Indiana Action Coalition: Transforming Healthcare Steering Committee Meeting Minutes Friday, December 7. 2012 Chair: Rick Kiovsky/ Kimberly Harper Recorder: Shellee Laubersheimer Called to Order: 10:10 am Adjourned: 1:20 pm Attendance: Michelle Bisesi, Karen Clark, Yvonne Culpepper, Scott Engum, Linda Finke, Lea Hall, Kim Harper, Barbara Kelly, Amy Knepp, Betsy Lee, Rick Kiovsky, Absent: Guests: Libby Kiefner Crawford, Mark Douglas, Tina Elliott, Linda Everett, Peggy Gerard, Cherona Hajewski, Kyle Hultgren, Bridget Johnson, Larry Lynn, Ken Sauer, Ann White Marian Erler, Lisa Scarton (BSN-PhD IU student, Jonas scholar) AGENDA ITEM / Minutes I. Welcome and Introductions II. Minutes of September 7, 2012 Steering Committee RECOMMENDATIONS/ACTION Rick Kiovsky opened the meeting and members introduced themselves both in person and on the phone. Addition of Amy Knepp s report has been included, Amy s presence at the meeting recorded. Minutes revised and approved. FOLLOW-UP DATE STATUS
III. INAC: TH Activity Updates Larry Lynn recently had a speaking engagement Dartmouth, Brown programs looking at IPE, invited Indiana to make presentation. Larry Lynn represented Indiana and INAC and what we are doing on IPE. ICN has had several contacts re: IPE recently asking for more info. Four schools within the university have been involved within the Indiana University IPE initiative and discussion was held regarding a number of other examples that other organizations in Indiana including St.Francis/IUFW in Ft. Wayne as well as the new medical program and nursing at Marian University. Kim Harper shared the campaign for action web site and its inclusion of the IPE simulation event. Would like to use site for all activity occurring within the INAC. Steering Committee members should feel free to post work at the following: www.campaignforaction.org IV. Discussion of Advisory Committee Rick Kiovsky and Kim Harper will be attending a National Summit in DC, Feb 28 March 1, 2013 with other state coalition leaders. Expenses for this event including all travel is covered by the RWJF. Discussion occurred at previous meetings about the development of an Advisory Committee to support the work of this group. Group was asked to provide feedback as to what an advisory committee role should look like, who might sit on this committee. To date no feedback received by Kim Harper or Rick Kiovsky. Group agrees it s premature to develop this committee. At this time, item has been tabled until further notice 2
V. Action Committee Reports For complete detail of committee activity, see committee reports sent with the agenda prior to the meeting. Highlights are below. InterProfessional Education (IPE) Scott Engum and Linda Finke reporting IPE Database - is located on the Simulation Center Website and anyone can register to join the collaborative community. Continues to be a work in progress. Need people to provide experience / information to make it a valuable resource. Having trouble with getting people to update. Organized in a system manner. Should be able to search for multiple different things, different learner levels. Format is created in more of a medical model than a competency model. IPE simulation day was held on 10/26/2012 at IU Health Fairbanks Simulation Center. Included five simulation cases with 3-5 standardized patients/family members, pharmacy students, PA students, radiology technician students, nursing students, respiratory therapy students, and educators. Positive feedback from participants. (feedback results and evaluation data included with agenda) Radiology only associate degree students involved. Shows quality of students in program. Amazing how they adapted and worked together so quickly and benefited from the experience. Felt it validated that IPE is important. Next steps repeat this same event, expand pool of people getting exposure. Presented to governance group as an introductory event, hope to cost share in the future. Bring next group in, expand and improve. Model can be used in other parts of the state, everyone doesn t have to come to Encouraged all members to enter their data to further utilize the tool www.simcenterindy.com Group to review, enter own data and provide feedback to Scott Engum and Linda Finke. 3
Indy. Offer from Marian University to host in the future. Lots of resources necessary to conduct a successful event, including staff, facilities, faculty, etc., size of location is key. Outcomes wanted to achieve included: Students realizing value in IPE, learning experience that improved interaction and that we could have a successful event of this size. (21 faculty, 4 techs + Scott, 4 educational institutes represented) Need to show IPE is going to decrease costs and improve education and efficiencies. Cost to replicate event at a later date would be approximately $5000, $75/participant full day (4-hours of simulation). Coalition has some funds to assist if wanting to repeat. eportfolio With assistance from IHA the Committee sent a survey to 135 hospitals, with charge of eportfolio system, asking if they would use this type of system. (Survey summary sent with agenda) Responses stated they were interested and would use but wouldn t use instead of current system AND would not help fund. Doesn t seem to be a big need for Indiana at this time. Recommendation remove the creation of an e-portfolio from the work plan, not seen as a priority right now. Linda to summarize survey results and post to community page Patient Safety Committee Betsy Lee reporting Plan to highlight need for patient and family engagement in patient safety activities. Bringing the family in to help make the patient accountable. Much of the work is occurring through the Partnership for Patients Initiative. The Committee felt the need to revise charter to integrate patients and families into the patient safety efforts. They see priority area efforts in transforming care for citizens of Indiana. 4
