Objectives : Update for 2010 What s in it for me? Describe the role of a gerontological advanced practice interest group Cite examples of effective gerontological advanced practice interest groups GAPNA s Strategic Vision GAPNA s Charge Reposition itself as an organization that attracts a wide array of nurses in advanced practice Ensure that the healthcare industry looks to us as knowledge leaders Utilize the collective intelligence of its membership to inform practice, disseminate information and influence decision-making in health and health care issues Meet the demand for infusion of gerontology across the health care continuum to those practicing in a variety of settings ensuring that the unique needs of older adults are responded to and that the practice continues to advance and is integral to healthcare redesign. GAPNA s Design Develop goal-oriented thought groups whose primary goal is to support the mission and vision of the organization These groups will provide the membership with an opportunity to engage in a short cycle process, engaging with others with similar interests, expertise, and concerns regarding their area of practice ensure that the GAPNA membership have an opportunity to actively participate in the ongoing work of the organization Development of Phase I Presented the concepts to the membership in the summer 2009 newsletter Presented to the membership as the President s address at the Fall conference 2009 Gained support during the business meeting Placed a call for participation
Development of Phase II BOD provided direction to the groups Groups convened early 2010 Groups completed work by fall conference 2010 BOD to determine next level of work and impact on committee work and SIG formation Development of Phase III Allocate the required resources Redefine the work to be accomplished that supports growth and engagement of membership and promotes the organization s visibility 2011-2012 Development of SIGs Phase I and II Long Term Care Assisted Living Palliative Care Chairs o Deb Bakerjian o Jackie Boan Members o Lisa Byrd o Laura Allan o AnneMarie Bourque o Donna Doyle o Stacey Eadie o Kathy Fletcher o Terry Lindbloom o Bobbe Mansfield o Terri McDonal Katrina Millsape Merrylee Mullinax Jill Pagano Michele Pirc Suzanne Ransehousen Ruth Rafacz Mary Painter-Romanello Beth Slutsky Cathy Wollman Purpose Forum for discussion issues specific to NHs Bring issues of interest/importance to GAPNA related to NHs Develop/accumulate resources useful to APNs with NHs Promote APN leadership in NH Recognize policy issues & make recommendations to Health Affairs committee Current list of issues Getting the word out about APNs in LTC: APN Role and infor on DEA Restrictions on prescriptions for Schedule II-V drugs in NHs Advancing Excellence Campaign MDS 3.0 & understanding RUGS Billing, coding & documentation for NH practices Geriatric competencies Development of updated brochure -The Role of APNs in NHs - Motivating new APNs into nursing home practice Policy issues related to APN care in NHs APNs in Collaborative Practice
The LTC SIG will develop a page on GAPNA s Website that will have specific information about a nursing home practice for members only: Billing, coding, documentation specific to nursing homes Federal Regulations affecting NH practice DEA Updates Templates and examples of chart notes, skin care assessment, etc Special Links to resources for Geriatric Practice of Elders and NH practice Next steps Organize workgroup to focus on web resources Work on APN brochure that would be available for GAPNA members Survey the needs of GAPNA members SIGN UP FOR OUR SIG IF YOU WORK IN NHs! Chair Kathy Carroll Active Members Lanette Sherrill Phyllis Atkinson Kathy Ferriell Marsha Rauch Stacie Zibel Michele Pirc Purpose To determine where GAPNA and the nurse practitioner can best impact this practice What does current practice look like? What is the current role of APNs in Assisted Living? How does legislation impact role? What should the role and practice in Assisted Living look like? Short Term Goals Evaluate state laws for consistency in NP practices/authority Inconsistent Research and identify various standards, polices on the role of the NP in AL Roles and practices vary state to state and facility to facility, very little standardization -Identify other experts in AL for future collaboration Long Term Goals Grow membership and participation through GAPNA Define role of Advanced Practice Nurse in Assisted Living Collaborate with other experts in AL to promote standardization in AL practices where appropriate Provide Advance Practice Nurses and Assisted Livings with tools and resources to enhance the role of Advance Practice Nurses in Assisted Livings Collaborate with other GAPNA SIGs
