Robin Schaeffer, RN, MSN, CNE Executive Director IDAHO NURSES LEADING THE WAY

The Idaho Nurses Association (INA) is the only professional organization representing all registered nurses (RNs) in Idaho. The INA advances the nursing profession by promoting professional development of nurses, fostering high standards of nursing practice, promoting the safety and well-being of nurses in the workplace, and by advocating on health care issues affecting nurses and the public.

The Idaho State Nurses Association is the leading voice and advocate for the nursing profession in the State of Idaho.

Economy – Access, Cost, Quality Affordable Care Act – Emerging models of care – Shift from acute care to community Workforce Needs: Supply vs. Demand – Nursing Shortage- is it real? The Future of Nursing – Leading Change, Advancing Health

THE FUTURE OF NURSING/ THE NURSE OF THE FUTURE?

"Get to the table and be a player, or someone who does not understand nursing will do that for you." - Loretta Ford, EdD, RN, PNP, FAAN, FAANP

IDAHO’S ROLE

Advancing Nursing in Idaho to Improve Health – New Grad Residencies – Transition to Nurse Educator Role – Transition to Leadership Role – Barriers to APRN Practice

Educating the Idaho Workforce of the Future – Blueprint for nursing education that will meet current and future workforce needs – Resources to facilitate academic progression and lifelong learning – Full evaluation of the Idaho Nurse Residency Program with recommendations for sustainability, etc. – Create focused opportunities for lifelong learning among nurses in under-represented populations

“This has been an historic week of events for advocates of health care reform. The House passed H.R. 3962, "The Affordable Health Care for America Act.“ - Becky Patton, President of The American Nurses Association, March 2010

Health Care System Challenges

A New Era in Health & Health Care

“There are tremendous opportunities to elevate nursing practice, improve safety and reshape health care delivery models” Karen Daley, PhD, RN, MPH, FAAN President, ANA

Never Events – Quality Accountable Care Organizations (ACOs) – Collaborative Model of Care Transitional Care Models – Maximize outcomes/decrease readmissions Patient-Centered Medical Homes – PC Model with Interprofessional teams Nurse-Managed Health Clinics – PC and wellness to underserved or vulnerable populations Combination of Reimbursement Incentives vs. Grants/Federal Funding

COSTCOST HEALTHHEALTH Primary Care Wellness Education Management of Chronic Disease Coordination of Care

THE NURSE OF THE FUTURE New Medicare codes for Care Coordination Rule will pay nurses when they help patients make the successful transition from hospitals to other settings.

Care Coordination Across the Continuum: The Challenge of the Decade and Beyond Friday, October 24, 2014

NURSING WORKFORCE

SOURCE: US BLS

Is there a nursing shortage? Are new grads having trouble finding their first job? Shortage

Retirement stalled due to current economy Part-time to full- time As economy improves……

Over 500,000 nursing faculty will be retiring in next 5 years Economists: “Predicted by 2020; 500,000 new nursing jobs, 500,000 baby boomers retire” ACA: 32 million more people will have access to healthcare Aging Baby Boomers: Need for increased health services

ADVOCACY public support for or recommendation of a particular cause or policy LOBBYING seek to influence (a politician or public official) on an issue

Requires each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital. 4 more requirements Congresswoman, Lois Capps, RN

Whistleblower Protection Bill Mandatory Overtime

2014 – 2015 Legislative Session

HOSPITAL NURSE STAFFING REQUIREMENTS

Advocate Source:

The Consensus Model provides guidance for states to adopt uniformity in the regulation of APRN roles. Endorsed by 41 nursing organizations. Arizona has started the process. Requires legislation.

Other AzNA Initiatives

Co-Leads Arizona Nurses Association Arizona State Board of Nursing Co- Leads Arizona Hospital and Healthcare Association Arizona Association for Home Care

Executive Committee Co-leads Chairs of Advisory Committees Finance and Grants Advisory Committee Communication and Outreach Advisory Committee Future of Nursing Advisory Committee (Composed of chairs of Task Forces) Practice Task Force Recommendations 1 and 3 Leadership Task Force Recommendations 2 and 7 Education Task Force Recommendations 4, 5 and 6 Workforce Task Force Recommendation 8

Respect Toolkit, Videos - Self Assessment -Learning Plan Tool

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Your License Your Career Your Work Environment Advocacy Resources Everything you ever wanted to know about the practice of nursing in Arizona!

What was it that enabled Florence Nightingale to stimulate the development of a profession and change the health and lives of so many?

80,000 Arizona Nurses – 65% Hospitals Largest group of health care workers Front-line care givers 1 in 75 Arizonans Gallup Poll Code of Ethics Great team players

ADVOCACY CARE INNOVATION LEADERSHIP

Raise the Voice tells a powerful story: how nurses are creating new, transformational options that help people stay healthy and cope better with illness. It is a story that Americans need to hear.

Practical innovators who have led the way in bringing new thinking and new methods to a wide range of health care challenges. Edge Runners have developed care models and interventions that demonstrate significant clinical and financial outcomes. Many of the stories underscore the courage and fighting spirit of nurse leaders who have persevered despite institutional inertia or resistance.

Robin Schaeffer, RN, MSN, CNE Executive Director