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2009 ANNUAL MEETING SESSION BOOK PHILADELPHIA AUG. 12 - 14, 2009

PHILADELPHIA - NCSBN · 5% Other Revenue 1% Use of Funds NNAAP/MACE 1% Occupancy 2% Governance 2% Communications 2% Admin Services 3% Info Technology 6% NCLEX 64% NURSYS 3% Program

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Page 1: PHILADELPHIA - NCSBN · 5% Other Revenue 1% Use of Funds NNAAP/MACE 1% Occupancy 2% Governance 2% Communications 2% Admin Services 3% Info Technology 6% NCLEX 64% NURSYS 3% Program

2009 ANNUAL MEETINGSESSION BOOK

PHILADELPHIAAUG. 12 - 14, 2009

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NCSBN ENVIRONMENTALLY CONSCIOUS MEETING COMMITMENT

As our Member Boards have requested, NCSBN is committed to holding environmentally friendly or green meetings. As part of our new policy, each hotel that is considered to host an NCSBN meeting will be given a green checklist to determine the property’s environmental impact. As we move forward with our green meetings initiative, we will also ask you to contribute to the effort to decrease our carbon footprint and to help preserve our world.

How You Can Help

� Recycle all paper in the provided bins in the meeting rooms.

� Reuse the towels in your guest room by hanging them up after use.

� Request that housekeeping does not replace the sheets for the entire length of stay.

� Turn off all the lights in your room each time you leave.

� Place your badge in the provided recycle bin at the end of the meeting.

How the Loews Philadelphia Hotel is Helping

� Providing collection bins for the recycling of paper in meeting rooms.

� Participating in a glass and plastic recycling program.

� Providing condiments, beverages and other food items in bulk instead of individually packaged and assuring that the packaging of these items is recyclable and recycled.

� Using pitchers of water on tables instead of bottled water.

� Banning Styrofoam in any food/beverage functions or outlets.

� Providing all paper bathroom supplies with a minimum of 35 percent post-consumer recycled content paper.

� Using environmentally responsible cleaning products for carpets, floors, kitchens and bathrooms.

� Using china service or biodegradable disposable service.

� Avoiding the use of polystyrene #6 plastic.

� Using cloth napkins or post-consumer recycled paper napkins.

� Using sustainable food.

� Using compact fluorescent light bulbs in guest rooms.

� Instructing the housekeeping staff to leave all of the lights off and the air conditioning / heat on low.

� Using natural light in meeting rooms where available.

The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection.

Copyright © 2009 National Council of State Boards of Nursing, Inc. (NCSBN®)

All rights reserved. NCSBN®, NCLEX®, NCLEX-RN®, NCLEX-PN® and TERCAP® are registered trademarks of NCSBN and

this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN.

Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purpos-es only. Nonprofit education programs have permission to use or reproduce all or parts of this document for educational purposes only. Use or reproduction of this document for commercial or for-profit use is strictly prohibited. Any authorized reproduction of this document shall display the notice: “Copyright by the National Council of State Boards of Nursing, Inc. All rights reserved.” Or, if a portion of the document is reproduced or incorporated in other materials, such written materials shall include the following credit: “Portions copyrighted by the National Council of State Boards of Nursing, Inc. All rights reserved.”

Address inquiries in writing to NCSBN Permissions, 111 E. Wacker Drive, Suite 2900, Chicago, IL 60601-4277. Printed in the United States of America

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Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

i

SESSION BOOK | NCSBN 2009 ANNUAL MEETING

Session I: Finance Committee Forum 11

Session II: NCLEX® Examination Committee Forum 19

Session III: Innovations in Education Regulation Committee Forum 25

Session IV: Keynote: The Croatian Regulatory Experience 37

Session V: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB) 47

Table of Contents

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Directions for Obtaining Continuing

Education (CE) Contact Hours for the 2009 Delegate Assembly

In an attempt to streamline the CE process, as well as to be environmentally responsible, we will award

your CE certificates electronically: Please follow these directions carefully if you’d like to receive your CE contact hours:

1. Sign the CE roster at the registration desk. This is critical for obtaining CE contact hours. If you don’t sign in, we won’t be able to send you an evaluation form.

