11/9/2017 Minnesota Organization of Leaders in Nursing (MOLN) Public Policy Internship Hearing and Testimony Preparation Judith M. Pechacek, DNP, RN, CENP Stephanie Gingerich, BSN, RN BC, CPN Objectives 1. Describe how to be involved and influence policy at the local and national level 2. Discuss how to work effectively with legislators and staff to advance policy agendas 3. Understand policy hearing and testimony processes 1
11/9/2017 How to give testimony tip sheet 1. Sign up sheet at the hearing a. Speakers are taken in order of first come first served b. Legislators, state agency staff and invited speakers are allowed to testify first 2. Arrive early 3. Clearly introduce yourself and state who you are and who you represent 4. Speak through the committee chair 5. Follow Roberts rules of order http://www.afsc.noaa.gov/education/activities/pdfs/sb SS_Lesson6_roberts_rules_of_order.pdf How to give testimony tip sheet 6. Give clear and concise testimony a. Make your testimony compelling b. Identify your concerns and how you think the legislators can help c. Try not to read from the script d. Have your script there if needed but simply speak from your heart covering the main points e. Answer questions f. Bring written summaries of your testimony g. Have a longer version of your testimony that you can leave with representatives and prepare 20 copies to distribute h. Be respectful! 7. Get organized and bring your supporters 2
11/9/2017 Rules for advocating Know your legislators Know your legislator s staff Know which legislators are sympathetic to your cause Know your issue and address one issue at a time Be polite and appreciative to those you approach Use simple language Preach to those not in the choir! Keep legislators informed about your activities Use the media and mediums Repeat, repeat, and repeat your basic message over and over Offer to answer questions and to follow up on issues they raise Thank the legislators for their time and consideration of your position Inspire Others http://www.theprimes.com/stake 3
11/9/2017 Testimony Preparation Topic Small Group Work Get into your groups Review information related to your topic Complete testimony worksheet Issues Compassionate Care Nurse staffing Licensure compact/tele health Mandatory influenza E cigarettes Mandating childhood vaccination 4
11/9/2017 Testimony Preparation (Pro/Con) Describe the issue/topic Introduction (30 seconds) Clearly introduce yourself Brief description of support for topic/issue Research, statistics, and opposition for topic/issue Speak through committee chair Testimony (2 minutes, be concise) Wow statement: Thank the committee for their time. Testimony Practice Group presentation of their testimony o One testifier for pro side o One testifier for con side o Rest of team be ready for questions Panel Feedback/Questions following testimony 5
11/9/2017 Preparation for Mock Hearing Tuesday, Nov. 14, 10:00 12:30 10 10:20 Preparation/Practice for mock hearing 10:20 10:25 Introduce the mock hearing and legislators 10:25 10:45 Issue 1 10:45 11:05 Issue 2 11:05 11:25 Issue 3 11:25 11:45 Issue 4 11:45 12:05 Issue 5 12:05 12:25 Issue 6 12:25 12:30 Chair closes the meeting 1:30 2pm Debrief mock hearing QUESTIONS? 6
Heath Care & National Call to Action A number of national organizations have established principles related to some of these health care issues. Feel free to search these sites for information that will support your position. The American Academy of Nursing: http://www.aannet.org/home The Institute for Healthcare Improvement: http://www.ihi.org/pages/default.aspx The Health and Medicine Division (Formerly Institute of Medicine) http://www.nationalacademies.org/hmd/ American Nurses Association: http://www.nursingworld.org/ National Nurses United: http://www.nationalnursesunited.org/pages/about Issues Compassionate Care Nurse staffing Licensure compact/tele health Mandatory influenza E cigarettes Mandating childhood vaccination Compassionate Care Act Compassion and Care media resources: https://www.compassionandchoices.org/research/media resources/ StarTribune Article:http://www.startribune.com/compassionate care act would giveterminal patients the right to die/297282401/ Death with Dignity website: https://www.deathwithdignity.org/states/minnesota/ Patients Rights Council: http://www.patientsrightscouncil.org/site/minnesota/ Not Dead Yet: http://notdeadyet.org/category/minnesota Nurse Staffing The nurse staffing debate is being played out in not only the legislature but in the media and hospital boardrooms across the United States. According to Gallup nurses are the most trusted (honest/ethical) profession and garner a lot of attention with this debate. Hospitals plea further loss of margins (only carry 3% margin now) and that quality of care is not suffering anyway this is a solution without a problem Take a look at both the support and opposition for this issue do you have a middle ground or a solution that would work for all be creative!!! Support: http://www.nursingworld.org/nursestaffing http://mnnurses.org/wp content/uploads/2016/03/2015 Annual Report.pdf Minnesota Catholic Conference: https://mncatholic.org/advocacyarea/physician assistedsuicide/ Opposition: http://www.mnhospitals.org/policy advocacy/priority issues/mandated nurse staffingquotas http://www.mnhospitals.org/newsroom/news/id/148/the facts about mandated staffingquotas http://c.ymcdn.com/sites/moln.org/resource/resmgr/advocacy/moln_howtomakesched ulel_2_1_.pdf
