Objectives. Region 10 Update 9/17/2015. There are no conflicts of interest related to this presentation

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1 Region 10 Update Tracy Klein, PhD, FNP, ARNP, FAAN, FAANP Region X Director There are no conflicts of interest related to this presentation Objectives Identify purpose and initiatives of AANP and their national priorities and activities Discuss legislative trends for Region X Explore issues of specific concern to Oregon NPs Identify key opportunities for NP advocacy and professional development 1

2 AANP Mission: Lead NPs in transforming patient centered health care 2015 is a year of celebration When it all began 1965 Dr. Loretta Ford and Dr. Henry Silver developed the first nurse practitioner program at the University of Colorado 1967 Boston College initiated one of the earliest master's programs for NPs 1971 One of the first family NP programs, PRIMEX, opened its doors at the University of Washington 1973 More than 65 NP programs existed in the U.S., and the National Association of Pediatric Nurse Practitioners was established 6 2

3 1974 The American Nurses Association (ANA) developed the Council of Primary Care Nurse Practitioners 1980 Over 200 NP programs were available, and the Nurse Practitioner Associates for Continuing Education (NPACE) was established 1983 Approximately 22 24,000 NPs in the U.S The American Academy of Nurse Practitioners (AANP) was established 1989 Ninety percent of NP programs were master's or postmaster's degree programs, publication of the Journal of the AANP began, and the first AANP National Conference was held in Philadelphia with 158 attendees 7 Leaders stepped forward 1994 Mary Mundinger published landmark "Advanced Practice Nursing Good Medicine for Physicians" in The New England Journal of Medicine, further supporting facts that NPs are costeffective and high quality primary health care providers 1995 American College of Nurse Practitioners was formed 1999 Approximately 68,300 NPs in the U.S AANP Fellows program was established, and the first international NP conference was held 2004 National Nurse Practitioner Week, held annually in November, was recognized in a proclamation by the U.S. Congress Approximately 106,000 NPs in the U.S NP policy focused on health care reform, CMS regulations, Medicare payment, appropriations, Medical Home and state and local issues of importance to NPs and their patients. There were an estimated 140,000 NPs in the U.S. AANP worked with the White House Office of Health Reform to review primary care perspective on preventive care, access, coordinated primary care, quality of care, payment and the need to recognize all primary care providers as solutions to the health care crisis. The AANP Fellows program (FAANP) celebrated its 10th anniversary. 9 3

4 2013 was a very good year American Academy of Nurse Practitioners and the American College of Nurse Practitioners merged to form the American Association of Nurse Practitioners (AANP) Membership in AANP increased nearly 19 percent for the year, ending with 48,075 members Member benefits grew to include two journals (JAANP and JNP) and a package of lifestyle goods and services such as automobile rentals, vacation packages and discounts at major retailers A multi media national NP Public Awareness campaign, 171,000 Solutions, was developed that included a 30 second television spot, 30 second radio spot and print ad 10 Continuing to raise awareness 11 AANP s Federal Legislative Priorities Pass legislation which would enable NPs to certify eligibility for home health (S 578/HR 1392) Urge Congress to pass legislation recognizing NPs and other APRNs to practice at their full scope throughout the VA system (HR 1427/S 297) Pass legislation which includes NPs in Medicaid incentive payments (S 737) Authorize NPs to certify patients for Hospice care Authorize NPs to perform admitting exams and monthly patient assessments in SNFs 4

5 Improved Access to NP Services State maps updates available at : regulation/state legislation/state practiceenvironment/66 legislation regulation/state practice environment/1380 statepractice by type AANP s State Legislative Priorities Modernize state licensure laws Streamline care delivery with NP signature recognition Create flexible and sustainable reimbursement and care delivery Ensure NP participation in ACOs and Patient Centered Medical Home models Call on state policy makers to compel insurance company compliance with non discrimination language in the ACA Recognize NPs for reimbursement in value based payment models Track state legislation at: regulation/statelegislation/state legislation tracking center Increased NP Visibility Television media adds in targeted areas across the United States: DY&feature=youtu.be Radio spots: outu.be Media tool links and media training for NPs at state and national conferences: tools for nps Regular media feeds and updates regarding NPs in the news: room/nps in the news Position statements and one pagers to educate legislators and consumers: room 15 5

6 Social Media NP Infographic 17 Increased NP Visibility AANP also increases NP visibility through membership/alliances with health related organizations and sponsorship of initiatives Collaborative alliances included: Department of Health and Human Services Million Hearts Initiative Know Your Dose: Acetaminophen Awareness Coalition Joining Forces: White House Initiative to raise awareness of health issues affecting America s military, veterans and their families Antibiotic Stewardship Initiative United Nations Foundation Life Campaign 6

