Embed Size (px)
Citation preview
HO
RIZO
NS
Wisconsin Organization of Nurse Executives
August 2016
continued on page 2
President’s Message
The retirement of Pam Thompson, MS, RN, CENP, FAAN from her role as CEO of the American Orga-nization of Nurse Executives (AONE), earlier this year, was a leadership transition that attracted much notice within our profession. I enjoyed read-ing an interview Bob Dent, AONE Board Member, conducted with Pam about her career. It was published in the June issue of Nurse Leader. I was particularly struck by Pam’s response to a question on how she first became involved in AONE. In short, she was inter-viewing for a nursing leadership role in a highly renowned organiza-tion.
One of the senior nursing leaders involved in the interview process in-formed her that, despite Pam’s excellent resume, she would not sup-port her for the role because she was not involved in her professional association. Wow! It made me realize that each of us has a role, not only in modeling active engagement in WONE, but talking about the importance of professional involvement to our team members and, yes, even making it a criterion for promotion.
As I reflect on my own career progression, I realize that I became active in the American College of Health Care Executive (ACHE) be-cause my CEO valued it and spoke often of its importance to health care leadership. Sadly, I did not receive similar messages about WONE/AONE from nursing leadership along the way. Let’s make sure that our colleagues hear strong messages of the importance of professional engagement from us!
I was equally impressed by another one of the questions Dr. Dent asked: “If you could change one thing about AONE or nursing leader-ship, what would it be?” Pam’s response: “For nursing leadership, I would wish for more leaders to find their voice and get involved with the health care transformation that is occurring in every arena. Nursing has so much to offer, but we can’t wait to be invited to tables, we must bring our own chair and join and lead the conversa-tions.”
What a great description of the attitude and the work that lies ahead! There has never been a time when effective nursing leadership was more urgently needed. From the nursing shortages currently being reported in many segments throughout the country, and our state,
Horizons is published quarterly as the newsletter of the Wis-consin Organization of Nurse Executives. Articles on nursing, management and health care issues, and letters to the editor are welcome. Display and classified advertising are accepted. For information, contact the editor.
2016 WONE Board of Directors: President: Joan Beglinger; Trea-surer: Sharon Cox; Secretary: Tonja Ramthun; Past President: Doris Mulder
2016 WONE Board Members: Betsy Benz, Teresa Feidt, Laura Hieb, Doreen Kluth, Ruth Risley-Gray, Mary Beth White-Jacobs
2
President’s Message continued from page 1....
to the political rancor that has health care front and center as the focus of major change, our work promises to present us with the greatest challenges of our careers. WONE can be, and must be, both an invaluable resource to its members and the vehicle through which we ex-ert significant influence in the transformation of health care. We have set ambitious goals for ourselves. Success will require the engagement of our members and the courage to elbow our way to the table. Let’s bring our own chairs and join the conversation!
Joan Ellis Beglinger
WONE President
New Members 2016 (since May)
• Katie Bischoff, Unity Hospice, DePere• Sandra Goldman, Aurora Health Care, Milwaukee
• Daniel Jordan, St. Mary’s Hospital, Madison• Zeb Koran, Wheaton Franciscan All Saints, Racine
• Robert Pastor, Southwest Health, Platteville
Nursing Leadership Academy
In fall, WONE is very excited to offer two more Nurse Leadership Academies for aspiring and new nurse leaders. The programs will be held September 22-23 and November 4 at St. Vincent Hospital in Green Bay, Heritage Conference Center, 835 S. Van Buren St., Green Bay; and Sep-tember 29-30 and November 11 at Aspirus Wausau Hospital in Wausau, Westwood Conference Center, 1800 Westwood Center Boulevard, Wausau.
The deadline for the programs are fast approaching: August 12 for the Green Bay program and August 19 for the Wausau program. The application can be found at www.w-one.org. Class size is limited to 40 nurse participants from anywhere in the state.
