IDAHO NURSES
LEADING THE WAY
Robin Schaeffer, RN, MSN, CNE
Executive Director
www.aznurse.org
The Idaho Nurses Association (INA) is the only professional
organization representing all registered nurses (RNs) in Idaho.
The INA advances the nursing profession by promoting
professional development of nurses, fostering high standards
of nursing practice, promoting the safety and well-being of
nurses in the workplace, and by advocating on health care
issues affecting nurses and the public.
The Idaho State Nurses Association is the leading voice and
advocate for the nursing profession in the State of Idaho.
• Economy
– Access, Cost, Quality
• Affordable Care Act
– Emerging models of care
– Shift from acute care to community
• Workforce Needs: Supply vs. Demand
– Nursing Shortage- is it real?
• The Future of Nursing
– Leading Change, Advancing Health
THE FUTURE OF NURSING/
THE NURSE OF THE FUTURE?
"Get to the table and be a player, or someone who
does not understand nursing will do that for you."
- Loretta Ford, EdD, RN, PNP, FAAN, FAANP
IDAHO’S ROLE
Advancing Nursing in Idaho to Improve Health
–New Grad Residencies
–Transition to Nurse Educator Role
–Transition to Leadership Role
–Barriers to APRN Practice
• Educating the Idaho Workforce of the Future
– Blueprint for nursing education that will meet current and future
workforce needs
– Resources to facilitate academic progression and lifelong
learning
– Full evaluation of the Idaho Nurse Residency Program with
recommendations for sustainability, etc.
– Create focused opportunities for lifelong learning among nurses
in under-represented populations
“This has been an historic
week of events for
advocates of health care
reform. The House passed
H.R. 3962, "The Affordable
Health Care for America
Act.“
-Becky Patton, President of The
American Nurses Association,
March 2010
Health Care System Challenges
A New Era in Health & Health Care
“There are tremendous
opportunities to elevate
nursing practice, improve
safety and reshape health
care delivery models”
Karen Daley, PhD, RN, MPH, FAAN
President, ANA
• Never Events
– Quality
Combination of
Reimbursement
Incentives vs.
Grants/Federal Funding
• Accountable Care Organizations (ACOs)
– Collaborative Model of Care
• Transitional Care Models
– Maximize outcomes/decrease readmissions
• Patient-Centered Medical Homes
– PC Model with Interprofessional teams
• Nurse-Managed Health Clinics
– PC and wellness to underserved or vulnerable populations
• Primary Care
• Wellness Education
• Management of Chronic
Disease
• Coordination of Care
C
O
S
T
H
E
A
L
T
H
THE NURSE OF THE FUTURE
New Medicare codes for Care Coordination
Rule will pay nurses when they help patients make the
successful transition from hospitals to other settings.
Care Coordination Across the Continuum:
The Challenge of the Decade and Beyond
Friday, October 24, 2014
NURSING WORKFORCE
Health Care Jobs by Subsector: 2010-2020
6000
5000
4000
3000
2010
2020
2000
1000
0
Home health care
services
Outpatient,
laboratory, and
other ambulatory
care services
SOURCE: US BLS
Office of health
practitioners
Hospitals
Nursing and
residential care
facilities
• Is there a nursing
shortage?
• Are new grads having
trouble finding their first
job?
Shortage
• Retirement stalled
due to current
economy
• Part-time to fulltime
• As economy
improves……
Over 500,000 nursing faculty
will be retiring in next 5 years
ACA: 32 million more people
will have access to
healthcare
Economists: “Predicted by 2020;
500,000 new nursing jobs, 500,000
baby boomers retire”
Aging Baby Boomers: Need for
increased health services
ADVOCACY
public support for or recommendation of
a particular cause or policy
LOBBYING
seek to influence (a politician or public
official) on an issue
• Requires each Medicare
participating hospital to
implement a hospital-wide
staffing plan for nursing
services furnished in the
hospital.
• 4 more requirements
Congresswoman, Lois Capps, RN
• Whistleblower Protection Bill
• Mandatory Overtime
2014 – 2015 Legislative Session
HOSPITAL NURSE STAFFING REQUIREMENTS
Advocate
Source: www.nursingworld.org
• The Consensus Model provides
guidance for states to adopt
uniformity in the regulation of
APRN roles.
• Endorsed by 41 nursing
organizations.
• Arizona has started the process.
• Requires legislation.
Other AzNA Initiatives
Co-Leads
Co- Leads
Arizona Nurses Association
Arizona Hospital and Healthcare
Association
Arizona State Board of Nursing
www.futureofnursingaz.com
Arizona Association for
Home Care
Executive Committee
Co-leads
Chairs of Advisory
Committees
Finance and Grants
Advisory Committee
Communication and
Outreach
Advisory Committee
Practice Task Force
Recommendations
1 and 3
www.futureofnursing
Future of Nursing
Advisory Committee
(Composed of chairs of
Task Forces)
Leadership Task Force
Recommendations
2 and 7
Education Task Force
Recommendations
4, 5 and 6
Workforce Task Force
Recommendation 8
Respect
Toolkit,
Videos
-Self Assessment
-Learning Plan
Tool
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Your License
Your Career
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Advocacy Resources
Everything you ever
wanted to know about the
practice of nursing in
Arizona!
What was it that
enabled Florence
Nightingale to stimulate
the development of a
profession and change
the health and lives of
so many?
• 80,000 Arizona Nurses
– 65% Hospitals
• Largest group of health
care workers
• Front-line care givers
• 1 in 75 Arizonans
• Gallup Poll
• Code of Ethics
• Great team players
• ADVOCACY
• CARE INNOVATION
• LEADERSHIP
Raise the Voice tells a
powerful story: how
nurses are creating new,
transformational options
that help people stay
healthy and cope better
with illness. It is a story
that Americans need to
hear.
• Practical innovators who have led the way in bringing new
thinking and new methods to a wide range of health care
challenges. Edge Runners have developed care models
and interventions that demonstrate significant clinical and
financial outcomes. Many of the stories underscore the
courage and fighting spirit of nurse leaders who have
persevered despite institutional inertia or resistance.
Robin Schaeffer, RN, MSN, CNE
Executive Director
www.aznurse.org