2. Attendance at both the keynote session and one entire concurrent session is required to obtain any contact hours, along with completion of the evaluation form pertaining to those two presentations.

3. The deadline date to complete the electronic evaluation, in order to receive your CE contact hours is, Friday, September 4, 2009.

4. There is a CE evaluation form in the session book for your convenience. You may wish to complete that form while you listen to the presentations and use it when submitting the electronic evaluation.

5. Once we receive your electronic evaluation, NCSBN will send you an electronic CEU certificate for 3 contact hours.

6. If you have any questions, please see Kate Jones or any NCSBN staff member.

Thank you.

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2009 NCSBN Annual Meeting

Please evaluate the keynote address and only the ONE concurrent session that you attended.

1. Rate the effectiveness of the teaching methods for each presenter by checking the appropriate box: (5 = Very Effective, 1 = Ineffective)

Presenter – Day One 5 4 3 2 1

Dragica Simunec- Keynote Address

Kevin Kenward- Research (concurrent session)

Adrian Guerrero- Nursys®/HIPDB (concurrent session)

Nur Rajwany- Nursys/HIPDB (concurrent session)

Lisa Emrich- TERCAP® (concurrent session)

Shirley Brekken- CORE (concurrent session)

Maryann Alexander- IRE/CRE (concurrent session)

Laura Rhodes- NLCA/NCSBN Relationship (concurrent session)

Gloria Damgaard- NLCA/NCSBN Relationship (concurrent session)

Daniel Angres- Healing the Healer (concurrent session)

Kathy Bettinardi-Angres- Healing the Healer (concurrent session)

2. Was the speaker knowledgeable, organized, and effective in his/her presentation?(5 = Very Effective, 1 = Ineffective)

Presenter – Day One 5 4 3 2 1

Dragica Simunec- Keynote Address

Kevin Kenward- Research (concurrent session)

Adrian Guerrero- Nursys/HIPDB (concurrent session)

Nur Rajwany- Nursys/HIPDB (concurrent session)

Lisa Emrich- TERCAP (concurrent session)

Shirley Brekken- CORE (concurrent session)

Maryann Alexander- IRE/CRE (concurrent session)

Laura Rhodes- NLCA/NCSBN Relationship (concurrent session)

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Gloria Damgaard- NLCA/NCSBN Relationship (concurrent session)

Daniel Angres- Healing the Healer (concurrent session)

Kathy Bettinardi-Angres- Healing the Healer (concurrent session)

3. Please rate the content of the program. Below are the program objectives for your review. (5 = Very Effective, 1 = Ineffective)

• Identify the challenges of nurse regulators as Croatia developed a public protection model. (Keynote)

• Describe NCSBN’s new and ongoing research projects. (Research) • Discuss Nursys enhancements in 2009. (Nursys/HIPDB) • Describe updates made to HIPDB. (Nursys/HIPDB) • Apply TERCAP data to regulatory excellence. (TERCAP) • Identify which CORE data has proven to be meaningful and of value. (CORE) • Apply CORE concepts and principles to measure and improve the board of nursing’s (BON’s)

performance. (CORE) • Discover offerings for advanced education for nursing regulators. (IRE/CRE) • Discuss how to apply for a grant. (IRE/CRE) • Provide tips for getting a proposal funded. (IRE/CRE) • Discuss next steps for multi- and single-licensure states, and the role of NCSBN and the Nurse

Licensure Compact Administrators. (UCLR) • Identify aspects of addiction in health professionals and how it affects the work of the BONs in

terms of regulatory excellence. (Healing the Healer)

Program Content 5 4 3 2 1

Were the objectives of this program met?

Was the content relevant to the education objectives?

Did you personally achieve the objectives?

Were the methods of presentation appropriate?

4. Please rate the following general questions (5 = very effective – 1 = Ineffective)

General Questions 5 4 3 2 1

Was the program engaging?

Was the program useful to your work?

Should the program continue?

Was enough time allotted for this activity? Were the physical arrangements conducive to learning?

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5. Comments: Please explain very low or very high ratings: ____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

6. Recommendations: Provide suggestions for education sessions that would benefit your work:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Name:______________________________________________________________________________ Board of Nursing: ____________________________________________________________________ Phone Number: ______________________________________________________________________

P a r t i c i p a n t s w h o l e a v e e a r l y w i l l n o t r e c e i v e a n y c o n t a c t h o u r s .

