17

#1: ANNA will provide member services that are outstanding inquality, accessible through a variety of modalities, and meet ourmembers’ needs.

• ANNA approved the production of a revised edition of theCore Curriculum for Nephrology Nursing with CarolineCounts as the editor.

• Dr. Tom Parker’s presentation at the 2013 NationalSymposium was videotaped and made available todialysis organizations and ANNA chapters with free CNEcredits.

• Research Committee members Debra Hain and TamaraKear presented an educational webinar on The How,Now, and Wow of Evidence-Based Practice.

• ANNA continues to offer free CNE programs as a benefitof membership. ANNA’s Online Library also providesvarious options for earning CNE and pharmacologycredits. During Nephrology Nurses Week and the winterholiday season, ANNA offered members additional freeCNE opportunities.

• We continued our goal to make membership in ANNAeffortless and affordable.

#2: ANNA will maintain a relevant, proactive, inclusive, andvibrant organization.

• ANNA’s recent governance restructuring allowed the newrole of Director to focus on national priorities andobjectives, enabling us to become “One ANNA.”

• ANNA adopted a new Position Statement: The Role of theRegistered Nurse in Nephrology.

• ANNA updated the Position Statement: Self-Care,Rehabilitation, and Optimal Functioning to reflect theemphasis on patient and family engagement, renaming itPatient and Family Engagement.

• The voting process for the 2014-2015 elections waschanged to feature online, one-click voting.

• ANNA implemented electronic publications: NephrologyNursing Journal and ANNA Update.

• ANNA increased its presence on social media.• The ANNA Chapter Support team (ACST) led by Alice

Luehr was formed to assist with chapter activities andaddress issues with chapter officers. ACST reviewedpotential areas for new chapter development and ways toproblem solve for chapters at risk.

• ANNA joined forces with other nursing associations toexplore new ways to provide services.

• The Continuing Education Approval Board led by KarenBraun expanded its role to include the review andapproval of programs from three other nursingorganizations.

• The Awards and Scholarships Committee led by AngieKurosaka and the Research Committee led by Debra Hainawarded over $75,000 in awards, scholarships, and grantsto ANNA members and chapters.

• ANNA incorporated the Institute of Medicine Report onthe Future of Nursing into strategic actions. •• Remove Scope of Practice barriers – Continued

collaboration with the American Society ofNephrology (ASN) and the Renal PhysiciansAssociation (RPA) on a joint position statement.

•• Expand opportunities for nurses to lead andcollaborate – Collaborated with the American NursesAssociation (ANA) on Patient Engage mentGuidelines, Care Coordination Guidelines, and thedevelopment of Ambulatory Quality Care measures.

•• Prepare and enable nurses to lead change –Implemented the Road to Success program, aleadership pathway.

Goals and Strategic IssuesAt the Board of Directors (BOD) Strategic Planning retreat in February 2013 we all agreedthat our target member is the nephrology nurse and we that should stay focused on theneeds of that nurse! We reaffirmed our belief that ANNA must be the voice for nephrologynurses and their patients at decision-making tables. We have worked hard this year to haveANNA represented in the nephrology and nursing communities. Focusing on two goals andthree strategic initiatives this year, ANNA took the following actions.

A ccording to the chaos theory, the butterfly effect refers to large, widespread consequences from smallevents. This year ANNA leaders have taken action on many projects both large and small, and we have

made a difference. During the 2013-2014 year, ANNA implemented a new governance model endorsingthe concept of “One ANNA.” All Board members took an active role in national initiatives. New technol-ogy, new services, new products, and new practices prompted change within ANNA. This report is anoverview of the 2013-2014 accomplishments. Detailed reports of accomplishments from ANNA leaderscan be found in the March/April 2014 issue of the ANNA Update.

TAKING ACTION

There are risks andcosts to actions.But they are far less thanthe long-range risksof comfortable inaction.

