9/17/2015 Region 10 Update Tracy Klein, PhD, FNP, ARNP, FAAN, FAANP Region X Director There are no conflicts of interest related to this presentation Objectives • Identify purpose and initiatives of AANP and their national priorities and activities • Discuss legislative trends for Region X • Explore issues of specific concern to Oregon NPs • Identify key opportunities for NP advocacy and professional development 1
9/17/2015 AANP Mission: Lead NPs in transforming patient centered health care 2015 is a year of celebration… When it all began… 1965 – Dr. Loretta Ford and Dr. Henry Silver developed the first nurse practitioner program at the University of Colorado 1967 – Boston College initiated one of the earliest master's programs for NPs 1971 – One of the first family NP programs, PRIMEX, opened its doors at the University of Washington 1973 – More than 65 NP programs existed in the U.S., and the National Association of Pediatric Nurse Practitioners 6 was established 2
9/17/2015 1974 – The American Nurses Association (ANA) developed the Council of Primary Care Nurse Practitioners 1980 – Over 200 NP programs were available, and the Nurse Practitioner Associates for Continuing Education (NPACE) was established 1983 – Approximately 22 ‐ 24,000 NPs in the U.S. 1985 – The American Academy of Nurse Practitioners (AANP) was established 1989 – Ninety percent of NP programs were master's or post‐ master's degree programs, publication of the Journal of the AANP began, and the first AANP National Conference 7 was held in Philadelphia with 158 attendees Leaders stepped forward… 1994 – Mary Mundinger published landmark "Advanced Practice Nursing – Good Medicine for Physicians" in The New England Journal of Medicine , further supporting facts that NPs are cost‐ effective and high‐quality primary health care providers 1995 – American College of Nurse Practitioners was formed 1999 – Approximately 68,300 NPs in the U.S. 2000 – AANP Fellows program was established, and the first international NP conference was held 2004 – National Nurse Practitioner Week, held annually in November, was recognized in a proclamation by the U.S. Congress Approximately 106,000 NPs in the U.S. 8 2010 – NP policy focused on health care reform, CMS regulations, Medicare payment, appropriations, Medical Home and state and local issues of importance to NPs and their patients. There were an estimated 140,000 NPs in the U.S. AANP worked with the White House Office of Health Reform to review primary care perspective on preventive care, access, coordinated primary care, quality of care, payment and the need to recognize all primary care providers as solutions to the health care crisis. The AANP Fellows program (FAANP) celebrated its 9 10th anniversary. 3
9/17/2015 2013 was a very good year… • American Academy of Nurse Practitioners and the American College of Nurse Practitioners merged to form the American Association of Nurse Practitioners™ (AANP) • Membership in AANP increased nearly 19 percent for the year, ending with 48,075 members • Member benefits grew to include two journals (JAANP and JNP) and a package of lifestyle goods and services such as automobile rentals, vacation packages and discounts at major retailers • A multi‐media national NP Public Awareness campaign, “171,000 Solutions,” was developed that included a 30‐second television 10 spot, 30 second radio spot and print ad Continuing to raise awareness… 11 AANP’s Federal Legislative Priorities • Pass legislation which would enable NPs to certify eligibility for home health (S 578/HR 1392) • Urge Congress to pass legislation recognizing NPs and other APRNs to practice at their full scope throughout the VA system (HR 1427/S 297) • Pass legislation which includes NPs in Medicaid incentive payments (S 737) • Authorize NPs to certify patients for Hospice care • Authorize NPs to perform admitting exams and monthly patient assessments in SNFs 4