http://c.ymcdn.com/sites/moln.org/resource/resmgr/advocacy/mandatedratios_thefact s_2_1_.pdf Licensure Compact Tele medicine, Tele health, E ICU s and global care coordination have all made this issue real. The old way of licensing nurses no longer fits new and emerging care models and yet labor unions resist changes as it threatens local control of the workforce. The biggest fear is that there will be an unfettered influx of nurses from compact states easily entering during a work stoppage. Understanding the economic drivers that are the underpinnings of this issue as well as organized labor s fears of will help in devising good public policy. What would you do? Support: https://www.ncsbn.org/nlc.htm Opposition: http://mnnurses.org/blog/mna legislative update national nurse licensure compact bill/ http://www.nursingworld.org/state LicensureCompact.aspx Mandatory Influenza vaccinations for HC workers While the research is clear about the efficacy of influenza vaccination the personal debate continues. There are valid points on all sides of this debate. It is critical for both sides to understand the issues so good policy can be enacted. What do you believe in and what do you think would work for health care workers and policy makers both? http://www.cdc.gov/flu/healthcareworkers.htm Support: National Foundation for infectious diseases: http://cid.oxfordjournals.org/content/50/4/459.full.pdf+html http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2810172/ http://www.npsf.org/news/259784/national Patient Safety Foundation Supports Mandatory Flu Vaccine for Health Care Workers.htm Opposition: http://www.nationalnursesunited.org/press/entry/largest national nurses unionopposes mandatory flu vaccination http://journalofethics.ama assn.org/2010/09/ccas2 1009.html E Cigarettes An electronic cigarette or e cigarette is a handheld electronic device that vaporizes a flavored liquid. The user inhales the vapor. Using e cigarettes is often called vaping. The fluid in the e cigarette is usually made of nicotine, propylene glycol, glycerine, and flavorings. Concerns have been raised that the focus or e cigarettes is young adults and teens http://www.health.state.mn.us/ecigarettes Minnesota statute allows a town board or the governing body of a home rule charter or statutory city may license and regulate the retail sale of tobacco, tobacco related devices, and electronic delivery devices
https://www.revisor.mn.gov/statutes/?id=461.12 And prohibits the sale to minors https://www.revisor.mn.gov/statutes/?id=609.685 Are e cigs a good thing? Should we have more legislation prohibiting the use? Should flavorings that cater to young adults be allowed? Support e cigs http://www.nationalcenter.org/pr E Cigarettes Amicus_080516.html http://blog.hreonline.com/2016/08/08/supporters of vaping e cigarettes fight back/ http://biggovernment.news/2016 05 09 supporters of e cigarettes pushing lawmakersto limit fda regulatory role.html Opposition: http://www.economist.com/blogs/economist explains/2013/06/economist explains 11 http://ash.org/resources/e cigarettes the fight against tobacco/ Mandatory Childhood Vaccines Topic: Should individual choice be prioritized over the good of all people As we know vaccinations work by protecting when the entire community is vaccinated when not enough people are vaccinated in a community the entire group is at risk Herd Immunity. But what about the rights of the individual? Should vaccinations be mandated in Minnesota? What is the current statute? Should it be expanded Yes or NO? http://www.health.state.mn.us/divs/idepc/immunize/laws/ http://www.vaccines.gov/basics/protection/ http://www.nytimes.com/roomfordebate/2014/03/23/making vaccination mandatoryfor all children Support: Voices for vaccines http://www.voicesforvaccines.org/ Immunization coalition http://www.immunize.org/resources/part_us.asp Opposition: Think twice http://thinktwice.com/faq.htm (Back to the top)
Describe the issue/topic MOLN Testimony Preparation PRO Testimony Preparation Brief description of support for topic/issue Research, statistics, and opposition for topic/issue
MOLN Testimony Preparation PRO Testimony Introduction (30 seconds)clearly introduce yourself Speak through committee chair Testimony (2 minutes, be concise) Wow statement: Thank the committee for their time. Post Testimony Preparation Anticipate follow-up questions Reply
Describe the issue/topic MOLN Testimony Preparation CON Testimony Preparation Research, statistics, and opposition for topic/issue Brief description of support for topic/issue
MOLN Testimony Preparation CON Testimony Introduction (30 seconds)clearly introduce yourself Speak through committee chair Testimony (2 minutes, be concise) Wow statement: Thank the committee for their time. Post Testimony Preparation Anticipate follow-up questions Reply