W hat is the IOM?

1. What is the IOM? • The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public.  • The IOM asks and answers the nation’s most pressing questions about health and health care.

2. What does the IOM do? • They help others make informed health decisions by providing evidence upon which they can rely. • Conduct research based on congressional mandates or requests by federal agencies and independent organizations. • Host expertconsensus committees and convenes forums, roundtables, and committees, to facilitate discussion, discovery, and critical, cross-disciplinary thinking.

3. Environmentand Nursing According to the IOM future of nursing report nurses “…practice in many settings, including hospitals, schools, homes, retail health clinics, long-term care facilities, battlefields, and community and public health centers...”

4. Why the Future of Nursing Report? • The nursing profession is the largest segment of the nation’s health care workforce. • Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act. • A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system.

5. Breaking down the Report • Accessing primary care: barriers to Nurse Practitioners practice • Focus on Education • Focus on scope of practice • Report recommendation

6. Accessing Primary Care:Barriers to Nursing

7. Focus on Education • There is a need for highly educated nurses • We need an improved education system • Nursing curricula need to be reexamined, updated, and adaptive enough to change with patients’ changing needs and improvements in science and technology. • Entrance into the profession

8. Focus on Scope of Practice • The problem: Inconsistent State Regulations • The current conflicts between what Advanced Practice RNs can do based on their education and training and what they may do according to state and federal regulations must be resolved. • Scope-of-practice regulations in all states should reflect the full extent not only of nurses but of each profession’s education and training.

9. Report Recommendation: 4 key messages of the report • Nurses should practice to the full extent of their education and training. • Nurses should achieve higher levels of education and training through an improved education system. • Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. • Effective workforce planning and policy making require better data collection and information infrastructure.

10. Conclusion • The United States has the opportunity to transform its health care system. • The recommendations presented in the IOM report are directed to: • individual policy makers • national, state, and local government leaders • Tax payers • health care researchers, executives, and professionals • licensing bodies • educational institutions • philanthropic organizations • consumer advocacy organizations

11. References • http://www.iom.edu/