Susan C. Reinhard, RN, PhD, FAAN Senior Vice President and Director AARP Public Policy Institute Chief Strategist, Center to Champion Nursing in America

Strategic Advisory Committee Future of Nursing: Campaign for Action IFN Team at AARP – Providing Campaign Coordination and Technical Assistance Strategies Communications Collaborations Research Engage partners to implement recommendations that improve patient care quality, access & value. Education Inter-professional Teams Leadership Health Professions Educators Consumers Philanthropy Hospitals & Health Systems Government RWJF & NNFC Partnership Women & Families Data/Research HRSA, CMS & DOL Cedars Sinai Target &Verizon U of Minn & AACN ANA and NCSBN Monitoring Scope of Practice Business

Access and Barriers to Care “Consumers deserve high quality, convenience, value and expanded choice in the providers who deliver their core primary care services” (John Rother, AARP, 2010) Strategies Inform, engage and motivate government, payers and business in expanding practice opportunities and payment for the full range of primary care providers. Position APRNs as a high quality choice for consumers through effective outreach and marketing. Identify federal levers to incentivize states to modernize state scope of practice laws. All states remove barriers to APRNs practicing to full extent by By 2020, payers establish payment policies that recognize consumer choice across the range of primary care providers. Outcomes

Title text here How CCNA Operates: State-Based Work CCNA State Teams Website Respond to AARP State Office requests (mostly scope of practice) such as providing background information on Restrictive collaboration Duplicative oversight of APRN practice Controlled substances Reimbursement

Title text here How CCNA Operates: Federal-Level Work First “phase” of federal advocacy agenda created early based on need for improved federal funding for nursing education Saw health reform as vehicle to win this funding - Medicare GNE Consumer perspective - consumers such as AARP members need highly educated nurses Next phase is to remove barriers to APRN care AARP Policy Book update AARP convened NP Roundtable Federal barriers to APRN care – home health care, hospice, admission physical in SNF, hospital privileges, reimbursement Advocacy is done by AARP staff – Winifred Quinn, Senior Legislative Representative and Peter Reinecke, consultant

Updated AARP Policy Book Language re: Scope of Practice March 2010 Current state nurse practice acts and accompanying rules should be interpreted and/or amended where necessary to allow APRNs to fully and independently practice as defined by their education and certification.

Title text here Scope of Practice Resources are available on Access to Care and Advanced Practice Nurses: A Review of Southern U.S. Practice Laws Improving Access to Primary Care: The Growing Role of Advanced Practice Registered Nurses Consumer Access and Barriers to Primary Care: Physician- Nurse Practitioner Restrictive Collaboration Requirements by State (MAP)