ANA- C’s 2019 RN Day at the Capitol Monday April 29, 2019 BJ Bartleson, RN,MS, NEA-BC CHA VP Nursing and Clinical Services bjbartleson@calhospital.org 916-552-7537
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“ We in America do not have a government run by the majority but of a majority that participate” Thomas Jefferson 2
The Nursing Community & Public needs your Inspiration, Innovation and Influence 3
ANA-C – Nursing Champions Vision Providing resources and leadership for nurses to shape the nursing profession and health care today and for the future Mission Enhance the health and well-being of Californians and advance the profession of nursing Motto California’s best kept secret to solve the health care dilemma 4
Advocacy Day Warm Up! ➢ Who do you represent? ➢ What is advocacy? ➢ What are you advocating for? ➢ Where are you advocating? ➢ Why? ➢ How will you influence and inspire? 5
Who are you advocating for? ➢ Why does this make a difference? ➢ ANA-C Not you personally or your employer ➢ ANA-C Champions of Change ➢ Elite RNs making a difference ➢ You are content experts 6
Advocacy - WHAT ➢ Advocacy encompasses a wide range of activities that influence decision makers. ➢ Advocacy includes traditional activities such as litigation, lobbying, and public education. It can also include capacity building, relationship building, forming networks, and leadership development. 7
Advocacy - WHAT ➢ Voting ➢ Professional Organization Legislative Days ➢ Political campaigns ➢ Writing – editorials, newsletters, publications ➢ Knowing your legislators/policymakers, city, county, state/Federal ➢ Political Action Committee 8
What Are You Advocating For? = Policy! ANA-C ➢ Highest quality nursing care at the right place, right time, by the right provider for all California citizens – are there statutory changes necessary? Is there legislation affecting your practice negatively? Are there environmental threats? ➢ Promotes partnerships with the community and other health care professionals to provide quality health care for all Californians. ➢ ANA-C RNs - The solution for a healthier California 9
What are you advocating for? How would you know? Leginfo.legislature.ca.gov RN - 10 pages, 78 bills AB-1364 » - Author: blanca rubio .... Nursing : schools and programs: analysis. The Nursing Practice Act provides for the licensure... AB-1189 » - Author: wicks ... hospital, and a skilled nursing facility. This bill would make technical, nonsubstantive changes... AB-239 » - Author: salas ... colleges: registered nursing programs. Existing law establishes the California Community Colleges... AB-1709 » - Author: jones-sawyer ... and Safety Code, relating to nursing homes. Nursing homes: staff. (1)Existing law provides... AB-1051 » - Author: smith ... colleges: temporary faculty members: clinical nursing faculty. Existing law establishes the California... SB-768 » - Author: hueso ... for determining nursing care requirements, including the severity of the illness, the need for specialized... AB-1695 » - Author: carrillo ... to, the Health and Safety Code, relating to health facilities. Skilled nursing facilities. (1)Existing... AB-506 » - Author: kalra ...- term health care facility” includes, among other types of facilities, a skilled nursing facility... AB-856 » - Author: brough ... by encouraging cost-effective home care services and to avoid costly nursing home and assisted living facilities... AB-241 » - Author: kamlager-dove ... in the understanding of implicit bias in medical treatment. Existing law, 10 the Nursing Practice Act, regulates...