~ John F. Kennedy

Goals

18

#1: Virtual Learning Community• Members were surveyed for input and indicated that they

prefer fast, interactive, and dynamic online education.• Members were surveyed for input regarding the ANNA

website, and changes were implemented to make thewebsite more user-friendly.

• The Specialty Practice Networks (SPNs) led by NancyPierce began featuring a monthly “hot topic” in ANNAConnected to facilitate discussions among members oftimely topics and issues.

#2: Excellence: Small Bytes and Full Tilt• A 15-minute educational module (CExpress) entitled

Water and Dialysate Safety: Put OAR to Work for You wasdeveloped by Glenda Payne and posted in the OnlineLibrary.

• Progress is being made on an online nephrologycertification review course (CNN, CDN, and CCN-NP)led by Lynda Ball.

• Alice Luehr, ACST Leader, created learning modulescalled “Fast 15s” for chapter officer orientation.

• The Nephrology Nursing Journal offered a wide range ofevidence and resources as well as over 40 hours ofnephrology-specific continuing nursing educationthrough peer-reviewed articles, including focus issues onHome Therapies and Certification.

• ANNA awarded more than 15,815 total educationalcertificates.

#3: The Fire Within: Pursuing (Y)our Road to Success• ANNA focused on actively promoting diversity in

membership and leadership. Membership recruitment/application materials and processes, the ANNA website,presenters at educational programs, and the ANNAResource Corps (ARC) reflect our commitment todiversity.

• All leaders and emerging leaders completed a strengths-based assessment as part of the Road to Success programunder the direction of Karen Burwell and Gail Dewald.Renee Elwell assumed the new role of Volunteer LeadersWorkshop Advisor this year, allowing the committee toexpand its focus on leadership development activities.

• Committee chairs participated in quarterly calls toincrease communication among committees.

• ANNA hosted the 12th biennial Health Policy WorkshopJune 24-25, 2013, in Washington, DC. With guidancefrom Health Policy Committee Chair Gayle Hall andFederal Health Policy Consultant Jim Twaddell, workshopparticipants learned about health policy issues and visitedCapitol Hill. In conjunction with the workshop, ANNAheld our first Virtual Lobby Day. Members unable toattend the workshop supported ANNA issues by visitinglocal Congressional offices and sending 1,161 letters totheir Members of Congress.

• Donna Bednarski, representative to Kidney Care Partners(KCP), has been instrumental in coordinating ANNA’sresponse to issues impacting patient quality care.

• Melinda Lester-Martin, representative to the KidneyCommunity Emergency Response Coalition (KCER), hasbeen actively working on strategies for implementing theNurse Licensure Compact across the country.

more Strategic Initiatives on next page

Strategic InitiativesStrategic initiatives encompass time-bound projects that cover multiple issues and incorporate both of the previously listedgoals. Each initiative is designed to be multiyear, multidimensional, and measurable.

ANNA’s MissionANNA promotes excellence in and appreciation of

nephrology nursing so we can make a positive differencefor people with kidney disease.

Advocacy is powerful and the key to change. I would like to see more nurses involved in health care policies. I would like to educate nurses on the power of their voices. I have already started in my center by having my co-workers sign the online petition to support all the “asks” of the June 2013 Health Policy Workshop. I amconvinced that if I continue to inform them and encourage them to get involved, I can make a difference.

~ Reflection from an attendee at ANNA’s 2013 Health Policy Workshop

APRIL 44th National Symposium, Las Vegas

Road to Success Program implementedRoad to Success

MAYFast 15s developed for

volunteer leaders training

JUNEHealth Policy Workshop &

Virtual Lobby DayOver 1,100 letters sent to Congress.2

013

JULYBoard of Directors meeting in Philadelphia

ANNA receives “accreditation withdistinction” from American Nurses

Credentialing Center

AUGUSTKidney Disease Awareness &

Education (KDAE) WeekANNA responds to Proposed Rule

on ESRD PPS, QIP19

Strategic Initiatives• ANNA took an active role in responding to the 2014 End-

Stage Renal Disease (ESRD) Prospective Payment System(PPS) and Payment Year (PY) 2016 ESRD Quality IncentiveProgram (QIP) Proposed Rule. Donna Bednarski andGlenda Payne presented a webinar on the ESRD PPS andQIP for PY 2016 Final Rule. An archive of the webinaralong with answers to frequently asked questions wasposted in the Online Library and on the ANNA website.

