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IOM Report: Future of Nursing Massachusetts Action Coalition

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Presentation on theme: "IOM Report: Future of Nursing Massachusetts Action Coalition"— Presentation transcript:

1 IOM Report: Future of Nursing Massachusetts Action Coalition
Overview, January 2013

2 IOM Report: The Future of Nursing
IOM Report Summary: Key Messages & Recommendations Future of Nursing: Campaign for Action MA Action Coalition (MAAC) Academic Progression in Nursing (APIN) Grant Role of Deans and Directors 2

3 IOM Report: The Future of Nursing
Report released in October of 2010 by the IOM in collaboration with RWJF “Blueprint” for transforming the American health system: Timely due to recent Affordable Care Act legislation Developed Vision for Transformed Health Care System Goal to improve access, quality of care and cost control Nursing profession must transform to achieve Vision Two-year study resulted in 4 key themes and 8 recommendations 3

4 IOM Report: The Future of Nursing
The RWJF/IOM Vision: Transformed Health Care System Quality care is accessible to the diverse US populations Promotes wellness and disease prevention Reliably improves health outcomes Provides compassionate care across the lifespan Primary care and prevention are central drivers of the health care system Inter-professional collaboration and coordination are the norm Payment for health care services rewards value, not volume 4

5 Nursing’s Potential Wide-Reaching Impact
Largest component of health care workforce Spend most time with patients Understand care process across continuum of care Evidence links them to high-quality patient care 5

6 IOM Report’s 4 Key Messages
Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States Effective workforce planning and policy making require better data collection and an improved information infrastructure 6

7 IOM Report’s Recommendations
Remove scope-of-practice barriers Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Implement nurse residency programs Increase the proportion of nurses with baccalaureate degree to 80 percent by 2020 7

8 IOM Report’s Recommendations
Double the number of nurses with a doctorate by 2020 Ensure that nurses engage in lifelong learning Prepare and enable nurses to lead change to advance health Build and infrastructure for the collection and analysis of inter-professional health care workforce data 8

9 Select Licensed Health Professions in Massachusetts
Current Minimum Entry-Level Education Requirements Select Licensed Health Professions in Massachusetts OCABR and EOHHS Advance Practice Nurse Occupational Therapy Speech Language Pathology Audiology Clinical Social Worker Mental Health Counselor Physician Assistant Medicine Dentistry Podiatry Psychology Pharmacy Physical Therapy Dietician Athletic Trainer Nurse Diploma/ Associate Bachelor’s Master’s Doctorate

10 IOM Future of Nursing: Campaign for Action
The Future of Nursing:Campaign for action is coordinated through the Center to Champion Nursing on America, an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation. The campaign is moving forward on a national and state level to address the priorities in the IOM report

11 State Action Coalitions
Massachusetts Action Coalition (MAAC) Applied to RWJF/AARP’s “Center to Champion Nursing in America” (CCNA) to become an AC MA designated as an AC - September 2011 Nurse Lead: MA Organization of Nurse Leaders Non-Nurse Lead: MA Department of Higher Education (DHE) Established Short-term and Long-term Goals

12 MA Action Coalition: Short Term Goals
Disseminate IOM Report Findings Engage/educate stakeholders statewide Build statewide consensus for academic progression with plan to increase diversity Use developed models as framework Survey nursing program requirements Develop plan for statewide adoption of NOFNCC© Expand use in academic/practice settings

13 MA Action Coalition: Long Term Goals
Implement statewide plan for academic progression for all nurses Create models for all levels of practice Remove scope of practice barriers for APRNs Strengthen interdisciplinary collaboration within medical community Strategies to influence policy changes Utilize data to understand workforce needs, demographics Analyze data and develop action plans to address workforce needs/diversity gaps

14 MAAC Progress to date Created teams and action plans to address goals
Began fundraising efforts Held a 2 day “State Site Visit” featuring Sue Hassmiller during 7 events in March 2012 Developed and submitted proposal for RWJF Academic Progression in Nursing (APIN) Grant in May 2012

15 Academic Progression in Nursing Grant Announcement – August 2012

16 MAAC Highlights (con’t)
MA was awarded the APIN Grant as one of nine states selected nationwide ! Grant timeline: Sept 2012 – Aug 2014 Funding $150,000 per year for 2 years Developed 12 Project Teams – Sept 2012 Team membership recruitment – ongoing

17 * AONE - National Program
Campaign for Action - RWJF APIN Tri-Council * AONE - National Program AACN ANA NLN CCNA (The Center to Champion Nursing in America at AARP) 9 Action Coalitions with APIN Funding 49 Action Coalitions

18 MA Action Coalition (MAAC) MA Action Coalition (MAAC)
Leadership Structure MA Action Coalition (MAAC) Leadership Structure MAAC Stakeholder Advisory Council MA Action Coalition (MAAC) MAAC Teams APIN Grant Teams PIN Grants Other Initiatives Academic Progression Care Transitions IP Education NOFNCC© Integration Increase Faculty Scope of Practice Data Use Communications Philanthropy MAAC Executive Committee

19 APIN Goal # 1 CREATE ACCELERATED PATHWAYS FOR NURSES TO ACHIEVE BACCALAUREATE OR HIGHER DEGREE Strategy 1: Disseminate existing and new seamless academic progression models throughout the higher education system. Strategy 2: Develop and implement Nursing Education Transfer Compact. Strategy 3: Work with nursing programs and employers to increase options for flexible student-centered learning environments that will increase diversity and promote access for educational advancement.

