Massachusetts Action Coalition
IOM Report: Future of Nursing
Massachusetts Action Coalition
Overview, January 2013
IOM Report: The Future of Nursing
• IOM Report Summary:
Key Messages & Recommendations
• Future of Nursing: Campaign for Action
• MA Action Coalition (MAAC)
• Academic Progression in Nursing (APIN) Grant
• Role of Deans and Directors
IOM Report: The Future of Nursing
• Report released in October of 2010 by the IOM in
collaboration with RWJF
• “Blueprint” for transforming the American health system:
– Timely due to recent Affordable Care Act legislation
– Developed Vision for Transformed Health Care System
– Goal to improve access, quality of care and cost control
– Nursing profession must transform to achieve Vision
• Two-year study resulted in 4 key themes and 8
recommendations
IOM Report: The Future of Nursing
• The RWJF/IOM Vision: Transformed Health Care System
– Quality care is accessible to the diverse US populations
– Promotes wellness and disease prevention
– Reliably improves health outcomes
– Provides compassionate care across the lifespan
– Primary care and prevention are central drivers of the health care
system
– Inter-professional collaboration and coordination are the norm
– Payment for health care services rewards value, not volume
Nursing’s Potential Wide-Reaching Impact
Largest component of
health care workforce
Spend most time with
patients
Understand care process
across continuum of care
Evidence links them to
high-quality patient care
IOM Report’s 4 Key Messages
1. Nurses should practice to the full extent of their education and training
2. Nurses should achieve higher levels of education and training through
an improved education system that promotes seamless academic
progression
3. Nurses should be full partners, with physicians and other health care
professionals, in redesigning health care in the United States
4. Effective workforce planning and policy making require better data
collection and an improved information infrastructure
IOM Report’s Recommendations
1. Remove scope-of-practice barriers
2. Expand opportunities for nurses to lead and diffuse
collaborative improvement efforts
3. Implement nurse residency programs
4. Increase the proportion of nurses with baccalaureate degree
to 80 percent by 2020
IOM Report’s Recommendations
5. Double the number of nurses with a doctorate by 2020
6. Ensure that nurses engage in lifelong learning
7. Prepare and enable nurses to lead change to advance health
8. Build and infrastructure for the collection and analysis of
inter-professional health care workforce data
Current Minimum Entry-Level Education Requirements
Select Licensed Health Professions in Massachusetts
OCABR and EOHHS
Dietician
Nurse
Diploma/
Associate
Athletic Trainer
Bachelor’s
Advance Practice
Nurse
Occupational Therapy
Speech Language
Pathology
Audiology
Clinical Social Worker
Mental Health
Counselor
Physician Assistant
Master’s
Medicine
Dentistry
Podiatry
Psychology
Pharmacy
Physical
Therapy
Doctorate
IOM Future of Nursing: Campaign for Action
IOM Report
Future of Nursing
Leading Change, Advancing Health
RWJF
Susan Hassmiller, RN
Susan Reinhard, RN
Senior Nursing Advisor
SVP, Public Policy
State Action Coalitions
State Action Coalitions
• Massachusetts Action Coalition (MAAC)
– Applied to RWJF/AARP’s “Center to Champion
Nursing in America” (CCNA) to become an AC
– MA designated as an AC - September 2011
– Nurse Lead:
MA Organization of Nurse Leaders
– Non-Nurse Lead:
MA Department of Higher Education (DHE)
– Established Short-term and Long-term Goals
MA Action Coalition: Short Term Goals
Disseminate IOM Report Findings
•
Engage/educate stakeholders statewide
Build statewide consensus for academic
progression with plan to increase diversity
•
Use developed models as framework
•
Survey nursing program requirements
Develop plan for statewide adoption of NOFNCC©
•
Expand use in academic/practice settings
MA Action Coalition: Long Term Goals
Implement statewide plan for academic progression for
all nurses
• Create models for all levels of practice
Remove scope of practice barriers for APRNs
• Strengthen interdisciplinary collaboration within
medical community
• Strategies to influence policy changes
Utilize data to understand workforce needs,
demographics
• Analyze data and develop action plans to address
workforce needs/diversity gaps
MAAC Progress to date
• Created teams and action plans to address goals
• Began fundraising efforts
• Held a 2 day “State Site Visit” featuring Sue
Hassmiller during 7 events in March 2012
• Developed and submitted proposal for RWJF
Academic Progression in Nursing (APIN) Grant
in May 2012
Academic Progression in Nursing
Grant Announcement – August 2012
MAAC Highlights (con’t)
• MA was awarded the APIN Grant as one of
nine states selected nationwide !
• Grant timeline: Sept 2012 – Aug 2014
• Funding $150,000 per year for 2 years
• Developed 12 Project Teams – Sept 2012
• Team membership recruitment – ongoing
Campaign for Action - RWJF
CCNA
(The Center to Champion Nursing
in America at AARP)
49 Action
Coalitions
9
Action
Coalitions
with APIN
Funding
APIN
Tri-Council
* AONE - National Program
AACN
ANA
NLN
MA
(MAAC)
MAAction
Action Coalition
Coalition (MAAC)
Leadership
Leadership Structure
Structure
MAAC Executive
Committee
MAAC Teams
MAAC
Stakeholder
Advisory Council
MA Action
Coalition
(MAAC)
APIN Grant
Teams
PIN Grants
Other Initiatives
Scope of Practice
Data Use
Communications
Philanthropy
Academic
Progression
NOFNCC©
Integration
Increase
Faculty
Care Transitions
IP Education
18
APIN Goal # 1
CREATE ACCELERATED PATHWAYS FOR NURSES
TO ACHIEVE BACCALAUREATE OR HIGHER DEGREE
Strategy 1: Disseminate existing and new seamless
academic progression models throughout the higher
education system.
