22 nd Annual Conference Massachusetts Association of Public Health Nurses. Building a Culture of Health Together in Massachusetts
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1 22 nd Annual Conference Massachusetts Association of Public Health Nurses Building a Culture of Health Together in Massachusetts [Venue/Audience] [Date] [Speaker name and title] April 26, 2018 Pat Crombie MSN RN MA Action Coalition
2 Health System Challenges
3 A New Era in Health Care Person- and Family-Centered Care
4 Institute of Medicine Report Landmark report: Offers recommendations to transform health through nursing Re-conceptualizes roles for nurses
5 The Campaign and a Culture of Health Campaign s efforts to advance IOM recommendations are giving all nurses tools to build a Culture of Health
6 Address All Factors That Affect Health Health tied to: How much money people make How much school they ve completed Neighborhoods they live in Copyright <2009> Rodger Tully The choices we make are based on the choices we have
7 Many Factors Affect Health
8 County Rankings by Health Outcomes Source:
9 Massachusetts Health Gaps If all residents had a fair chance to be healthy, there would be: 176,000 fewer adult smokers 211,000 fewer adults who are obese 73,000 fewer people who drink excessively 131,000 more adults, ages 25-44, with some education beyond high school 43,000 fewer people who are unemployed 98,000 fewer children in poverty 13,000 fewer violent crimes 70,000 fewer households with severe housing problems 38,000 fewer people who are uninsured Source: University of Wisconsin Population Health Institute. County Health Rankings Health Gaps Report 2015.
10 RWJF Vision We, as a nation, will strive together to build a Culture of Health enabling all in our diverse society to lead healthy lives, now and for generations to come Copyright <2014> Paul Chouy
11 Action Framework
12 ACTION AREA 1 MAKING HEALTH A SHARED VALUE DRIVERS MINDSET AND EXPECTATIONS SENSE OF COMMUNITY CIVIC ENGAGEMENT Value on health interdependence Value on well-being Public discussion on health promotion and well-being Sense of community Social support Voter participation Volunteer engagement
13 ACTION AREA 1 2 FOSTERING CROSS-SECTOR COLLABORATION TO IMPROVE WELL-BEING DRIVERS NUMBER AND QUALITY OF PARTNERSHIPS INVESTMENT IN CROSS-SECTOR COLLABORATION POLICIES THAT SUPPORT COLLABORATION Local health department collaboration Opportunities to improve health for youth at schools Business support for workplace health promotion and Culture of Health U.S. corporate giving Federal allocations for health investments related to nutrition and indoor and outdoor physical activity Community relations and policing Youth exposure to advertising for healthy and unhealthy food and beverage products Climate adaptation and mitigation Health in all policies (support for working families)
14 ACTION AREA 3 CREATING HEALTHIER, MORE EQUITABLE COMMUNITIES DRIVERS BUILT ENVIRONMENT/ PHYSICAL CONDITIONS SOCIAL AND ECONOMIC ENVIRONMENT POLICY AND GOVERNANCE Housing affordability Access to healthy foods Youth safety Residential segregation Early childhood education Public libraries Complete Streets policies Air quality
15 ACTION AREA 4 STRENGTHENING INTEGRATION OF HEALTH SERVICES AND SYSTEMS DRIVERS ACCESS CONSUMER EXPERIENCE AND QUALITY BALANCE AND INTEGRATION Access to public health Access to stable health insurance Access to mental health services Routine dental care Consumer experience Population covered by an Accountable Care Organization Electronic medical record linkages Hospital partnerships Practice laws for nurse practitioners Social spending relative to health expenditure
16 IOM Future of Nursing: Campaign for Action IOM Report Future of Nursing Leading Change, Advancing Health RWJF Susan Hassmiller, RN Senior Nursing Advisor AARP Susan Reinhard, RN SVP, Public Policy State Action Coalitions
17 MA Action Coalition (MAAC) The MAAC is one of 51 coalitions working nationwide, part of the Campaign for Action, to advance nursing and improve the health of individuals and communities. We are recognized by national partners such as the Robert Wood Johnson Foundation and others for our leadership on issues such as academic progression and increasing diversity in the workforce, and are now focused on building a Culture of Health in every community in the Commonwealth. [Venue/Audience] [Date] [Speaker name and title]
18 MAAC Founding Member Organizations American Nurses Association of MA (ANA) Home Care Alliance of MA (HCAM) MA Association of Colleges of Nursing (MACN) MA Board of Registration in Nursing (BORN) MA Department of Higher Education (DHE) MA & RI League for Nursing (MARILN) MA Coalition of Nurse Practitioners (MCNP) MA Health and Hospital Association (MHA) MA Nurses Association (MNA) MA Senior Care Foundation (MSCF) Organization of Nurse leaders of MA,RI,NH,CT,VT (ONL) [Venue/Audience] [Date] [Speaker name and title]
