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!
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