• ANNA supported the Comprehensive Immuno suppres -sive Drug Coverage for Kidney Transplant Patients Act of2013 (S. 323 / H.R. 1428), which would extend coverageof immunosuppressive therapies beyond the current 36-month cap.

• ANNA supported the Organ Procurement and Trans -plantation Network (OPTN) / United Network for OrganSharing (UNOS) proposal to re-write the OPTN policiesinto plain language and to re-organize them into a logicalorder.

• ANNA responded to 42 CFR Parts 403, 416, 418, et al.Medicare and Medicaid Programs; Emergency Pre -paredness Requirements for Medicare and MedicaidParticipating Providers and Suppliers; Proposed Rule.

• ANNA sought opportunities to participate in projects andtechnical expert panels to promote the voice ofnephrology nursing.•• ANNA was part of a group of kidney organizations

that met with the Centers for Medicare & MedicaidServices and the Center of Medicare and MedicaidInnovation regarding a potential project for anintegrated care model. Glenda Payne, SharonLongton, Norma Gomez and David Walzrepresented ANNA.

•• ANNA joined the National Quality Forum as amember. Loretta Jackson Brown and Elizabeth Evansrepresent ANNA. Debra Hain served on the expertpanel for Measure 0255 amending the measure toinclude either serum or heparin plasma phosphorustesting.

•• ANNA was selected to be part of the JointCommission’s Ambulatory Care Professional &Technical Advisory Committee. Joanne Brady andJudy Kauffman will represent ANNA.

Learning, Leading, Connectingand Playing at the Intersectionof Nephrology and NursingThe Conferences Committee led by SallyCampoy was responsible for planning the45th National Symposium in Anaheimand the 2013 Fall Meeting in NewOrleans. The fall and winter webinars were agreat success. New “hands-on” sessions andaudience response systems were introducedthis year.

Specialty Practice Networks(SPNs)The SPNs led by Nancy Pierceidentify, coordinate, and com-plete activities and projectsrelated to education, publica-tions, best practice resources,and membership needs in eachspecialty area. Members whosign up electronically for a SPN on the ANNA website can com-municate with others in the SPN. This year we expanded thePeritoneal Dialysis (PD) SPN to a Home Therapies SPN with twoteams: one for PD and one for home hemodialysis.

SEPTEMBERNephrology Nurses WeekFall Meeting, New Orleans

Membership in National Quality Forum

I see this new role as a challenge, and I plan on encouraging the officers andmembers to give me lots of feedbackand participation from their end. I am soexcited to use the new resources for

chapter officers on the website.

~ Jeanne Torbert, RN, Incoming President First Coast Chapter

Specialty Practice Networks

OCTOBERFall Webinar on

Evidence-Based Practice

DIVERSITYTask Force

NOVEMBERDiversity Task Force

established

DECEMBERWebinar on Final Rule on ESRD PPS, QIP

20

Collaboration• Canadian Association of Nephrology Nurses &

Technologists: President-Elect Sharon Longton attendedthe annual meeting as ANNA’s representative.

• European Dialysis & Transplant Nurses Association/European Renal Care Association: Immediate PastPresident Glenda Payne attended this meeting as ANNA’srepresentative.

• American Society of Nephrology and Kidney HealthInitiative meetings: Executive Director Mike Cunningham,President-Elect Sharon Longton, Immediate Past PresidentGlenda Payne, and President Norma Gomez representedANNA. We also took the opportunity to meet with theRenal Physicians Association, National Renal Admini -strators Association, Baxter, American Society forApheresis, and Home Dialyzors. Members of the

Dogwood Chapter volunteered to staff the ANNA boothand even took time to have pictures taken with Kiki, thekidney. Prior to the meeting, ASN convened the 2013Summit of United States Kidney Organizations with over23 nonprofit organizations participating.

