Forum OneWelcome to the January Human Capital Webinar, “Future of Nursing: Campaign for Action – Why All Health Leaders Should Get Involved.” My name is Michael Madison of Forum One Communications and I’ll be moderating today’s webinar. All phone lines are muted.
Forum OneWe encourage you to submit your questions via the chat feature during the presentation. We will have about 15 minutes for Q&A at the end of the presentation where we will address questions that have been submitted via the chat. If you have any problems or other questions, please submit them via the chat feature as well.An archive of the webinar and the slides will be posted to the Resources section of the Scholars and Fellows site by Friday January 20th. If you miss any part of this presentation or would like to share it with a colleague, please go there to view an archive of the live webinar.
Forum OneToday we are pleased to have Sue Hassmiller lead today’s webinar. Sue is the director of the Future of Nursing: Campaign for Action, as well as the Senior Advisor for Nursing at the Robert Wood Johnson Foundation.Sue, let me turn it over to you…
Thank you.I know there is a wide range among those listening in today about how familiar you are with the campaign and its activities. Obviously, the nursing grantees are most familiar – but today we have other grantees participating who represent other health professions as well.So that we have common ground for discussion, I’m going to provide some brief background on the campaign, including the IOM report recommendations that form the campaign’s foundations. I’ll also review the campaign’s goals and the activities taking place at the national and local levels to meet those goals.And we’ll spend some time discussing why and how you can become involved with the campaign – including giving you some examples of the terrific work that RWJF Human Capital grantees are already doing. And finally, there will be time for questions and discussion at the end.
In 2009 the Robert Wood Johnson Foundation partnered with the Institute of Medicine to launch the Initiative on the Future of Nursing – not only to address many of the issues facing the nursing profession but also transform the way Americans receive health care. In October 2010, the Institute of Medicine released their report. This has become one of the most viewed online reports in IOM history, topping their best-seller list for 11 of the past 12 months. More than 37,000 copies of the report have been distributed. And, as a recent honor, the report received four 2011 Book of the Year awards from the American Journal of Nursing.
Since its release a little over one year ago, the report has made a considerable impact on the way stakeholders are viewing the nursing workforce.There have been a number of notable accomplishments since the release of the report; here are just a few.
As important as the IOM report is, I also want to emphasize that many nurses and nursing organizations – including many of you on the webinar today - have long been committed to transforming nursing and improving patient care. You’ve long made a difference in the lives of your patients and in efforts to improve health care. Those efforts provide a sound foundation for advancing the IOM recommendations.In response to the IOM report’s recommendations, RWJF, AARP and the AARP Foundation launched the Future of Nursing: Campaign for Action. The campaign is coordinated through the Center to Champion Nursing in America (CCNA) which is a joint initiative of the three organizations. It includes 36 state Action Coalitions and a wide range of health care providers, consumer advocates, policy-makers, and the business, academic and philanthropic communities.The campaign’s vision is for all Americans to have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success.
To achieve that goal, we have to have campaign strategies and a structure for implementation.We are guided by an illustrious strategic advisory committee that provides us with direction and insight. The campaign is engaging diverse stakeholders and is targeting policy-makers. We have a communications plan and grant-making strategy. We are conducting research, monitoring and evaluation to generate additional evidence in support of the campaign objectives and ensure accountability by fully gauging our successes and shortcomings.The campaign has also formed state Action Coalitions to mobilize a broad-based effort to push for changes at the national, state and regional levels.
One key tenant of the campaign is that RWJF and AARP cannot do this alone. Therefore, the campaign is seeking the support and active engagement of a wide range of health care providers, consumer advocates; policy-makers and leaders from the business, academic and philanthropic communities.Addressing nursing workforce challenges must be considered a societal issue – one that does not belong solely to nursing and its leaders – but rather to all who consider health and health care a priority for this nation.
This engagement between nursing and other stakeholders continues on the ground. In less than a year, groups have coalesced in nearly every state to respond to the IOM recommendations, forming long term alliances to move key issues forward. 36 states have campaign-designated Action Coalitions, and we expect to be in most states by end of 2012. This is where the action is at the state and regional level, and much of the campaign is focused on supporting their efforts.
The campaign is strongly committed to helping the state Action Coalitions achieve success, and the Center to Champion Nursing is developing a wealth of resources to support their efforts: materials, planning, training and communications outreach. We are also creating opportunities for the coalitions to learn from each other – what is and isn’t working as they work to make the IOM recommendations a reality in their state.We’ll talk more about the state Action Coalitions in a bit.
