Patricia A. Polansky, RN, MS Director of Policy and Communications Center to Champion Nursing in America February 19, 2012
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1 Valuing Nurse Leadership in a Transformed Health care System Patricia A. Polansky, RN, MS Director of Policy and Communications Center to Champion Nursing in America February 19, 2012 DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
2 Conflict of Interest Disclosure Patricia A. Polansky, RN, MS Has no real or apparent conflicts of interest to report HIMSS
3 Session Objectives Discuss IOM recommendations on leadership Examine role for nursing informatics Learn more about how to lead change through the Future of Nursing: Campaign for Action
4 Why Now
5 Why Now? Transformed Health Care System Needs Nursing Leadership
6 Affordable Care Act New delivery settings Accountable Care Organizations Patient-Centered Medical Home Payment models Opportunities for nurses to provide: Care coordination Chronic disease management Health coaching Transitional care Prevention
7 Why Now? Opinion Leaders Want Nursing Leadership Gallup poll: Nursing Leadership from Bedside to Boardroom: Opinion Leaders Perceptions Nurses ranked lowest among professions and groups who will influence health care transformation in next 5-10 years. Top barriers to nurses influence and leadership were not important decision makers and physicians are revenue generators. Majority say nurses should have more influence in planning, policy and management. 7
8 Why Now? Nursing Leadership in the Boardroom Assuming a Leadership Role What, if anything, do you think could be done to ensure that nurses take on more leadership in improving health status and delivering health care services in the United States today? 8
9 Why Now? Nurses Underrepresented on Boards Nurses account for fewer than 2.3% of boards seats in community health systems nationwide 23% Physician Members 2% Nurse Members 75% Other Members Prybil, L.D., Engaging Nurses in Governing Hospitals and Health Systems, J Nurse Care Qual. Vol. 24, No. 1, pp 5-9. copyright
10 Why Now? IOM Calls for New Vision of Health Care 2010 landmark Institute of Medicine report is catalyst for
11 Campaign Vision All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success.
12 Initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation Launched in December 2007 Mission: Ensure all Americans have a highly skilled nurse when and where they need one.
13 Campaign for Action Pillars Advancing Education Transformation Removing Barriers to Practice and Care Interprofessional Collaboration Nursing Leadership Diversity Data
14 IOM Future of Nursing Report: Recommendations on Leadership Prepare and enable nurses to lead change to advance health: Nurses should take responsibility for their personal and professional growth by continuing their education and seeking opportunities to develop and exercise their leadership skills. Nursing associations should provide leadership development, mentoring programs, and opportunities to lead for all their members. Nursing education programs should integrate leadership theory and business practices across their curricula, including clinical practice. Public, private, and governmental health care decision makers at every level should include representation from nursing on boards, on executive management teams, and in other key leadership positions.
15 IOM Future of Nursing Report: Recommendations on Leadership Expand opportunities for nurses to lead and diffuse collaborative improvement efforts: CMMI should support the development and evaluation of models of payment and care delivery that use nurses in an expanded and leadership capacity to improve health outcomes and reduce costs. Private and public funders should collaborate to advance research models of care and innovative solutions, including technology, that will enable nurses to contribute to improved health and health care. Health care organizations should support and help nurses in taking the lead in developing and adopting innovative, patient-centered care models.
16 IOM Future of Nursing Report: Recommendations on Leadership Expand opportunities for nurses to lead and diffuse collaborative improvement efforts: Health care organizations should engage nurses and other front-line staff to work with developers and manufacturers in the design, development, purchase, implementation, and evaluation of health information technology products. Nursing education programs and in particular nursing associations should provide entrepreneurial professional development to enable nurses to initiate programs and businesses that will contribute to improved health and health care.
17
18 Nurses on Boards: States State pilot program to foster board participation Building relationships with leaders in health care, business, education, non-profits and government Demonstrate skills and value nurse leaders can bring Pilot events in three states: VA, RI, NJ
19
20 National Nurse Appointments Working closely with national nursing organizations Create tracking mechanism for national boardlevel appointments Anticipate vacancies, succession planning Identify qualified candidates
21 Technical Assistance to Action Coalitions Providing content expertise on IOM recommendation Pillars Experts, resources, messaging, materials Creating a Learning Collaborative community of state and national stakeholders working to advance IOM recommendations Education Learning Collaborative launched, Leadership later this year
22 Role of Nursing Informatics Technology is reshaping the delivery of care Nurse leaders critical to IT integration in clinical care
23 HIMSS Position on IOM Recommendations Partner with nurse executives to lead technology changes that advance health and the delivery of health care Support the development of informatics departments Foster the evolution of the Chief Nursing Informatics Officer role
24 Call to Action Step Up to the Plate!
25 Call to Action Understand your value to public policy Develop innovative solutions Prepare for leadership opportunities
26 Call to Action: Nurse Executives Where are your informatics nurse experts?
27 Call to Action: Nurse Executives Position them as influential leaders
28 Call to Action: Hospital Executives Engage nurses in IT development and decisions
29 Call to Action: Vendors Employ nurse informaticists in analyst, office and leadership roles Ensure that nurses are able to: Apply their leadership to directly influence optimal design systems Assist in testing systems to ensure user expectations are met
30 Join the Future of Nursing: Campaign for Action
31 In Conclusion S= O + M + E
32 SUCCESS = Opportunity + Motivation + Expertise
33 Stay in Touch Visit us on the Web at: ofnursing.org Follow us on twitter at: Join us on Facebook at: Download the IOM report on the Future of Nursing In support of the Future of Nursing: Campaign for Action
34 Speaker Contact Information Patricia A. Polansky, RN, MS Director, Policy and Communications Center to Champion Nursing in America (202)
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