• American Nurses Association (ANA): ANA has transi -tioned from a House of Delegates to a MembershipAssembly, which is now the governing and official votingbody. It identifies and discusses issues of concern tomembers and provides direction to the ANA Board ofDirectors. This year President Norma Gomez representedANNA at the inaugural session.

• Annual Dialysis Conference (ADC): Loretta JacksonBrown presented Professional Issues in Nephrology at acollaborative ANNA/ADC session

ANNA Collaborative PartnersAlliance for Home DialysisAmerican Association of Kidney PatientsAmerican Kidney FundAmerican Nurses AssociationAmerican Society of Association ExecutivesAmerican Society of NephrologyAssociation for Advancement of Medical InstrumentationAssociation for Vascular AccessCanadian Association of Nephrology Nurses & TechniciansCenters for Disease Control and PreventionCenters for Medicare and Medicaid Services Coalition for Supportive Care of Kidney PatientsEuropean Dialysis and Transplant Nurses Association/

European Renal Care AssociationForum of ESRD NetworksQuality Conference Planning CommitteeHealth Policy CoalitionsJoint CommissionKidney Care PartnersKidney Community Emergency Response Coalition

Kidney Health InitiativeHealthcare Information & Management Systems SocietyMillion Hearts CampaignNational Association of Nephrology

Technicians/TechnologistsNational Kidney & Urologic Diseases Information

ClearinghouseNational Kidney Foundation (NKF)NKF - Kidney Disease Improving Global Outcomes National Quality ForumNational Renal Administrators AssociationNational Student Nurses’ AssociationNetwork of New England Healthcare Associated Infections

Collaborative Advisory CommitteeNephrology Nursing Certification CommissionNurse in Washington InternshipNursing Organizations AlliancePatient-Centered Outcomes Research Institute Stakeholder CouncilRenal Physicians AssociationUnited Network for Organ Sharing

JANUARYANNA newsletter andjournal go electronic

FEBRUARYCollaborative session with

Annual Dialysis Conference

MARCHNational Kidney Month

21

Task ForcesNurses are change agents. Fundamentally, facilitating change iswhat nurses do. ANNA formed task forces during the year toaddress education, diversity, membership, learning manage-ment systems, CKD modules, health information technology,and nurse sensitive outcomes.

• Education. This task force led by Alice Hellebrandrecommended the formation of an Education SPN tosupport the 700 members identified as educators.

• Diversity. Led by Jewell Smith, this task force reviewedthe criteria of all leadership roles in ANNA and maderecommendations for changes.

• Membership. This task force led by Caroline Stewardperformed a needs assessment of both members andnonmembers and made recommendations to the Board.

• Learning Management System (LMS). Led by MollyCahill, this task force determined that an LMS wouldhave been a very costly investment for very little yield.ANNA members were surveyed for their input, and thesurvey revealed that instead of longer online courses,members are looking for fast, interactive, and livelypresentations. Recommenda tions were made to theBoard to investigate interactive software instead of anLMS.

• CKD Modules. Leslie Dinwiddie led a team to update theCKD modules used by non-nephrology nurses caring forpatients with kidney disease. They also recommended anintroductory module with an overview of CKD and basicpatient education. The Kidney Disease Improving GlobalOutcomes (KDIGO) guidelines were incorporated into themodules.

• Health Information Technology (HIT). Sandy Bodin ledthis task force as it collaborated with other associationsto establish goals for a HIT platform designed to supportthe “3 Aims” and the National Quality Strategy with afocus on improving quality, engaging patients, andbending the cost curve.

