American Academy of
Ambulatory Care Nursing
Diane D. Scherr
COL, AN
Ambulatory Nursing Consultant
30 April, 2012
1
Research: Provides organizational
traction and momentum
To sustain our Army Nurse Corps we must
maintain the quality and viability of the AllVolunteer Force.
ANC STRATEGIC LOA:
Leader Development
Warrior Care
Evidence Based Care
Human Capital
To prepare our Army Nurse Corps we must
maintain a high level of readiness for the
current operational environments.
To reset our Army Nurse Corps we must prepare
our Army Nurses for future deployments and
other contingencies.
To transform our Army Nurse Corps, we must
continuously improve our ability to meet the
needs of future operations.
Strategic Communication: Create and
distribute “Public Diplomacy”; getting
the right message, through the right
media, to the right audience at the right
time and with the right effect
Leadership: A persistent,
sustainable nurse leader
succession plan created fullspectrum leaders; who were
adaptive to any conditionsbased mission, provided a
persuasive voice at key
echelons of influence in the
AMEDD, and innovated
doctrine to blueprint the
future of the ANC.
Warrior Care: Optimized
nursing care delivery systems
wrapped nursing capability
around AMEDD strategic goals
and missions;
Warrior/patient/familycentered care models
embraced evidence-based
practice to achieve best
patient outcomes.
Evidence-Based Care:
Evidence-based methodology
optimized business practices
and cost-capabilities by
blending analysis, measuring,
and re-designing into daily
performance.
Human Capital: The ANC
footprint is optimized through
validation of priorities and the
force structure is re-postured
for conditions-based capability
and capacity
END STATE:
An organization that
consistently achieved
performance excellence,
fostered innovation,
SUSTAIN
PREPARE
RESET
TRANSFORM
built knowledge and
capabilities, and insured
organizational
credibility and
sustainability
2
Patient CareTouch System
Peer Feedback
Care Teams
Core Values
Standardized
Documentation
Enhanced
Communication
Talent Management
Skill Building
Capability
Building
Patient
Advocacy
Leader Development
Optimized Performance
Army Nursing Team Creed
I am a member of the Army Nursing Team
My patients depend on me and trust me to provide compassionate and proficient
care always. I nurture the most helpless and vulnerable and offer courage and
hope to those in despair. I protect the dignity of every individual put in my
charge.
I tend to the physical and psychological wounds of our Warriors and support the
health, safety, and welfare of every retired Veteran. I am an advocate for family
members who support and sustain their Soldier during times of War. It is a
privilege to care for each of these individuals and I will always strive to be
attentive and respectful of their needs and honor their uniquely divine human
spirit.
Healthy
Work
Environments
EvidenceBased
We are the Army Nursing Team
We honor our professional practice standards and live the Soldier values. We
believe strength and resiliency in difficult times is the cornerstone of Army
Nursing. We embrace the diversity of our team and implicitly understand that
we must maintain a unified, authentically positive culture and support each
other’s physical, social, and environmental well-being. We have a collective
responsibility to mentor and foster the professional growth of our newest Team
members so they may mentor those who follow.
We remember those nursing professionals who came before us and honor their
legacy, determination, and sacrifice. We are fundamentally committed to
provide exceptional care to past, present, and future generations who bravely
defend and protect our Nation.
The Army Nursing Team: caring, strong, and always ready
Authored by LTC Leigh McGraw
Shared Accountability
Centers for Nursing Science and
Clinical Inquiry
3
Patient Centered Medical Home Model
Implementation
• History of PCMH
• CBPCC Progress
• Primary Care and PCMH “transition”
• Challenges
• Trends
• Solutions
• Way ahead
4
Patient Centered Medical Home Model
Implementation
Challenges
• Training
• Leadership Roles for Army
Nurses
• Leadership
• Certification
• Model Implementation and
Expert Support
• Standardization for Nursing
Care and Training
5
Patient Centered Medical Home Model
Implementation
• Way ahead
PCMH
CBPCC
Soldier PCMH
Standards
Ambulatory Nursing Role- Near and Far Future
6
They are all Entrusted to our Care