IOM Future of Nursing TM Campaign for Action: Georgia s Response Lisa Wright Eichelberger DSN, RN Dean, Clayton State University College of Health Co-Lead Georgia Action Coalition October 31 st 2012 Georgia s Initiatives From release of IOM report 2010, GA has been engaged February 2011, GA held its first IOM Summit Recommendation Groups formed Action Plans Feb, 2011, Georgia Nurse Leaders applied to be action coalition Not selected but asked to participate. October 2011 the group was formally recognized by the Future of Nursing Campaign for action. Georgia Nursing Leadership Coalition /dbageorgia Action Coalition Formulated a structure for organization Developed a mission statement: The GNLC is dedicated to advancing legislation, securing resources, and implementing communications campaigns in support of the RWJF Campaign for Action. The GNLC will transform nursing practice, education, and policy to meet the increasing health care needs of Georgia residents. 1
Georgia Nursing Leadership Coalition /dba Georgia Action Coalition Key Stakeholders Leadership Executive Committee Council Workgroups Draft May 1, 2012 Georgia Nursing Leadership Coalition GNLC Leadership Council Shea Bennett Lisa Eichelberger Denise Flook Aimee Manion Carole Jakeway Lucy Marion Linda McCauley Linda Streit Helen Taggart Tami Thomas Karen Waters Charlotte Weaver Diane White Peggy Wilmoth Debbie Hatmaker In November, she will assume a new position at the national level of the American Nurses Association. She will be the new Chief Program Officer of the ANA. 2
Georgia Nursing Leadership Coalition /dba Georgia Action Coalition Functional Areas Resource Development Secure resources to advance coalition initiatives. Legislation Advance legislation that enhances health care delivery and nursing practice in Georgia. Georgia Action Coalition Tactical Operations Communications Engage key stakeholders through media, email marketing, and targeted promotions. Networking Develop strategic partnerships to advance resource development, legislation, and communications. Georgia Nursing Leadership Coalition Partnership with Robert Wood Johnson Foundation AARP Winifred Quinn Advisor Monthly teleconference Quarterly reports Provided technical assistance Strategic planning Workshops Nurses for a Healthy Georgia www.nursesforahealthygeorgia.org 3
GNLC Highlights Monthly/quarterly conference calls organized by Emory University Stewardship of donations to the GNLC through the Georgia Nurses Foundation In-kind donation of a public relations specialist and development officer from Emory University In-kind donation of meeting space by the GNA, GHA, Emory University and Clayton State University In-kind donation of lobbying activities and staff resources by the GNA. Engagement of both GNA, GHA, Deans and Directors groups in promoting statewide awareness of the IOM report and Georgia s response through programming at district and state wide meetings and multiple publications in their various media outlets. Recommendation 1: Remove scope-of-practice barriers. Led by Charlotte Weaver and Laura Searcy Advance Practice Nurses score a major victory as SB 386 passes the Georgia State Senate but failed to get out of House committee National work with the Federal Trade Commission on restriction of trade. Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Led by Denise Flook and Karen Waters from the Georgia Hospital Association Board representation More engagement of CNOs More stakeholder involvement 4
American Academy of Nursing Fellows from Georgia Five Georgia nursing leaders were recently inducted into the American Academy of Nursing Clara Cobb - HHS Rebecca Gary Emory Debbie Hatmaker - GNA Laura Kimble - Mercer Susan Shapiro - Emory Recommendation 3: Implement nurse residency programs. Led by Lori Anderson and Sharon Vincent Task force conducted literature and consultation with national experts Recommendations for residency programs in GA that will promote evidence-based curriculum, consistency across sites, and opportunities for hospitals to collaborate in developing and implementing programs. Recommendation 4: Increase the proportion of nurses with a baccalaureatedegree to 80 percent by 2020 Led by Diane White Conducting a survey on nurses support for educational advancement for ADN & diploma nurse graduates Conducting a survey on numbers of AD programs developing BSN programs Develop time line for implementation of a process to transition future ADN nurses to the BSN within 10 years of graduation. Educate the public and nurses on the benefits of having a BSNeducated workforce providing care 5