• Nurse Sensitive Outcomes. This task force led byCarolyn Latham defined nephrology nursing sensitivequality indicators, which are measures that reflect thestructure, processes, and outcomes of care influenced byRNs. Structure is indicated by the nursing practiceenvironment, RN skill mix, RN to patient ratios, and theeducation/certification of RNs. Process indicatorsmeasure aspects of nursing care such as assessment,diagnosis, planning, intervention, and evaluation,including the surveillance and supervision of staff.Outcome indicators include patient outcomes, clinicianoutcomes, or provider outcomes sensitive to the qualityor quantity of nursing care. Task force recommendationswill be published and shared with the membership.

Working with ANNA chapters has been very rewarding and challenging.Persistence has paid off! I believe thatsome of the members are more websitechallenged than I am, yet we have

found ways to collaborate with success. Overall, thisyear has been a great experience for me and I havelearned and feel I have grown both for myself andANNA!

~ Sara Kennedy, BSN, RN, CNNANNA Chapter Support team (ACST) Member

201

4

ANNA is committed to improving kidneycare quality and the advancement ofnephrology nursing as a profession.ANNA’s dedication to continuingeducation enhances the competence

level of nurses resulting in improved quality innephrology nursing practice I joined ANNA to becomea member of a community that shares my commitmentto patient care, professional nursing, and continuingeducation.

~ Cheryl Smith BSN, RN, CDN, Nurse Manager, Clinical Operations,

DaVita HealthCare Partners, Inc.

APRIL45th National Symposium, Anaheim

2013-2014 Revenues

Membership Dues(individual and corporate)

20%

Conferences &Education

36%

Publications11%

�

Corporate Grants19%

Interest & DividendsMiscellaneous

14%

2013-2014 Expenses

Educational Programming41%

Strategic Actions &Professional

Relations9%

Administration21%

MembershipServices

29%

Revised Core Curriculum for Nephrology Nursing2

015

22

I t is important that members know their voice isbeing heard. We have sent out several surveys this

year to get feedback from you, our members. Wereview each and every response we receive. Boardagenda items, discussions, task force recommenda-tions, and decisions take into account memberfeedback. Last year at the Nephrology NurseRecognition Dinner, those in attendance wereasked to provide comments on services, products,and/or projects that ANNA should “Start,” “Stop,” or“Continue.” Over 300 suggestions were submitted! At thesummer BOD meeting, each and every one of the suggestionswere reviewed by the Board. Changes were made during theyear based on that feedback.

ANNA is only as strong as its members. We need yourhelp. A commitment to nephrology nursing requires nurses toremain involved in continuous learning and be active in thesupport of our professional association. ANNA is committedto nursing research, determining how technology can be

used to redesign nephrology workplace environ-ments, and identifying nephrology nurse sensitivepatient outcomes.

As we face economic challenges, encroach-ment of nephrology nursing practice remains a con-cern. Remember that the future of nephrology nurs-ing depends on us advocating for the right to be aleader in the interdisciplinary team. ANNA is com-mitted to leading initiatives that demonstrate that

the role of the nephrology nurse is crucial to positive patientoutcomes.

Thank you for allowing me to serve as President thisyear and to speak for nephrology nursing. I have met somany wonderful people and look forward to continuing thework of ANNA with Sharon Longton as she assumes the roleof 2014-2015 National President.

Norma Gomez, MSN, MBA, RN, CNN2013-2014 ANNA National President

The Future of ANNA

Financials

Coming in 2015Coming in 2015

23

2013-2014 Board of Directors

Corporate-Plus Members

AbbVieAffymax/Takeda

Corporate Members

Alexion PharmaceuticalsAmgen, Inc.

Bard Peripheral VascularBaxter Healthcare Corporation

DaVita, Inc.Fresenius Vascular Care

GAMBROKeryx Biopharmaceuticals, Inc.

Medisystems, a NxStage CompanyMesa Laboratories, Inc.

Questcor Pharmaceuticals, Inc.Raptor Pharmaceuticals Corp.

Sanofi RenalSatellite Healthcare, Inc.

Sustaining Members

American Regent, Inc.Angelini Pharma, Inc.B. Braun Medical Inc.

Boehringer Ingelheim Pharmaceuticals, Inc.Church & Dwight Company, Inc.