Attendees interested in obtaining CE units must complete and return this form and sign the attendance roster.

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Finance Committee Forum

Presented by:

Robert Clayborne, MBA, CPA Director, NCSBN Finance and Administrative Services

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11Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence1

Finance Committee ReportPresented by: Robert Clayborne,

NCSBN, Director of Finance

Finance Committee Charge

Financial PoliciesBudgetFinancial StatementsAuditInvestmentsLiability Insurance

Tumultuous Times

• Global Recession

• Crisis in Financial Markets

Session I: Finance Committee Forum

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12Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

2

Finance Strategy

Asset protectionInternal Control Risk Management

Optimum return on investmentsInvestment Management

Internal source of fundsFinancial stabilityFinancial resource allocation aligned with mission

Financial PlanningOutcomesInitiatives

Internal Source of Funds

$14 million operating reserve

Significant longer-term reserve position.

Reserve Compared to Operating Expense In $,000’s

0

20,000

40,000

60,000

80,000

100,000

120,000

FY-08 FY-09 FY-10

Total ReserveOperating Expense

Session I: Finance Committee Forum

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13Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence3

Source of Funds

NCLEX87% NURSYS

4%

Learning Extension

3%

Investments5%

Other Revenue

1%

Use of Funds

NNAAP/MACE1%

Occupancy2%

Governance2%Communications

2%

Admin Services3%

Info Technology6%

NCLEX64%

NURSYS3%

Program Services14%

E-Learning3%

Resource Allocation

Budget aligned with mission and strategic plan

Session I: Finance Committee Forum

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14Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

4

Mission

Strategic Initiatives

in $,000'sInternal Operations

Governance Testing NURSYS Network/ Information/ Education/Committees Research E-Learning

1,225$ 35,923$ 1,640$ 4,261$ 3,362$ 1,584$

InfrastructureTechnology Communications Occupancy/Office HR & Finance

$ 3,624 $ 1,247 $ 1,056 $ 1,401 Capital Expenditures

6,243$

FinancialBeginning

ReserveCash from

OperationsCash from

Investments Ending Reserve

103,000$ 7,426$ (3,000)$ 107,426$

Financial Planning Performance Summary

$14 million short-term operating reserve.$89 million long-term reserve.

Budgeted revenues exceed operating expenses. Focus on operating expense budget that can be supported by primary revenue source over the longer term.

Operating budget linked to mission with consideration for impact on financial reserves.

Internal Source of Funds

Financial Stability

Resource Allocation

Optimum Return on Investments

Effective Policy guides investment strategyReturns equal long-term goal Investment returns equal benchmarks

Session I: Finance Committee Forum

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15Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence5

Return Compared to Price Index and Budget

-1

0

1

2

3

4

5

% return

3 years 5 years

CPIActualBudget

Return Compared to Benchmarks for the nine-month period ended June 30, 2009

-40-35-30-25-20-15-10

-505

10

% return

Bonds InflationIndexedBonds

StocksLargeCap

StocksSmallCap

StocksInt'l

RealEstatefund

NCSBNINDEX

Protect Assets

Unqualified opinion on financial statement auditIndependent audit committeeInternal Control PolicyFavorable report from investment prudence reviewAdequate property and professional liability insurance coverage

Session I: Finance Committee Forum

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16Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

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Performance Assessment

We assess our performance by asking if we are succeeding in reaching our outcome measurements and whether our performance remains within levels to be reasonably expected given the prevailing economic conditions.

