NM Statewide Nursing Faculty Conference

What is our shared vision?

Nancy Ridenour, PhD, APRN, BC, FAANDean and Professor, University of New Mexico College of Nursing

Health Reform 2007-2008

Health Reform 2009

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

U.S. population Health expenditures

Health Care Costs Concentrated in Sick Few—Sickest 10% Account for 64% of Expenses

1%5%

10%

49%

64%

24%

Source: S. H. Zuvekas and J. W. Cohen, “Prescription Drugs and the Changing Concentration of Health Care Expenditures,” Health Affairs, Jan/Feb 2007 26(1): 249–257.

Distribution of health expenditures for the U.S. population, by magnitude of expenditure, 2003

50%

97%

$36,280

$12,046

$6,992

$715

Expenditure Threshold (2003 Dollars)

Sources of Growth in Projected Federal Spendingon Medicare and Medicaid (Percentage of GDP)

http://www.cbo.gov/publications/collections/health.cfm

Hospital Quality and Safety

• 40 percent of recommended care is not received by patients.• Disparities in health care persist. • One in seven hospitalized Medicare patients experience one

or more adverse event.• Patient safety measures have worsened by nearly 1 percent

each year for the past 6 years.• Central line associated blood stream infections strike

hundreds of thousands of patients each year.

http://www.ahrq.gov/qual/qrdr08.htm

What Opportunities Do these Facts Present for Nurses?

• Chronic Disease Management

• Safety/Quality• Prevention/Health

Promotion• Community based Care• Nurse managed Clinics• What else?.......

Implications for Nursing Education

External Forces• Health Re-Form• Escalating medical costs• Aging population• Increasing chronicity• Workforce shortages• Funding• Decreasing state budgets• Tuition fatigue• Fill in the blank (s)________

Internal Forces

• Professional rivalry• Funding• Curriculum• Team building• Multiple roles• “busy”• Lack of shared vision• Fill in the blank(s) _______

Why Should We Aspire to a Shared Vision?

• Faculty shortages• Increased enrollment• Decreased budgets• Shrinking job market• Health Re-form

Implications for Nursing Education

Let’s fill in the details!