APNA 30th Annual Conference Session 2014: October 20, 2016 APNA 2016 - PDF document

APNA 30th Annual Conference Session 2014: October 20, 2016 APNA 2016 Annual Conference Jake Creviston , DNP, RN, PMHNP ‐ BC Michael Polacek , MSN, RN ‐ BC Participants w ill be able to: Creviston 1

APNA 30th Annual Conference Session 2014: October 20, 2016 1840’s Sisters of Charity (initial ascent) The Nightingale Shift (progress and formalization) Nursing Leadership and Reformation (base camp) Contemporary Reforms (regrouping) State of the state (summit in view) Idealized leadership (summit!)  Healthcare Reform is a continual process  “History is revelation” (Libster & McNeil, 2009)  1840 Sister Matilda and Dr. Hughes Stokes open Mount Hope  Roles of the “nurse” and physician  Action evolves from care  Advices Concerning the Sick predated Notes on Nursing  Reformed care environment  Statistics and healthcare  Formal educational curriculum  Societal respect as a reformer Creviston 2

APNA 30th Annual Conference Session 2014: October 20, 2016  Dix : advocacy for humane care  Barton : bedside to global care  Peplau : practice based on engagement  Bolton : leader in modern healthcare reform  “Nurse ‐ Doctor Game” (Stein et al., 1967)  Oppressed ‐ group dynamics  Nurses underrepresented on boards  2 ‐ 4% of hospital boards (Prybil, 2009)  2% of health care boards (Curran & Totten, 2010)  To Err is Human (IOM, 2000)  Crossing the Quality Chasm (IOM, 2001)  Social Determinants of Health (Commission on Social Determinants of health, 2008) Creviston 3

APNA 30th Annual Conference Session 2014: October 20, 2016  The Triple Aim (Berwick, Nolan, & Whittington, 2008)  Affordable Care Act (PPACA, 2010)  ACOs, CCOs and  behavioral health integration  Future of Nursing (IOM, 2011)  8 recommendations  4 key messages  Interprofessional movement (IPEC, 2011)  National  MHPA, TARP, Patrick Kennedy, the rules  Corrections: 16% ‐ 24% SMI (Durmont, et al., 2012)  Oregon (MHA, 2015)  MH Statistics  Time, incentive,  Coordinated Care preparation, desire Organizations boards: 2.7% and lack of invitation nurses (Creviston, 2015) limit maximal  Oregon Strategic Plan: 18 ‐ leadership (Creviston, member board 0 nurses 2015) (OHA, 2015)  Nurses least likely to drive reform (Khoury et al., 2011) Fall warning, crevasses in area. But we are the most trusted profession 11 Avalanche warning take alternative route. ! we have clinical and leadership expertise ! Watch out, winter storm ahead our leadership promotes patient outcomes 16 Caution high winds in area. we are the largest segment of the workforce 15 Warning low oxygen levels. and we are more successful in teams… 10 Creviston 4

APNA 30th Annual Conference Session 2014: October 20, 2016  National Initiatives  Future of Nursing Campaign for Action  Nurses on Boards Coalition (10,000 nurses by 2020)  Culture of Health  Oregon Initiatives  Oregon Action Coalition; Nurses on Boards grant  ORAPNA Resource Center Now Now go go to to: www.Nur .NursesOnBoar sesOnBoardsCoal sCoaliti tion. on.org Scroll down to bottom and click appropriate link: Creviston 5

APNA 30th Annual Conference Session 2014: October 20, 2016 Nurses are ideally prepared to contribute towards health care reform to optimize patient outcomes. We believe that nurses are crucial health care stakeholders. This requires participation at all leadership levels and nurses on EVERY BOARD!  Research:  Measure nurse trustee impact on health  Prepare:  Seek and provide governance mentorship and training  Start small e.g., nursing professional org  Participate:  Promote national and local efforts  Join your state RWJF Action Coalition  Communicate via APNA member bridge  Follow the CampaignForAction.org  Do not wait for an invitation Jake Creviston , DNP, RN, PMHNP ‐ BC Assistant Professor Linfield Good Samaritan School of Nursing, Portland, Oregon jcrevis@linfield.edu Michael Polacek , MSN, RN ‐ BC Professional Development Specialist, Salem Health, Oregon fetchwood@gmail.com Creviston 6

APNA 30th Annual Conference Session 2014: October 20, 2016 1. Berwick D.M., Nolan T.W., & Whittington, J. (2008). The triple aim: Care, health and cost. Health Affairs 27 (3):759 ‐ 769. 2. Commission on Social Determinants of Health. (2008) . Closing the gap in a generation: Health equity through action on the social determinants of health. Final report of the commission on social determinants of health. Geneva, Switzerland: World Health Organization. 3. Creviston, J. (2015) . Doctor of Nursing Practice (DNP) perceptions of leadership abilities in policy and governance: Clinical inquiry project. [Doctoral Scholarly Project]. Retrieved from http://digitalcommons.ohsu.edu/etd/3695/ 4. Dumont, D. M., Brockmann, B., Dickman, S., Alexander, N., & Rich, J. D. (2012). Public health and the epidemic of incarceration. Annual review of public health, 33, 325. 5. Institute of Medicine (IOM). (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 6. IOM. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 7. Interprofessional Education Collaborative Expert Panel (IPEC). (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. 8. Khoury, C., Blizzard, R., Moore, L., & Hassmiller, S. (2011). Nursing leadership from bedside to boardroom: A Gallup national survey of opinion leaders. Journal Of Nursing Administration, 41 (7/8), 299 ‐ 305. doi:10.1097/NNA.0b013e3182250a0d 9. Libster, M.M., & McNeil, B.A. (2009). Enlightened charity. Naperville, IL: Golden Apple Publications 10. Mental Health America. (2015). Parity or disparity: The state of mental health in America 2015. Retrieved from www.mentalhealthamerica.net/sites/default/files/Parity%20or%20Disparity%20201 5%20Report.pdf 11. Newhouse, R., Stanik ‐ Hutt, J., White, K., Johantgen, M., Bass, E., Zangaro, G., & ... Weiner, J. P. (2011). Advanced practice nurse outcomes 1990 ‐ 2008: a systematic review. Nursing Economic$, 29(5), 230 ‐ 251. 12. Oregon Health Authority. (2015). 2015 ‐ 2018 behavioral health strategic plan. Oregon Health Authority: Addictions and Mental Health Division. Retrieved from http://www.oregon.gov/oha/amh/CSAC%20Meeting%20Shedule/Behavioral%20Heal th%20Strategic%20Plan%202015 ‐ 2018.pdf 13. Riffkin, R. (2014). Americans rate nurses highest on honesty, ethical standards. Retrieved from http://www.gallup.com/poll/180260/americans ‐ rate ‐ nurses ‐ highest ‐ honesty ‐ ethical ‐ standards.aspx 14. Stein, L., Watts, D., & Howell, T. (1990). The doctor ‐ nurse game revisited . New England Journal of Medicine , 322(8), 264 15. U.S. Census Bureau. (2010). Table 616 . Employed civilians by occupation, sex, race, and Hispanic origin: 2010 . Retrieved from https://www.census.gov/compendia/statab/2012/tables/12s0616.pdf 16. Wong, C., Cummings, G., & Ducharme, L. (2013). The relationship between nursing leadership and patient outcomes: a systematic review update. Journal Of Nursing Management, 21 (5), 709 ‐ 724. doi:10.1111/jonm.12116 Creviston 7