OONE Fall Conference November 7, 2014 Sandy Beidelschies, MSN, RN 1
Provide overview/update on the Ohio Action Coalition (OAC) History Steering Committee Work Groups Discuss role of OONE with the OAC OONE Board Legislative and Practice Committee Individual Members 2
2008 The Institute of Medicine (IOM), the advising body of the federal government for healthcare issues, teamed with the Robert Woods Johnson Foundation (RWJF) to look at the future of healthcare and specifically to create evidence-based, action-oriented plans to address the nursing shortage and the future of nursing. 2010 The IOM issued a 546 page report called the Future of Nursing: Leading Change, Advancing Health, which outlined 8 recommendations for the future of nursing: 1. Remove scope of practice barriers. 2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. 3. Implement nurse residency programs. 4. Increase the proportion of nurses with a baccalaureate degree to 80% by 2020. 5. Double the number of nurses with a doctorate by 2020. 6. Ensure that nurses engage in lifelong learning. 7. Prepare and enable nurses to lead change to advance health. 8. Build an infrastructure for collection and analysis of inter-professional healthcare workforce data. 3
The Future of Nursing: Leading Change, Advancing Health is the most down-loaded report from the IOM: 95,000 downloads since 2010 That averages to be: 24,000 per year 2,000 per month 461 per week 65 per day! 4
2011 The Center to Champion Nursing in America (CCNA) was delegated the task of identifying strategies for implementing the IOM recommendations (http://championnursing.org). CCNA is an initiative of the American Association of Retired People (AARP) and the RWJF, with its mission to ensure that all Americans have access to highly skilled nurses whenever or wherever they need one. CCNA, in turn, created a Campaign for Action and called upon states to formalize Action Coalitions (ACs) to identify how they would, or currently were operationalizing the IOM recommendations with these requirements (among other things): Only one AC per state. Each AC must be co-led by 1 nursing and 1 non-nursing representative. The Campaign for Action resulted in Action Coalitions being developed in every state and the District of Columbia. In Ohio: Nursing 2015 and Ohio Network for Nursing Workforce (ONNW) joined forces to apply for Action Coalition status, which was accepted in September 2011. The first Ohio Action Coalition (OAC) meeting was held in November 2011, and appointed a Vision Team to create a mission statement and develop the structure and areas of focus for the OAC. 5
January 2012 OAC Vision Team Created OAC Mission Statement: To revolutionize the delivery of health care for Ohio consumers through collaborative engagement and implementation of the recommendations of the IOM report. Identified 5 Areas of OAC Focus: Nursing Education Inter-professional Collaboration Leadership and Communication Remove Scope of Practice Barriers Nursing Workforce Data/Research Developed OAC Basic Structure: Steering Committee/OAC created to be made up of 2 reps from: OHA, OONE, ONA, OLN, OBN, OCADNEA, OCDD, GCHC, NEONI, and the Nursing Institute of West Central Ohio. (note: all these groups were from the original Nursing 2015 and/or ONNW) (note: AARP is also represented on the OAC as required by CCNA) Steering Committee charged with selecting work group co-chairs and providing general guidance/direction for the OAC and the work groups. 6
June 2012: Education expert (Pat Farmer) from CCNA presented 4 possible models being used in other states to promote increasing BSNs: BSN awarded by Community Colleges Acceleration options of RN to MSN Competency or Outcomes based curriculum Shared statewide or regional curriculum Competency based curriculum selected as first choice. October 2012 Selection of co-chairs for the work groups: Equal representation from education and practice Professional, geographic, and personal diversity November 2012 Work groups officially launched to address areas of focus: Increasing BSNs in the Workforce Increasing Doctorates/Lifelong Learning Nurse Residencies/Transition to Practice Practice to Full Extent of License Data Collection and Research 7
2013 Most state Action Coalitions (ACs), including the OAC, are not funded and rely heavily on in-kind support and volunteer participation. Robert Wood Johnson Foundation (RWJF) offered State Implementation Program (SIP) grants: 30 grants up to $150,000 each; awarded with the stipulations that the ACs must: Raise matching funds - RWJF awarded $2 for every $1 raised up to the $150,000. Develop 2 priority recommendations from the IOM report and demonstrate outcomes over 2 years. Submit mid-year and year-end reports detailing progress toward identified activities, outcomes, and benchmarks for the priority recommendations. Preference given to proposals that included plans to increase diversity in nursing workforce, faculty, and nurse leaders (diversity and inclusion are core values of RWJF). If goals are met or exceeded ACs may be eligible to re-apply in next grant phase. 8
