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