Facts About Nursing in Georgia Georgia has a much higher proportion of nurses with Associate Degrees (49%) than national average (36%) 31% of RNs were licensed with BSN degrees Figure 1 Initial Pre-Licensure Nursing Degree Associate degree 49% Baccalaure ate degree 32% Diploma 18% Master's degree 1% Source: Research Notes, GA Board of Regents, 2008-2009 and 2009-2010 Licensure Renewal Survey Results September 2010 Facts About Nursing in Georgia Approximately 13% of RNs are planning to pursue a BSN degree 21% of RNs are planning to pursue an MSN degree Less than 5% plan to pursue a doctorate at some point in in the future 70 60 50 40 30 20 10 0 Figure 5: Percent of RNs Planning to Pursue an Additional Degree in Nursing 0.1% Associate degreee in nursing 12.9% 21.3% 4.7% Baccalaureate degree in nursing Masters deree in nursing Doctorate degree in nursing 66.6% No plans to pursue an additional degree in nursing Source: Research Notes, GA Board of Regents, 2008-2009 and 2009-2010 Licensure Renewal Survey Results September 2010 Recommendation 5: Double the number of nurses with a doctorate by 2020. Led by Peggy Wilmoth and Linda Streit Georgia Board of Regents over 3 million dollars has been allocated for post baccalaureate education. At the national level, the Jonas Center for Nursing Excellence will expand the nation s supply of doctorally prepared faculty by supporting 150 new doctoral students across all 50 states. Emory University and Georgia Baptist College of Nursing at Mercer University have Jonas scholars this year 6
Doctoral Graduates in Georgia Recommendation 6: Ensure that nurses engage in lifelong learning. Led by Helen Taggart GA legislation to make CE mandatory for relicensure failed. Nursing is one of only two health professions in our state that does not require CE for licensure renewal Bill 368 would require completion of 30 continuing education hours by a board approved provider at the time of licensure renewal. Despite no opposition to the House version of SB 368, the bill died on Day 40 of the session. Recommendation 7: Prepare and enable nurses to lead change to advance health. Led by Tami Thomas and Patricia Bowman Encouraging opportunities Nurses on boards Students from Clayton State and Emory participated in AACN Student Health Policy Summit 7
NSNA and Campaign for Action NSNA leadership endorsed the Future of Nursing report shortly after its release. The organization is working to incorporate key components of the report into its strategic plan. Recommendation 8: Build an infrastructure for the collection and analysis ofinterprofessional health care workforce data. Led by Roy Simpson and Linda McCauley Current response rate for GA questionnaire is 14% We were successful in getting $27,000 in the House recommendations for the FYT 2013 budget to revise the survey to include minimum nursing workforce data items and increase response possibility. The Forum of State Nursing Workforce Centers Legend Location of Center Forum Member State Workforce Centers States Working to Form a Center States Without Centers http://www.nursingworkforcecenters.org/workforcecenters.aspx 8
Latest News Finalist RWJF $150,000 grant to support Campaign for Action. Nov 29 th -Feb 2013 Required $75,000 2-1 GNLC Donations (In-Kind & Monetary Gifts): $568,335 GA Health Sciences University: $500,000 (doctoral education BOR) Georgia Secretary of State: $27,000 (redo license) Emory University School of Nursing: $20,000 Georgia Nurses Foundation (holding agent): $45,895 13 schools of nursing made contributions RWJF Grant Proposal Grant funding would be for two years Would provide for part time Program Coordinator/ doctorally prepared nurse Data Analyst GNLC Highlights Funds will be used to advance 2 of the 8 recommendations: Double the number of nurses with a doctorate by 2020. Build an infrastructure for the collection and analysis of nursing workforce data. Strategies Advocate for legislative funding for nursing education. Develop statewide plan for a diversity advisory team for the recruitment and retention of doctoral students from underrepresented groups. Establish a nursing workforce center for data collection. Hire a program coordinator to manage initiatives. 9
What can you do???? Sign up, let us know what you can do Tell your staff, faculty and students about IOM and GNLC Tell us your success stories.how you are leading change where you are going what you are doing Work diligently on the 80 by 20 goal Encourage continuing education Talk to your legislators!! Help join the team to move GA ahead! Thank you!!! Patient Care Excellence: Magnet Recognition There are five Magnet-designated hospitals in Georgia Atlanta VA Medical Center Medical Center of Central Georgia (Macon) Saint Joseph s Hospital of Atlanta Saint Joseph s/candler (Savannah) University Hospital (Augusta) Patient Care Excellence Magnet Recognition States with Most Magnet-Designated Hospitals Georgia is ranked 20 th with 5 Magnet hospitals tied with Arizona, Kentucky, Nebraska, and Tennessee State Magnet Hospitals Illinois 32 Texas 26 New Jersey 24 California 23 Florida 23 North Carolina 21 Ohio 21 Pennsylvania 21 New York 18 Virginia 17 Michigan 14 Wisconsin 13 Indiana 12 Colorado 8 Massachusetts 8 Minnesota 8 Missouri 8 Iowa 6 Maryland 6 Arizona 5 Georgia 5 Kentucky 5 Nebraska 5 Tennessee 5 Louisiana 4 Oregon 4 Maine 3 New Hampshire 3 Oklahoma 3 Utah 3 10