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Transforming Health Care: Nurses Engaged in Policy Nancy Ridenour, PhD, APRN, BC, FAAN American Academy of Nursing October 13, 2012.

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Presentation on theme: "Transforming Health Care: Nurses Engaged in Policy Nancy Ridenour, PhD, APRN, BC, FAAN American Academy of Nursing October 13, 2012."— Presentation transcript:

1 Transforming Health Care: Nurses Engaged in Policy Nancy Ridenour, PhD, APRN, BC, FAAN American Academy of Nursing October 13, 2012

2 RWJ Health Policy Fellowship http://www.healthpolicyfellows.org/home.php http://www.healthpolicyfellows.org/home.php http://www.healthpolicyfellows.org/home.php Founded 1973 Founded 1973 12-18 month residency in DC 12-18 month residency in DC 4 month orientation 4 month orientation Work assignments on the Hill traditionally Work assignments on the Hill traditionally Administration /Agencies Administration /Agencies TRANSFORMATIONAL TRANSFORMATIONAL

3 Twelve Academy Members Who are RWJ Health Policy Fellows

4 Mary Mundinger, RN, DrPH 1984-1985 Virginia Trotter Betts, JD, MSN, RN, FAAN 1987-1988

5 Ellen-Marie Whelan, PhD, NP, RN, FAAN 2003-2004 Nancy Ridenour, PhD, APRN, BC, FAAN 2007-2008

6 Margaret Moss, PhD, JD, RN, FAAN 2008-2009 Margaret Wilmoth, PhD, RN, FAAN 2009-2010

7 Janice Phillips, PhD, RN, FAAN 2010-2011 Barbara Damron, PhD, RN,FAAN Current Fellow

8 Hurdis Griffith, PhD, RN, FAAN 1986-1987 Julie Sochalski, PhD, FAAN 1992-1993 Sister Rosemary Donley, PhD, APRN, BC, FAAN 1997-1998

9 Liana Orsolini-Hain, PhD, RN, CCRN 2011-2012 Being Inducted into the Academy This Evening!

10 Portfolio While at Ways and Means – – PPACA now ACA – – Hospice – – Hospital acquired infections; conditions – – Health care associated conditions – – Health Information Technology; meaningful use – – E-prescribing – – Transparency in ownership of long-term care facilities – Quality outcomes /Value Based Purchasing – Funding for primary care – International comparisons in health outcomes and health systems – Chronic Care Coordination – Clinical Outcomes/Quality – Workforce

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12 Health Reform 2007-2008 Cost AccessQuality

13 Health Reform 2009-Now Cost Access Quality

14 Lessons Learned Need more nurses on the Hill Need more nurses on the Hill Nursing professional groups need to speak in “one voice” Nursing professional groups need to speak in “one voice” Nurses need to make strategic partnerships Nurses need to make strategic partnerships We need nurses to get PhDs in Health Economics! We need nurses to get PhDs in Health Economics! Nursing needs to invest more in government relations Research focus on issues to inform health policy Translate profession specific language to stories for general public Need more nurses in executive, legislative, and judicial branches

15 Characteristics of the Reformed Health System Health Equity Health Equity Patient/Consumer Centric Patient/Consumer Centric Focus on Quality and Safety Focus on Quality and Safety Value Based/Pay for Performance Value Based/Pay for Performance Evidence Based Practice Evidence Based Practice Comparative Effectiveness Comparative Effectiveness Prevention and Early Intervention Prevention and Early Intervention Increased Access Increased Access

16 Reformed System Demographics: aging population with increasing chronicity at all age levels Demographics: aging population with increasing chronicity at all age levels Meaningful use (HIT) Meaningful use (HIT) Population based practice Population based practice High Functioning Teams High Functioning Teams Workforce Issues Workforce Issues Numbers Numbers Distribution Distribution Best Mix Best Mix

17 High Priority Health Problem/Issue High Priority Health Problem/Issue High Risk High Risk High Volume High Volume High Cost High Cost Closing the Gap between Research and Practice Closing the Gap between Research and Practice Biggest Impact

18 Increase Policy Relevance Gap between clinical practice and research findings Gap between clinical practice and research findings Need to show public investment in research leads to benefits for patients Need to show public investment in research leads to benefits for patients Timing Timing Policymakers not interested in theory Policymakers not interested in theory Cost: usually more short-term than long-term Cost: usually more short-term than long-term Know goals of agency, lawmaker, etc Know goals of agency, lawmaker, etc How are data being used? By Whom? How are data being used? By Whom?