We have been honored to have aspiring or new nurse leaders from many different organizations, clinics, colleges, hospitals, prison system, skilled nursing facilities and others. The faculty appre-ciate the energy and passion of each of the participants and look forward to seeing you there.
Respectfully,Paula Hafeman DNP, RN, FACHEChief Nurse ExecutiveNurse Leadership Academy CoordinatorWisconsin Organization of Nurse Executives
Work Continues on Nurses’ License Plate
3
Professional Development
WONE 2016 Education Scholarship Program
The WONE Professional Development Committee has opened the 2016 Scholarship Program. There will be 4 - $1000 BSN scholarships and 1 - $1000 MSN/DNP/PhD scholarship awarded later this fall. Applications must be electronically submitted by August 26, 2016. Information re-garding the scholarships and the application documents are now available on the WONE website at: http://www.w-one.org/
The application process is geared toward professional RNs, and WONE encourages our members to apply for these awards.
Thank you.
Kathryn Olson, DNP, RN, NEA-BCChair WONE Professional Development Committee
4
Pain Management
Pain management is a national health care topic. Millions of Americans suffer from poorly controlled pain despite advances in scientific knowledge and technology. Health care systems are underperforming on pain satisfaction scores which impact reimburse-ment. The misuse and abuse of opioid anal-gesics is a national epidemic. It is imperative to re-evaluate pain management practices as a health care system to ensure safe, quality care is available across the care continuum. Advanced practice nurses are well positioned to lead this change.
While the majority of nurse practitioners provide direct patient care in a clinical set-ting, there is a growing opportunity for ad-vance practice nurses to lead organizational change through sharing of clinical expertise, coaching, research, applying evidence-based practice, and interdisciplinary collaboration. In October, 2015, Peggy Lutz, MSN, FNP-BC, RN-BC, Ministry Health Care, took her 20 years of clinical pain management experience at the bedside to a new role leading the sys-tem pain initiative as the Service Line Direc-tor for Pain Management.
Peggy’s experience as an inpatient pain con-sultant for patients with complex pain needs created a vast foundation of clinical expertise and the leadership skills needed to impact change across a health care system. The pain initiative focuses on delivering evi-dence-based, person-centered pain manage-ment across the care continuum. In her role as Service Line Director, Peggy is responsible for:
• Providing leadership and evidence-based, best practice recommendations to site and system leaders in addressing pain man-agement problems, planning and imple-menting new services, and improving patient outcomes.
• Establishing interprofessional relation-ships at the local, regional, and system level to execute strategic plans leading to improved pain management through-out the system.
• Promoting alignment of pain manage-ment imperatives with service and qual-ity priorities
Peggy acknowledges one of the greatest skills she took from clinical practice is a deep understanding of the needs of pa-tients, families, and the entire patient care team. “I’ve been in the trenches. I’ve seen the challenges patients have with access to affordable care. I understand the time con-straints nurses face while providing expert, compassionate care. I’ve seen the struggle to meet quality and financial metrics in a value based reimbursement system. These experiences are vital to helping me drive change at a system level.” Leading a system quality improvement ini-tiative is an exciting opportunity to expand an advanced practice nurse’s circle of influ-ence.
“While working in a hospital-based role, I occasionally had the opportunity to work on a system project as a subject matter expert. Now, I can impact patient outcomes on a much larger scale through policy standard-ization, identifying and sharing of best prac-tices, interprofessional collaboration and education, and aligning the pain initiative with existing resources and services such as Palliative Medicine, Behavioral Health, Quality Management, and Education and Development.”
