California APIN Visit October 30, 2014 Susan B. Hassmiller

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1 California Action Coalition Summit Presentation October 30, 2014 Susan B. Hassmiller, PhD, RN, FAAN, RWJF Senior Adviser for Nursing, and director, Campaign for Action

2 A Culture of Health RWJF Goal: We, as a nation, will strive to create a culture of health enabling all in our society to lead healthy lives, now and for generations to come 2

3 How Nurses Can Help Nurses are the largest segment of the health care workforce and spend most time with individuals and families. Manage influx of older, sicker, patients, more chronic illness Develop and implement new models of care Provide transitional and coordinated care Reduce medical errors and re-hospitalizations Improve prevention, wellness, population health outcomes 3

4 Areas of Focus Education Practice & Care Leadership Diversity Interprofessional Collaboration 4

5 P Education Progress 78% increase in RN to BSN enrollees New graduates by degree type: Pre-license BSN graduates up 18% between 2010 and 2013 compared to 7% in ADN Entry level Masters up 41% 5

6 Advancing Education Transformation Future of Nursing Scholars Program Diverse cadre of PhD-prepared nurses who are committed to longterm leadership careers Offers financial support, mentoring, leadership development activities and postdoctoral research funding Grants given to schools of nursing NHU Tran, Future of Nursing Scholar at UCLA CA has most Scholars! 6

7 Removing Barriers to Practice & Care State Legislation 6 states have removed statutory barriers that prevented nurse practitioners from providing care to the full extent of their education and training 11 states requested and received FTC opinion on removing barriers FTC policy paper: expanded APRN practice is good for consumers 7

8 Practice and Care: A Patchwork of Laws 2014 Nurse Practitioner Practice Environment 1 1 This map from AANP shows the practice environment for nurse practitioners. For more detail about other types of APRNs, see NCSBN s maps: 8

9 Nurses on Boards 10,000 nurses on boards by 2020 Make getting nurses on boards your passion: Spread word to colleagues, students and networks Join board if you re not on one Create succession plan if you are on one Help other nurses get on boards 9

10 Leveraging Nursing Leadership 2014 Breakthrough Leaders in Nursing Awards 268 ACs report nurses appointed to boards North Carolina and Wyoming: Nursing Leadership Institutes Virginia: 40 Under 40 Awards New Jersey: Goal to place nurse leader in every hospital boardroom Texas: Governance and leadership education Leapfrog Group requires nurses to be integrated into governance for hospitals to attain Magnet status 10

11 Workforce Diversity Diversity steering committee in place. Arizona: Educating Hispanic communities about Affordable Care Act Texas: Increasing diversity in RN-to-BSN enrollment. Offers scholarships and mentoring 11

12 Action P Coalition Diversity Efforts A majority of Action Coalitions plans or has plans to - Partner with minority nursing organizations and associations Create a best or promising practices diversity manual Develop a toolkit for ethnic minority recruitment of faculty and students 12

13 Fostering Interprofessional Collaboration HRSA s National Center for Interprofessional Practice & Education Colorado to implement Interprofessional Collaborative Practice Teams at community health centers Hawaii awarded grant to build interprofessional workforce database 13

14 We Need Your Support 14

15 Help Shape the Future of Health Care Join an Action Coalition Sign up for our alerts and newsletters Visit our website and participate in our online community Educate your organization about the Campaign

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