Virginia Action Coalition (VAC) Status Report November 2013 January 2014 The Action Coalition Status Report is reformatted to better capture the successes and progress ACs are making to transform health care through nursing. Be sure to reference your AC s Action Plans. CCNA will remove any blanks for a final document. Action Coalition Leadership Co-Leads: Shirley Gibson, DNP, MSHA, RN, FACHE - President, Virginia Nurses Foundation, (sgibson@mcvhvcu.edu; 804-828-8650) Janet Wall, Chief Executive Officer, Virginia Nurses Foundation (jwall@virginianurses.com; 804-212- 0690) David DeBiasi, RN- Associate State Director, AARP Virginia, (ddebiasi@aarp.org; 804-323-3012) Bill Kallio - State Director, AARP Virginia, (w.kallio@comcast.net; 804-323-3012) Kristin Jimison - Facilitator, (kjimison@virginianurses.com) Workgroup Leads: Include name, title, organization, email, phone, workgroup area(s) (education, Leadership, practice, data, IPC, Diversity, capacity building). Education Progression Co-Leads Deb Zimmermann, DNP, RN, NEA-BC, Chief Nursing Officer and Vice President, Patient Care Services Virginia Commonwealth University Health System, DZimmermann@mcvh-vcu.edu; (804) 828-4638 Amy B. Gillespie, Advisor, Nurse Leadership Institute, Project Director, Partnerships for Progression: Inspiration for Aspirations, agillespie@virginianli.org; (434) 996-1193 Leadership Workgroup Co-Leads Lindsey Jones-Cardwell, MSN, RN, Manager, Professional Nursing Development at Centra Health Centra Health, Lindsey.Cardwell@centrahealth.com; (434) 200-1324 Loressa Cole DNP, MBA, RN, President, Virginia Nurses Association, Chief Nursing Officer LewisGale Hospital Montgomery, Loressa.Cole@hcahealthcare.com; (540) 953-5108 Access to Care Workgroup Co-Leads Cindy Fagan, MSN, RN, FNP-BC, Nurse Practitioner, McGuire Veteran's Affairs Medical Center, cynthia.fagan2@va.gov Kathy Baker, PhD, RN, NE-BC, Nursing Director, Resource Management and Emergency Services Virginia Commonwealth University Health Systems, kbaker@mcvh-vcu.edu; (804) 828-4237 Interdisciplinary Team-Based Care Workgroup Co-Leads Patti McCue, Sc.D., MSN, RN NEA-BC, Centra Health, Senior Vice President and Chief Nursing Officer Patti.McCue@centrahealth.com; (434) 200-3215
Bonnie Barndt-Magilio, Managing Director, Prism Healthcare Partners LTD, bbarndtmaglio@prismhealthcare.com; 312.610.4819 Tell Us About Your AC s Goals and Progress in Pillar Areas: Include as many goals as your AC has identified for each pillar. For each goal, provide significant progress made during the reporting period. Education 1. AC Education Goal A: Convene stakeholders on the implementation of seamless education progression. o Community Colleges had a one day planning forum to coordinate shared curriculum across all community colleges o Co-Leads met with the Virginia Association of Colleges of Nursing which includes all deans of baccalaureate programs see correction o Planning underway for a statewide Nursing Academic Progression Summit to be held on March 28, 2014 AC Education Goal B: Continue to work with employers to implement the culture of education progression Progress made toward goal B, this quarter: o Regional meetings held in all five regions with practice and education 2. Are students enrolled via one of the four identified promising models of education progression? Yes No 3. Through efforts of your AC, has the state community college association agreed to help inform/recruit ADNs to advance their education? Yes No If yes, briefly explain: 100% of AD programs in Virginia include academic advising on educational progression for their graduates. The Virginia RN-BSN directory is made available to all AD graduates. Leadership 1. AC Leadership Goal A: Continue to determine strategic boards to which nurses could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments o Promoted the use of our leadership toolkit to registered nurses throughout the state via electronic and print media with the goal that more nurses will become interested in board membership and mentorship programs. o Developed strategies for a focused nurses on hospital boards initiative that will involve nurses and nursing stakeholders from throughout the state working to promote the importance of nurses as board members on hospital boards. As of 7/2013 Page 2
o Leadership Workgroup coleads developed a comprehensive presentation ( Virginia Action Coalition: Nursing Leadership from the Bedside to the Boardroom ) showcasing our current progress and strategic goals that will be the focus of a concurrent session at the American Organization of Nurse Executives Annual Conference in March 2014. o Leadership Co-Lead and VAC Co-Lead presented as an exemplar state at the Leadership in Action: Models & National Strategy, January 13 and 14, 2014 New Orleans, Louisiana 2. Has your AC implemented new selected and proven successful leadership program* to prepare nurses to lead change to advance health? Yes No If yes, check all that apply: Preparation and process in place for getting nurses on state or local boards State-wide Leadership Institute 40 Under 40 or an emerging/young leaders recognition program Mentorship Program Collaboration with state or national leadership program (i.e. AONE, ANA, etc.) Methods to educate the public on the Affordable Care Act Other: *Partnership with Nurse Leadership Institute of Virginia we present VAC and the Campaign for Action during their sessions, and the director of the Nurse Leadership Institute is a Leadership Workgroup member. 