7 NP Related Research AANP conducts research studies on an annual basis focusing on NP salaries and practice AANP is a member of ICONS: Interagency Collaboration on Nursing Statistics AANP also sponsors projects by NPs in the form of a number of yearly grants and awards: AANP has opportunities to support research through: Question procurement Mailing lists Space at national conferences Listserves Letters of support Mentorship Annual Compensation Surveys *Data self-reported in the 2015 National Nurse Practitioner Compensation Survey. Data weighted to be representative of the NP population within each region. State Stats: Incoming: Karen Fell, MSN, RNC, FNP C State Practice Environment: Full % of NPs that are AANP Members: 28.75% Alaska Practice & Policy Updates Senate Bill #53 to incorporate consensus model language in the nurse practice act, introduced while nurses and APRNs were in Juneau for the annual legislative fly in session. Legislation passed to support wider provision of naloxone Legislation legalized non medical marijuana Upcoming Items Alaska Nurse Practitioner Association Conference will be September 17 19, 2015 in Anchorage, Alaska. 7

8 Idaho State Stats: Beverlee Furner, MS, NP State Practice Environment: Full % of NPs that are AANP Members: 35.34% Practice & Policy Updates Bills of interest: Medical Practice Compact (passed) Psychologist Prescribing (did not pass) Naloxone (passed) Upcoming Items No NP practice or licensure bills. Possibly the APRN compact in 2016 or Membership drives (new 2 yr. option) Fall Conference October in Boise Focus on organization financial stability State Stats: Mandy Mckimmy, DNP, FNP mandymckimm [email protected] State Practice Environment: Full % of NPs that are AANP Members: 19.3% Oregon Practice & Policy Updates Legislation passed to title protect APRN Nurse staffing law enhanced and updated Reimbursement terms for independent practice clarified Pharmacists gained RX authority for contraception Legalization of non medical marijuana Upcoming Items NPO conference October 8 10 in Sunriver State Stats: Nancy Lawton State Practice Environment: Full % of NPs that are AANP Members: 18.94% Washington Practice & Policy Updates HB 2315 Global Signature SB 5052 Cannabis Patient Protection Act SB 5175 Telemedicine State Budget: Enhanced reimbursement dead Loan repayment pending as of May Upcoming Items DOH Rule Writing CNSs Psychiatric Nurses APRN Licensing Compact 8

9 Idaho State Award: Clinical Idaho State Award: Advocate Oregon State Award: Clinical 9

10 Oregon State Award: Advocate Meg Portwood Lincoln City, OR About AANP National Administrative Office Austin, TX Government Affairs Office Washington, DC area 30 10

11 AANP Membership More than 62,000 individual NP members 194 NP organization members National NP organizations and national nursing organizations with large NP constituencies State and local NP groups/organizations AANP represents over 205,000 practicing NPs to the public, policy makers and industry 31 Three Yearly Conferences National Conference June 2015 New Orleans June 21 26, 2016 San Antonio, TX 5,678 attendees Specialty and Leadership Conference September 2015 San Diego, CA Health Policy Conference March 2015 Washington, DC 323 attendees Current National Stats AANP reached the 50,000 member milestone in 2014, and now membership totals more than 61,000 More than 916 million patient visits are made to NPs annually 95% of NPs have graduate degrees 97% of NPs maintain national certification 87% of NPs are prepared in primary care 85% of NPs see patients covered by Medicare (74% accept new Medicare patients) 84% of NPs see patients covered by Medicaid (68% accept new Medicaid patients) NPs hold prescriptive privilege in all 50 states and D.C., with controlled substances in

12 Shaping the Future 34 AANP Leadership Programs AANP Leadership Mentorship 12 month program Formal program, meetings and projects specific to mentoring NPs for leadership programs in their communities as well as nationally Now in second cohort AANP Fellows Program Developed in 2000 Currently 542 nationally recognized NPs for roles in policy, research, education and practice Fellows help shape AANP initiatives as well as white papers and policy briefs Fellows serve as expert advisors and peer reviewers for AANP programs 35 Roger Fogg, FAANP 36 12

13 Issues of Concern to Oregon 37 Opportunities for Advocacy Elected and appointed office in AANP Participation in the research network Apply for a year long leadership or health policy fellowship Speaking and presenting at conferences to teach and mentor other NPs Signing up at the advocacy center for letter campaigns and briefs Track and engage in state and federal legislation Contacting AANP Governmental Affairs regarding mentorship and opportunities to set up appointments with your legislator or have them visit you in your practice 38 Resources National Conferences focus on clinical and professional development Health Policy Conference provides legislative updates and opportunities for attendees to meet with congressional leadership Continuing Education is offered through the National, Specialty and Health Policy conferences, the AANP CE Center and peer reviewed journals AANP Developed Toolkits keep NPs informed regarding important health issues and assist them in educating their patients Student Resource Center provides tools developed exclusively for students AANP s Practice Based Research Network allows NPs to shape, develop and participate in national NP research 39 13

14 Membership Benefits Over 85 free Continuing Education offerings through the CEcenter.AANP.org Discounts on Prescriber s Letter (one year plus CME for 87.00) Discounts on malpractice, national certification rates, and conferences Student membership a year Annual membership is a year WHY I SERVE 14