Jeanette Klemczak, MSN, RN, FAAN
Healthcare Market Talent Director
Workforce Development Agency
Presentation to the 2012 RN-AIM Annual Conference
September 20, 2012, Bay City, Michigan
It is not enough to be
professional,
you must also be political…
Sen. Hillary Clinton
(address to American Nurses Assoc., 1998)
 The standing decisions of an
organization (Evlau & Prewitt,
1973) reflects the beliefs of an
administration
 Provide direction to philosophy or
mission of an organization.
One stage of the policy
making process.
 Exercise of interpersonal
influence (political)
 Characterized by:
Communication, COLLECTIVITY,
and COLLEGIALITY
 We get more done when we work
together
Nurses must integrate political
processes into their practices to
further decisions made by policy
makers.
(Milstead, 2002)
 Why do we need and “agenda?”
 Who are the “stakeholders?”
 How do we get there?
1.
2.
3.
4.
5.
Workplace
Workforce
Diversity
Nursing Education
Image and Culture
6.
7.
8.
9.
Nursing Licensure and Regulation
Financing and reimbursement
Economic Impact of Nursing
Maximum efficient use of
workforce
10.Protect integrity and standards of
professional nursing
SB 635 (Hune-R, Howell)
Requires national nursing organization accreditation
for all Michigan nursing education programs
 Recommendation #1
MDCH Task Force on Nursing Education (2009)
HB 5516 (Potvin-R Cadillac)
Allows volunteer nursing licenses
 Support from Coalition of Michigan Organizations of
Nursing (COMON)
 Leadership and Advocacy by MI-AARP
 Recommendation #2
MDCH Task Force on Nursing Regulation (2007)
HB 4774 (Liss-D, Warren)
SB 0481 (Jansen-R, Grand Rapids)
Addresses definitions and scope of practice for four
advanced practice nursing roles
 Status: Senate workgroup convened 7/12
 Recommendation #3
MDCH Task Force on Nursing Practice (2012)
1.
Improve Practice for Advanced Practice Registered Nurses
a.
b.
c.
2.
APRN Regulatory Recognition
APRN Statutory Changes
Direct Payment/Reimbursement for APRN Healthcare
Services
Modernize Registered Nurses’ Scope and Standards of
Practice
a.
b.
c.
Title Protection for “Nurse”
Nursing Scope of Practice
Nurse Licensure Compact
3. Clarify Delegation of Nursing Functions
a.
b.
Define Nursing Delegation
c.
Nursing Delegation Curriculum
Delegation of Nursing Functions to Licensed Practical Nurses
(LPNs) and Nursing Assistive Personnel (NAPs)
4. Delineate the Practice and Role of Licensed Practical
Nurses
a.
b.
Define LPN Scope of Practice
Eliminate Nursing Delegation Conflicts
5. Update Regulation of Nursing Assistive Personnel
a.
b.
c.
NAP Regulation
NAP Titling and Core Competencies
Framework for NAP Training
6. Mitigate Human Factors in Patient Care Quality and Safety
a.
b.
c.
d.
Nurses: Human Factors Proposed Solutions
Nurse-Employers: Human Factors Proposed Solutions
Nurse-Educators: Human Factors Proposed Solutions
Government Regulators: Human Factors Proposed Solutions
7. Increase Practice Efficiencies in Nursing and Healthcare
a.
b.
c.
Engage Nurses
Efficient Communication and Use of Patient Care Information
Modernize Federal and State Policies and Rules
8. Advance Technology in Nursing Practice and Healthcare
a.
b.
c.
d.
e.
Effective HT Development
Integrating HT Systems into Practice
HT Requirements for Healthcare System Changes
Telehealth Technologies
Simulation Technologies
9.
Enable Competition and Entrepreneurship in Healthcare
Markets
a.
b.
c.
Competition and Access to Care
Demographics, Healthcare Markets, and Access to Care
Remove 19th Century Healthcare Restrictions
10. Establish the Michigan Nursing Practice Council
One more thing for
nurse advocates…
Advocacy
=
VOTING

Task Force on Nursing Regulation,
Education, and Practice Final Reports




www.michigan.gov/mdch/ocne
www.micnwp.org
www.michigancenterfornursing.org
Nursing Agenda for Michigan 2011-2015

www.micnwp.org
Jeanette Klemczak, MSN, RN, FAAN
Healthcare Market Talent Director
517-241-7656
klemczakj@michigan.gov