Outcomes to Date -Changes proposed to Ohio laws -Identification/summarization of position statements, policies from national organizations - Beginning resource tool listing policies, laws Next Steps Luncheon panel presentation at GAPNA Annual meeting Complete identification of state laws Continue to expand on resource document for GAPNA Collaborate with other organizations, AMDA, ALFA Chairs Peggy Brewer Toni Silver Members Deborah Wolf-Baker Laura Rodriquez Nan Laino Beth Slutsky Purpose To promote quality of life and independence at home and prevent facility care of the elderly with chronic disease. Promote improved transitions in care through communication with all members of the health care team. Promote research to improve care in the home Educate health care professionals in Geriatric Nurse Practitioners role in home visits. Goals Partner with other national organizations to achieve public awareness of Geriatric Nurse Practitioners role in home visits. Support legislation that will give Geriatic Nurse Practitioners, who make home visits, greater autonomy and reimbursement. Develop a strong voice for Geriatric Nurse Practitioners who make house calls. Strategies Identify a core group of NPs to attend and/or link with legislatiive members who are involved with home care visits. Encourage GAPNA link with state Medical Societies. Encourage NPs to specialize in Geriatrics and educate them in chronic disease management in the home. Strategies, cont. Promote education of NPs by presentations at National Meetings by speaker programs and poster presentations.
Co-Chairs Sue Mullaney Carla M. Tozer Active Members Donna Doyle Jayne Marrinelli Rose Bollinger Lynn Johnson AnneMarie Bourque Merrill Keeth Purpose To explore the partnership opportunities with key palliative care organizations to leverage each others strengths around practice, research, policy, education and advocacy Goal #1 Partner with HPNA to promote a collaborative relationship promoting the role GAPNA has in developing/enhancing the APN role in the care of older adults. Outcomes GAPNA website link Share the call for abstracts Joint presentations Goal #2 Develop tools and resources (in collaboration with Palliative Care experts) for GAPNA members to further enhance in areas of further developing individual education, improving clinician practice Outcomes Link to HPNA website Tools and resources for members Goal # 3 Share work of SIG Outcomes Newsletter article regarding HPNA website (tools for GAPNA members Luncheon Panel Presentation at GAPNA s Annual Meeting Abstract submission to HPNA for poster presentation of GAPNA s work Co-Chairs Cathy Wollman RN, MSN, GNP-BC Therese Narzikul MBA, MSN, CRNP Active Members Elizabeth Miller RN, CRNP, MBA Kevin Hook MA, MSN, CRNP Theresa McDonald RN, MSN, GNP-BC Jane Kotarski Virtual Meetings: Quarterly conference calls and ongoing collaboration
Definitions A range of time limited services and environments designed to ensure health care continuity and avoid preventable poor outcomes among at risk populations as they move from one level of care to another, among multiple providers and/or across settings. (Naylor & Keating, 2008). Transitional care coordination is a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or levels of care within the same location (Coleman & Berenson, 2004). Care that is required to facilitate a shift from one disease stage and/or place of care to another. Purpose Position GAPNA as an expert resource for transitional care issues of older adults Goals of SIG Increase awareness of transitional care within the context of older adult care delivery Create a transitional care resource page on GAPNA website Identify best practices that incorporate transitional care Identify members currently involved in transitional care Encourage other SIGS to have a goal related to transitional care Significance--Caregivers and patients experience transfers in and out of health care settings with poor communication between institutions and providers, often while patients are becoming increasingly sicker. Research--Almost 1/5 of Medicare beneficiaries are rehospitalized within 30 days with a cost of 17.4 billion dollars (Jencks, Williams, & Coleman, 2009). Legislation H.R. 2773, The Medicare Act of 2009 would cover transitional care services under the Medicare Program. Models The Care Transitions Program : Dr. Eric Coleman The Model Mary Naylor, U Penn Patient-Centered Medical Home The Evercare Model Clinical Resources Universal Transfer Form Technology Solutions Team Building Programs Multi-Disciplinary Approaches The Future A mandate as well as unlimited opportunities to improve transitions
Discussion and Questions