Financial Performance Summary

Reserve position that provides an internal source of funds

Balanced operating budgetsBudgets linked to the mission and the strategic plan

Investment returns equal benchmarksComparatively minimal losses during severe economic downturnAn unqualified audit opinion from the independent accountantsPolicies that guide good internal control practicesLiability insurance that supports risk management

Questions

Session I: Finance Committee Forum

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NCLEX® Examination Committee Forum

Presented by:

Sheila Exstrom, PhD, RN Chair, NCLEX® Examination Committee

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19Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence1

2009 NCLEX® Examination Committee Report

Sheila Exstrom, PhD, RN, ChairNCLEX® Examination Committee

NCLEX® Examination Committee Members

Sheila Exstrom, PhD, RN- Nebraska, Area II

Cheryl Anderson, MS, RN- California-VN, Area I

Louise Bailey, Med, RN- California-RN, Area I

Usrah Claar-Rice, MS, RN- Washington, Area I

Doris Hill, PhD, RN, CNOR- Minnesota, Area II

Patricia Kay Hill, BSN, RN- North Dakota, Area II

Laurette Keiser, MSN, RN- Pennsylvania, Area IV

Debbie Ricks, MSN, RN- Mississippi, Area III

Patricia Spurr, EdD, MSN, RN- Kentucky, Area III

Barbara Zittel, PhD, RN- New York, Area IV

Board Liaison: Kathy Malloch, PhD, MBA, RN – Arizona, Area I

NCLEX® Item Review Subcommittee Members

Susan Baltrus, MSN, RN, CNE- Maine, Area IVPamela Burris, MSN, RN- Maryland, Area IVClaire Glaviano, MS, RN- Louisiana-PN, Area IIILorinda Inman, MSN, RN- Iowa, Area IIPatricia Johnson, LPN- Arizona, Area IKathy Sullivan, RN, MBA- Wisconsin, Area IIRhonda Taylor, MSN, RN- Washington, Area I

Barbara Knopp, MSN, RN- North Carolina, Area IIINancy Murphy, MC, CPM, RN- South Carolina, Area IIIJudith Pelletier, MSN, RN- Massachusetts, Area IVDonna Roddy, MSN, RN- Tennessee, Area IIICristiana Rosa, APRN, PCNS- Rhode Island, Area IV

Jacqueline Waggoner, MSN, RN- New Mexico, Area ILinda Young, RN, MS, FRE, BC- South Dakota, Area II

Session II: NCLEX® Examination Committee Forum

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20Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

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Recommendation to the Delegate Assembly

Adopt the proposed 2010 NCLEX-RN®

Test Plan

Rationale for the 2010 NCLEX-RN® Test PlanRecommendations

Recommendations are based upon:

2008 RN Practice Analysis

Expert Judgment

Feedback from Boards of Nursing76% response rate from RN Member Boards

Proposed 2010 NCLEX-RN® Test Plan

Overall Format is Retained

Minor Edits for Currency and Clarification

Session II: NCLEX® Examination Committee Forum

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21Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence3

RN Test Plan Proposed Changes

Safe and Effective Care Environment

Management of Care

Safety and Infection Control

Health Promotion and Maintenance

Psychosocial Integrity

2007 2010

13-19% 16-22%

8-14% 8-14%

6-12% 6-12%

6-12% 6-12%

RN Test Plan Proposed Changes

Physiological Integrity

Basic Care and Comfort

Pharmacological and Parenteral Therapies

Reduction of Risk Potential

Physiological Adaptation

2007 2010

6-12% 6-12%

13-19% 13-19%

13-19% 10-16%

11-17% 11-17%

Proposed Implementation Timeline2010 NCLEX-RN® Test Plan

August 2009 - Delegate Assembly action is provided on proposed test plan.September 2009 - Panel of Judges Standard Setting Workshop is convened.December 2009 - Board of Directors evaluates the passing standard for the NCLEX-RN examination.April 2010 - Implementation of the 2010NCLEX-RN® Test Plan and the passing standard.

Session II: NCLEX® Examination Committee Forum

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22Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

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Future NCLEX Initiatives

Completion of practice analysis studies with British Columbia and OntarioRecommendation of a passing standard for the Pearson Test of EnglishIntroduction of additional alternate format items including the potential for sound, video, and animationEnhancing the security of the NCLEX

Introduction of palm vein technology at PPCsEnhanced security of the transfer of communication and reports to boards from Pearson VUE

NCLEX Information on NCSBN Web Site

NCLEX-RN Test Plan FAQhttps://www.ncsbn.org/1287.htmAlternate Item FAQhttps://www.ncsbn.org/1213.htmTOEFL-iBThttps://www.ncsbn.org/1233.htm

Questions on the NCLEX-RN® Test Plan?

