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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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