New York Action Coalition Status Report November 2013 January 2014

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1 New York Action Coalition Status Report November 2013 January 2014 Action Coalition Leadership Co-Leads: Robert O Connell - M em ber,aarp New York Executive Council, Cathryne Welch - Director, Robert Wood Johnson Foundation-funded project, Dual Degree Partnership in Nursing: A Model for Meeting IOM s Recommendation, (APIN Round 1) , x22) Hila Richardson ClinicalP rofessor,colegeofn ursing,n ew YorkU niversity ) Workgroup Leads: Include name, title, organization, , phone, workgroup area(s) (education, Leadership, practice, data, IPC, Diversity, capacity building). Recommendation #1 Remove Scope of Practice Barriers: Susan Apold, Robert Wood Johnson Foundation Nurse Fellow, Dean, Division of Health and Human Services, Concordia College, Bronxville, NY, Recommendation #4 Increase the proportion of nurses with a baccalaureate degree to 80% by 2020: Barbara Zittel, International Nursing Consultant, William Ebenstein, Dean for Health and Human Services, City University of New York Recommendation #5 - Double the number of nurses with a doctorate by 2020: Marsha Lewis, Dean, The School of Nursing, The University at Buffalo, Recommendation #7 Prepare and enable nurses to lead change to advance health: Diana J. Mason, Co-Director, Center for Health, Media and Policy, Rudin Professor of Nursing, Hunter College, City University of New York; Co-Producer and Moderator, Health Styles, Recommendation #8 Build an infrastructure for collection and analysis of health workforce data: Carol S. Brewer, professor and Associate Dean for Academic Affairs, School of Nursing, University at Buffalo; Director of Nursing, NYS State System AHEC; Clinical Professor, family Medicine Research Institute, Media and Communications Replacement pending for Diana J. Mason, Co-Director, Center for Health, Media and Policy, Rudin Professor of Nursing, Hunter College, City University of New York; Co-Producer and Moderator, Health Styles, Diversity Deborah C. Stamps, Vice President and Chief Nursing Officer, Newark Wayne Community Hospital, Tell Us About Your AC s Goals and Progress in Pillar Areas: Include as many goals as your AC has identified for each pillar. For each goal, provide significant progress made during the reporting period.

2 Education 1. AC Education Goal A: Achieve 80 % nurses with a baccalaureate degree by 2020 o The total number of students enrolled in the 2012 Cohort of our APIN Round 1 project was 130. The total in the 2013 Cohort was 168. The overall retention rate from Fall 2012 to Fall 2013 from available data is 85.8% - well above the 60% rate set as the goal to exceed. One of our project partners expects significant progress in recruiting applicants to its program. An analysis of clinical partners identified by our educational programs revealed: almost 66% of respondents reported they preferentially hire RNs with a BS degree and almost 26% reported that while RNs with a diploma or associate degree are employed they are required to obtain the BS in a specified time to maintain employment; 93% of respondents provide funding for RNs to obtain the BS, 88% provide funding for graduate study; 4 employer sites have already achieved the IOM goal of 80% BS prepared nurses. 2. AC Education Goal B: Double the number of doctoral prepared nurses by 2020 Determined enrollment and Graduation numbers are increasing: (NYS nurses enrolled in on-line Doctoral programs, or Programs in other States are not counted in # s below) a. 2009: PhD Programs- 257 students 23 Graduates DNP Programs-104 students 17 Graduates b PhD Programs-361 students 40 Graduates DNP Programs-271 students 87 Graduates 3. Are students enrolled via one of the four identified promising models of education progression? Yes No Partners in our APIN DDPN enroll students in shared curricula. If yes, check all that apply: RN to BSN Degrees Awarded by Community Colleges RN to MSN Programs State or Regional Competency Based Programs State or Regional Shared Curriculum Other: 4. Through efforts of your AC, has the state community college association agreed to help inform/recruit ADNs to advance their education? Yes No If yes, briefly explain: The association has not officially agreed to this, but many programs are enthusiastically participating in our APIN DDPN Project and other initiatives to facilitate academic progression in nursing. Leadership 1. AC Leadership Goal A: Promote goals and buy-in from nursing member organizations AC Leadership Goal B: Compile baseline data re nurse appointments to committees and boards As of 1/2014 Page 2