19 New Organizations and Partnerships New Member Organizations: MA Association of Public Health Nurses MA League of Community Health Centers MA School Nurses Organization DHE Allied Health Advisory Group New Partnerships: MA Health Council MA League of Community Health Centers Executive Office of Health and Human Services National Library of Medicine [Venue/Audience] [Date] [Speaker name and title]
20 MAAC Key Successes RWJF s Academic Progression in Nursing Grants Diversity Advisory Group Diversity and Inclusion Plan Accelerated Pathways for LPNs and ADNs to the BSN Increase in numbers from 2010 to % Total BSN Grads 25% Prelicensure BSN Grads 187% RN-BSN Grads DHE Nursing Education Transfer Policy [Venue/Audience] [Date] [Speaker name and title]
21 MAAC Key Successes Centralized Clinical Faculty Database Clinical Faculty Orientation Program Review and Revision of Nurse of the Future RN Core Competencies Created LPN Core Competencies Comprehensive Reports: Employer Practices Advanced Practice Nurse Faculty Challenges [Venue/Audience] [Date] [Speaker name and title]
22 Massachusetts Action Coalition Strategic Priorities VISION To be the national model for nurses leading, and partnering to boldly influence and transform health care while promoting a culture of health in Massachusetts MISSION Guided by the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health and the Robert Wood Johnson Foundation s vision to Build a Culture of Health, the Massachusetts Action Coalition (MAAC) is leading the statewide effort to improve the health for all segments of the population through nursing leadership and collaborative partnerships GOALS Prepare a more diverse nursing & healthcare workforce to advance a culture of health in Massachusetts Increase the diversity in the workforce by articulating clear, accelerated education pathways from LPN- BSN/higher degrees Increase the number of diverse faculty by creating opportunities to attract, recruit and retain qualified nurses into academic educator roles Link the Nurse of the Future Competencies to cross sector competencies to enhance a culture of health Increase nursing engagement to participate & lead in population health initiatives, serving on boards, taskforces and regional coalitions Develop strategic partnerships MA Action Coalition is partnership of the MA Department of Higher Education and the Organization of Nurse Leaders
23 MAAC Project Teams Academic Progression o Accelerated Pathways for LPN-BSN and Higher degrees o DHE Mass Transfer Pathways o Diversity and the Faculty Pipeline Competencies o Competencies Crosswalk o Linkages to CoH o Implementation - Values and Outcomes Culture of Health (CoH) o Nursing participation and leadership in CoH initiatives o School Wellness Committees o Library Partnerships [Venue/Audience] [Date] [Speaker name and title]
24 Culture of Health Goals Engage a cadre of current and future nurses educated in the Culture of Health principles to increase the number of prepared nurses to serve on boards, regional/coalitions, and participate in developing strategic partnerships and population health initiatives. Develop strategic partnerships to advance the Culture of Health in Massachusetts. Partner with the Massachusetts Health Council (MHC) to engage with School Wellness Committees. Partner with the Commonwealth s Library System to explore opportunities for collaboration [Venue/Audience] [Date] [Speaker name and title]
25 Promoting Health Literacy Project Promoting Health Literacy to Influence Health and Wellness of Students in the Community Key Partnerships: MA Health Council (MHC), School Nurses (MSNO) Public Health Nurses (MAPHN), School Wellness Committees and the National Library of Medicine (NLM) MAAC nurses will be prepared to join selected school wellness committees to introduce the health literacy topic and share the NLM resources to better inform the school wellness programing The nurses will support additional student wellness initiatives as identified by the specific community and as well as promote MHC s goal to ensure clean water drinking access and decreasing sugary beverages consumption [Venue/Audience] [Date] [Speaker name and title]
26 Public Health Nurses Public Health Nurses promote and protect the health of the communities and seek to reduce health disparities Nurses need to maximize their contributions to improve community health Education: Increase the number of BSN prepared nurses - 80% by 2020 Special competencies in community assessments and principles of epidemiology Leadership: Advocacy for health promotion and prevention and policies to reduce disparities Participation on decision making committees and boards Research: Document effect of PHN interventions on population focused health outcomes Test emerging care models that improve care and reduce costs From Sue Hassmiller s article [Venue/Audience] [Date] [Speaker name and title]
27
28 Learn More and Get Involved Questions, comments, suggestions??? For more information about the MA Action Coalition (MAAC) please visit or contact Pat Crombie at [Venue/Audience] [Date] [Speaker name and title]
29 Get Involved! Visit us on the web at
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