Reviewed terms of expansion of regional Patient Safety Coalitions 11 on board now around the state. Creating similar infrastructure. Looking at integrating some of the Future of Nursing goals. How do we pull in IONE quality safety work group? How do we sustain after funding is gone? Key messaging nursing / leadership. Leverage nursing leadership and patient safety. Areas of concern: Expanding to other disciplines themes around specifics of getting patient safety engagement to frontline nursing on human factors, error. Want to be sure to have representatives from all groups, VHA, Ascension, etc. However, the bulk of the state s hospitals are working with IHA. Leveraging educational opportunities around patient safety through the 119 participating organizations. Continuing education, CME and CE for nursing and pharmacy, 10 spots for each participating hospital in continuing education courses. Miscellaneous 235 green belts trained by end of Feb, 110 black belts end of Feb across the state. More knowledge about system redesign and med safety. Medical safety alliance doing through Purdue, medical safety essentials course available. Nursing Practice Committee Yvonne Culpepper reporting Group recognized the great work of Barb Kelly and group for their continued work on the white paper. Executive summary will be created to be used as groups are in front of legislatures and other key stakeholders. Goal is to help understand and fully comprehend what we are striving toward. Residency Group is doing great work through researching national programs and literature and the creation of a template program that can be replicated throughout hospitals in Indiana. The program will be web-based to address needs of nurses from varied educational backgrounds and build on their strengths. 5
Should have a detailed draft by next Steering Committee meeting. The sub-committee on clinical preceptors has developed a survey tool that is being distributed to CAPNI members with the intent to glean information around barriers to preceptor and accepting APRNs. The Advocacy and Support sub-committee reported the nonofficial receipt (have verbal approval but not yet received the formal letter or check) of $15,000 of a total $35,000 grant from 2013 IONE License Place Fund will be earmarked for use by the INAC when received by the ICN. Nursing Education Committee Amy Knepp reporting Educational Data Sub-Committee Education data report is getting close to being complete. This thorough report will be used to help ICN move forward in knowing what ICN can do in future to gain more data of what is going on in the state. Workforce demand and outpatient (community based) data is lacking. 100% of information from Indiana schools of nursing with Bachelorette and above is reported. Lots of work has gone into this report helping illustrate our education data. Work continues to obtain the missing data. Seamless Progression Sub-Committee This group is working to create a core transfer library. By reaching out to Indiana Deans and Directors the document is attempting to list what is actually transferring and what isn t and outlining the gaps for potential transfers. The goal is to continue the work and hope to have info to share at the Summit. Need to address funding to obtain missing data pieces. (Kim Harper feels this funding is available through the ICN and IONE grant.) Analysis is ongoing of what we have, what we are missing and how do we get it? Would like to see a summarized list of gaps so we can go to groups with some leverage when asking for information. Betsy Lee will work with Kathy Wallace to look at the report and discuss where might be able to obtain community practice data. Will get back with Peggy and Amy. 6
VI. Preparation for Nursing Summit on January 11, 2013 Registration encouraged. Space is limited and as of this morning, 85 registrations are confirmed. May decide to raise participant numbers to 200. Hotel discounts available, see registration on web site. Plan for the day Each Action Committee is to provide a power point presentation outlining their group s goals and achievements Table top discussions have two questions for group to answer - o Example provided by Kim Harper. o Expectation is the facilitator for each table will bullet point responses of group at his/her table. o Responses will be shared with conference participants in real-time. For more information or to register see link below http://www.ic4n.org/eventregistration/?ee=5 Committees are to submit their power points to Kim Harper by Monday, January 7 th. Also need to submit two open-ended questions to be used at Submit to Kim Harper by December 17 Encourage others to register summit agenda 12.7 REV.pdf VII. Next Steps and follow-up VIII. Next Steering Committee Meeting Friday, March 8, 2013 from 12 pm 3 pm ICN Office 9302 N. Meridian St Suite 365 Indianapolis, IN 46360 317.574.1325 Kim Harper will arrange for lunch to be available at 12:30 pm 7