But I want to step back for a moment, and give you an overview of the campaign’s five key focus areas, so that everyone today understands what we are trying to achieve.They are: Strengthening nurse education and training;Enabling nurses to practice to the full level of their education and training;Advancing interprofessional collaboration across the health spectrum; Expanding leadership ranks to ensure that nurses have a voice on management teams, in boardrooms and during policy debates; and Improving health care workforce data collection.Diversity is a thread that weaves through each area.Let me take a few minutes and tell you about the IOM report’s recommendations in each area, and some of the progress we’ve made this past year. RWJF is committed to their implementation of these recommendations and they form the foundation of the campaign’s goals.
Starting with education: the report emphasizes that if nurses are to be as effective as possible in helping to provide high-quality patient care, they’ll need to be better prepared as care becomes more complex and moves into the community. We need more nurses with advanced degrees to provide primary care and teach the next generation of students.The report also recommends residencies to better prepare new nurses for the workforce and continuing education to help nurses retain clinical skills and to develop leadership abilities. In addition to supporting the Campaign for Action, RWJF will announce new grantmaking in early 2012 to focus on the IOM report recommendations on education progression.
The campaign is working with the American Organization of Nurse Executives and another nursing groups to conduct member surveys that provide us with hard data on the reasons why nurses don’t pursue BSN’s and more advanced degrees.CCNA has launched a Learning Collaborative on Advancing Nursing Education so that the field can advance together as it learns about innovative models and develops solutions.They also are engaging experts on the ground and connecting people and sharing knowledge via webinars. And experts in the field are working regionally to advance these recommendations.
The campaign also seeks to remove barriers to practice. Primary care in the United States is struggling to meet patients’ needs, and staffing shortages will only be exacerbated over the next decade as millions of newly insured Americans seek care and the population continues to age. For both immediate and long-term needs, solutions must enable nurses, as well as other health professionals, to practice to the full level of their education and training in a team-based model of care delivery. Moreover, they should create models of care that maximize the time providers can spend on their respective roles and responsibilities to patients.
A range of studies indicate that advance practice nurses provide effective and high-quality patient care, play an important role in improving the quality of that care, and can provide care that can safely augment the physician supply and expanding access to care.Yet, as you can see from this map, many states have outdated regulations and barriers that prevent nurses from practicing to the full extent of their education and training. For example, nurse practitioners in Arizona and Utah can see patients or prescribe medicine without a physician’s supervision; their counterparts in neighboring California and Nevada cannot.
The campaign is convening national stakeholders to implement strategies within their own organizations to address barriers to practice. And recently the campaign conducted a national forum on rural health to examine barriers to APRN practice.The Federal Trade Commission has made the issue of unfair barriers to APRNs a priority and is reaching out to states to evaluate laws and regulations. The campaign recently hosted a webinar for ACs with representatives from the Federal Trade Commission to discuss ways to engage that organization in their states. Florida and Texas have reached out independently to the FTC and both have received favorable rulings.
Studies have demonstrated how effective coordination and communication among health professionals can enhance the quality and safety of patient care. Health professionals working collaboratively as integrated teams draw on individual and collective skills and experience across disciplines. They seek input and respect the contributions of everyone involved. That allows each person to practice at a higher level. The result is inevitably better patient outcomes, including higher levels of patient satisfaction.We also need to foster interprofessional education, training and practice.To advance interprofessional collaboration, the Campaign for Action is integrating collaboration into all pillars – education, practice and leadership.
Nurses bring an important voice and point of view to management and policy discussions. We need to prepare more nurses to help lead improvements in health care quality, safety, access and value.
For over a year, CCNA has been coordinating a pilot program at the state level to foster board participation of nurses, bringing together AARP state offices and state nursing associations to meet with other state health care leaders.The campaign is also launching a series of webinars on leadership; and has created a one-hour PowerPoint training program on the skills required for board service and how to get started. The campaign has also engaged with nursing colleagues who represent the Tri-Council for Nursing (AACN, ANA, AONE, and NLN) as well as other members of the Champion Nursing Council to work on leadership.And, Champion Nursing Coalition member The Leapfrog Group announced that, for the first time, the group will report on a hospital’s Magnet status as an indicator of adequate and competent nursing staff service and leadership at all levels. As you know, Magnet status requires that nurses be representing in key roles of leadership and governing within the hospital. This is an example of an organization integrating the IOM recommendations into their operations in a meaningful way.
