Encouraging Nursing Certification and Assessment in Health Care Organizations September 3, 2014

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1 Encouraging Nursing Certification and Assessment in Health Care Organizations September 3, 2014 Kathleen Gallo, PhD, MBA, RN, FAAN Senior Vice President & Chief Learning Officer North Shore-LIJ Health System

3 The System Today Clinical Enterprise Educational Enterprise Research Enterprise Insurance Enterprise CareConnect Community Health Enterprise NS-LIJ Ventures Inpatient facilities Ambulatory/ outpatient Long Term/ Home Care Hospice Joint ventures GME/CME Medical School/ Elmezzi CLI Discoveries Publications Clinical trials Risk Capitation- Bundled payments Product offerings Joint product offerings Employer products Community benefit Access and education programs Veterans programs Children s programs New businesses Consulting Partnerships Population health Partnerships 3

Discoveries Publications Clinical trials Risk Capitation- Bundled payments Product offerings Joint product offerings Employer products

4 The Changing Landscape 4

6 CENTER FOR LEARNING AND INNOVATION ORGANIZATIONAL DEVELOPMENT PATIENT SAFETY INSTITUTE PHYSICIAN LEADERSHIP INSTITUTE SCHOLAR PIPELINE EMERGENCY MEDICAL INSTITUTE HOFSTRA NORTH SHORE LIJ SCHOOL OF MEDICINE BIOSKILLS EDUCATION CENTER CLINICAL TRANSFORMATION BEGINNINGS SIMULATION BASED EDUCATION PHYSICIAN BEGINNINGS ADMINISTRATIVE FELLOWSHIPS PARAMEDIC EVALUATION AND ASSESSMENT ATTENDING AND RESIDENT PHYSICIAN PROGRAMS LEAN / SIX SIGMA PROGRAM LEADERSHIP DEVELOPMENT COACHING WORKFORCE DEVELOPMENT INTER- PROFESSIONAL TEAM EDUCATION CLINICAL SKILLS EDUCATION LEADERSHIP DEVELOPMENT DEPARTMENT SPECIFIC EDUCATION MEDICAL SCHOLARS PIPELINE PROGRAM NEW YORKERS FOR CHILDREN PROGRAM INSTITUTE FOR HEALTH PROFESSIONS EMERGENCY MEDICAL TECHNICIAN ADVANCED EMT AEMT & EMT RECERTIFICATION CLINICAL SKILLS EDUCATION CONTINUING MEDICAL EDUCATION HYBRID SIMULATION PROGRAM / PROJECT MANAGEMENT EHR CONTENT DEVELOPMENT CHANGE MANAGEMENT FACILITATION DEPARTMENT TEAM BUILDING IS 59 PARTNERSHIP ACLS/BLS CLINICAL COLLABORATIVES CUSTOMIZED SESSIONS EDUCATIONAL RESEARCH CLINICAL EDUCATION AT PATIENT SAFETY INSTITUTE DOMESTIC AND INTERNATIONAL INTERNSHIPS CONTINUING MEDICAL EDUCATION CLINICAL SIMULATION VENDOR SPONSORED PROGRAMS INDUSTRIAL ENGINEERING

RESIDENT PHYSICIAN PROGRAMS LEAN / SIX SIGMA PROGRAM LEADERSHIP DEVELOPMENT COACHING WORKFORCE DEVELOPMENT INTER- PROFESSIONAL TEAM EDUCATION CLINICAL SKILLS EDUCATION LEADERSHIP DEVELOPMENT

7 Our Commitment to the Future of Nursing Blueprint 1. Remove scope-of-practice barriers. Advanced practice registered nurses should be able to practice to the full extent of their education and training 2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts 3. Implement nurse residency programs 4. Increase the proportion of nurses with baccalaureate degree to 80 percent by Double the number of nurses with a doctorate by Ensure that nurses engage in lifelong learning 7. Prepare and enable nurses to lead change to advance health 8. Build an infrastructure for the collection an analysis of interprofessional health care workforce data

Expand opportunities for nurses to lead and diffuse collaborative improvement efforts 3. Implement nurse residency programs 4.

8 Our Commitment to Specialty Certification Pay differential is given for specialty certification In 2013, North Shore-LIJ paid out $3 million in certification pay for our RN s 29% of RN s hold at least one certification 11% hold more than one specialty certification

out $3 million in certification pay for our RN s 29% of RN s hold

9 Our Commitment to Specialty Certification (cont d) 73% of our NP s are board certified (594 NP s employed) Our critical care nurse fellowship program prepares fellows for specialty certification 25% of the nurse fellows are specialty certified Our clinical ladder requirements attach value points to specialty certification

prepares fellows for specialty certification 25% of the nurse fellows are

10 Why North Shore-LIJ Makes this Commitment The assumption is Knowledge, clinical skills and clinical judgment Make a Difference Conversely, lack of foundational knowledge and poor clinical judgment results in error Evidence suggests that clinical skills deteriorate over time Certification is proxy for competence: assesses foundational knowledge and the integration of new knowledge over time Facilitates ensuring that nurses can practice to the full extent of their education and training Enhances professionalism

deteriorate over time Certification is proxy for competence: assesses foundational knowledge and the integration of new

11 Advancing nursing credentialing research is important and needs to be conducted BUT it is not essential for making the organizational decision to require, encourage, foster and financially support specialty certification We require our physicians to be board certified why wouldn t we have the same requirements for our nurses?

encourage, foster and financially support specialty certification We require our

12 Our Commitment to the Future of Nursing Blueprint 1. Remove scope-of-practice barriers. Advanced practice registered nurses should be able to practice to the full extent of their education and training 2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts 3. Implement nurse residency programs 4. Increase the proportion of nurses with baccalaureate degree to 80 percent by Double the number of nurses with a doctorate by Ensure that nurses engage in lifelong learning 7. Prepare and enable nurses to lead change to advance health 8. Build an infrastructure for the collection an analysis of interprofessional health care workforce data

14 14

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