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Transforming Health Care: Nurses Engaged in Policy. Nancy Ridenour, PhD, APRN, BC, FAAN American Academy of Nursing October 13, 2012. RWJ Health Policy Fellowship. http://www.healthpolicyfellows.org/home.php Founded 1973 12-18 month residency in DC 4 month orientation

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transforming health care nurses engaged in policy

Transforming Health Care: Nurses Engaged in Policy

Nancy Ridenour, PhD, APRN, BC, FAAN

American Academy of Nursing

October 13, 2012

rwj health policy fellowship
RWJ Health Policy Fellowship
  • http://www.healthpolicyfellows.org/home.php
      • Founded 1973
      • 12-18 month residency in DC
      • 4 month orientation
      • Work assignments on the Hill traditionally
      • Administration /Agencies
      • TRANSFORMATIONAL
mary mundinger rn drph 1984 1985
Mary Mundinger, RN, DrPH1984-1985

Virginia Trotter Betts, JD, MSN, RN, FAAN 1987-1988

ellen marie whelan phd np rn faan 2003 2004
Ellen-Marie Whelan, PhD, NP, RN, FAAN2003-2004

Nancy Ridenour, PhD, APRN, BC, FAAN 2007-2008

margaret moss phd jd rn faan 2008 2009
Margaret Moss, PhD, JD, RN, FAAN2008-2009

Margaret Wilmoth, PhD, RN, FAAN

2009-2010

janice phillips phd rn faan 2010 2011
Janice Phillips, PhD, RN, FAAN2010-2011

Barbara Damron, PhD, RN,FAAN

Current Fellow

slide8

Hurdis Griffith, PhD, RN, FAAN

1986-1987

Julie Sochalski, PhD, FAAN

1992-1993

Sister Rosemary Donley, PhD, APRN, BC, FAAN

1997-1998

slide9

Being Inducted into the Academy This Evening!

Liana Orsolini-Hain, PhD, RN, CCRN

2011-2012

portfolio while at ways and means
Portfolio While at Ways and Means
  • PPACA now ACA
  • Hospice
  • Hospital acquired infections; conditions
  • Health care associated conditions
  • Health Information Technology; meaningful use
  • E-prescribing
  • Transparency in ownership of long-term care facilities
  • Quality outcomes /Value Based Purchasing
  • Funding for primary care
  • International comparisons in health outcomes and health systems
  • Chronic Care Coordination
  • Clinical Outcomes/Quality
  • Workforce
lessons learned
Lessons Learned
  • Need more nurses on the Hill
  • Nursing professional groups need to speak in “one voice”
  • Nurses need to make strategic partnerships
  • We need nurses to get PhDs in Health Economics!
  • Nursing needs to invest more in government relations
  • Research focus on issues to inform health policy
  • Translate profession specific language to stories for general public
  • Need more nurses in executive, legislative, and judicial branches
characteristics of the reformed health system
Characteristics of the Reformed Health System

Health Equity

Patient/Consumer Centric

Focus on Quality and Safety

Value Based/Pay for Performance

Evidence Based Practice

Comparative Effectiveness

Prevention and Early Intervention

Increased Access

reformed system
Reformed System
  • Demographics: aging population with increasing chronicity at all age levels
  • Meaningful use (HIT)
  • Population based practice
  • High Functioning Teams
  • Workforce Issues
    • Numbers
    • Distribution
    • Best Mix
biggest impact
Biggest Impact

High Priority Health Problem/Issue

High Risk

High Volume

High Cost

Closing the Gap between Research and Practice

increase policy relevance
Increase Policy Relevance

Gap between clinical practice and research findings

Need to show public investment in research leads to benefits for patients

Timing

Policymakers not interested in theory

Cost: usually more short-term than long-term

Know goals of agency, lawmaker, etc

How are data being used? By Whom?

research trajectories to inform policy
Research Trajectories to Inform Policy

Design our research to inform and change policy

Design our research to evaluate current policy

Translate our current research into policy implications

Posit new policy approaches and test them

research agenda for policy
Research Agenda for Policy
  • Comparative Effectiveness Research ($3 Billion)
  • Interprofessional: research, education, practice
  • Team Science
  • Workforce
  • Quality; Safety
  • Innovations in care delivery
  • Outcomes
  • Innovations in payment systems
  • Health Information Technology
  • Center for Innovation at CMS
think of your research practice teaching
Think of Your Research, Practice, Teaching
  • Why would someone be interested in your work?
  • How can you humanize and personalize what you are doing?
  • How can you help others see themselves as part of the solution you are proposing?
  • What “niche” can you fill?
role of aan
Role of AAN

