Session 109 - Presentation

14 Pages·2015·1.43 MB·English

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
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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
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was established
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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 AANPbegan, and the first AANP National Conference 7
was held in Philadelphia with 158 attendees
Leaders stepped forward…
1994 –MaryMundingerpublished 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.
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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
10th anniversary. 9
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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…
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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
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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
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Social Media
NP Infographic
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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
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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
@gmail.com provision of naloxone
• Legislation legalized non medical
State Practice marijuana
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%
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Idaho
State Stats: • Practice & Policy Updates
• Bills of interest:
Beverlee • Medical Practice Compact (passed)
Furner, MS, NP • Psychologist Prescribing (did not pass)
• 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
[email protected] • 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
% of NPs that • APRN Licensing Compact
are AANP
Members:
18.94%
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Idaho State Award: Clinical
Idaho State Award: Advocate
Oregon State Award: Clinical
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Oregon State Award: Advocate
Meg PortwoodLincoln City, OR
About AANP
•National Administrative Office
• Austin, TX
•Government Affairs Office
• Washington, DC area
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