Session II: NCLEX® Examination Committee Forum

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Innovations in Education Regulation Committee Forum

Presented by:

Susan Odom, PhD, RN, CCRN Chair, Innovations in Education Regulation Committee

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25Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence1

Innovations in Education Regulation Committee

Susan Odom, RN, PhDChair, Idaho BON

Innovations Committee Chair

Committee Members

Susan Odom, Chair, Idaho Linda Burhans, North Carolina Cyndy Haynes, West Virginia-RN Janice Hooper, Texas Pamela Randolph, Arizona Nora Steele, Louisiana-RN Mary Beth Stepans, Wyoming Joyce Zurmehly, Ohio Nancy Spector, NCSBN Staff

BackgroundCall for innovations in nursing education

Complexities in health care National focus on patient safety 2003 IOM report 2009 Carnegie report on nursing

education

Session III: Innovations in Education Regulation Committee Forum

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26Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 2

BackgroundMarch 25, 2008: NCSBN invited education, regulation and practice leaders to discuss fostering innovation in nursing education: Analyzed possible barriers to implementing

innovations (by education, practice and regulation). Discussed maintaining quality while

implementing innovation. Discussed the future vision of nursing.

BackgroundMarch 26, 2008: NCSBN’s Faculty ShortageConference:

Exemplars on innovations in nursing education were presented In-depth discussion took place about

fostering innovation

Background 2007-08 Faculty Qualifications Committee

Recommendation:Made recommendations that educators and

regulators work together more closely to foster innovation in nursing education.

Board of Directors established the Innovations in Education Regulation Committee for 2008-09

Session III: Innovations in Education Regulation Committee Forum

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27Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence3

2008-09 Charges for Innovations in Education Committee

1) Identify real and perceived regulatory barriers

2) Develop a regulatory model for innovative education proposals

Activities to meet charges Detailed report that includes:Literature reviewDefinitions

• Innovation - A dynamic, systematic process that envisions new approaches to nursing education.

• Regulatory barrier - Real or perceived regulatory parameters that hinder innovation in nursing education.

Activities to meet charges

Developed 11 premises

Held conference call with educators

Developed model for describing the regulatory influences on innovation

Session III: Innovations in Education Regulation Committee Forum

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28Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 4

Model for describing regulatory influences

Communication

Laws/Rules

Process

Activities to meet charges

Flyer for BONs with recommendations for fostering innovations

Flyer for BONs to distribute to educators to begin dialogue on innovations

Activities to meet chargesDeveloped model rules for fosteringinnovations for membership to consider: Open doors for educators to develop

innovations Way of building knowledge for quality

innovations Maintain core quality indicators for public

protection

Session III: Innovations in Education Regulation Committee Forum

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29Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence5

Essentials of the model rules Article IX. Section 3. Provision for

innovative approaches in nursing education programs.

The Board shall, by administrative rule, identify the process for implementing innovative approaches in nursing education programs.

Essentials of the model rules

Operational definition: Innovative approach – A creative nursing education strategy that departs from the current rule structure and requires Board approval for implementation.

Essentials of the model rulesPurposes:

1) To foster innovative models of nursing education to address the changing needs in health care.

2) To assure that innovative approaches are conducted in a manner consistent with the Board’s role of protecting the public.

3) To assure that innovative approaches conform to the quality outcome standards and core education criteria established by the Board.

Session III: Innovations in Education Regulation Committee Forum

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30Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 6

Essentials of the model rulesEligibility Criteria:

1. The nursing education program shall hold full Board approval without conditions.

2. There are no substantiated complaints in the past 2 years.

3. There are no rule violations in the past 2 years.

Essentials of the model rules

Application:

Specifics provided

1-page executive summary

Jurisdiction decides # of pages (educators suggest limiting to 10)

Essentials of the model rules

Seven standards for approval:

Key: The innovative approach will not compromise the quality of education or safe practice of students.

Must submit evaluation plan

Session III: Innovations in Education Regulation Committee Forum

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31Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence7

Essentials of the model rules

Review of application and Board action:

Must meet standards of approval and eligibility criteria

Board may limit numbers, based on resources

Essentials of model rules

Periodic evaluation:

Describes ongoing evaluation

Discusses remedies for students who might be adversely affected

Essentials of model rules

Request for continuation of innovativeApproach: Continued approval may be sought if the

innovative approach has achieved desired outcomes, has not compromised public protection, and is consistent with core nursing education criteria.

