susan reinhard, phd, rn, faan senior vice president & director, aarp public policy institute;...
TRANSCRIPT
Removing Barriers to APRN Practice and Care: The Consumer Perspective Featuring Barbara Safriet
Co-sponsored by INQRIInterdisciplinary Nursing Quality Research Initiative
May 8, 2012
Susan Reinhard, PhD, RN, FAANSenior Vice President & Director, AARP Public Policy Institute; Chief Strategist, Center to Champion Nursing in America
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Institute of Medicine Report
High-quality, patient-centered health care for all will require a transformation of the health care delivery system
One of the most-viewed online reports in IOM
history
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Campaign for Action Pillars
Advancing Education Transformation
Removing Barriers to Practice and Care
Nursing Leadership
Interprofessional Collaboration
DATA
Diversity
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Practice
All practitioners should practice to the full extent of their education and training
Physicians, nurses and other health professionals work in a patient centered team-based model of care delivery
Models of care maximize time that providers can spend on their respective roles and responsibilities to patients
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Practice
Evidence
Studies show that APRNs permitted to practice to full extent of education and training provide equal or better care
Patient satisfaction • Length of stay • NPs: BP, glucose, lipid control • CNMs: Fewer C-sections, fewer episiotomies
Systematic review of published literature between 1990 and 2008 indicate patient outcomes of care provided by APRNs and equivalent or better than MD
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Practice
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Barbara Safriet, JD, LLMVisiting Professor of Health Law at Lewis & Clark Law School, Portland, Oregon; Former Associate Dean for Academic Affairsand Lecturer in Law at Yale Law School
The Future of Nursing: Leading Change,Advancing Health - Appendix H:
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“Federal Options for Maximizing the Value of Advanced Practice Nurses in Providing Quality, Cost-Effective Health Care”
Consumer Perspective
Removing Barriers to APRN Practice and Care can– Increase access to highly qualified health care providers– Decrease costs (unnecessary duplication, additional
visits, etc.)– Increase patient satisfaction– Improve continuity of care– Improve health care outcomes– Enhance flexibility in delivery of care.
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Campaign Resources
Advocacy Expert:Winifred Quinn, PhD Director, Legislation and Campaign Operations [email protected]
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Advocacy
• Policy Change requires Power Shift• Strategic Plan
– Identify who can give you what you want– Determine your specific ask(s)– Who will make this ask and how
• Coalition, Coalition, Coalition– Broad stakeholders– This issue is important for consumers, payers
(employers/businesses), nurses
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Federal Level & Technical Assistance
• Options Exist at the Federal Level– CMS’ hospital conditions of participation rules– Home Health Bill– Rural Health Bill– The FTC and state bills
• CCNA ‘s Technical Assistance– AARP State Office Assistance– Products – More in the planning stages
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Campaign Resources
Content Expert :Andrea Brassard, RN, DNSc, FNPSenior Strategic Policy Advisor, [email protected]
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Campaign Resources
• CCNA Resources www.championnursing.org– Who are APRNs & Types of APRNs (charts)– “Southern States” – Improving Access to Primary Care: The Growing Role of
APRNs– Removing Barriers to APRN Practice & Care
• Hospital Privileges• [forthcoming] Home Care and Hospice
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Campaign Resources
• Other Resources– Campaign for Action “Standard Presentation” cites Newhouse et al 2011 “Advanced Practice Nurse Outcomes”– Pittman & Williams research – Missouri APRN white paper– NCSBN APRN Consensus Model Toolkit– Citizen Advocacy Center – Scope of Practice Initiative
• For links to these resources and MORE Sign Up for the Campaign for Action Extranet (see handout)– Contact Barbara Akinwole [email protected] with questions
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Questions?
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Next Steps
• Upcoming Webinars on Removing Barriers to APRN Practice and Care– The North Dakota experience: Strategies and tactics for
successful legislation – Certified Registered Nurse Anesthetists (CRNAs): Cost
Savings and “Opt-Out” Update– Federal Trade Commission: Update on how the FTC can help
remove barriers to practice and care
• Learning Collaborative on Removing Barriers to APRN Practice and Care
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Next Steps Continued
• INQRI Webinar Regarding IOM Recommendation 6:– Lifelong Learning: Creating Partnerships to Build a
Culture for Professional Growth– Thursday, May 17 at 1pm-2pm ET– Register at www.inqri.org.
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Campaign Resources
Visit us on the Webhttp://thefutureofnursing.orghttp://championnursing.org
Follow us on twitterwww.twitter.com/futureofnursing
http://twitter.com/#!/championnursing
Join us on Facebookhttp://facebook.com/futureofnursing
http://www.facebook.com/championnursing
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