19 Research Trajectories to Inform Policy Design our research to inform and change policy Design our research to inform and change policy Design our research to evaluate current policy Design our research to evaluate current policy Translate our current research into policy implications Translate our current research into policy implications Posit new policy approaches and test them Posit new policy approaches and test them

20 Research Agenda for Policy Comparative Effectiveness Research ($3 Billion) Comparative Effectiveness Research ($3 Billion) Interprofessional: research, education, practice Interprofessional: research, education, practice Team Science Team Science Workforce Workforce Quality; Safety Quality; Safety Innovations in care delivery Innovations in care delivery Outcomes Outcomes Innovations in payment systems Innovations in payment systems Health Information Technology Health Information Technology  Center for Innovation at CMS

21 Why would someone be interested in your work? Why would someone be interested in your work? How can you humanize and personalize what you are doing? How can you humanize and personalize what you are doing? How can you help others see themselves as part of the solution you are proposing? How can you help others see themselves as part of the solution you are proposing? What “niche” can you fill? What “niche” can you fill? Think of Your Research, Practice, Teaching

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23 Role of AAN Each characteristic of the Reformed Health System suggests a Major role for The Academy to Impact Health Policy and Contribute to the Nation’s Health!

24 Be Part of the Solution Increase involvement, visibility, and influence in the health policy process   Enhanced advocacy role Briefings, hearings and testimonies Fellowship Opportunities: Robert Wood Johnson Health Policy Fellowship; AAN/IOM Scholar Membership on key boards, committees, task forces Collect and provide data showing outcomes and comparative effectiveness of nurse driven care

25 The Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at University of New Mexico: Prepares nurses to become leaders in health policy through research and advocacy. Prepares nurses to become leaders in health policy through research and advocacy. Offers generous financial support for full-time study. Offers generous financial support for full-time study. Offers Web-based course study. Offers Web-based course study. Targets those from underrepresented populations. Targets those from underrepresented populations. Provides funds to support student and faculty research. Provides funds to support student and faculty research. Provides resources and support from Robert Wood Johnson Foundation Center for Health Policy. Provides resources and support from Robert Wood Johnson Foundation Center for Health Policy. For more information about the Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at University of New Mexico visit our Web site at www.nursinghealthpolicy.org or write to us at CON-RWJF@salud.unm.edu. Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at UNM

26 Develop and practice a 30 second “elevator” speech on your project Develop and practice a 30 second “elevator” speech on your project Develop one page lay audience description of your research or practice and the impact on healthcare. Develop one page lay audience description of your research or practice and the impact on healthcare. Outcomes Outcomes Quality and Effectiveness Quality and Effectiveness Cost savings or recovery Cost savings or recovery Safety Safety Things to Do

27 AND Communicate Communicate Disseminate Disseminate Synthesize Across Disciplines Synthesize Across Disciplines Integrate Into Practice Integrate Into Practice Accelerate the Pace of Policy Development Accelerate the Pace of Policy Development Provide data to inform and evaluate policy Provide data to inform and evaluate policy

28 American Academy of Nursing transforming health care policy and practice through nursing knowledge AAN/IOM Scholars in Residence

29 2012 Marla Salmon ScD, RN, FAAN Project Focus on micro-finance, nursing, and women’s development will impact domestic and global health policy 2010 - Pamela F. Cipriano PhD, RN, FAAN Project Impact, implications of Health IT and identify technologies that reduce errors, waste and promote seamless care coordination 2009 - Julie A. Fairman PhD, RN, FAAN Project Initiative on the Future of Nursing Nurse Scholars

30 2008 - Mary E. Evans PhD, RN, FAAN 2007 - Carolyn Williams PhD, RN, FAAN 2006 - Ada Sue Hinshaw PhD, RN, FAAN 2005 - Jacquelyn C. Campbell PhD, RN, FAAN 2004 - Veronica D. Feeg PhD, RN, FAAN 2003 - Angela Barron McBride PhD, RN, FAAN 2002 - Bonnie M. Jennings DNSc, RN FAAN Nurse Scholars

31 Sampling of Work of Expert Panels Aging: Commented on proposed regulations regarding RNs in LTC; Expressed concern to House leadership regarding ‘observational status” Emerging Infectious Diseases: Published policy brief Hepatitis C Screening and Testing: A Call for a National Response; Wide dissemination of policy brief on the need for routine testing for HIV Global Nursing and Health Care : Policy brief: Leadership needed to address the Global Nursing and Midwifery Workforce Shortage

32 Sampling of Work of Expert Panels Quality: Preparing 6 positions papers – Measuring Episode of Care Outcomes – Measuring Care Coordination – Measuring the Economic Value of Nursing – Measuring Nurses’ Workload – Measuring Patient Engagement – Harmonizing Performance Measures— Implications for Practice, Education, and Research

33 MedPAC Commissioner: Mary Naylor, PhD, RN, FAAN Transitions of Care Chair National Health Workforce Commission: Peter Buerhaus, PhD, RN, FAAN

34 Initiative on the Future of Nursing

35 Future of Nursing Report: Sue Hassmiller, Donna Shalala, Linda Burnes Bolton, Michael Bleich, Jennie Chin Hansen, Liana Orsolini-Hain Action Coalitions: Multiple Fellows

36 HRSA Administrator: Mary Wakefield CMS Innovation Center: Ellen-Marie Whelan

37 Our Patients, Our Communities, Our Health Care System, Our Nation Need Nurses to Successfully Inform Policy Through Practice and Research Through Engagement of Strategic Partners

38 Activate Strategic Partner Networks

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40 Build Bridges with Common Vision

41 Soar to New Heights

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