Achieving the Future of Nursing Goals in Texas by 2020

Transcription

1 Achieving the Future of Nursing Goals in Texas by 2020

2 Welcome From Texas Team Lead Organizations Clair Jordan Executive Director Cindy Johnson VP Clinical Services

3 Achieving the Future of Nursing Goals in Texas by 2020 Alexia Green RN, PhD, FAAN Texas Team Co Leader

4 Purpose of this Forum Examine Challenges & Opportunities for Texas Explore relevance of IOM recommendations to Texas Review the evolution of the Texas Team Discuss your role / your organization s role in Advancing the Health of Texan s through nursing

5 Moving Toward the Future of Nursing in Texas Challenges & Opportunities

6 Converging Perfect Storm Sagging Economy State Faces Billion $ Deficit Shortage of Healthcare professionals Nurses Physicians Allied Health Professionals Aging and Uninsured Population Surging and unsustainable cost of health care

7 Drivers of Future Demands for Services Population growth U.S. Population to grow by ~30 million in the next decade 1 Aging of the Population; concomitant increase in major/chronic illness and subsequent demand 2 Baby boom generation Medical advances and successes 2 Life Style factors 3 Increase in chronic diseases Insurance coverage expansion 4 1 U.S. Census Bureau Projections of the Population and Components of Change for the United States: 2010 to Bureau of Labor Statistics Career Guide to Industries, : Healthcare 3 CDC Chronic Diseases and Health Promotion 4 Affordable Care Act

8 The Expansion of Insurance Coverage is Likely to Have a Significant Impact in Texas The States with the Highest and Lowest Rates of Un-insured, 2009 Source: Current Population Survey (Prepared by NCHWA, February 2011)

9 Total U.S. employment grew by 3.7% across ; health care employment grew 30.1% Hospitals experienced slower employment growth than other healthcare settings Employment Growth By Setting, Source: Center for Workforce Studies, SUNY Albany Analysis of BLS data.

10 Though hospitals added the largest absolute number of jobs, growth on a percent basis lagged behind US Hospitals added 33,600 jobs across the last year; In contrast, physician offices added 26,000 Growth in Healthcare Employment by Setting, Jan Jan Source: Altarum Institute, Health Market Insights from the BLS January 2011 Employment Data.

11 Projected Population of Texas to 2040 Millions Source: Texas State Data Center Population Projections 11

12 IOM Future of Nursing Report Prepare and enable nurses to lead change Remove Scope of Practice Barriers Foster interprofessional collaboration Create infrastructure for workforce data collection Achieve higher levels of education for nursing workforce

13 Preparing & Enabling Nurses to Lead Change in Texas We are nursing leadership need younger & more diverse nurses to join us Need others to join the Campaign business, policy leaders, other health professionals, philanthropy Ensure nurses are engage in HC Reform decision in TX Need More Nurses in Legislature & on Boards: Rep. Donna Howard (D) Rep. Susan King (R) Barbara Cherry RN, DNS Sears Methodist BOD Nancy Neal RN Board of Regents Texas Tech

14 Leading Change in Texas HC Nurses must build leadership Skills Nurses need better understanding of Systems Leadership and Quality Sciences Cliff Norman Quality Engineer and IHI Faculty Jane Norman Systems Leadership and Quality Improvement Expert TNA Young & Emerging Leaders Program Minority Leadership Programs

15 Removing Scope of Practice Barriers Nurses must practice to full extent of their education this includes all RNs not just advanced practice nurses Texas has one of most restrictive APN scope of practice in nation

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17 UTHSCSA Student Health Center 2007 School of Nursing assumed control 2009 Expansion from 2 to 4 exam rooms and 2 8 NPs 3,200 Health Science Center students cared for by 8 faculty nurse practitioners and 5 support staff Designated medically underserved population (MUP)

18 John Delaney RN BSN CPHIMS Director, West Texas Health Information Technology Regional Extension Center Tamara Bavousett DNP, RN, C-PNP Pediatric Nurse Practitioner Met Medical Home Criteria for Meaningful Use HIT

19 Adult and Children Sick and well visits Physicals for all ages Immunizations Minor injuries Chronic Disease Management Onsite Laboratory Prescription Assistance Nutritional Education Case Management Counseling

20 Fostering Interprofessional Collaboration Expand opportunities for nurses to lead & manage collaborative efforts with physicians and other members of health care team Reform education to foster interprofessional education

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22 Creating Clinical Nurse Leaders Partnering to improve patient care & interprofessional collaboration through leadership

23 Creating Infrastructure for Workforce Data Collection Opportunity Sustain Texas Center for Nursing Workforce Studies led by Dr. Aileen Kishi Funded by surcharge on RN & LVN license renewal fee Expends no state dollars Challenges HB 1875 Threatens to repeal legislation which established center

24 Creating a Better Educated Workforce in Texas Increasing percent of nurses with BSN to 80% Doubling number of nurses with doctorate Doubling the number of nurses who graduate from Texas Schools of Nursing

25 Challenges Undereducated Workforce 2009 Texas Center for Nursing Workforce Studies 0.4% RNs highest degree doctorate 7.9% RNs highest degree MSN 38.9% RNs highest degree BSN 41.4 % RNs highest degree ADN 9.4% RNs highest degree Diploma

26 Challenges Undereducated Workforce In 2009, there were 625 doctoral prepared nurses working in Texas in nursing: 15% in administrative, managerial positions 22% as advanced practice nurses 50% in faculty/educator positions Texas exceeds US average per population for LVNs US ratio per 100,000 pop. Texas ratio per 100,000 pop.

27 Innovations: Texas Team Addressing Nursing Education Capacity Formed in 2008 Call to Action by Center to Champion Nursing AARP/RWJ Appointed by the Governor to Address Nursing Education Capacity 10 Member Team grew to large coalition 100 Schools of Nursing Multiple Hospitals

28 Texas Team Addressing Nursing Education Capacity Worked with TNA, THA, THECB, TBON, TCNWS, TWC, TX SONs and Rep Donna Howard to implement Nursing Shortage Legislation Created regional structure to support team efforts Received $1 million ARRA grant from TWC in schools of nursing, 45 hospitals, a foundation, a health steering committee Special issue of Journal of Prof Nurs (Fall 2011) will feature our work

29 Texas Team Addressing Nursing Education Using Regional Model for New Texas IFN Team

30 Central Region TWC/Texas Team Grantee 87.6% increase in use of interdisciplinary clinical simulation at regional schools during grant period

31 Transitioned Team to Texas Team Advancing Health through Nursing

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33 Texas Team StAC Co Chairs Dr. Pat Yoder Wise Dr. Ray Perryman

34 Strategic Advisory Committee Members CDR James Dickens RN Nancy Dickey MD Mary Elizabeth Jackson Janiece Longoria Camille Miller Cliff Norman Richard Ponder Shirley Reed Ken Shine MD Pat Starck RN Sandra Tovar RN Yvonne VanDyke RN Roger Williams

35 Texas Team Leaders Clair Jordan Lead Org Darren Rogers Lead Org Alexia Green Co Lead Cindy Johnson Co Lead Sondra Flemming Ed. Susan Sportsman Ed. Joyce Batcheller Prac. Rosemary Luquire Prac. Pat Allen Tac& Op Paulette Burns Tac& Op Lorraine Frazier Tac& Op

36 How to become a Coalition Member See document in packet on how to join the Coalition Questions about Team or Role of Coalition Members? How can you or your organization contribute to actualizing the IOM Recommendations in Texas?

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