1. Advancing the science of anesthesia through education and research Advocate Workshop November 2012 Working for the Future – Programs and Awards Lorraine M. Jordan, CRNA, PhD, FAAN AANA Foundation Executive Director and AANA Senior Director of Research

2. Mission is to advance the science of anesthesia through education and research. Goal is to support new and seasoned investigators in nurse anesthesia through grants, fellowships and post doctoral fellowships. Programs are designed to develop researchers in nurse anesthesia. AANA Foundation Research Advancing the science of anesthesia through education and research

4. Q. Does the AANA and the Foundation work together at awarding money from the AANA Foundation? A.AANA makes all of the decisions B.Foundation makes all the decisions C.Both groups have a vote on disbursement of money from the Foundation Advancing the science of anesthesia through education and research

5. AANA 2013 Research Agenda Research Priorities for 2013 One of the top priorities for fiscal year 2013 is healthcare policy research. Additional targeted areas for funding include education, practice and clinical. Advancing the science of anesthesia through education and research

6. Research Priorities for 2013- Health Services Research 1. Determine the impact of nurse anesthesia care regarding (i.e., cost effectiveness, quality): hospital readmissions, per-patient Medicare costs, quality outcome, geographical variation and identify how payment claims for CRNA services vary among state Medicare and Medicaid service areas in pain management 2. Examine the variability of the CRNA’s scope of practice in each state 3. Examine the impact that limiting CRNA scope of practice would have on cost and access 4. Assess CRNA practice patterns (specialty anesthesia services) identified by locale 5. Explore how the implementation of health reform (i.e. ACSs/other share savings plans/payment innovations) may affect CRNA practice and reimbursement Advancing the science of anesthesia through education and research

7. Research Priorities for 2013 Practice and Clinical 1. Examine the comparative effectiveness of research on competency of healthcare providers performing specific procedures including central line insertions, ultrasound and arterial-line placements. 2. Evaluate the impact of teamwork and hand offs related to patient safety 3. Assess the role of the CRNA regarding surgical site infections 4. Determine the top 10 activities anesthesia providers can do to reduce administrative costs while upholding optimal patient safety 5. Analyze the current literature detailing the competency and technical skills of CRNAs Advancing the science of anesthesia through education and research

8. Research Priorities for 2013 Practice and Clinical (cont) 6. Assess the impact that clinical relationships have between healthcare providers on improving patient care (Supervision – medical direction of CRNAs for cases involving intubation, etc.) 7. Identify which situations or scenarios enable CRNAs to be or become the best patient advocate: mass casualty, incident preparedness and the role of CRNAs. 8. Describe role that RNs play in continuous epidural infusion 9. Determine if changes in surgical scheduling impact non-routine events (error prevention) 10. Analyze the comparative effectiveness of different types of innovative educational models for the preparation of nurse anesthetists on student satisfaction and performance and ultimately on performance measures reflecting safety, quality of care and health outcomes for patients served. Advancing the science of anesthesia through education and research

9. Research Priorities for 2013 Practice and Clinical (cont) 11. Determine the comparative effectiveness of different types of organizational arrangements of practice (solo, group, faculty practice arrangements, salaried etc.) that influence compensation, retention in practice, age at retirement and professional satisfaction 12. Analyze the potential impact of changes in the organization and reimbursement of the nurse anesthesia care given different health reform options 13. Assess the impact of the differences in patient characteristics, practice settings, practice arrangements, case complexity and types of procedures on safety and quality 14. Create demonstration projects to evaluate innovative practice models that may improve care and the practice of nurse anesthesia in the future 15. Explore various models of practice arrangements and environments that may led to an ideal practice environment Advancing the science of anesthesia through education and research

10. Research Priorities for 2013 Education 1. Determine the value of the DNP (assess the measurable difference) 2. Examine the current design of the DNP curriculum for “best practices” in DNP education 3. Determine if critical thinking skills can be taught, measured and/or predicted. 4. Assess the effectiveness of simulation on student education as well as on continuing education, maintenance and competency for CRNAs 5. Examine the effectiveness of current criteria for admission into a nurse anesthesia program, i.e. applicant’s behavior, attitude, etc. that could be used as a way to assist educators. –Measure of maturity –Promising individuals for leadership positions Advancing the science of anesthesia through education and research

11. Can the Foundation fund research on pediatric development and still meets its’ mission? a. Yes B. No C. Depends Advancing the science of anesthesia through education and research

12. AANA Foundation’s and the AANA’s Partnership in Research for Nurse Anesthetists How will this help YOU? Advancing the science of anesthesia through education and research

13. “Foundation develops the evidence, AANA protects the practice.” AANA Foundation PAC

14. The AANA Foundation sets a broad research agenda that includes the following areas: –Science of anesthesia –Education –Practice/Clinical –Leadership –Healthcare policy AANA Foundation Research Agenda Advancing the science of anesthesia through education and research

15. Partnership Activities Health Services Research

16. Unsupervised CRNAs are Unsafe CRNAs DEBUNKED

18. Supports funding of individuals Health Services Research Foundation Individual CRNAs & Students AANA and Foundation’s partnership Programmatic Funding Distribution

19. Foundation Programs Research Grant (On-Line) General Grants Wellness Grants Office Based Anesthesia Veterans Research Grant “State of the Science” Oral Poster Presentation - “State of Science” General Poster Presentation Workshops Workforce Study Workshop Grant Writing Workshop Mentorship Program** Advancing the science of anesthesia through education and research

