarriersAdvance use of CNS-driven, population-focused programs, e.g. Stroke and Trauma CertificationsExpand role of Unit Secretaries to Health Unit CoordinatorsNurses to lead and diffuse collaborative improvement effortsContinue to improve nurse-to-physician relations as evidenced by increased collaboration/participation of physicians on key house wide initiativesOpen and sustain advances in throughput with a Clinical Decision UnitBridge the gap from academia and practiceBuild and sustain a mentoring program for new graduates based on Professional Practice Model and Magnet Model Increase BSN rate to 80% house wide by 2015

Vision 2015-A SampleEngage and support recommendations for RWJF/IOM Future of NursingPrepare nurses to lead changeAdvance number of certified nurses to 50%Double the number of doctorate prepared nurseEmbrace Evidence-Based Practice and ResearchEach unit will engage in 1 EBP/Research StudyEnhance a culture of excellence by achieving key performance milestones that affect quality and safetyNurse sensitive metrics will continually improve and outperform national benchmarks:Fall prevention program promoting efforts to exceed NDNQI 25th percentile for number of falls per 1000 patient daysSustain and/decrease current rate of HAPU, CAUTI, CLBSI

Removing Scope of Practice BarriersAdvanced Practice NursesPerryman Report fully supports the IOM stance that APN increase access, safety and continuity of careAverage cost of NP visit is 20-35% lower than the average cost of a physician office visit (MEPS)No difference in malpractice rates among statesNational Council of State Boards of Nursing

Removing BarriersExamining Our Practice-Remember its not just APNsWhat you or your colleagues doing that does not require your RN skill set?What you or your colleagues not doing that we are great at doing?Care CoordinationWorking with State and Federal Regulatory bodiesNational Council of State Boards of NursingTransition to Practice Texas Medical AssociationPeers In Practice

Removing BarriersGreat Work Being Done!California Study of RegulationsRWJF-Transforming Care at the BedsideWays to ExpandHealth Care Policy-DutyInformaticsCustomer Service-AdvocacyCertificationEducation or Academic Partnerships

CollaborationMeeting the Challenge to Improve the CareOur ethical code requires it-Provision 8 the nurse collaboratesEngaging those with similar goalsTransforming Care at the BedsideCommunity Transition ProgramsMedical Services/AmbulancesGeriatricNICHE

Interprofessional CollaborationIHI Triple AIM Decrease CostIncrease Satisfaction or the patient experienceImprove the overall health of the populationCommunity partnerships-Community Health Action TeamHCAHPS questionsCare Coordination/Transition of CareClinical Nurse LeaderPartnership-Avoid acute care centricSocial Services, Pharmacists, Physicians, Home Care, LTC

Nurse Residency ProgramsNot just a product you purchaseAdvantages of formalized programData/recruitingNot Just About Student PlacementHenry Street Project-Public HealthIts a Partnership!AACN/AONE Guiding Principles for Practice-Academic PartnershipsDevelop Formal Relationships Advisory committeesFellowship programs to advance EBPShared Visions/Mutual GoalsDedicated Education UnitsExternships

Nurse Residency ProgramsWhy We NeedIncrease recruitment and retentionDecrease cost for orientation and trainingInternships- not just 15 weeksMentorshipsJourney to ProfessionalismTeaching to ANA Standards of CareANA Code of EthicsGet InvolvedPreceptor/Clinical Coach

Transition to Practice Model-NCSBN

Increasing the Number of BSNs

Increase the Number of BSN NursesWhat does this mean and why?Managing complexityAdvancing EBP/ResearchLower mortality and failure to rescue ratesDoesnt mean forget about the ADNsPipeline for BSN enrolleesOften best option for minorities or low-incomeStudent ExperienceClinical Placement softwareOther opportunities/Other industriesWays to CommunicatePresbyterian Hospital of DallasStrategic VisionAcademic PartnershipsRecruitment and RetentionFunding and Encouragement= Success! An increase of 12% in 1 year to 67% rate of BSNsSetonLong-term strategy with Leadership Established Guiding PrinciplesIncrease BSN hire rateIncrease Nursing retention ratesIncrease number of non-BSN nurses returning to schoolCall to Action to Universities, Colleges and Hospital SystemsThe Doctor of PhilosophyLeads Research EffortsThe Doctor of Nursing PracticeTranslation and Promotion of Research into PracticesClinical SpecialistDouble Doctoral Prepared NursesAdvance EducationCertification in area of SpecialtyAttend ConferencesShare locallyLife-long LearningPrepare Nurses to Lead ChangeTONE/TNA-Improving EHR Education-HITNurses Members of Boards-Not just hospitalsBoardroom presentations on Micro-level changesOpinion Polls conducted by RWJF show many believe nurses should have more influence on improving quality of care and preventing errorsLean MethodologySupport Shared Decision-MakingSummaryKeep Texans FirstKnow your power but more importantly your responsibilityUse Your ResourcesKnow the IssuesGet Involved

Are you the Carrot, the egg or the coffee??

Questions?

27Campaign ResourcesVisit us on the Webhttp://thefutureofnursing.orghttp://championnursing.org

Follow us on twitterwww.twitter.com/futureofnursinghttp://twitter.com/#!/championnursing

Join us on Facebookhttp://facebook.com/futureofnursinghttp://www.facebook.com/TxTeamNursing

That concludes todays webinar. Check us out on the web, follow us on twitter, or join us on Facebook!

Thank you and goodbye.

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