Dialysis Clinic, Inc.Fresenius Medical Care Renal Therapies Group

Henry Schein, Inc. – DialysisJespersen & Associates, LLC

Lifeline Vascular AccessMar Cor PurificationPentec Health, Inc.

Renal Ventures Management

Download the ReportGo to

www.annanurse.org/2014annualreport

Connect with ANNA

www.annanurse.org

facebook.com/NephrologyNursing

twitter.com/ANNAnurses

PresidentNorma Gomez, MSN, MBA, RN, CNNRussellville, TN

DirectorPhyllis Wille, MS, RN, FNP-C, CNN, CNEChampaign, IL

DirectorCindy Richards BSN, RN, CNNBirmingham, AL

SecretaryLynda Ball, MSN, RN, CNNEdmond, OK

Immediate Past PresidentGlenda Payne, MS, RN, CNNDuncanville, TX

President-ElectSharon Longton, BSN, RN, CNN, CCTCSouthgate, MI

TreasurerCharla Litton, MSN, APRN, FNP-BC, CNNHaughton, LA

DirectorSheila Doss-McQuitty, MBA, BSN, RN, CNN,CCRASan Jose, CA

DirectorPaula Richards, MSN, RN, CNNPerkasie, PA

2013-2015 Strategic Plan

Mission StatementANNA promotes excellence in and appreciation of nephrologynursing so we can make a positive difference for people withkidney disease.

TaglineANNA: Learning, leading, connecting, and playing at the inter-section of Nephrology & Nursing.

Core BeliefsAs individual members of ANNA and together as an organiza-tion, we intend to act consistently with our core beliefs that:1. Nephrology nurses have an opportunity and responsibility

to enhance the quality of care delivered to people with kid-ney disease.

2. ANNA as an organization has the responsibility to providesound educational programs necessary to develop, main-tain, and augment competence in practice, and that we asindividual practitioners have the responsibility to continueto deepen our knowledge, sharpen our skills, and developour competencies.

3. ANNA must support research to develop evidence-basedpractice, as well as to advance nursing science, and thatas individual members, we must support, participate in,and apply evidence-based research that advances ourown skills, as well as nursing science.

4. Because patients benefit from a team approach to patientcare, we must support and engage in interdisciplinary col-laboration that results in higher quality patient care andmore cost-effective health care delivery.

5. We benefit as an organization and as individuals when weembrace and nurture diversity in all of its dimensions.

6. Nurses must be respected in the workplace, and ways ofdemonstrating this respect are to support them in their pro-fessional growth and employ them at their highest level ofeducation and training.

7. ANNA must provide nurses with leadership opportunities,and nurses need to seize opportunities to develop and polish their leadership skills.

Operationalizing the PlanWe identified these strategic issues:

A. Education G. Board CultureB. Evidence-Based Practice H. MembershipC. Advocacy I. DiversityD. Leadership J. Financially RobustE. Organizational Identity K. Strategic PartnershipsF. Technology

Which are addressed in the following goals and initiatives:

Two GoalsGoal #1 — ANNA will provide member services that are out-standing in quality, accessible through a variety of modalities,and meet our members’ needs.

Goal #2 — ANNA will maintain a relevant proactive, inclusive,and vibrant organization.

Three InitiativesInitiative #1:

Virtual Learning Community

Initiative #2:Excellence: Small Bytes and Full Tilt

Initiative #3:The Fire Within: Pursuing (Y)our Road to Success

Desired Outcomes of Strategic PlanANNA will have more members and have them be betterinformed, more engaged, and more committed to ANNA, aswell as more diverse in age, race, gender, professional levels,and subspecialties.

Adopted by ANNA Board of Directors – February 2013

The nephrology environment is in a sea of change, and to be a vibrant, robust association, we must change aswell. ANNA needs to look at new and innovative ways to both meet the needs of our members and help members

best serve our patients. Our strategic plan will guide us in moving forward together.

Learning, leading, connecting, and playing at the intersection of Nephrology & Nursing.