Session III: Innovations in Education Regulation Committee Forum

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32Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 8

We heard you!

Membership worried about compromising core standards – is eligibility requirement

Changed from “waiving” or “exempting” to current legislative language of “innovative approach”

Length of application limited

Continued concerns

Limiting numbers of applications

“Our rules are already flexible enough”

Remember:

Your Board may not need to incorporate these because your current rules are flexible and allow for innovation, but other Boards would like a template for fostering innovations.

You can adapt these to meet your needs.

Session III: Innovations in Education Regulation Committee Forum

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33Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence9

Other committee recommendations for staff:1. NCSBN will create a Web site to serve as

a clearinghouse for those innovative education approaches that Boards of Nursing approve.

2. If the model rules are adopted at the 2009 Delegate Assembly, NCSBN will disseminate that information in NCSBN’s new journal, in Leader to Leader, and in Council Connector, for the purpose of encouraging innovative approaches.

Other committee recommendations for staff:

3. NCSBN will establish a plan to evaluate whether Boards of Nursing have adopted the innovation model rules and whether they have been effective in fostering innovations in nursing education.

“The two most important requirements for major success are: first, being in the right place at the right time, and second, doing something about it.”

~ Ray Kroc

Session III: Innovations in Education Regulation Committee Forum

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34Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 10

Questions/Discussion

Session III: Innovations in Education Regulation Committee Forum

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Keynote: The Croatian Regulatory Experience

Presented by:

Dragica Simunec President, Croatian chamber of Nurses and Board Member of the European Council of Nursing Regulators

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37Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 1

THE CROATIAN REGULATORY EXPERIENCE

Dragica Šimunec, rn

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

CROATIA

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

– Located in Central Europe

Session IV: Keynote: The Croatian Regulatory Experience

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38Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 2

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• 4, 5 mil. inhabitants• 56.542 km2 • 5000 km of coast• 1.185 islands (66 inhabited)

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• Gained its independece in 1991.• Survived agression – extremley cruel 5-

year war• Democratic nation, Nato member• In process of accession to European

Union

VUKOVAR

Session IV: Keynote: The Croatian Regulatory Experience

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39Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 3

DUBROVNIK

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

NURSING IN

MODERN CROATIA

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• No professional autonomy during 50 years of communism

• Collective responsibility • No autonomy in decision making • No evidence

Session IV: Keynote: The Croatian Regulatory Experience

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NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 4

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• Position of Chief Nursing Officer at Ministry of Health established in 1991

• Croatian Nursing Associationestablished in 1992

• Code of Ethics, Scope of Practice -only on level of recommendation

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• 1994. nursing became part of regulation

• 1999. significant changes of nursing education - university level

• Nursing orientated curriculum, following with implementation of first and second cycle of Bologna process

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• Nursing Act - introduced to Government in 1999. based on good practice from United Kingdom and Spain

• 2003. - Croatian Parliament adopted Nursing Act

Session IV: Keynote: The Croatian Regulatory Experience

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41Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 5

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• Croatian Nursing Council wasestablished on October 1st, 2003

• Self regulatory body for nursing withmandatory membership (Register)

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

Public authorities of CNC:

• Maintains the register of qualified nurses

• Issues, renews and withdraws licenses

• Conduct of professional supervision

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

• Fitness to Practice Rules

• Code of Ethics

Session IV: Keynote: The Croatian Regulatory Experience

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NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 6

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

CNC OBJECTIVES:

• Maintaining the standards for pre registration nursing education

• Maintaining the standards and guidelines for nursing practice and conduct

• Setting the standards for post registration CPD

• Identifying the need for additional education leading to registration for specific nursing competences

• Ensuring professional and legal advices for nurses

• Processing allegations of misconduct

• Cooperation with Ministry of Health and other government institutions

• Cooperation with patient organizations

• Cooperation with employers

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

ACHIEVEMENTS:• Legal base of nursing as PROFESSION• Active participation in decision making on political

and professional level• Maintaining professional knowledge and

competences and initiating new role of nurses• Insurance of personal accountability with the focus

on promotion and protection of the interest ofpatients

• Data base of entire situation of nursing professionin country

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

DIFFICULTIES:• Adjusting to many changes of political,

economic and legal system• Legal framework – change from the

collective to personal responsibility• Mobilization of nurses for the obligatory CPD• CNC as new legal player in the political

decision making (reaction of medicaldoctors)