20. Foundation Programs (cont) Awards  Advocate of the Year Award.  John F. Garde Researcher of the Year Award  Rita L. LeBlanc Philanthropist of the Year Award  Janice Drake CRNA Humanitarian Award  Jack Neary Pain Management Award CRNA Funding for Research and Education  Doctoral Fellowship  Post Doctoral Research Awards  Palmer Carrier, CRNA Scholarship  Lorraine D. Dankowski Doctoral Fellowship  Florida Association of Nurse Anesthetists Practice and Research Doctoral Fellowship  Kay Wagner Pennsylvania Association of Nurse Anesthetists Practice and Research Doctoral Fellowship Advancing the science of anesthesia through education and research

22. AANA Foundation Application Deadline Dates for 2013 November 1 st Research Grants (General) January 1 st Advocate of the Year John F. Garde Researcher of the Year Rita L. LeBlanc Philanthropist of the Year Janice Drake CRNA Humanitarian Award Jack Neary Pain Management Award Student Scholarship Donors March 1 st Dean Hayden Student Research Scholarship “State of the Science” – Oral Poster Presentation Student Scholarship Applicants April 1 st Doctoral Fellowship Palmer Carrier, CRNA Scholarship Post Doctoral Fellowship “State of the Science” – General Poster Presentation May 1 st Research Grants June 15 th Friends for Life Open Submission Program Director’s Outstanding Student Researcher Award Office Based Research Grant Veterans Research Grant Wellness Grant Advancing the science of anesthesia through education and research

23. Process for Review for Funding Board Committee’s Recommendation FoundationBoard for Approval External Committee Evaluation is Reviewed, Evaluated & Scored Chair and Board Committee Application is submitted Completed ApplicationAny Fees are Accepted Advancing the science of anesthesia through education and research

25. Student Scholarships Advancing the science of anesthesia through education and research

26. Research Grants Advancing the science of anesthesia through education and research

27. Examples of Grants Effects of Acupuncture on the Hypothalamus Pituitary Adrenal Axis in Allaying Stress, an Animal Model Anti-inflammatory Antinociceptive Effects of Ellagic Acid and Epigallocatechin Gallate Revision and Psychometric Evaluation of the Peroperative Catastrophe Survey Motivating a Change towards Evidenced Based Practice: Best Practice for Central Line Insertion for the Novice Anesthesia Provider Advancing the science of anesthesia through education and research

28. Motivating a Change towards Evidenced Based Practice: Best Practice for Central Line Insertion for the Novice Anesthesia Provider A Preventive Intervention for Rising Intraocular Pressure: Development of an Observation Scale Impact of Isoflurane and Sevoflurane on Cortical Activity: In Vivo Multi-channel Electrophysiology Studies and Implications in Monitoring Consciousness Advancing the science of anesthesia through education and research

29. Patient Safety Assessment and Economic Outcomes after Implementation of a Surgical Safety Checklist in a National Cancer Institute” The Effect of Non-Technical Skills Instruction on First-Year Nurse Anesthesia Students’ Skills during Crisis Simulation Impact of Geography, Training, and Experience on Scope of Practice among CRNAs Evaluation of Crisis Resource Management Skills in a Simulation Environment Advancing the science of anesthesia through education and research

30. Doctoral and Post Doctoral Fellowships Advancing the science of anesthesia through education and research

31. Examples of Doctoral Projects Psychoneuroimmune Responses and Chronic Pain Impact of isoflurane and sevoflurane on cortical activity: in vivo multi-channel electrophysiology studies and implications in monitoring consciousness Stakeholder Perceptions of APRN Consensus Model Implementation Advancing the science of anesthesia through education and research

32. “Incidence of Venous Air Embolism in Awake Craniotomy for Deep Brain Stimulator Implantation” “Utilization of Computer-Based Anesthesiology Paging System for Intraoperative Emergencies in Adult Surgical Patients” “Assessment of Recent Graduates Preparedness for Entry into Practice” “Stop Bang Tool Usage to Detect Obstructive Sleep Apnea for the “Ionizing Radiation Exposure with Interventional Pain Management Procedures” Advancing the science of anesthesia through education and research

33. State of the Science Poster Session Participants Advancing the science of anesthesia through education and research

34. Examples of State of the Science “Continuing Clopidogrel During Elective Total Hip and Knee Arthroplasty: Assessment of Bleeding Risk and Adverse Outcomes” “The Incidence of Postoperative Acute Kidney Injury following Bariatric Surgery” “Platelets Potentiate Cancer Metastasis- A Review ” “Anesthetic Care of Patients with Fontan Circulation Undergoing Scoliosis Surgery” Advancing the science of anesthesia through education and research

35. AANA Foundation Doctoral Fellowship Name: Julia Lassegard, CRNA, MS School: University of California, Los Angeles Research Title: Extracranial Dissection Involving the Trigeminal Nerve Results in Acute Cephalalgia Degree Sought: PhD Funding: $10,000 Advancing the science of anesthesia through education and research

36. AANA Foundation Doctoral Fellowship Name: Jason Lowe, CRNA, MS School: Virginia Commonwealth University Research Title: Patient Handoffs in Anesthesia: Improving Patient Safety Using a Handoff Checklist Degree Sought: PhD Funding: $4,000 Advancing the science of anesthesia through education and research

37. AANA Foundation Doctoral Fellowship Name: John Gasko, CRNA, MSN School: Northeastern University Research Title: Review and Development of Current Ultrasound Guided Regional Anesthesia Curriculum for Student Registered Nurse Anesthetists Degree Sought: DNP Funding: $5,000 Advancing the science of anesthesia through education and research

38. Nursing Foundations Survey Benchmarks 15 Nursing Foundations participated in a survey January of 2012 All of the nursing organizations funded programs 30% played a role in the development and administrative follow up Advancing the science of anesthesia through education and research

39. Programs and events; Conference Scholarships; Certification

40. Certification; None

41. Presented January 13, 2011 at Nursing Foundation Alliance Meeting by L. Jordan, AANA Foundation Advancing the science of anesthesia through education and research