2013 Small task force from OAC developed diversity plan with 5 main objectives: Integrate diversity into the Steering Committee and all workgroups of the OAC. Promote OAC data advancement around diversity. Increase gender diversity in Ohio nursing education and workforce. Engage minority nursing organizations including organized chapters in Ohio. Focus on diversity and inclusion as well as cultural competence, leadership, and education development for building infrastructure and sustainability. SIP grant proposal submitted in August and grant was awarded in December 2013. Ohio exceeded the amount needed in matching funds due to the contributions of many individuals and organizations! Funds are designated for: Convening, coordinating, communicating. Web support. Expert consultation for ACs or work teams. Full or partial salary for AC coordinator. Constructing/maintaining infrastructure to advance/measure progress toward priorities. 9
First Priority Recommendation for SIP grant: Increase the proportion of nurses with a baccalaureate degree in Ohio s nursing workforce. Goals: Establish a competency based education model that is accepted across the state by both education and practice. Develop seamless educational processes so nurses can achieve higher levels of education and training. Improve access for RNs to achieve higher levels of education by identifying and minimizing barriers other than those in the educational system. 10
Second Priority Recommendation for SIP grant: Build an infrastructure for the collection and analysis of the inter-professional healthcare workforce data for Ohio. Goals: Collect Ohio RN workforce data, based on the Minimum Data Set (MDS) and the Health Resources and Services Administration (HRSA) National Health Care Workforce Commission questions, in calendar year 2013; and LPN workforce data in 2014; and make data available to the public. Contribute to the national nursing workforce database by collaborating with the HRSA Workforce Commission regarding core data elements. Collaborate with state agencies and other organizations by sharing data and information to encourage other professions to gather workforce data for analysis of Ohio s healthcare workforce. Encourage implementation of forecasting tools to develop regional and state projections about nursing supply and demand in Ohio. 11
OAC Steering Committee Nurse Co-Chair: Jane Mahowald, MSN, RN Executive Director, Ohio League for Nursing (OLN) Jfmahowald@aol.com Non-Nurse Co-Chair: Jonathan Archey, NREMT-B Director, Federal Regulations, Ohio Hospital Association (OHA) jonathana@ohanet.org Sean McGlone was the original OHA non-nurse representative. Five Work Groups Increasing BSN in the Workforce Nurse Residency/Transition To Practice Advancing Education/Lifelong Learning/Leadership Full Practice Authority Data and Research 12
Holds quarterly meetings: Completed development of infrastructure and processes. Submitted required six month AC reports. Submitted quarterly SIP grant reports. Developed OAC logo. Exploring additional funding sources. Refining the OAC and work group strategic plans. Monitoring and supporting progress of work groups. Developing internal and external communication mechanisms. 13
Practice Co-Chairs: Joy Bischoff, MSN, RN CNO, Marion General Hospital jbischo2@ohiohealth.com Le-Ann Harris, MHSA, BSN, RN Director of Nursing, Grant Medical Center lharris4@ohiohealth.com Education Co-Chairs: Kathleen Carissimi, MSN, Med, RN, CNS, CNE Faculty Member, University of Cincinnati, College of Nursing kcarissimi@cinci.rr.com Cindy Wilkins, PhD, RN Dean College of Nursing, Muskingum University cwilkins@muskingum.edu 14
(First Priority Recommendation for SIP grant) Establish a nursing competency based education model that is accepted across the state by both education and practice. Developed and selected the Ohio Nurse Competency Model (ONCM): 6 competencies from the Quality and Safety Education for Nursing (QSEN). 4/5 competencies from Massachusetts Nurse of the Future (NOF). Held regional educational sessions around the state to inform education and practice about the Ohio Nurse Competency model. AD and BSN programs conducting gap analysis of their curricula with the Ohio Nurse Competency Model. Additional regional meetings will be held to discuss gap analysis results. Strategies being explored to address seamless progression in nursing education. 15
The Ohio Nurse Competency Model (ONCM) is comprised of 7 competency domains with corresponding knowledge, skills, and attitude (KSAs) statements. 6 QSEN +4/5 NOF =7 ONCM 7 Competency Domains (red denotes QSEN competency) Patient Centered Care Leadership and Professionalism Evidence-Based Practice Quality Improvement and Safety Informatics and Technology Communication, Team Work and Collaboration Systems-Based Practice 16
