national advisory council on nursing education and practice … · 2018. 10. 10. · • immersive...
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National Advisory Council on Nursing
Education and Practice
September 26, 2018
Winifred V. Quinn, PhD, FAANP (Hon)
Director, Advocacy & Consumer Affairs
Center to Champion Nursing in America
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Campaign Vision
Everyone in America can live a healthier life,
supported by a system in which nurses are essential
partners in providing care and promoting health.
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Institute of Medicine* Reports
3
*The Institute of Medicine has been renamed the Health and Medicine Division of the National Academies.
2015 report2010 report
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A Culture of Health
RWJF Goal: We, as a nation, will strive to create a culture of
health enabling all in our society to lead healthy lives, now
and for generations to come.
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How Nurses Can Help
• Manage influx of older, sicker,
patients, more chronic illness.
• Develop and implement new
models of care.
• Provide transitional and
coordinated care.
• Reduce medical errors and
rehospitalizations.
• Improve prevention, wellness,
population health outcomes.
Nurses are the largest segment of the health care workforce
and spend most time with individuals and families.
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A New Era in Health Care
Person- and Family-Centered Care
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Value-based Care & APRNs
• Move to Value-based Care/Payments Increases Need for More Well-Trained APRNs– Title VIII/NHSC Funding
– Medicare GNE Demonstration
• Public and Private Sector Roles in Maximizing APRN Impact– All Practitioners Practicing at Top of License
– Federal and State Laws, Health System and Insurer Policies
• APRNs leaders and innovators in improving processes and the systems in which health care services are delivered
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Team-Based Care and APRNs
• IOM/NAM Definition
• Multi-Disciplinary Teams Can Increase Quality and
Outcomes
• Patients and Caregivers are Key Part of Team
• APRNs as Team Leaders
• Crucial Role for Diversity of Workforce in Teams
– Campaign for Action Diversity Work
– Training with HHS Office of Minority Health
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Remove Barriers to Practice and Care
• All clinicians should be able to
practice to the full extent of their
education and training.
• Barriers that limit nurses from
expanding access to care must be
removed.
• Patients deserve the right care by
the right clinician, at the right time,
in the right place.
• APRNs improve care on a wide
range of indicators.
Nurses provide an immediate and cost-effective
solution to care shortages.
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State Progress in Removing Barriers
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Winning Strategies
• What to say– It’s about people
• Access to care when need it
• Ability to have funeral services
• Ability to play high school sports
• What not to say – “Me”
– “Physician,” “Doctor”
– “Collaborative Agreement”
• The Messenger
• Whom to Engage– Conservative stakeholders/legislators in red/purple states
– Liberal stakeholders/legislators in blue/purple
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Federal-Level APRN Laws and Regulations
• Home Health Access
– APRNs Unable to Certify for Home Health Services
• Expanded APRN Role in Combatting Opioid Crisis
– New Federal legislation makes it possible for
APRNs to administer Medication Assisted Therapy
(MAT)
• CMS Rural Strategy
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Innovation, Technology, Telehealth
• AARP’s PPI Telehealth Paper
– Promise
• People at home, in community, aging, and choice
– Concerns
• Affordability, access, quality, privacy
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Innovation, Technology, Telehealth
• Federal Regulators
– Medicare
• Payment
– FDA
• Apps
– FCC
• Broadband
• Cellular
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Innovation, Technology, Telehealth
• State-level Policies
– Medicaid
– Inter-state Licensing Compacts
– Utilities
– Privacy
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Innovation, Technology, & Nurses
• Immersive tech, artificial intelligence, robots
– Virtual reality, augmented reality, voice operated information,
communication, and intervention
• AARP’s Innovation Lab’s & Northeastern University’s
Nursing Shark Tank
• Campaign’s April 17 webinar, Nurse-Driven Innovation
to Improve Health
• October 18 webinar, Nurses as Leaders in Telehealth