The Campaign for Action seeks to improve health care workforce data collection to better assess and project workforce requirements. Research on the health care workforce is fragmented, and data should be able to reveal the supply of and demand for a combination of health care professionals in a region, instead of single professions. That’s the best way for us to address workforce shortages and promote team-based care.In fact, as a result of the IOM recommendations, states will now start collecting, analyzing and publishing nursing workforce data. In accordance with IOM recommendations, the National Council of State Boards of Nursing and the Forum of State Nursing Workforce Centers will jointly collect nursing workforce data from states in 2012. Using the Forum’s national Minimum Nurse Supply Dataset, the development of which was funded in part by the Center to Champion Nursing in America, the Council and the Forum will collaboratively gather and analyze the data and then publish a report tentatively slated for release in early 2013.
In fact, as a result of the IOM recommendations, states will now start collecting, analyzing and publishing nursing workforce data. The creation of a National Workforce Commission was supported by the IOM committee, but currently it remains an unfunded federal mandate.So, the National Council of State Boards of Nursing (NCSBN) and the Forum of State Nursing Workforce Centers agreed to jointly collect nursing workforce data from states in 2012. Using the Forum’s national Minimum Nurse Supply Dataset, they will collaboratively gather and analyze the data, and publish a report slated for release in early 2013. If you want to know more, CCNA has a webinar on this archived on their website.
Finally, this campaign aims to diversify the U.S. health care workforce. Approximately a third of the population was part of a racial or ethnic minority group in 2008, yet only 18 percent of our nursing students were from racial or ethnic minority groups. By 2050, African Americans, Asians, Latinos and American Indians/Alaskan Natives will comprise a majority of our population. We need to make sure our profession reflects the patients we serve, and that all nurses deliver culturally competent care.
In fact, many national organizations have announced their support of the report and its recommendations in meaningful ways. These groups include the American Red Cross, Healthcare Information and Management Systems Society, National Association of Public Hospitals and Health Systems, National Medical Association and the World Health Organization. Examples of first-year progress and action include:AACN announced a new collaboration with the Jonas Center for Nursing Excellence to enhance efforts to increase the number of doctoral-prepared faculty available to teach in nursing schools. This $2.5 million initiative will be managed by AACN as part of the Jonas Center’s larger effort to support 150 new doctoral students across all 50 states. I already mentioned the Leapfrog Group…The National Hispanic Medical Association is working with its members on an initiative to improve interdisciplinary educationTarget has promised to engage its clinical nurses in leadership positions and opportunitiesIn addition, RWJF, in collaboration with other funders, has launched a research initiative to identify, generate, synthesize and share evidence essential to implementing the recommendations outlined in the report. This multi-funder initiative is designed to increase and focus national attention on a common research agenda tied to the IOM recommendations and to facilitate and coordinate funding activity across a range of sources.
A few examples of state activities:Florida, New York, California, Colorado and North Carolina are promoting community college transition to state college and community college/state college partnerships.Washington and Massachusetts are developing common curriculum and articulation agreement.Georgia, Illinois and Ohio are offering online doctoral programs.Montana is implementing a rural nurse residency program.
Now that I’ve spoken about the campaign and some of our year-one achievements, let me now focus on you – why you should be come involved in the campaign, and how you can help.
I’ve been out in the field talking to RWJF grantees involved in the state coalitions, and here’s what they tell us about the reasons they chose to get involved.
And while it may seem obvious that Executive Nurse Fellows become involved in the campaign, Nurse Faculty Scholars and Health Policy Fellows also see clear connections between their programs and experience and the campaign.
People we spoke with also told us that the training and preparation they received as an RWJF grantee are both relevant and necessary as they work with their state Action Coalitions.
In addition to individual grantees engaging with the campaign, several of the Human Capital programs reshaped their requirements to focus on the IOM recommendations. One of the most notable was Partners Investing in Nursing’s Future, an initiative of RWJF and the Northwest Health Foundation. The new cohort of eleven new PIN partner projects announced last year were all aligned with the IOM recommendations – a few of those programs are listed in this slide, and you can learn about them all on their website.
For Human Capital grantees, whether you are a nurse or other health care professional, whether you are a researcher, scholar, fellow or are coordinating part of a larger program – there is a way for you to become part of the campaign. We need your talents and ideas, and we need you to put to good use those skills that the Foundation has helped you develop as part of our investment.The first step is to contact your local Action Coalition lead – and they are eagerly waiting for your call or email. They will work with you to find a role that fits with your skills and interests. It may be leading a committee, or developing a research project in your state.Concurrently, there are also things you can do to encourage the institutions of which you are a part to implement the recommendations. A university can create a partnership with a community college. A professional society can become a member of the Champion Nursing Coalition. A hospital can encourage nurses to pursue advanced degrees. Every member of the Human Capital family – every grantee, current and past – has an important role to play in this campaign.I know you have other ideas on how to get involved, so we’d like to hear more about that during the Q&A session.
