Jeanette Klemczak, MSN, RN, FAAN Healthcare Market Talent Director Workforce Development Agency Presentation to the 2012 RN-AIM Annual Conference September 20, 2012, Bay City, Michigan

 The standing decisions of an organization (Evlau & Prewitt, 1973) reflects the beliefs of an administration  Provide direction to philosophy or mission of an organization.

 One stage of the policy making process.

 Exercise of interpersonal influence (political)  Characterized by: Communication, COLLECTIVITY, and COLLEGIALITY  We get more done when we work together

 Why do we need and “agenda?”  Who are the “stakeholders?”  How do we get there?

1. Workplace 2. Workforce 3. Diversity 4. Nursing Education 5. Image and Culture

6. Nursing Licensure and Regulation 7. Financing and reimbursement 8. Economic Impact of Nursing 9. Maximum efficient use of workforce 10. Protect integrity and standards of professional nursing

SB 635 (Hune-R, Howell) Requires national nursing organization accreditation for all Michigan nursing education programs Recommendation #1 MDCH Task Force on Nursing Education (2009) HB 5516 (Potvin-R Cadillac) Allows volunteer nursing licenses  Support from Coalition of Michigan Organizations of Nursing (COMON)  Leadership and Advocacy by MI-AARP  Recommendation #2 MDCH Task Force on Nursing Regulation (2007)

HB 4774 (Liss-D, Warren) SB 0481 (Jansen-R, Grand Rapids) Addresses definitions and scope of practice for four advanced practice nursing roles  Status: Senate workgroup convened 7/12 Recommendation #3 MDCH Task Force on Nursing Practice (2012)

1. Improve Practice for Advanced Practice Registered Nurses a. APRN Regulatory Recognition b. APRN Statutory Changes c. Direct Payment/Reimbursement for APRN Healthcare Services 2. Modernize Registered Nurses’ Scope and Standards of Practice a. Title Protection for “Nurse” b. Nursing Scope of Practice c. Nurse Licensure Compact

3. Clarify Delegation of Nursing Functions a. Define Nursing Delegation b. Delegation of Nursing Functions to Licensed Practical Nurses (LPNs) and Nursing Assistive Personnel (NAPs) c. Nursing Delegation Curriculum 4. Delineate the Practice and Role of Licensed Practical Nurses a. Define LPN Scope of Practice b. Eliminate Nursing Delegation Conflicts

5. Update Regulation of Nursing Assistive Personnel a. NAP Regulation b. NAP Titling and Core Competencies c. Framework for NAP Training 6. Mitigate Human Factors in Patient Care Quality and Safety a. Nurses: Human Factors Proposed Solutions b. Nurse-Employers: Human Factors Proposed Solutions c. Nurse-Educators: Human Factors Proposed Solutions d. Government Regulators: Human Factors Proposed Solutions

7. Increase Practice Efficiencies in Nursing and Healthcare a. Engage Nurses b. Efficient Communication and Use of Patient Care Information c. Modernize Federal and State Policies and Rules 8. Advance Technology in Nursing Practice and Healthcare a. Effective HT Development b. Integrating HT Systems into Practice c. HT Requirements for Healthcare System Changes d. Telehealth Technologies e. Simulation Technologies

9. Enable Competition and Entrepreneurship in Healthcare Markets a. Competition and Access to Care b. Demographics, Healthcare Markets, and Access to Care c. Remove 19 th Century Healthcare Restrictions 10. Establish the Michigan Nursing Practice Council

One more thing for nurse advocates…

Advocacy = VOTING

 Task Force on Nursing Regulation, Education, and Practice Final Reports     Nursing Agenda for Michigan 

Jeanette Klemczak, MSN, RN, FAAN Healthcare Market Talent Director