What are you Advocating for? How would you know? Example!! ➢ Leginfo.legislature.ca.gov – Text Search, Nursing(78), skilled nursing facilities, fees, etc. ➢ AB 890- Full Practice Authority Nurse Practitioners ➢ Why? 11
Why are you advocating for NPs Because: ➢ YOU are an RN and understand scope of practice – i.e.- standardized procedures ➢ YOU are part of the RN family that can be the health care solution. Describe how you work along side NP’s! ➢ What YOU do makes a difference in health care for Californians - better care, lower costs, improved access ➢ YOU are the RN champions of change and continued improvements in health care and access would occur with FPA NP’s 12
How!!! ➢ Know your legislator and/or the one you are visiting (party, leadership position, committees, previous legislative/issue decisions) ➢ Find your own district elected officials and communicate with them 13
Find You Elected Officials https://www.ca.gov/service/?item=look-up-my-representatives ➢ They need your nursing intelligence ➢ District and state offices/staffers ➢ Who and what are you representing ➢ Are you a constituent or are you a content expert influencing legislators on a piece of legislation? 14
How! ➢ In-person visits, letters, and emails are most persuasive if the legislator has not made a firm decision on an issue ➢ Content Experts bear more weight than lobbyist – so your visits are crucial ➢ How do you make your visit stand out? 15
Know the legislator You visit ➢ Website – what is their history/previous employment, family issues, top district concerns ➢ Committee – what committees, caucuses, leadership positions ➢ Past legislative decisions – voting record ➢ Word of mouth – what do others say ➢ Staffer – what specifics are they looking for 16
California State Government https://www.ca.gov/government/ 17
Bicameral House – Assembly https://assembly.ca.gov ➢ Assembly – lower house (80) , Speaker – Anthony Rendon (D) ,Speaker Pro Tempore – Kevin Mullin (R) ,Majority Leader – Ian Calderon (D).Min leader – Marie Waldren(R) ➢ Business and Professions – Chair, Evan Low, Vice Chair, William Brough, Arambula (D), Bloom(D), Chen (r), Obernolte (R),Ting(D), Irwin (D), McCarty(D), Medina(D), Mullin (D), Grayson(D), Holden (D), Fong (R), Gipson (D), Gloria (D), Chiu (D), Cunningham(R), Dahle (R), Eggman (D) ➢ Health – Chair Jim Wood (D), Vice Chair Chad Mayes(R), Aguiar-Curry (D), Bigelow (R), Bonta(D), Burke(D), Carrilo(D), Flora(R), Limon (D), McCarty (D),Nazarian (D), Ramos (D), Rodriques (D), Santiago (D), Waldron (R) 18
Bicameral House – Senate https://www.senate.ca.gov ➢ Senate – upper house (40) ➢ President Pro Tempore – Toni Atkins (D) ➢ Republican Leader – Pat Bates Health Committee – Pan*, Stone, Durazo, Grove, Hertado, Leyva, Mitchell, Monning, Rubio – Staff Director/Chief Director, Melanie Moreno Business, Professions and Economic Development – Glazer*, Chang, Archeleta, Dodd, Galgiani, Hill, Leyva, Pan, Wilk – Senior Staff Director- Sara Huchel 19
How! Compelling Message, Inspire and Influence ➢ Ponder, analyze and decide ➢ See, feel, decide ➢ Head, heart, health – evoke an emotion ➢ Use a 2-4 minute story, begin with the end in mind, what is the want? Opening – set the stage, paint the picture using adjectives, describe the struggle and play the underdog, surprise the legislator, introduce potential for success, make everyone a winner 20
The Message – an example ➢ RNs & NPs are the states secret weapon for health care transformation with a win for AB 890 – your support can make the difference, we request your “aye” vote ➢ APNs in 28 other states were granted full practice authority and have decreased costs, and improved care, particularly in primary care areas ➢ I work along side an NP in my hospital. Between us, our patients receive not only outstanding medical care treatment but necessary whole person care and coordination, so the patients receive their care at the right place at the right time. Oftentimes our patients remark that working with the NP is less stressful. The NPs spend more time with them and listen. 21
The Message – an example ➢ Have you been cared for by an NP? Wouldn’t you be glad to have a person that could diagnose and treat your medical needs as well as treat your psychosocial needs at the same time? ➢ FP NPs could exponentially add to the ability for California to provide primary care services in a more timely manner ➢ You can be the game changer, by acknowledging, FP NPs are an integral solution, with a yes vote on AB 890. 22
Follow your Bill ➢ AB 890 ➢ leginfo.legislature.ca.gov ➢ Bill search, tabs for votes, analysis, movement through committees ➢ Subscribe for email alerts when bill is heard, going to committees 23
California Legislative Process 24
Backroom Politics 25
Scope of Practice ➢ Confusion 26
What Does an RN Do? A Doc, a CRNA, a NP? ➢ What is an RN licensed to do different from any other professional? 27
How are we perceived? ➢ Most trusted but seen as “Functional Doers” vs. “thoughtful strategists” ➢ 2010 Gallup Poll, “Nursing Leadership From Bedside to Boardroom” Opinion Leaders’ Perceptions – IOM FON Report – Not perceived as important decision makers – None revenue producers – Not focused on preventive care – No single voice 28
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