The United States has the chance to transform its system and culture of health care, but only if nurses are better prepared and able to practice and lead to the full extent of their education and training. Through efforts nationally and locally, Campaign for Action aims to utilize the skills and potential of these women and men to effect sweeping change. I invite you to find out more about the campaign by visiting our websites, follow us on social media, and contact the Action Coalition in your state. The list of co-leads has been sent to you, and is available on the websites as well.We need all of you to join us. Together, let’s create a health care system that provides seamless, accessible, affordable and equitable quality care for every American. Thank you!
Forum OneThank you, Sue. Now we will read off the questions that participants have provided.Sue HassmillerThank you, Forum One. And in addition to questions from the participants, I’d also like to ask: how would you like to become involved in the campaign? And how can we help facilitate this involvement?
Thanks Sue. Before we conclude, I want to bring your attention to next month’s webinar – Feeding the Content Beast which will be presented by some of my colleagues from Forum One on February 22nd. Thank you to those who listened in today and have a great day!
Future of Nursing:Campaign for Action – Why All HealthLeaders Should Get InvolvedJanuary 18, 2012
HousekeepingQuestions Please submit your questions via the chat feature. We will have about 15 mins for Q&A at the end of the webinar.Webinar / Slide Deck Archive: An archive of the webinar and the slide deck will be posted by Friday, January 20th here: www.rwjfleaders.org/resourcesJanuary 18, 2012 2
IntroductionsSpeaker: Sue Hassmiller,PhD, RN, FAAN • Director, Future of Nursing: Campaign for Action • Senior Adviser for Nursing, Robert Wood Johnson FoundationJanuary 18, 2012 3
Webinar Agenda• IOM report and campaign background• Campaign goal and activities in Year One• Why and how RWJF Human Capital grantees can become involved• Discussion and Q&AJanuary 18, 2012 4
Institute of Medicine Report High-quality, patient- centered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history Received Book of the Year Awards from AJNJanuary 18, 2012 5
Report Impact Best seller on IOM’s website: 16,000 views on average each month Groups have coalesced in nearly every state to take action on the IOM recommendations Health and Human Services Secretary Kathleen Sebelius praised the IOM report recommendations in a January 2011 interview in the New England Journal of MedicineJanuary 18, 2012 6
Campaign Vision All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving successJanuary 18, 2012 7
Nursing Must be Considered a SocietalIssue!RWJF/AARP seeking support from: Health professionals Philanthropies Payers Educators Hospitals and Consumer advocates health systems Public health Business agencies Policy-makersJanuary 18, 2012 9
Campaign for Action State InvolvementJanuary 18, 2012 10
CCNA Technical Support to the ActionCoalitions • Topical webinars Content • Content experts Resources • Messaging and issue briefs • Learning Collaboratives • CCNA Liaison contact Planning Tools & • Planning tools Infrastructure • Stakeholder assessment • Grant writing assistance • Communications tools and materials • Instructional webinars and training Communications • Event and speaker support • Online resources, community extranet • Peer-to-peer collaborationJanuary 18, 2012 11
Campaign Focus Campaign for Action Education Practice Collaboration Leadership Data DiversityJanuary 18, 2012 12
Education Increase the proportion of nurses with BSN and higher degrees Increase the number of nurses with doctorates Implement nurse residency programs Promote lifelong learningJanuary 18, 2012 13
How the Campaign is Advancing NursingEducation • Reasons limiting BSN and Advanced AONE Survey degrees Learning • 450 participants • Listserv facilitated discussions Collaborative • Determine and share promising practices • State sharing Regional • Resource guides Webinar Series • Web archive • Nursing expertise Regional • Coordination in region and nationally Nurse Experts • Communication • Facilitation and collaborationJanuary 18, 2012 14
Practice All practitioners should practice to the full extent of their education and training Physicians, nurses and other health professionals work in a team-based model of care delivery Models of care maximize time that providers can spend on their respective roles and responsibilities to patientsJanuary 18, 2012 15
How the Campaign is Removing Barriers toPractice and Care • Convening national stakeholders to implement strategies within their own organizations • National forum on rural health to examine barriers to APRN practice • Action Coalitions webinar on FTC action related to unfair barriers January 18, 2012 17