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Practice Co-Chair: TBD due to vacancy created by Loraine Frank-Lightfoot, DNP, MBA, NEA-BC former CNO, Wooster Community Hospital Education Co-Chair: Pamela Rutar, EdD, MSN, RN, CNE Assistant Professor, Cleveland State University prutar@csuohio.edu 18
(Goal) Develop a plan/roadmap for all organizations employing nurses to assist/ensure that they incorporate best practice strategies for nurses as they transition into practice roles. Developed summary of the presence and content/key components of transition to practice/nurse residency programs in Ohio. Developing tool kit to assist facilities in creating/implementing a transition to practice/nurse residency program. The toolkit will identify guidelines and key components compiled from organizations around the state. Awaiting recommendations from the results of the Transition to Practice (TTP) study conducted by NCSBN to determine best practices. Developing guidelines and tool kit for preceptor education including educational partners around the state to support practice sites for preceptor education. 19
Practice Co-Chair: Cynthia Pearsall, MSN, RN, NEA-BC CNO, Fairfield Medical Center Cynthiap@fmchealth.org Ivaad Hasan, MSN, CNP Nurse Practitioner, Cleveland Clinic hasani2@ccf.org Education Co-Chair: Kathleen Ballman, DNP, RN ACNP-BC, CEN Assistant Professor of Clinical Nursing, University of Cincinnati College of Nursing Kathleen.Ballman@uc.edu 20
(Goals) Gaining respect as/for the nursing profession. Emphasizing the evidence of nursing s value using its science (EBP). Focusing on the prevention of illness and promoting health in the community. Identified leadership core competencies related to the goals above. Developing a leadership toolkit that incorporates the Future of Nursing leadership core competencies and focuses on the goals noted above. Florida has created a similar toolkit which is being reviewed. 21
Practice Co-Chair: Peter DiPiazza, RN, BC-FNP Director of Advanced Clinical Practice, Ohio Health dipiazz@ohiohealth.org Education Co-Chair: Barbara Nash, MS, RNC, CNS Visiting Professor, Otterbein University lwiseinc@aol.com 22
(Goal) Develop full practice authority in Ohio. Evaluating educational forums/talking points for consumers on role of Advanced Practice Registered Nurses (APRNs). Evaluating the prescribing formulary and other scope of practice barriers for APRNs in Ohio. Collaborating with the Ohio Association of Advanced Practice Nurses (OAAPN), who is working with the Rand Corporation, to conduct a study on the economic impact of changes in the APRN s scope of practice. 23
Regulatory Co-Chair: Betsy Houchen, JD, MS, RN Executive Director, Ohio Board of Nursing bhouchen@nursing.ohio.gov Practice Co-Chair: Pam Waite, MSN, RN-BC, MHSA Director Healthcare Workforce, The Center for Health Affairs pamela.waite@chanet.org Education Co-Chair: Anna Jaso, MSN, RN Assistant Professor, Lourdes University ajaso@lourdes.edu Donna Martsoff, PhD, RN Associate Dean for Research and Translation, University of Cincinnati martsoda@ucmail.uc.edu 24
(Second Priority Recommendation for SIP Grant) Build an infrastructure for the collection and analysis of the inter-professional healthcare workforce data for Ohio. Collected baseline workforce data during 2013 RN and APRN license renewals. Posted report on the Ohio Board of Nursing Website under the link, Ohio Center for Nursing. Collected baseline workforce data during 2014 LPN license renewals. Similar report to be posted once data is analyzed. Developing/implementing forecasting tools for regional and state projections of nursing supply and demand in Ohio. 25
(Goals as part of the SIP grant diversity plan): Integrating diversity on the OAC Steering Committee and work groups. Diversity currently exceeds the baseline data. Communication of OAC data on diversity in the workforce. Data for RNs and APRNs has been collected and report is on the OBN website. LPN data was collected in August 2014 with report forthcoming. Promoting gender diversity in Ohio nursing education and workforce. Ohio Deans and Directors of nursing programs have been to asked provide data regarding the American Assembly of Men in Nursing (AAMN) recognition of Excellence for Nursing educational environments that are supportive of men. Engaging minority nursing organizations including Ohio chapters. Currently reviewing the organizations in Ohio and developing the plan. Developing synergies with organizations to build infrastructure and sustainability for diversity, inclusion, cultural competency, leadership, and education development. Currently identifying nursing organizations that are already doing this. 26
In February 2014, the OONE Board identified strategic initiatives for all OONE committees to align not only with those of the American Organization of Nurse Executives (AONE) but also to continue the collaboration with partners in education, regulation, and others, including the OAC. OONE Representatives to OAC Steering Committee: Sandra Beidelschies, MSN, RN CNO/VP Patient Services, Wood County Hospital beidelschiess@woodcountyhospital.org Linda Maurer, MSN, RN CNO/VP Patient Services, Wilson Memorial Hospital lmauer@wilsonmemorialhospital.org. Two Year Objective (as it relates to the OAC): Advance the OAC strategic plan in collaboration with community-based partners in all areas of healthcare. 27