....continued on page 5
Tom Veeser, RN, MSChief Nursing Officer, Ministry Health Care
5
Through interdisciplinary collaboration, Peggy has led the system pain priorities of the past year to include:
• implementation of standardized pain as-sessment scales in the inpatient nursing care units,
• implementation of a system-wide pain man-agement policy,
• development of a cross-continuum, interdis-ciplinary Pain Steering Committee,
• collaboration with outpatient providers to implement opioid prescribing guidelines in the clinic setting,
• working with nursing leadership to develop an interdisciplinary pain resource network for inpatient care,
• increasing capacity of frontline associ-ates by offering a pain certification review course and web-based study group to pre-pare for the pain certification exam,
• standardization of controlled substance pa-tient agreements and policies, and
• review of prescribing practices for anal-gesics to provide guidelines for safe, evi-dence-based, regulatory compliant analge-sic orders.
Beyond her role within Ministry Health Care, the pain initiative has created grow-ing opportunities for Peggy to partner with resources within Ascension Health. Her in-volvement with Ascension Care Excellence committees creates alignment of local initia-tives with our national health care partners.
“My advice to any nurse practitioner is to get involved, whether it’s local or national committees, professional organizations, or leadership development courses. The net-working possibilities are invaluable and the rewards are plentiful. Being involved and recognized by my peers and leaders for my contributions has kept my perspective fresh and drives me to accomplish more.”
“One of the reasons I pursued an advanced practice nursing degree was to someday take my pain management experience beyond the hospital setting to a system level position. While I love taking care of patients and families, I also want to be an educator and mentor to help others develop the skills and acquire the tools and resourc-es they need to provide the best pain care possible. I have exceeded my own aspira-tions by working not only at a system level for Ministry Health Care but also working closely with pain experts throughout Ascen-sion Health.”
Continued from page 4 - Pain Management
Steven Rush Vice President, Workforce and Clinical PracticeWisconsin Hospital [email protected] 608-274-1820
WHA Update
6....continued on page 7
Rusk County Memorial Hospital Hosted H2H Meeting and Shared Successful All Advanced Practice Nursing Hospitalist Program; WHA VP Steven Rush Joined Expert Panel
The vulnerability of rural hospitals can never be taken for granted. Rusk County Memorial Hospi-tal, a century old, very successful hospital by many measures, especially financially, found itself at eminent risk of closure. The unexpected loss of six primary care providers left the sole pro-vider group with four primary care physicians who were taxed to continue call coverage, includ-ing obstetrical services for the hospital. This caused the closure of the OB program. The lack of call coverage was cited as the primary reason for inability to recruit replacement providers, potentially devastating access to care.
According to Charisse Oland, Rusk County Memorial CEO, “A quick response was required to secure the future. At the heart of a four-point plan for change, was the creation of an all-Ad-vanced Practice Nurse Prescriber Hospitalist program to eliminate call coverage.” The program, launched in 2014 has proven to be very successful, but has not been without challenges. Oland states, “Because the APNP hospitalist profession is relatively new in rural hospitals and profes-sionals are in high demand, the pathway was filled with many challenges and risks, from prac-tice to regulatory issues. Yet the undaunted team forged ahead and learned along the way by its failures and achievements.”
Panelists at the H2H program that took place on 7/22/16 explored how various models of APNP (or mixed with MDs) hospitalist programs could work within the context of individual rural en-vironments and cultures. Two panels of experts consisting of a CMOs/collaborating physicians, APNP Hospitalists, nursing executives, and statewide leaders helped attendees understand the role of hospitalists and collaborators, and the impact these types of programs have on patient care processes and outcomes. Hospital models that enhance a rural hospital’s current program and help advance the field of APNP hospitalists in rural communities were explored. The panel discussed opportunities to expand the APNP hospitalist workforce and develop the profession through scope of practice and potential legislation.