Collaboration Prepare more nurses to help Integrated, lead Interprofessional collaborative, improvements in education, patient- health care training and centered health quality, safety, practice care teams access and valueJanuary 18, 2012 18
Leadership Nurses bring important viewpoint to management and policy discussionsJanuary 18, 2012 19
How the Campaign is AdvancingLeadership • Nurse Leaders in the Boardroom state pilots • Webinar series: The Value of Nurse Leadership in a Transformed Health Care System • Board training presentation • Tri-Council for Nursing • Leapfrog Group now reporting on Magnet status January 18, 2012 20
Data Research on Improved health health care care workforce workforce is data collection to fragmented better assess and project workforce requirements Need data on all health professionsJanuary 18, 2012 21
How the Campaign is Advancing Data National Council of State Boards of Nursing and Forum of State Nursing Workforce Centers • Jointly collecting state data in 2012 using the Forum’s Minimum Nurse Supply Dataset • Collaboratively gathering and analyzing the data • Publishing a report in early 2013 • CCNA has archived webinar January 18, 2012 22
Diversity Nurses should reflect patient populationin terms of gender, race and ethnicity All nurses should provide culturally competent careJanuary 18, 2012 23
Progress: National Organizations AACN and Jonas Center for Nursing Excellence collaboration to enhance efforts to increase doctorally prepared faculty Leapfrog Group encouragement of Magnet status for hospitals National Hispanic Medical Association work to improve interdisciplinary education Target promise to engage clinical nurses in leadership Multi-funder research initiativeJanuary 18, 2012 24
Progress in the States Florida, New York, California, North Carolina, Colorado Community college transition to state college and community college/state college partnerships Washington, Massachusetts Common curriculum and articulation models Georgia, Illinois, Ohio Online doctoral programs Montana Rural nurse residency programJanuary 18, 2012 25
RWJF Grantee Involvement Why should you become involved? How can you help?January 18, 2012 26
RWJF Grantee Involvement As a grantee, I believe in the mission of the Foundation and its goals – and this is such an important way to improve health care in our country. Alexia Green, ENF, Texas This is a critical point in history –for health care and for This is part of our my profession. It’s about obligation as an ENF, to patient care, not just nursing. If contribute to building the I don’t take leadership, how strength of health care can I expect anyone else to? and nursing in our states.Ann Cary, ENF, Louisiana Cindy Teel, ENF, Kansas January 18, 2012 27
RWJF Grantee Involvement The recommendations are directly relevant to academic nursing. In response, we are creating courses on interprofessional collaboration, In the world of health policy, programs to increase diversity. we need to improve public health or we won’t be able to afford care. If we’re able to implement the IOM recommendations it will happen.Jacquelyn Campbell, NFS, Maryland Liana Orsolini-Hain, HPF, California January 18, 2012 28
RWJF Grantee Involvement RWJF prepared me to lead My program prepared me change; they gave me the with the skills I need to be skills and courage to start a leader in this effort: even when we don’t know strategic thinking, what will eventually executive and happen. communications skills.Cindy Teel, ENF, Kansas Our placements give us policy Ann Cary, ENF, Louisiana expertise, that – combined with our experience as a doctor or nurse – helps us influence policymakers. We are listened to – and that can make a difference as we work to implement IOM. Liana Orsolini-Hain, HPF, California January 18, 2012 29
RWJF Grantee Involvement • NM: Increase diversity by supporting leadership training of Hispanic and Native American nurses • MA/RI/NH: Build Regional Institute for Interprofessional Education • VA: Create academic partnerships for seamless educational progression • WY: Transform nursing education through shared curriculum and promote leadership development • www.partnersinnursing.orgJanuary 18, 2012 30
Joining Your State Action Coalition The campaign needs your talent, skills and ideas! Contact your state Action Coalition lead Discuss your interests and find the right fit: − Work or lead a subcommittee on a specific recommendation − Develop a research or outreach project Engage your home institution (e.g., hospital, university) to implement a recommendation Engage leadership in membership organization to support relevant recommendationJanuary 18, 2012 31
Campaign Resources Visit us on the Web http://thefutureofnursing.org http://championnursing.org Follow us on twitter www.twitter.com/futureofnursing http://twitter.com/#!/championnursing Join us on Facebook http://facebook.com/futureofnursing http://www.facebook.com/championnursingJanuary 18, 2012 32