ANA Reforming Health Care, Transforming Our Profession

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1 ANA Reforming Health Care, Transforming Our Profession Pamela Cipriano, PhD, RN, NEA-BC, FAAN President, American Nurses Association Washington State Nurses Association April 23, 2015

2 Advocating Together! Setting Standards! Creating Excellence!

3 !! WASHINGTON STATE NURSES ASSOCIATION Major U.S. Health Care Reform: 1965

4 Major U.S. Health Care Reform: 2010

5 Fast Forward to 2015

6 ANA s Programmatic Pillars

7 WASHINGTON STATE NURSES ASSOCIATION 7

8 Familiar Conversations: Access Cost Quality

9 8 FACTS THAT EXPLAIN WHAT S WRONG WITH AMERICAN HEALTH CARE Sarah Kliff Vox.com Sept. 2, 2014

10 Health Care System Challenges WASHINGTON STATE NURSES ASSOCIATION Foley 2014!

11 Major Goals of the Affordable Care Act Expanded coverage Care delivery reform Cost reform Insurance reform Quality reform Focus on wellness & preven=on

12 Impact of ACA on Providers & Hospitals Providers More pa7ents with coverage Quality over quan7ty Preven7on vs. sick care All hands on deck to meet growing demand New roles emerging New competencies required (HIT, post- discharge f/u, etc.) Hospitals/Health Systems Less predictable, slower reimbursements More paperwork - Medicaid enrollees, new insurance plans Less inpa7ent care More ED visits Changing repor7ng requirements Reduced uncompensated care costs

13 Alphabet Soup: ACOs, BPCI, PCMHs, SGR...

14 Tipping Point: The ACA & The Future of Nursing Report

15

16 What s Happening with Nursing in Health Care Reform Ø Workforce Ø Scope of Practice Ø Leadership Ø Quality

17 ANA Advocacy on Nursing Workforce Development Programs RNac=on.org

18 Scope of Practice Barriers ftc.gov! nga.org!

19 ANA Scope of Practice Work RNs RN Barriers to Prac7ce Professional Issues Panel APRNs: Home health care Veterans Health Administra7on Durable medical equipment To take ac7on, visit: RNac=on.org

20 Nurses on Boards Coalition Goal: 10,000 Nurses on Boards by 2020 #10knurses ANA, ANF, AAN founding partners

21 ANA- LeadershipIns=tute.org For more informa7on: Competency- based model Relevant and 7mely content A variety of programs to fit your schedule and needs

22 National Quality Agenda WASHINGTON STATE NURSES ASSOCIATION Na=onal Quality Strategy (2011) Na7onal Strategy for Quality Improvement in Health Care (HHS) BeTer Care: Improve the overall quality more pa7ent- centered, reliable, accessible, and safe Healthy People/Healthy Communi=es: Address behavioral, social and, environmental determinants of health; deliver higher- quality care Affordable Care: Reduce the cost of quality health care for individuals, families, employers, and government

23 National Quality Strategy: Tri-Part Aim

24 From Volume to Value WASHINGTON STATE NURSES ASSOCIATION Clinical quality Health care costs

25

26 In the Private Sector Por=on of commercial health plan payments that are value- oriented * : 2014: 40 percent 2013: 11 percent *Based on data represen-ng almost 65 percent of commercial health plans Source: Na=onal Scorecard on Payment Reform

27 ANA: Leading the Way on Quality ANA leaders with Veterans Affairs Secretary! Robert McDonald & Chief Nursing Officer Donna Gage at the 2015 ANA Quality Conference!

28 Nurses Leading the Way on Quality

29 NURSES creating a HEALTHY NATION, a world of POSSIBILITIES

30 More information is available on ANA s website:

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