COMMITTEE FOR THE EVALUATION OF THE IMPACT OF THE INSTITUTE OF MEDICINE REPORT THE FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH

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1 COMMITTEE FOR THE EVALUATION OF THE IMPACT OF THE INSTITUTE OF MEDICINE REPORT THE FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH Pamela Cipriano, PhD, RN, NEA-BC, FAAN President, American Nurses Association Institute of Medicine May 28, 2015

2 ANA State Association Collaborations Almost all state constituents are involved in work to implement the recommendations Collaboration with many specialty organizations AZ, CT, DE, IL, MD, MO, OK, TX, VA, WV are co-leads of Action Coalitions Successes Communication, outreach, increased visibility of nursing and its priorities Data collection workforce and education Nurses on Boards training/education Creation of more nurse residency programs Practice barriers advanced positions/recommendations in the political/legislative arena Challenges At times difficult to engage partners outside nursing Overlap with other similar/competing priorities Many initiatives require multi-year approaches

3 NURSES SHOULD PRACTICE TO THE FULL EXTENT OF THEIR EDUCATION AND TRAINING Galvanized nursing community in more aggressive push for full practice authority Collaboration across nursing organizations and NCSBN States continue toward full practice authority, primarily with removal/ modification of supervision requirement for APRNs Coalition for Patient Rights ANA advocates for all four APRN roles: Clinical nurse specialist (CNS) Certified nurse practitioner (CNP) Certified nurse-midwife (CNM) Certified registered nurse anesthetist (CRNA) Advocating for Home Health Planning and Improvement Act; Veterans Administration ANA has convened a Professional Issues Panel to address Barriers to RN Scope of Practice

4 NURSES SHOULD ACHIEVE HIGHER LEVELS OF EDUCATION AND TRAINING THROUGH AN IMPROVED EDUCATION SYSTEM THAT PROMOTES SEAMLESS ACADEMIC PROGRESSION ANA has supported baccalaureate degrees for 50 years Tri-Council for Nursing addressing academic progression with RWJF-funded Academic Progression in Nursing grant program ANF directing scholarship dollars to baccalaureate completion ANCC Magnet designation requires planning to make progress toward 80% baccalaureate prepared nurses by 2020 New York state BSN in 10

5 NURSES SHOULD BE FULL PARTNERS WITH PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN REDESIGNING U.S. HEALTH CARE ANA Advocacy Institute ANA Leadership Institute Competency-based model Programs for all levels of leaders Nurses on Boards Coalition (NOBC) ANA joined Campaign for Action and others as a founding partner ANA CEO Dr. Marla Weston is a co-chair of the coalition and its steering committee The co-chairs of NOBC workgroup committees include: American Nurses Foundation Executive Director Kate Judge North Carolina Nurses Association Executive Director Tina Gordon American Academy of Nursing President Diana Mason

6 EFFECTIVE WORKFORCE PLANNING AND POLICYMAKING REQUIRE BETTER DATA COLLECTION AND AN IMPROVED INFORMATION INFRASTRUCTURE Progress extremely limited ANA continues to advocate for Title VIII funding 33 State Workforce entities work with state nurses associations National Health Care Workforce Commission created by ACA remains an unfunded mandate Other attempts to collect workforce data since the National Sample Survey discontinued not effective Conflicting outcomes of reports from Department of Labor and HRSA Surveys need to measure what nurses are doing not only numbers Eliminate incident to billing in all settings obscures the work of RNs and APRNs

7 Progress from ANA s Perspective Recommendation Remove scope of practice barriers Status Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Implement nurse residency programs Increase the proportion of nurses with baccalaureate degrees to 80% by 2020 Double the number of nurses with a doctorates by 2020 Ensure that nurses engage in life-long learning Prepare and enable nurses to lead change to advance health Build an infrastructure for the collection and analysis of interprofessional workforce data

8 More information is available on ANA s website:

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