Strategy 2: Develop and implement Nursing Education
Transfer Compact.
Strategy 3: Work with nursing programs and employers to
increase options for flexible student-centered learning
environments that will increase diversity and promote
access for educational advancement.
APIN Goal # 2
PROMOTE THE INTEGRATION OF NURSE OF THE
FUTURE NURSING CORE COMPETENCIES (NOFNCC©)
Strategy 1: Work with academic institutions to integrate
NOFNCC© into curriculum at all levels of education
throughout the Commonwealth of Massachusetts.
Strategy 2: Work with practice settings to integrate
NOFNCC© into practice programs throughout the
Commonwealth of Massachusetts.
APIN Goal # 3
INCREASE FACULTY POOL AVAILABLE TO
EDUCATE NURSES FROM BSN THROUGH
DOCTORAL DEGREES
Strategy 1: Increase opportunities for retired
faculty to return to teaching positions.
Strategy 2: Maximize opportunities for the
practicing nursing workforce to obtain faculty
positions.
MAAC Project Teams (12)
Academic Progression
- Progression Model Team
- Transfer Compact Team
- Flexible Options Team
NOFNCC Integration
- Academic Institutions Team
- Practice Settings Team
Faculty
- Faculty Opportunities Team
- Faculty Development Team
Scope of Practice
- APRN Team
- RN Team
Data Use
- Data Team
Communications
- Plan Team
Philanthropy
- Fundraising Team
MAAC Project Team Co-Leads
Progression Models
Janet Lusk, Donna Kelly Williams
Education Transfer Compact
Susie Conrad, Eileen Costello
Flexible Options
Kathleen Scoble, Earlene Avalon
NONCC© Academic Settings
Judy Beal, Cecilia McVey
NOFNCC© Practice Settings
Gayle Gravlin, Lorraine Schoen
Faculty Opportunities
Cynthia Bechtel, Nancy Bittner
Faculty Recruitment/Retention
Karen Manning, Paulette Seymour Route
Scope of Practice APRN
Pat Noga, Stephanie Ahmed
Scope of Practice RN
Elaine Bridge, Paul McKinnon
Data Collection and Use
Judie Pelletier, Stephen Cavanagh
Communications Plan
Pat Crombie, Ashley Waddell
Philanthropy
Sharon Gale, Kevin Whitney
Nursing Workforce Development
Precepting
Education ------------------Transition-------Practice
Education/Academic
Competent
Residency
Nursing
Practice
DEU’s
Inter-
Quality
Safety
Professional
Lifelong Learning
Care
Orientation
Education/ Clinical
Patient
Outcomes
Cost
Environments
Nurse of Future Nursing Core Competencies
24
Nursing by the Numbers
MA BORN License Data, February 2012
•
Total Nurses - 141,773
•
Registered Nurses – 111,388
•
Advanced Practice RN – 9,598
Nurse Midwives – 480
Nurse Practitioners – 6,962
Nurse Specialists – 946
Nurse Anesthetists – 1,210
•
Licensed Practical Nurses – 20,787
MA BORN Approved Nursing Programs
Total of MA Programs – 74
•
•
•
•
•
RN Entry Level Graduate Degree (MSN) – 7
RN Baccalaureate (BSN) – 20
RN Associate Degree (ADN) – 20
RN Diploma – 1
Practical Nursing - 26
Rebalancing the Nursing Workforce
The Plan: Key Assumptions
•
55% - Nurses with a BSN or Higher Degrees in 2012
•
66% - Target for increase by 2020
•
Projections based on:
LPN/Diploma/AD numbers are level or declining
New BSNs include direct entry plus LPN/Diploma/AD
graduates progressing to BSN degree
Currently working LPN/Diploma/AD nurses also return
to school to obtain a BSN
Higher degrees include new MSNs and AD/BSN/MSN
nurses progressing
27
IOM Report – Role of Community Colleges
• Key role in attracting nurses into pipeline
• Provide access where other access points are
limited by capacity, distance or cost
• Provide high quality and affordable pathway for
nurses to move to higher education levels
• Predominant education institutions in rural and
medically underserved areas
• Greatest opportunities to develop innovations
linking to BSN programs and to foster a culture
that values academic progression
Role of Deans and Directors
• Promote life long learning and academic progression
• Partner with other Deans and join education
collaboratives
• Partner with CNOs to develop strategies for flexible
student-centered learning environments
• Promote NOFNCC© integration into curriculum at all
levels of education!
• Support the work of the MAAC by participating in
requested surveys!!
Next Steps:
Visit our new state page, MAAC website:
http://championnursing.org/state/massachusetts
also: www.mass.edu/nursing
Be part of The Future of Nursing:
Campaign for Action
Join MAAC Project Teams