Panelists included:Session 1 Expert Panelists:Dr. John Almquist, Medical Director, Collaborator, Eagle River Mem. Hosp.- telemedicineDr. Estaban Miller, CMO, Collaborator, Black River Memorial HospitalDr. Linda Klein, CMO, Collaborator, Rusk County Memorial HospitalDr. Kim Moldenhauer, APNP Hospitalist, RCMHJenifer Deziel, APNP Hospitalist, Black River FallsSession 2 Expert Panelists:Dr. Steven Rush, PhD, APNP, Vice President for Workforce and Clinical Practice, WHA Dr. Jeff Miller, DNP, ACRN, APNP, Assistant Professor, Medical College of Wisconsin / Clinical
7
WHA Report - continued from page 6
Director of Outpatient Care at Tosa Center (unable to attend)Clint Miller, DON Spooner Health SystemAmanda Shimko, RN, Interim Director of Nursing, RCMHJennifer Friday, APNP Hospitalist RCMHTheresa Hutzler, APNP Hospitalist, Spooner (invited)
Citing a connection between an overprescribing of opioids and patient satisfaction surveys, HHS announces pain management questions will be removed from HCAHPS surveys
Several physician and provider organizations as well as the American Hospital Association have suggested a link between Medicare payments to hospitals and the scores on the pain manage-ment questions on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) citing that patient expectations coupled with providers being incentivized to have satisfied patients results in the overprescribing of opioids. The CMS is proposing to remove the HCAHPS survey pain management questions from the hospital payment scoring calculation.
Many clinicians report feeling pressure to overprescribe opioids because scores on the HCAHPS survey pain management questions are tied to Medicare payments to hospitals, CMS said. WHA identified opioid abuse and misuse as a key strategic initiative last year and the WHA Board unani-mously passed a resolution to address the issue. WHA member feedback supported the link de-scribed above and WHA responded by providing a webinar entitled “HCAHPS, Patient Satisfaction & Opioid Prescribing: Debunking the Myths.”
In the WHA webinar it was presented that payments have a limited connection to the pain man-agement questions on the HCAHPS survey. Even though this connection is limited, CMS stated in order to mitigate even the perception of financial pressure to overprescribe opioids, CMS is proposing to remove the HCAHPS survey pain management questions from the hospital payment scoring calculation.
Hospitals can continue to use the questions to survey patients about their in-patient pain manage-ment experience, but these questions would not affect the level of payment hospitals receive.
Wisconsin Medical Examining Board (MEB) Approves Final Version of Opioid Prescribing Guidelines
ACT 269, one of several pieces of legislation in Representative John Nygren’s (R-Marinette) Heroin Opioid Prevention and Education (H.O.P.E) package allows the Medical Examining Board, the Podiatry Affiliated Credentialing Board, the Board of Nursing, the Dentistry Examining Board, and the Optometry Examining Board to issue guidelines regarding best practices in prescribing controlled substances for persons credentialed by the board who are authorized to prescribe con-trolled substances. The MEB guidelines address opioid prescribing and do not include recommen-dations on other controlled substances such as stimulants and benzodiazepines. The new guide-lines are based largely on the Centers for Disease Control and Prevention (CDC) guidelines. The Board of Nursing has yet to issue guidelines for nurse prescribers, but discussion is underway.