3. What is the number of nurses appointed to a board in your state as a result of the AC from November to January (e.g. hospital board, task force, commission, committee): 2 Practice & Care 1. AC Practice & Care Goal A: All nurses should practice to the fullest extent of their training. o The Access to Care workgroup continued progress on the development an APRN white paper/gap analysis. The purpose is to synthesize the literature on APRN quality care, safety, effectiveness and clarify issues related to scope of practice restrictions and impact on patient access and care delivery. The document will be utilized to educate physicians, legislators, insurers etc. Proposed outline includes introduction of health care costs, affordability, access, health status in Virginia, health care provider shortage, APRN categories, safety, quality, effectiveness, regulation in Virginia and recommendations. The outline has expanded to include a gap analysis examining our current progress versus the IOM goals and timeline. o The workgroup has continued its partnership with the Virginia Organization of Nurse Executives and Leaders to continue developing guidance for barriers to practice elimination in workplace policies. This partnership has resulted in the plans for development of a statewide summit of chief nurse executives to address the creation of workplace policies were identified allowing for RN practice to full extent of education and training. o Educated members of the public on the role of APRNs through two information sessions As of 7/2013 Page 3
2. Is your AC working on removing barriers to RN level of care? Yes No Our Access to Care Workgroup is exploring best practice policies in organizations that allow RNs at the bedside to use their education and knowledge to the fullest extent. We are also exploring how mitigating and eliminating lateral violence will help RNs practice more collaboratively and effectively. 3. Has your AC advanced favorable state policy to remove barriers to care provided by APRNs? Yes No The Virginia Action Coalition supported and encouraged the enactment of 2013 regulations related to 2012 House Bill 346 amending provisions governing the practice of nurse practitioners. These regulations were enacted in July 2013. Interprofessional Care 1. AC Interprofessional Goal A Develop and deploy an educational program that prepares nurses, physicians, and other care providers to practice in a team-based, patient-centered care model. o Continued our partnership with the Medical Society of Virginia Foundation on the development and implementation of Evolve, a pilot clinical leadership program. This program is intended for clinical teams and encourages pairings between physicians, nurses, nurse practitioners, physician assistants, physical therapists and other providers. Participants will have the chance to identify a population health issue they are dealing with in their practice setting that they would like to solve. Does your AC have a strategy on Interprofessional Care? Yes No If yes, briefly explain: VAC s Interprofessional Care strategy centers on educating clinicians about the importance of providing care in a collaborative model through our pilot program with MSVF. Capacity Building (strategic planning, organizational structure, funding, etc.) Reminder: Please update your AC s attached funding chart with specific instances of cash grants or donations. 1. Capacity Building Goal A: Develop and implement a Strategic Plan o We continue to use the strategic plan developed in quarter 2 as a guide for VAC work. Capacity Building Goal B: Utilize existing partnerships to help create sustainable infrastructure Progress made toward goal B, this quarter: o We have continued our conversation with the Virginia Hospital and Healthcare Association to engage them in possibly joining in our interprofessional collaboration pilot program with the Medical Society of Virginia Foundation. Capacity Building Goal C: As of 7/2013 Page 4
Explore diverse funding opportunities for VAC Progress made toward goal C, this quarter: Plans are underway to conduct a Nursing Academic Progression Summit on March 28, 2014. This will include representatives from the Black Nurses Association, Men in Nursing, Filipino Nurses Association and Hispanic Nurses Association Most Significant Success this Quarter Meeting with the Virginia Association of Colleges of Nursing deans who agreed to collaborate with the Community Colleges in order to begin the dialogue about seamless education progression. Participated in the Capacity Building Learning Collaborative Meeting January 27 and 28, 2014 Leadership Co-Lead and VAC Co-Lead presented as an exemplar state at the Leadership in Action: Models & National Strategy, January 13 and 14, 2014 New Orleans, Louisiana Most Significant Challenge this Quarter Funding to have dedicated resources to work on VAC initiatives Time from volunteers and staff has been limited which hampers the speed at which new projects and initiatives can be launched. Technical Assistance Requests What additional technical assistance does your AC need to advance its goals and objectives? Fundraising strategies Action Coalition Stakeholders (This list indicates stakeholder groups that are represented on the Action Coalition). To check a box: double click the desired box, click checked, then click OK. AARP State Office Asian American/Pacific Islander Other State Officials AACN Members Nurses Association Physicians Area Health Education Centers National Alaska Native RWJF AF4Q Businesses American Indian Nurses Association RWJF Health Policy Fellows Chambers of Commerce National Association of Hispanic RWJF Nurse Executive Fellows Community Colleges Nurses RWJF Nurse Faculty Scholars Community College Associations National Black Nurses RWJF PIN Grantees Family Caregiver Organizations Association State Board of Nursing Foundations National Coalition of Ethnic State League for Nursing Health Plans / Insurers Minority Nurse Associations State Nurses Association Health Systems Philippine Nurses Association of State Org. of Nurse Executives Hospital Association America Unions Human Resource Associations Nursing Students Universities/Colleges of Nursing Legislators/Policy Makers Nursing Workforce Center Workforce Investment Boards Minority Nursing Groups Other Consumer Advocates American Assembly for Men in Nursing Other Health Clinicians As of 7/2013 Page 5