Each characteristic of the Reformed Health System suggests a

Major role for The Academy to Impact Health Policy and Contribute to the Nation’s Health!

be part of the solution
Be Part of the Solution
  • Increase involvement, visibility, and influence in the health policy process
    • Enhanced advocacy role
      • Briefings, hearings and testimonies
      • Fellowship Opportunities: Robert Wood Johnson Health Policy Fellowship; AAN/IOM Scholar
      • Membership on key boards, committees, task forces
      • Collect and provide data showing outcomes and comparative effectiveness of nurse driven care
robert wood johnson foundation nursing and health policy collaborative at unm

Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at UNM

The Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at University of New Mexico:

Prepares nurses to become leaders in health policy through research and advocacy.

Offers generous financial support for full-time study.

Offers Web-based course study.

Targets those from underrepresented populations.

Provides funds to support student and faculty research.

Provides resources and support from Robert Wood Johnson Foundation Center for Health Policy.

For more information about the Robert Wood Johnson Foundation Nursing and Health Policy Collaborative at University of New Mexico visit our

Web site at www.nursinghealthpolicy.org

or write to us at CON-RWJF@salud.unm.edu.

things to do
Things to Do
  • Develop and practice a 30 second “elevator” speech on your project
  • Develop one page lay audience description of your research or practice and the impact on healthcare.
      • Outcomes
      • Quality and Effectiveness
      • Cost savings or recovery
      • Safety
slide27
AND
  • Communicate
  • Disseminate
  • Synthesize Across Disciplines
  • Integrate Into Practice
  • Accelerate the Pace of Policy Development
  • Provide data to inform and evaluate policy
american academy of nursing transforming health care policy and practice through nursing knowledge
American Academy of Nursingtransforming health care policy and practice through nursing knowledge

AAN/IOM Scholars in Residence

slide29

Nurse Scholars

2012 Marla Salmon ScD, RN, FAAN

Project

Focus on micro-finance, nursing, and women’s development will impact domestic and global health policy

2010 - Pamela F. CiprianoPhD, RN, FAAN

Project

Impact, implications of Health IT and identify technologies that reduce errors, waste and promote seamless care coordination

2009 - Julie A. FairmanPhD, RN, FAAN

Project

Initiative on the Future of Nursing

slide30

Nurse Scholars

2008 - Mary E. Evans PhD, RN, FAAN

2007- Carolyn Williams PhD, RN, FAAN

2006- Ada Sue HinshawPhD, RN, FAAN

2005 - Jacquelyn C. Campbell PhD, RN, FAAN

2004 - Veronica D. FeegPhD, RN, FAAN

2003 - Angela Barron McBride PhD, RN, FAAN

2002 - Bonnie M. JenningsDNSc, RN FAAN

slide31

Sampling of Work of Expert Panels

  • Aging: Commented on proposed regulations regarding RNs in LTC; Expressed concern to House leadership regarding ‘observational status”
  • Emerging Infectious Diseases: Published policy brief Hepatitis C Screening and Testing: A Call for a National Response; Wide dissemination of policy brief on the need for routine testing for HIV
  • Global Nursing and Health Care: Policy brief: Leadership needed to address the Global Nursing and Midwifery Workforce Shortage
slide32

Sampling of Work of Expert Panels

  • Quality: Preparing 6 positions papers
    • Measuring Episode of Care Outcomes
    • Measuring Care Coordination
    • Measuring the Economic Value of Nursing
    • Measuring Nurses’ Workload
    • Measuring Patient Engagement
    • Harmonizing Performance Measures—Implications for Practice, Education, and Research
slide33

MedPAC Commissioner: Mary Naylor, PhD, RN, FAAN Transitions of Care

Chair National Health Workforce Commission:

Peter Buerhaus, PhD, RN, FAAN

slide35

Future of Nursing Report: Sue Hassmiller, Donna Shalala, Linda Burnes Bolton, Michael Bleich, Jennie Chin Hansen, Liana Orsolini-Hain

Action Coalitions: Multiple

Fellows

slide36

HRSA Administrator: Mary Wakefield

CMS Innovation Center: Ellen-Marie Whelan

our patients our communities our health care system our nation

Our Patients, Our Communities, Our Health Care System, Our Nation

Need Nurses to Successfully Inform Policy Through Practice and Research Through Engagement of Strategic Partners