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The IOM Report: Impact on Developing Michigan’s Nursing Leaders
KATIE KESSLER MSN RN
CAROLE STACY MSN MA RN
The IOM Report on The Future of Nursing: Leading Change: Advancing Health
The IOM Report
“Nurses are committed to improving the care they deliver by responding to health care challenges. If their full potential is to be realized, however, the nursing profession itself will have to undergo a fundamental transformation in the areas of practice, education, and leadership.”
IOM Report Recommendation #1
Nurses should practice to the full extent of their education and trainingNurses have potential to lead innovative strategies to improve
the healthcare system
What are the barriers?Scope of practice regulationsHigh turnover rates of new graduate nurses
IOM Report Recommendation #2
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progressionMajor changes in healthcare systems and practice
require equally profound changes in nursing education
What are the barriers?Multiple educational pathways leading to entry level
practice
IOM Report Recommendation #3
Nurses should be full partners with physicians and other health professionals, in redesigning health care in the United StatesStrong leadership is critical if the vision of a transformed
healthcare system is to be realizedNurse leaders must be in place from bedside to boardroomLeadership is fundamental to advancing the professionDevelopment of leadership skills is needed for all nurses and
for nursing students
IOM Report Recommendation #4
Effective Workforce Planning & Policy Making Require Better Data Collection and an Improved Information InfrastructureAccurate data is needed for future workforce projections
and for planning Data and information gathered must be timely and publicly
accessible.
What are the Barriers? Inadequate demand data
Campaign for Action Vision
All Americans have access to high-quality patient-family-and community based care in a health system in which nurses contribute as essential partners in achieving success.
Areas of Focus Leadership
Practice and Care
Education
Interprofessional Collaboration
Diversity
Campaign for Action Dashboard Indicators
Campaignforaction.org/dashboard
Progress: EducationAcademic Progression in Nursing
Nine states piloting promising models: MA, NY,HI,CA. WA,NC,NM,MT, and TX◦ Shared statewide or regional curricula◦ Shared framework for competency based education◦ Offering BSN at Community College ◦ RN-MSN degree completion programs
Progress: Education
Medicare providing funds for Graduate Nurse Education in five states
RWJF launches Future of Nursing Scholars program for PhD study
Michigan Initiatives Health Systems requiring nurses to earn BSN within a specified timeframeMunson HealthcareMetro Health Hospital
Incentives for nursesIncreased tuition reimbursement benefitsEducational program options
Michigan Initiatives
Michigan State University Concurrent Enrollment ProgramPartnership with Lansing Community College and
Macomb Community College
Saginaw Valley State University ProgramPartnership with Delta College and Kirtland Community
College
Progress: Practice and Care
14 states introduced legislation expanding scope of practice for nurse practitioners
NV, OR and NE passed legislation Other states still have legislation in play Six states have removed major barriers to APRN practice and care
Progress: Leadership North Carolina, Wyoming, Michigan and California: Nursing Leadership Institutes Virginia: 40 under 40 awards Leapfrog group: Nurses need to be integrated into governance for hospital to attain Magnet Goal: 25 nurses on priority national and federal boards; 22 now serve.
Michigan Initiatives
Michigan Center for NursingInstitute for Nursing ExcellenceLeading Toward Tomorrow Program
Health System Leadership Initiatives Formal initiatives: succession planning
Progress: Interprofessional Education
HRSA’s Center for IPE and Collaborative Practice Michigan: E2P, West Michigan Interprofessional Education Initiative
Progress: Diversity All SIP grant states have a plan for diversity
Goal: half of all Action Coalition states will have a diversity plan by year end (2013)
Core elements of a diversity plan are: scholarships, increasing enrollments and offering mentoring to minority students.
Michigan’s Diversity Council met August 2013
Progress: Data Michigan has 10 years of supply data Survey of APRN workforce (2011 and 2013) 2013 data available September 2013
Michigan Initiatives
Annual Survey of Nurses since 2004
State Implementation Program
How it works Up to 10 ACs to receive up to $150,000 over two years to implement two priority IOM recommendations
Requires match of at least $75,000
Michigan State Implementation Program (SIP)
Matching funders
◦ State of Michigan Workforce Development Agency
◦ Blue Cross Blue Shield of Michigan Foundation
◦ The Community Foundation of Southeast Michigan
Additional funding At the end of two years: ACs supported in the first phase that have met or exceeded benchmarks and have a plan for further work may have the opportunity to apply for a second round of funding
Michigan SIP Priorities Nurses should achieve higher levels of education and training through an improved educational system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.
Educational Advancement Plan:
•Collaborate with Nurses and employers to facilitate Educational Advancement
•Personalized Career Planning
•Develop The ENCORE Website
Leadership Plan Develop content on Interprofessional teamwork for the Leading Toward Tomorrow (LTT) program
Include other disciplines in the LTT program
Develop an Interprofessional section on the ENCORE website
Diversity Develop a Michigan Nursing Diversity Council as part of AC
Develop a Diversity section within the ENCORE web portal
ContactsKatie Kessler MSN RN – Project Manager
Carole Stacy MSN MA RN – Project Director