Session IV: Keynote: The Croatian Regulatory Experience

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43Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12 - 14, 2009 7

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

EUROPEAN PERSPECITVE OF NURSING REGULATION:

• FEPI – European Council of NursingRegulators as leader in defining nursing as a profession in Europe with public interestprotection as a main goal

• Other European organizations of nursingassociations and unions with completelydifferent aims

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

FEPI CONTRIBUTION:• Advocacy for need of nursing regulation as

guarantee of responsible and qualitative care• Define and promote unique basic nursing education

based on competences, on European level• Realize the key influence on European Council

regarding professional and legal aspects of nursing• Cooperate with other European organizations,

ensuring unique representation of nursingprofession on European level

NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

FEPI FUTURE:• Advocacy for need and development of

nursing regulation on global level• Development of regulatory network• Determinating and clarifying core

competences as base for the minimal levelof education internationaly

• International interaction and exchange ofgood practice

• Establishing the partnership within thenursing regulatory bodies across the Globe

Session IV: Keynote: The Croatian Regulatory Experience

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44Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence

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NCSBN ANNUAL MEETING, PHILADELPHIA, AUGUST 12-14, 2009

Never doubt that a small group of thoughtfulcitizens can change the world. Indeed, it is the

only thing that ever has. – Margaret mead

Thank you for your attention!

Session IV: Keynote: The Croatian Regulatory Experience

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Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)

Presented by:

Adrian Guerrero Nursys® Committee Chair, Kansas Board of Nursing

Nur Rajwany, MS Director, NCSBN Information Technology

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47Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence

Session V: Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)

1

Nursys® & HIPDB Update

Adrian Guerrero, Nursys Committee Chair, Kansas Board of Nursing

Nur Rajwany, Director of Information Technology, NCSBN

Nursys® Committee

FY2009 FY2010 Devise strategy and methodology to include

different types of licenses in Nursys: APRN CNA Temporary Medication Aides ?

Devise strategy to implement electronic discipline upload to Nursys®.

Nursys® Enhancements FY09

Nursys® Help Video Quick help throughout Nursys Context sensitive

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48Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 2

Nursys® Enhancements FY09

Nursys® 101 Replaces traditional classroom training Allows users quicker access to Nursys Available 24/7

Nursys® Enhancements FY09

Discipline Entry Reduced number of entry screens and aligned with HIPDB

Nursys® Enhancements FY09

Speed Memos Mark as unread, Text Editing, Filtering

Session V: Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)

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49Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence3

Reports at Your Fingertips

Provide Member Boards the ability to pull statistics on their own data

Predefined reports Ad-hoc reporting Drill-down capability Auditing Transparency Discipline report

Reports at Your Fingertips

Predefined licensure reports by Nurse type, gender, nurse age group

Reports at Your Fingertips

Predefined discipline reports by cases and by action codes

Session V: Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)

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50Session Book | NCSBN 2009 Annual MeetingUnlocking the Possibilities: The Key to Regulatory Excellence 4

HIPDB Update

Play Demo Video

Nursys.com

Paperless verifications Free employer/public verifications Faster and easier verification process Nurse’s verification fee is $30 per license

type per jurisdiction Provides discipline details to

employers/public Only verification tool that provides status of

multistate licensee’s privilege to practice

Nursys® Emergency Response Access

Via Nursys®. Com per BOD’s policy, provide bulk access free of charge to Emergency Response Organizations

Provide mobile version of Nursys® .com to better facilitate public and ERO access

Session V: Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)

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51Session Book | NCSBN 2009 Annual Meeting

Unlocking the Possibilities: The Key to Regulatory Excellence5

Nursys® New Enhancements

Direct system to system access to query Nursys® upon renewals

Non-private unique identifier

New Nursys® charges for 2010

Nursys®/HIPDB

Questions?

Session V: Breakout Sessions: Nursys®/Healthcare Integrity and Protection Data Bank (HIPDB)