OONE Board Transformational Improvements: Continue to support engagement of OONE members on the OAC. Foster facilitation of data requests of the OAC. Secure ideas for funding of grant requests. Advocate for new community-based inter-professional care delivery models, including APRNs, which support the full continuum of care. Implement partnerships to increase the proportion of nurses with a BSN to 80% by 2020. Promote and advocate for Transition to Practice programs to improve nursing competence and patient safety. Develop and implement multiple communication venues for OONE members in regards to OAC activities. 28
As directed by the OONE Board, the Legislative and Practice Committee has focused on these goals and action items related to the OAC: 1. Develop two (2) toolkits for CNOs (and other nurse leaders) related to evidence-based practices for increasing BSNs in the workplace. Developing a grid outlining best practices being used in Ohio for increasing BSNs. Exploring the creation of an on-line resource library related to increasing BSNs. 29
2. Host OONE (Board) education session(s) about the ONCM: Provided webinar to OONE Board and OAC/BSN co-chairs on October 2, 2014 to discuss issues/current work on implementing a competency model in practice. Exploring additional educational forums about the ONCM to: Key constituents within OONE Nursing practice Administrators/Executives Nursing Directors/Managers Nursing Staff Educators Front-line Nursing Staff 30
3. Develop two (2) tool kits for CNOs (and other practice leaders) related to the ONCM: Exploring how to bridge the ONCM gap between education and practice as well as to identify areas of additional research or discussion. Exploring how to coordinate efforts on implementing the ONCM in practice with the activities of the OAC work teams. 31
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Will need to explore the differences in competency/ksa terminology between education and practice to develop common definitions and as evidenced by statements. Will need to identify a common focus area(s). Will need to explore what impact the ONCM will have on clinical practice, including border states. Will need to research/evaluate how the ONCM could be integrated into clinical practice for: nurse residency/transition to practice programs on-boarding of experienced staff specialty internships assessing clinical competencies of current/tenured staff job descriptions performance evaluations staff development and education 33
Think about what the OAC initiatives mean for your organization or your personal clinical practice. Attend and participate in educational sessions to increase your knowledge. Ask questions, research, and identify issues for consideration. But most importantly, we need you to Get involved with OONE, OAC work groups, or other opportunities in this exciting but challenging change for the Future of Nursing! 34
Ohio Action Coalition Nurse Co-Chair Jane Mahowald, MA, RN, ANEF Executive Director, Ohio League For Nursing (OLN) Non-Nurse Co-Chair Jonathan Archey, NREMT-B D Director Federal Regulations, Ohio Hospital Association (OHA) Steering Committee-- Representatives from each of the following: Ohio League for Nursing (OLN) Ohio Hospital Association (OHA) Ohio Organization of Nurse Executives (OONE) Ohio Nurses Association (ONA) American Association of Retired Persons (AARP) Greater Cincinnati Health Council (GCHC) Northeast Ohio Nursing Initiative (NEONI) Ohio Board of Nursing (OBN) Ohio Council of Deans and Directors (OCDD) Ohio Council of Associate Degree Nursing Education Administrators (OCADNEA) Nursing Institute of West Central Ohio Work Groups Increasing BSN Workforce Lifelong Learning/ Leadership Nurse Residency/ Transition to Practice OONE A society of OHA Full Practice Authority Data / Research OONE Board President - Lisa Aurilio, MSN, RN, NEA-BC OONE Board Initiatives (related to OAC) 1) Identify evidence based practice for increasing BSNs. 2) Increase knowledge base of Ohio Nurse Competency Model. OHA Society Liaison Jonathan Archey, NREMT-B Director, Federal Relations, OHA 35
Never underestimate the power of a team of committed individuals, who in spite of their other full-time jobs, give countless volunteer hours to make this happen! To get updates on all ACs for the Future of Nursing Campaign for Action: http://campaignforaction.org To get updates about the OAC: http://www.ohioleaguefornursing.org/?page=oac Or follow on: www.facebook.com/campaignforaction www.twitter.com/campaign4action To obtain the Ohio Board of Nursing workforce data: http://www.nursing.ohio.gov related link to Ohio Center for Nursing http://www.ohiocenterfornursing.org 36