Further questions should be directed to Steven Rush at [email protected] or 608-274-1820. Steven Rush, WHA
Nomination CommitteeDoris MulderVice PresidentBeloit Health System1969 West Hart RoadBeloit, WI 53511(W) 608-364-5530(Fax) 608-363-5797 [email protected]
BylawsSusan PetersonDirector of Utilization ManagementCommunity Care, Inc. 205 Bishops WayBrookfield, WI 53005(W) [email protected]
MembershipTerri SchultzVice President of Patient Care/CNORogers Memorial Hospital34700 Valley RoadOconomowoc, WI 53563(W) Oconomowoc 262-646-1397(W) Milwaukee [email protected]
Legislative Co-Chairs Mary Cieslak-DuchekDir. of System Nursing IntegrationAurora Health Care3000 W. MontanaMilwaukee, WI 53215(W) 414-647-6493(Cell) 262-385-0122(Fax) [email protected]
Jan BaumanVP, Patient Care Services/CNODivine Savior Healthcare2817 Pinery RoadPortage, WI 53901(W) 608-742-4131 (C) [email protected]
Professional DevelopmentKathryn OlsonDirector, Nursing InformaticsMinistry Saint Joseph’s Hospital611 St. Joseph AvenueMarshfield, WI 54449(W) 715-387-7592(Cell) 715-305-0430(Fax) [email protected]
Marketing Denice Dorpat
HistorianLeilani Mazzone, BSN, RNManager, Aurora at Home11333 W. National AvenueMilwaukee, WI 53227(W) 414-329-4949(C) [email protected]
Horizons/Website (Communications) Kim FranzenClinical DirectorHSHS Eastern Wisconsin Division835 S. Van Buren St.Green Bay, WI 54307(Office) 920-433-8918(C) [email protected]
ProgramDena JarogReedsburg, WI (H) [email protected]
ANEW LiaisonDeb Jenks, ANEWLiaisonMSOE School of Nursing1025 N Broadway StrMilwaukee WI 53202Work 414-277-4516Cell [email protected]
WONE Committee Chairs 2016PresidentJoan Beglinger 3528 Timber Lane Cross Plains, WI [email protected]
TreasurerSharon Cox Director of OncologyBeloit Health System1670 Lee LaneBeloit, WI 53511(W) [email protected]
SecretaryTonja RamthunDivisional Director of DialysisHSHS Eastern Wisconsin DivisionPO Box 13508Green Bay, WI 54307(W) [email protected]
Past PresidentDoris MulderVice PresidentBeloit Health System1969 West Hart RoadBeloit, WI 53511 (W) 608-364-5530(Fax) [email protected]
WHA Board LiaisonPaula HafemanChief Nursing OfficerHSHS St. Mary’s Hosp. Med.Ctr./ HSHS St. Vincent HospitalGreen Bay, WI 54307-3508St. Nicholas Hosp., Sheboygan(W) 920-433-8204(Fax) [email protected]
WCN LiaisonTom Veeser CNO Ministry Healthcare1570 Midway PlaceMenasha, WI [email protected]
Board Members
BoardBetsy BenzChief Nursing Executive Aurora Med.Center Manitowoc Co.5000 Memorial DriveTwo Rivers, WI 54241(W)920-794-5053Fax: [email protected]
Board Laura HiebCNO Bellin Health System, Inc.PO Box 23400Green Bay, WI 54345(W) 920-433-7436Fax: 920-433-3707 [email protected]
BoardDoreen KluthExecutive Director, Care ContinuumHSHS Division Eastern WI/Prevea2710 Executive DriveGreen Bay, WI 54304(W) 920-272-3386(Cell) 920-737-2875Fax: [email protected]
Board Ruth Risley-Gray Sr. Vice President, System CNOAspirus Health System425 Pine Ridge Blvd.Wausau, WI [email protected]
BoardMary Beth White-JacobsPresident and CEOBlack River Memorial Hospital711 West Adams StreetBlack River Falls, WI [email protected]
BoardTeresa FeidtCNO/VP Patient ServicesStoughton Hospital900 Ridge StreetStoughton, WI 53589(W) 608-873-2376Fax: [email protected]
WONE Board of Directors 2016
Member Checklistl Please contact Pam Aud whenever you have a change in either employment or residential address to guarantee timely mailings. E-mail [email protected] or 608/268-1806.l Submit articles for publication in the next issue of Horizons to Kim Franzen, 920/433-8918, [email protected] If you are interested in being a part of a specific committee, contact the committee chair.
8
WHA ContactPam AudWisconsin Hospital Association5510 Research Park DrivePO Box 259038Madison, WI 53725-9038Work: 608/274-1820Fax: 608/274-8554E-mail: [email protected]
WHA LiaisonSteven RushV.P., Workforce & Clinical Practice5510 Research Park DrivePO Box 259038Madison, WI 53725-9038Work: 608/274-1820Fax: 608/274-8554E-mail: [email protected]
