The IOM Report:
Impact on Developing
Michigan’s Nursing
Leaders
KATIE KESSLER MSN RN
CAROLE STACY MSN MA RN
The IOM Report on The Future of Nursing:
Leading Change: Advancing Health
The IOM Report
“Nurses are committed to improving the care
they deliver by responding to health care
challenges. If their full potential is to be
realized, however, the nursing profession itself
will have to undergo a fundamental
transformation in the areas of practice,
education, and leadership.”
IOM Report
Recommendation #1
Nurses should practice to the full extent of their
education and training
Nurses have potential to lead innovative strategies to improve
the healthcare system
What are the barriers?
Scope of practice regulations
High turnover rates of new graduate nurses
IOM Report
Recommendation #2
Nurses should achieve higher levels of education and
training through an improved education system that
promotes seamless academic progression
Major changes in healthcare systems and practice
require equally profound changes in nursing
education
What are the barriers?
Multiple educational pathways leading to entry level
practice
IOM Report
Recommendation #3
Nurses should be full partners with physicians and other
health professionals, in redesigning health care in the
United States
Strong leadership is critical if the vision of a transformed
healthcare system is to be realized
Nurse leaders must be in place from bedside to boardroom
Leadership is fundamental to advancing the profession
Development of leadership skills is needed for all nurses and
for nursing students
IOM Report
Recommendation #4
Effective Workforce Planning & Policy Making Require
Better Data Collection and an Improved Information
Infrastructure
Accurate data is needed for future workforce projections
and for planning
Data and information gathered must be timely and publicly
accessible.
What are the Barriers?
 Inadequate demand data
Campaign for Action Vision
All Americans have access to high-quality
patient-family-and community based care in
a health system in which nurses contribute as
essential partners in achieving success.
Areas of Focus
Leadership
Practice and Care
Education
Interprofessional Collaboration
Diversity
Campaign for Action
Dashboard Indicators
Campaignforaction.org/dashboard
Progress: Education
Academic Progression in Nursing
Nine states piloting promising models: MA,
NY,HI,CA. WA,NC,NM,MT, and TX
◦ Shared statewide or regional curricula
◦ Shared framework for competency based education
◦ Offering BSN at Community College
◦ RN-MSN degree completion programs
Progress: Education
Medicare providing funds for Graduate Nurse
Education in five states
RWJF launches Future of Nursing Scholars program
for PhD study
Michigan Initiatives
Health Systems requiring nurses to earn BSN within
a specified timeframe
Munson Healthcare
Metro Health Hospital
Incentives for nurses
Increased tuition reimbursement benefits
Educational program options
Michigan Initiatives
Michigan State University Concurrent
Enrollment Program
Partnership with Lansing Community College and
Macomb Community College
Saginaw Valley State University Program
Partnership with Delta College and Kirtland Community
College
Progress: Practice and Care
14 states introduced legislation expanding scope of
practice for nurse practitioners
NV, OR and NE passed legislation
Other states still have legislation in play
Six states have removed major barriers to APRN practice
and care
Progress: Leadership
North Carolina, Wyoming, Michigan and
California: Nursing Leadership Institutes
Virginia: 40 under 40 awards
Leapfrog group: Nurses need to be integrated
into governance for hospital to attain Magnet
Goal: 25 nurses on priority national and federal
boards; 22 now serve.
Michigan Initiatives
Michigan Center for Nursing
Institute for Nursing Excellence
Leading Toward Tomorrow Program
Health System Leadership Initiatives
Formal initiatives: succession planning
Progress: Interprofessional
Education
HRSA’s Center for IPE and Collaborative Practice
Michigan: E2P, West Michigan Interprofessional
Education Initiative
Progress: Diversity
All SIP grant states have a plan for diversity
Goal: half of all Action Coalition states will have a diversity
plan by year end (2013)
Core elements of a diversity plan are: scholarships,
increasing enrollments and offering mentoring to minority
students.
Michigan’s Diversity Council met August 2013
Progress: Data
Michigan has 10 years of supply data
Survey of APRN workforce (2011 and 2013)
2013 data available September 2013
Michigan Initiatives
Annual Survey of
Nurses since 2004
State Implementation Program
How it works
Up to 10 ACs to receive up to $150,000 over
two years to implement two priority IOM
recommendations
Requires match of at least $75,000
Michigan State Implementation
Program (SIP)
Matching funders
◦ State of Michigan Workforce Development Agency
◦ Blue Cross Blue Shield of Michigan Foundation
◦ The Community Foundation of Southeast Michigan
Additional funding
At the end of two years:
ACs supported in the first phase that have
met or exceeded benchmarks and have a
plan for further work may have the
opportunity to apply for a second round of
funding
Michigan SIP Priorities
Nurses should achieve higher levels of
education and training through an improved
educational system that promotes seamless
academic progression.
Nurses should be full partners, with
physicians and other health professionals, in
redesigning health care in the United States.
Educational Advancement
Plan:
•Collaborate with Nurses and employers to
facilitate Educational Advancement
•Personalized Career Planning
•Develop The ENCORE Website
Leadership Plan
Develop content on Interprofessional teamwork for the
Leading Toward Tomorrow (LTT) program
Include other disciplines in the LTT program
Develop an Interprofessional section on the ENCORE
website
Diversity
Develop a Michigan Nursing Diversity
Council as part of AC
Develop a Diversity section within the
ENCORE web portal
Contacts
Katie Kessler MSN RN – Project Manager
Katie.Kessler@mhc.org
Carole Stacy MSN MA RN – Project Director
cstacy@mhc.org