Driving APRN Policy: A Legislative Success

1,119 views

Published on

Driving APRN Policy: A Legislative Success
James LaVelle Dickens, DNP, FNP-C, FAANP

Mano y Corazón Binational Conference of Multicultural Health Care Solutions, El Paso, Texas, September 27-28, 2013

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,119
On SlideShare
0
From Embeds
0
Number of Embeds
225
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Driving APRN Policy: A Legislative Success

  1. 1. James LaVelle Dickens, DNP, FNP-C, FAANP
  2. 2.  Texas ranks 47th in the country in the supply of primary care physicians  Out of the 254 counties in Texas, 185 are designated as medically underserved
  3. 3.  Historically, policies limited APRNs scope of practice and restricted APRNs ability to address the primary care shortage  Primary care shortages will continue and the aging population is on the rise
  4. 4.  The number of primary care providers per 100,000 rural population is significantly less than in metropolitan areas
  5. 5. 0 2000 4000 6000 8000 10000 12000 2001 2011 Number of APRNs
  6. 6. Senate Bill 406 “Texas Team” Action Coalition The Future of Nursing: Leading Change, Advancing Health
  7. 7.  June 14, 2013 Senate Bill (SB) 406 was signed into law by Governor Rick Perry  SB 406 - first piece of legislation in over a decade that significantly broadens APRN scope of practice
  8. 8.  October 2010 - Institute of Medicine (IOM) report released, The Future of Nursing: Leading Change, Advancing Health  IOM Recommendation – remove barriers that prevent APRNs from practicing to the fullest extent of their education and experience
  9. 9.  The Future of Nursing: Campaign for Action was created under the Robert Wood Johnston Foundation  Texas based action coalition was “born” and named “The Texas Team; Advancing Health through Nursing”
  10. 10.  The Texas Team worked to increase access to care for Texans through expanded scope of practice for Advanced Practice Registered Nurses (APRNs)  And employed specific strategies to achieve a successful inter-professional collaboration.
  11. 11.  November 2011, “The Texas Team” convened the APRN Roundtable  Texas Nurses Association, Coalition for Nurses in Advanced Practice, APRN specialty organizations were represented at the roundtable
  12. 12.  APRN Roundtable - strategies were identified by the groups to achieve consensus on scope of practice expansion
  13. 13.  May 2012 – APRN groups testified to legislative committee  Intent to move forward with legislative change in Prescriptive Authority model
  14. 14.  Dr. Ray Perryman issued report regarding the economic benefit in greater utilization of APRNs
  15. 15.  Senator Jane Nelson, Chair of Senate Health and Human Services Committee  Representative Lois Kolkhorst, Chair of the Public Health Committee  Legislators encouraged collaboration between nursing and medicine
  16. 16.  Negotiations began on new model  Texas Nurses Association  Coalition for Nurses in Advanced Practice  Texas Nurse Practitioners  Texas Medical Association  Texas Academy of Family Physicians  Texas Academy of Physician Assistants  Senator Jane Nelson and staff  Representative Lois Kolkhorst and staff
  17. 17.  SB 406 was filed on February 26, 2013  Signed by Governor on June 14, 2013  Effective November 1, 2013
  18. 18.  Eliminates the requirement for onsite physician supervision  Allows physicians to delegate drug and durable medical devise prescribing authority to an APRN or PA
  19. 19.  Increases the number of APRNs or PAs to whom a physician can delegate prescriptive authority from 4 to 7  Improved coordination between the Texas Medical Board and the Board of Nursing
  20. 20.  Allows physicians to delegate prescribing authority to APRNs and PAs for Schedule II controlled substances in hospital and hospice settings
  21. 21.  Outcomes  Lessons learned  Moving Forward
  22. 22.  Peck, J. L., Addressing the Texas Health Care Crisis: Effective Use of Advanced Practice Registered Nurses. The Journal for Nurse Practitioners. 2013; 9 (2):116-120.  Tovar, S. APRNs Achieve First Expansion of Prescriptive Authority in a Decade. Texas Nurses Association. The Nursing Voice. July 2013

×