9/17/2015 Improved Access to NP Services State maps updates available at : http://www.aanp.org/legislation ‐ regulation/state ‐ legislation/state ‐ practice ‐ environment/66 ‐ legislation ‐ regulation/state ‐ practice ‐ environment/1380 ‐ state ‐ practice ‐ by ‐ type AANP’s State Legislative Priorities • Modernize state licensure laws • Streamline care delivery with NP signature recognition • Create flexible and sustainable reimbursement and care delivery • Ensure NP participation in ACOs and Patient Centered Medical Home models • Call on state policy makers to compel insurance company compliance with non ‐ discrimination language in the ACA • Recognize NPs for reimbursement in value based payment models Track state legislation at: http://www.aanp.org/legislation ‐ regulation/state ‐ legislation/state ‐ legislation ‐ tracking ‐ center Increased NP Visibility • Television media adds in targeted areas across the United States: https://www.youtube.com/watch?v=JFKQm1IB ‐ DY&feature=youtu.be • Radio spots: https://www.youtube.com/watch?v=mmkLxiFK16c&feature=y outu.be • Media tool links and media training for NPs at state and national conferences: http://www.aanp.org/press ‐ room/media ‐ tools ‐ for ‐ nps • Regular media feeds and updates regarding NPs in the news: http://www.aanp.org/press ‐ room/nps ‐ in ‐ the ‐ news • Position statements and one pagers to educate legislators and consumers: http://www.aanp.org/press ‐ room 15 5
9/17/2015 Social Media NP Infographic 17 Increased NP Visibility • AANP also increases NP visibility through membership/alliances with health related organizations and sponsorship of initiatives • Collaborative alliances included: • Department of Health and Human Services Million Hearts Initiative • Know Your Dose: Acetaminophen Awareness Coalition • Joining Forces: White House Initiative to raise awareness of health issues affecting America’s military, veterans and their families • Antibiotic Stewardship Initiative • United Nations Foundation Shot @ Life Campaign 6
9/17/2015 NP Related Research • http://www.aanp.org/research • AANP conducts research studies on an annual basis focusing on NP salaries and practice • AANP is a member of ICONS: Interagency Collaboration on Nursing Statistics • AANP also sponsors projects by NPs in the form of a number of yearly grants and awards: http://www.aanp.org/practice/grants ‐ scholarships2 • AANP has opportunities to support research through: • Question procurement • Mailing lists • Space at national conferences • Listserves • Letters of support • Mentorship Annual Compensation Surveys *Data self-reported in the 2015 National Nurse Practitioner Compensation Survey. Data weighted to be representative of the NP population within each region. Alaska State Stats: • Practice & Policy Updates • Senate Bill #53 to incorporate consensus Incoming: model language in the nurse practice act, Karen Fell, introduced while nurses and APRNs were MSN, RNC, in Juneau for the annual legislative fly in FNP‐C session. Kafellrncanp • Legislation passed to support wider provision of naloxone @gmail.com • Legislation legalized non medical marijuana State Practice Environment: Full • Upcoming Items • Alaska Nurse Practitioner Association % of NPs that Conference will be September 17‐19, are AANP 2015 in Anchorage, Alaska. Members: 28.75% 7
9/17/2015 Idaho State Stats: • Practice & Policy Updates • Bills of interest: Beverlee • Medical Practice Compact (passed) • Psychologist Prescribing (did not pass) Furner, MS, NP • Naloxone (passed) beverleefurner @cableone.net • Upcoming Items • No NP practice or licensure bills. Possibly State Practice the APRN compact in 2016 or 2017. Environment: • Membership drives (new 2 yr. option) Full • Fall Conference October 7‐8‐9 in Boise • Focus on organization financial stability % of NPs that are AANP Members: 35.34% Oregon State Stats: • Practice & Policy Updates • Legislation passed to title protect “APRN” Mandy • Nurse staffing law enhanced and updated Mckimmy, DNP, • Reimbursement terms for independent FNP practice clarified • Pharmacists gained RX authority for mandymckimm contraception y@gmail.com • Legalization of non medical marijuana State Practice Environment: • Upcoming Items Full • NPO conference October 8‐10 in Sunriver % of NPs that are AANP Members: 19.3% Washington State Stats: • Practice & Policy Updates • HB 2315 Global Signature Nancy • SB 5052 Cannabis Patient Protection Act Lawton • SB 5175 Telemedicine • State Budget: NELawton1 • Enhanced reimbursement dead @gmail.com • Loan repayment pending as of May State Practice • Upcoming Items Environment: • DOH Rule Writing Full • CNSs • Psychiatric Nurses • APRN Licensing Compact % of NPs that are AANP Members: 18.94% 8
9/17/2015 Idaho State Award: Clinical Idaho State Award: Advocate Oregon State Award: Clinical 9
9/17/2015 Oregon State Award: Advocate Meg Portwood Lincoln City, OR About AANP • National Administrative Office • Austin, TX • Government Affairs Office • Washington, DC area 30 10
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