Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Restrictive Collaboration : One States Story

Dr. Lori Lioce

Related Books

Free with a 30 day trial from Scribd

See all
  • Be the first to comment

Restrictive Collaboration : One States Story

  1. 1. Dr. Lori Lioce, CRNP, FNP-BC AANP 26 th Annual Conference Presentation Las Vegas, Nevada June 25, 2011 Restrictive Collaboration One States Story
  2. 2. <ul><ul><li> Init. Apps Active 9-30 CNM CRNA </li></ul></ul><ul><ul><li>2009 182 1863 3/19 81/1487 </li></ul></ul><ul><ul><li>2008 202 1744 0/27 151/1420 </li></ul></ul><ul><ul><li>2007 126 1633 2/26 118/1406 </li></ul></ul><ul><ul><li>2006 220 1600 4/28 219/1319 </li></ul></ul><ul><ul><li>2005 190 1259 0/23 98/1131 </li></ul></ul><ul><ul><li>2004 167 1388 2/33 189/1389 </li></ul></ul>Alabama CRNP statistics
  3. 3. Alabama State Health Facts statehealthfacts.org by Kaiser <ul><li>1726 NPs (2010) 1% of US total </li></ul><ul><li>36 NPs per 100,000 (U.S 54) </li></ul><ul><li>MDs 21.6 per 10,000 (2008) </li></ul><ul><li>73 Rural Health Clinics (2011) </li></ul><ul><li>16 FFQH Clinics (2009) </li></ul><ul><li>887,591 citizens live in underserved areas (2008) </li></ul><ul><li>15.8% Sought NO health Care r/t Cost (2009) </li></ul><ul><li>Physician REQ for Dx/Tx 1:27 </li></ul><ul><li>Physician REQ for Rx 1:35 </li></ul>
  4. 4. America’s Healthcare Rankings 2010 ALABAMA OUTCOMES 49th
  5. 5. Alabama Overall Health
  6. 6. AL Public Health Funding 13th <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Public%20Health%20Funding.aspx </li></ul>
  7. 7. Alabama Lack of Insurance 18 -> 26 <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Lack%20of%20Health%20Insurance.aspx </li></ul>
  8. 8. Alabama Legislative Facts <ul><li>Quadrennium (4-year period) </li></ul><ul><li>Regular Annual Session </li></ul><ul><li>No more than 30 legislative days, within a 105 Calendar day period annually </li></ul><ul><li>Priority is on Budget </li></ul><ul><li>Career Legislators </li></ul><ul><li>NP regulation formally began 1995no scope of practice in statue </li></ul>
  9. 9. Authority for Health Care Decisions <ul><li>Governor’s Office </li></ul><ul><li>Statewide Health Coordinating Council (SHCC) AL Code - Section 22-4-7 </li></ul><ul><li>State Health Planning and Development Agency (SHPDA) Certificate of Need Review Board (CON) </li></ul><ul><li>Legislature </li></ul><ul><li>Alabama Department of Public Health </li></ul><ul><li>U.S. Government </li></ul>
  10. 11. Restrictive Collaboration <ul><li>ADPH Committee on Public Health/ABME (S) </li></ul><ul><li>10 % on-site MD Requirement (R) </li></ul><ul><li>Mandatory Reimbursement (PP) </li></ul><ul><li>Sign Handicap Parking Permits (S) </li></ul><ul><li>Sign Sports Physicals (PP) </li></ul><ul><li>Order Physical Therapy for Patients (S) </li></ul><ul><li>Regulatory Authority (S) </li></ul><ul><li>Scope of Practice (R) </li></ul><ul><li>Remove Ratio for MD/NP Collaboration 1:3 (R) </li></ul><ul><li>Primary Care Provider Recognition (S/R) </li></ul><ul><li>Prescriptive Authority (R) </li></ul><ul><li>Nursing Data RX/Workforce (S) </li></ul>
  11. 12. Strategic Plan <ul><li>SHORT TERM </li></ul><ul><ul><li>Adhere to 2010 Strategic Plan </li></ul></ul><ul><ul><li>Recognize & Publicize NPs </li></ul></ul><ul><ul><li>Educate Public/NPs </li></ul></ul><ul><ul><li>Participate/Influence the Legislative Process </li></ul></ul><ul><ul><li>Expose Rules/Regulations </li></ul></ul><ul><ul><li>Build Allies </li></ul></ul><ul><ul><li>Collect NP Data </li></ul></ul><ul><li>LONG TERM </li></ul><ul><ul><li>Establish NP Organization by transitioning to staff support of Volunteer Board </li></ul></ul><ul><ul><li>Build Allies </li></ul></ul><ul><ul><li>NP Data collection </li></ul></ul><ul><ul><li>Inclusiveness </li></ul></ul><ul><ul><li>Educate Public/NPs </li></ul></ul><ul><ul><li>Participate/Influence the Legislative Process </li></ul></ul><ul><ul><li>Research Rules/Regulations </li></ul></ul>
  12. 14. We MUST…. <ul><li>  </li></ul><ul><li>Understanding the State Legislative Process </li></ul><ul><li>How a Bill Becomes Law </li></ul><ul><li>Development of an Effective Chapter Legislative Program </li></ul><ul><li>Interacting With Your State Legislators </li></ul><ul><li>How to Introduce Legislation </li></ul><ul><li>Key Contact Program </li></ul><ul><li>Working With a Professional Lobbyist </li></ul><ul><li>Working With Your State Medical Society </li></ul><ul><li>Building Successful Coalitions </li></ul><ul><li>Campaign Involvement </li></ul><ul><li>State Political Action Committees </li></ul><ul><li>Legislative Receptions </li></ul><ul><li>Nurse-of-the-Day Programs </li></ul><ul><li>Nursing Resolutions and Proclamations </li></ul><ul><li>Regulatory Agencies </li></ul><ul><li>The Mini-Internship Programs </li></ul><ul><li>The Legislative Seminar </li></ul><ul><li>Media Relations </li></ul>
  13. 15. ADVOCACY MUST CONTINUE FOR CHANGE TO PREVAIL

×