3 2. Has your AC implemented new selected and proven successful leadership program to prepare nurses to lead change to advance health? Yes No - Planning for this is in process. If yes, check all that apply: Preparation and process in place for getting nurses on state or local boards State-wide Leadership Institute 40 U nder40 or an emerging/young leaders recognition program Mentorship Program Collaboration with state or national leadership program (i.e. AONE, ANA, etc.) Methods to educate the public on the Affordable Care Act Other: Practice & Care 1. AC Practice & Care Goal A: Educate the public and policy makers regarding current barriers and potential barriers to scope of practice: particularly those restrictions found in state statutes and regulations o Governor Cuomo has included in his Executive Budget a proposal to eliminate the requirement of written collaborative agreements with physicians for certain Advanced Practice Nurses, but the language of the proposal is not supported by many within the nursing community. Our Scope of Practice Sub-committee is reviewing the proposal and options for improving it. AC Practice & Care Goal B: Identify non-nursing stakeholders who will engage in scope of practice issues. o Assessment of potential stakeholders in this effort is ongoing. 2. Is your AC working on removing barriers to RN level of care? Yes No 3. Has your AC advanced favorable state policy to remove barriers to care provided by APRNs? Yes No AC has facilitated support by others. See 1. above. Diversity 1. AC Diversity Goal A: Enhance AC focus and activity to increase diversity of the RN workforce so it is closely aligned with demographics of communities o Sub-committee continues development of a diversity plan. 2. Does your AC have a diversity Plan? Yes No to be developed by Diversity Committee If yes, briefly explain: See 1. Above re status of Sub-Committee s work As of 1/2014 Page 3

4 Data 1. AC Data Goal A: Collect, analyze and synthesize NYS nursing workforce education, supply and demand data relevant to nursing and health policy o Findings of the second survey ( ) of NYS nursing education programs and faculty are now being analyzed. A usable response rate of 84% assures a good data base which will be very useful in tracking trends and changes between this survey and that of The final report of the study will be available in June. Of particular interest will be trends regarding: o program growth; o enrollment; o age, ethnicity, separation and vacancies of faculty. Capacity Building (strategic planning, organizational structure, funding, etc.) Reminder: Please update your AC s attached funding chart with specific instances of cash grants or donations. 1. Capacity Building Goal A: Establish a Statewide Advisory Committee (SAC), inclusive of multisector entities, to support the NYS Action Coalition o Potential partners have been identified Capacity Building Goal B: Identify potential funding sources to support AC work. Most Significant Success this Quarter Launched an effort to review succession planning, structure, operations and related issues relative to the ongoing work of the NYS in order to ensure advancement of the IOM recommendations in New York State Most Significant Challenge this Quarter Insufficient human and material resources Technical Assistance Requests Our request for consultation in the overall review of Action Coalition succession planning, structure, operations and related issues was promptly and graciously responded to. We are most grateful for the assistance being provided by Alexia Green and Nancy Reller. As of 1/2014 Page 4

5 Action Coalition Stakeholders (This list indicates stakeholder groups that are represented on the Action Coalition). To check a box: double click the desired box, click checked, then click OK. AARP State Office Asian American/Pacific Islander Other State Officials AACN Members Nurses Association Physicians Area Health Education Centers National Alaska Native RWJF AF4Q Businesses American Indian Nurses Association RWJF Health Policy Fellows Chambers of Commerce National Association of Hispanic RWJF Nurse Executive Fellows Community Colleges Nurses RWJF Nurse Faculty Scholars Community College Associations National Black Nurses RWJF PIN Grantees Family Caregiver Organizations Association State Board of Nursing Foundations National Coalition of Ethnic State League for Nursing Health Plans / Insurers Minority Nurse Associations State Nurses Association Health Systems Philippine Nurses Association of State Org. of Nurse Executives Hospital Association America Unions Human Resource Associations Nursing Students Universities/Colleges of Nursing Legislators/Policy Makers Nursing Workforce Center Workforce Investment Boards Minority Nursing Groups Other Consumer Advocates American Assembly for Men in Nursing Other Health Clinicians As of 1/2014 Page 5

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