California Organization of Associate Degree Nursing presents Implementing the IOM Future of Nursing Vision in California Casey R. Shillam, PhD, RN-BC Nurse Co-Lead CA Action Coalition Mary Dickow, MPA Statewide Director CA Action Coalition
Report ranks #1 for 2011!
Our Current Health System Wellness Primary care Home care Long-term care Acute care
Committee s Vision Wellness Primary care Home care Long-term care Acute care
A Transformed Health System Acute care Long-term care Home care Management of chronic illness Wellness & Primary Care
IOM Recommendations Enabling nurses to practice to the full level of their training Remove scope-ofpractice barriers. Implement nurse residency programs. Improving nursing education Increase proportion of nurses with a BSN degree to 80% by 2020. Double the number of nurses with a doctorate by 2020. Ensure that nurses engage in lifelong learning. Preparing and enabling nurses to lead change Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Prepare and enable nurses to lead change to advance health. Fostering Inter-professional Collaboration Improving workforce data collection and analysis Build an improved infrastructure to collect and analyze health care workforce data. Diversity
Future of Nursing: Campaign for Action Collaboration created by the Robert Wood Johnson and AARP Foundations to ensure that all Americans have access to high quality, person-centered care
AARP: CFA Technical Assistance Provide states with technical assistance 36 Action Coalitions Goal: Action Coalition in all 50 states by end of 2012
Campaign for Action State Involvement UPDATED: 3.24.2011
Active support from: American Red Cross Healthcare Information and Management Systems Society National Association of Hispanic Nurses National Association of Public Hospitals and Health Systems National Medical Association World Health Organization
Nearly 64 million media impressions in national and international news outlets States have hosted about 160 events related to the Campaign for Action
Senate Appropriations Committee: called on DHHS Secretary Sebelius, HRSA, and CMS to develop a plan to implement IOM recommendations
California s First Year Successes
Communications Committee engaged nurses and other partners from across the state to develop a brand for the Coalition.
Vision A healthy California through nursing leadership and service
Mission Implement the recommendations of the IOM Future of Nursing report through strategic partnerships for a healthy California
Core Values Engaging broad and diverse perspectives Increasing and using influence Strategic and efficient use of resources Improving health outcomes
Goals Develop action steps to achieve the Recommendations Engage a broad-base of stakeholders in the Campaign Create statewide structures that support the work Ensure regional engagement Influence national-level healthcare policy decisions
Organizational Structure Executive Committee Working Group #1 Leadership Council Working Group #8 Working Group #2 Working Group #3 Working Group #4 Working Group #5 Working Group #6 Working Group #7 Regional Groups Stakeholders
Progress to Date Planning Year completed Workgroups established for all 8 Recommendations Regional Champions identified in all 8 regions Statewide Director appointed Communication Plan and website under development Secured initial funding for creating sustainable structure
Recommendation #1: Remove scope-of- practice barriers Conduct gap analyses to: compare California regulatory language with NCSBN Consensus Model for advanced-practice registered nurse regulation compare for the four advanced-practice registered nurse and RN roles to the IOM Future of Nursing Report with the laws and statues of California Co-Leads: Garrett Chan and Susanne Phillips
Recommendation #2: Lead and diffuse new practice model efforts Convene a statewide symposium in September 2012 to explore opportunities to transform health care delivery, share innovative models, and assess gaps in current models of care delivery Lead: BJ Bartleson
Recommendation #3: Transition-topractice through nurse residencies Promote transition to practice programs and residencies as expectation of nursing education Expand programs for new graduates to include more community-based opportunities Create a statewide evaluation of current programs to inform next steps Co-Leads: Dorel Harms and Nikki West
Recommendation #4: Increase number of nurses with BSN Establish baseline percentage of RN s with minimum educational level of BSN Inventory and analyze data from existing ADN-BSN projects to establish best practices Continue to facilitate progress AB1295 with consultation and support to CCC and CSU Chancellor s Offices Co-Leads: Liz Close and Stephanie Robinson
Recommendation #5: Double number of nurses with a doctorate by 2020 Work with Recommendation #8 to establish baseline number of nurse with a doctorate Establish outcome measures and methods of collecting data for reaching goal of a 10% increase of BSN grads matriculating into Master s programs within 5 years Co-Leads: Holli DeVon and Robyn Nelson
Recommendation #6: Ensure that nurses engage in life-long learning Establish priorities and communications plans for messaging the need for culture change to expectations of life long learning in the profession of nursing Create repository on the Action Coalition website showcasing service and academic partnerships that demonstrate and support lifelong learning Co-Leads: Jan Boller and Martha Dispoto
Recommendation #7: Prepare and enable nurses in leadership positions Conduct gap analysis of 2011 survey to identify needs for developing new leadership programs for nurses Expand nursing leadership opportunities for participation by nurses in board rooms, policy discussions and on management teams Develop a systematic plan for involving students in the Action Coalition work Co-Leads: Pat McFarland and Peggy Hodge
Recommendation #8: Build data infrastructure for workforce planning Upload all public-access web links and resources for data to Action Coalition website Disseminate a seamless inventory of CA data for analysis and workforce planning Work closely with other recommendation groups to assess data needs to implement strategies Co-Leads: Joanne Spetz and Louise Bailey
Regional Approach Change will happen locally Regional champions serve on Leadership Council Hold regional forums to build engagement and deliver the message locally Ensure regional members serving on work groups and/or coordinate with regional subgroups to link into statewide effort
Successes to Date Town Hall Events: Sacramento in August 2011 Southern California February 2012 Chico March 2012 Humboldt planning for the spring Funders Round Table meetings held Sacramento in August 2011 Southern California in December 2011
Successes to Date Legislative Meeting with future discussions in the works High Stakeholder Engagement due to successful outreach CA is Role Model for Action Coalitions in other states CA chosen as sight for Western Regional Education Meeting
Get Involved! Speaker s Bureau Trainings Development Campaign Connect your organization
First Quarter Speaker s Bureau Trainings February 16 : San Francisco General Hospital Carr Auditorium, 1-5pm March 12: Chico State University, 1-5pm March 19: San Diego County Medical Society, 12-4:30pm
It Will Take All of Us!
Next Steps 1. From the perspective of COADN, what are we missing? Identify both short-term and long-term goals you feel need to be included in the work of the Coalition. 2. What do you feel is critical to communicate back to the national agenda from California s perspective? 3. What specific ways can you see COADN s mission reflected in the goals of the Coalition and how do you want to continue being involved?
For More Information Mary Dickow, MPA Casey R. Shillam, PhD, RN-BC California Action Coalition California Action Coalition Statewide Director Nurse Co-Lead marydickow@me.com casey.shillam@ucdmc.ucdavis.edu 415-307-9476 916-548-7105 Future of Nursing Campaign for Action www.thefutureofnursing.org California Action Coalition www.caactioncoalition.org