20 APIN Goal # 2 PROMOTE THE INTEGRATION OF NURSE OF THE FUTURE NURSING CORE COMPETENCIES (NOFNCC©) Strategy 1: Work with academic institutions to integrate NOFNCC© into curriculum at all levels of education throughout the Commonwealth of Massachusetts. Strategy 2: Work with practice settings to integrate NOFNCC© into practice programs throughout the Commonwealth of Massachusetts.

21 APIN Goal # 3 INCREASE FACULTY POOL AVAILABLE TO EDUCATE NURSES FROM BSN THROUGH DOCTORAL DEGREES Strategy 1: Increase opportunities for retired faculty to return to teaching positions. Strategy 2: Maximize opportunities for the practicing nursing workforce to obtain faculty positions.

22 MAAC Project Teams (12) Academic Progression Scope of Practice
- Progression Model Team - Transfer Compact Team - Flexible Options Team NOFNCC Integration - Academic Institutions Team - Practice Settings Team Faculty - Faculty Opportunities Team - Faculty Development Team Scope of Practice - APRN Team - RN Team Data Use - Data Team Communications - Plan Team Philanthropy - Fundraising Team

23 MAAC Project Team Co-Leads
Progression Models Janet Lusk, Donna Kelly Williams Education Transfer Compact Susie Conrad, Eileen Costello Flexible Options Kathleen Scoble, Earlene Avalon NONCC© Academic Settings Judy Beal, Cecilia McVey NOFNCC© Practice Settings Gayle Gravlin, Lorraine Schoen Faculty Opportunities Cynthia Bechtel, Nancy Bittner Faculty Recruitment/Retention Karen Manning, Paulette Seymour Route Scope of Practice APRN Pat Noga, Stephanie Ahmed Scope of Practice RN Elaine Bridge, Paul McKinnon Data Collection and Use Judie Pelletier, Stephen Cavanagh Communications Plan Pat Crombie, Ashley Waddell Philanthropy Sharon Gale, Kevin Whitney

24 Nursing Workforce Development
Precepting Education Transition Practice Education/Academic D i v e r s i t y Diploma ADN BSN PN MSN Doctorate Competent Nursing Practice Inter- Professional Care Environments Patient Outcomes Quality Safety Cost Residency DEU’s Technology Enhanced Curriculum Lifelong Learning Orientation Education/ Clinical Nurse of Future Nursing Core Competencies

25 Nursing by the Numbers MA BORN License Data, February 2012
Total Nurses - 141,773 Registered Nurses – 111,388 Advanced Practice RN – 9,598 Nurse Midwives – 480 Nurse Practitioners – 6,962 Nurse Specialists – 946 Nurse Anesthetists – 1,210 Licensed Practical Nurses – 20,787

26 MA BORN Approved Nursing Programs
Total of MA Programs – 74 RN Entry Level Graduate Degree (MSN) – 7 RN Baccalaureate (BSN) – 20 RN Associate Degree (ADN) – 20 RN Diploma – 1 Practical Nursing - 26

27 Rebalancing the Nursing Workforce
The Plan: Key Assumptions 55% - Nurses with a BSN or Higher Degrees in 2012 66% - Target for increase by 2020 Projections based on: LPN/Diploma/AD numbers are level or declining New BSNs include direct entry plus LPN/Diploma/AD graduates progressing to BSN degree Currently working LPN/Diploma/AD nurses also return to school to obtain a BSN Higher degrees include new MSNs and AD/BSN/MSN nurses progressing

28 IOM Report – Role of Community Colleges
Key role in attracting nurses into pipeline Provide access where other access points are limited by capacity, distance or cost Provide high quality and affordable pathway for nurses to move to higher education levels Predominant education institutions in rural and medically underserved areas Greatest opportunities to develop innovations linking to BSN programs and to foster a culture that values academic progression

29 Role of Deans and Directors
Promote life long learning and academic progression Partner with other Deans and join education collaboratives Partner with CNOs to develop strategies for flexible student-centered learning environments Promote NOFNCC© integration into curriculum at all levels of education! Support the work of the MAAC by participating in requested surveys!!

30 Visit our new state page, MAAC website:
Next Steps: Visit our new state page, MAAC website: also: Be part of The Future of Nursing: Campaign for Action Join MAAC Project Teams

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