The Alabama Health Action Coalition (AL-HAC) Carol J. Ratcliffe, DNP, RN, FACHE Kathleen Ladner, PhD, RN, FACHE Alabama Health Action Coalition - Nursing Co-Leaders 2013 NPAA 7 th Annual Conference: A Prescription for Change The Hilton, Birmingham, AL September 12, 2013 OBJECTIVES Describe the Institute of Medicine s (IOM) 2010 report on the Future of Nursing Differentiate state perspectives on the implementation of the IOM report Discuss future state initiatives necessary for success after IOM implementation 1
INSTITUTE OF MEDICINE REPORT High-quality, patient-centered health care for all will require a transformation of the health care delivery system One of the most-viewed online reports in IOM history HEALTH CARE SYSTEM CHALLENGES High costs Fragmentation Primary care shortage Health care disparities Aging and sicker population 2
Not Reform AND THIS IS It is Transformation Not what healthcare has been. But what it must be Doesn t just improve the past.. But creates a new future A purpose beyond improving nursing But improving nursing to advance care & care outcomes CAMPAIGN STRATEGIES Diverse Stakeholders Action Coalitions Research, Monitoring, Evaluation RWJF AARP Advisory Committee Policy-makers Communications Grantmaking 3
CAMPAIGN FOR ACTION PILLARS Advancing Education Transformation Removing Barriers to Practice and Care Interprofessional Collaboration Nursing Leadership Diversity DATA CAMPAIGN FOR ACTION SUMMIT 2013: TRANSFORMING HEALTH CARE THROUGH NURSING 4
AL-HAC AT NATIONAL SUMMIT AL-HAC AT NATIONAL SUMMIT 5
EXAMPLES OF STATE PERSPECTIVES ON THE IMPLEMENTATION OF THE IOM REPORT North Carolina Vermont Virginia Alabama ALABAMA HEALTH ACTION COALITION (AL-HAC) The Alabama Health Action Coalition (AL- HAC) serves as the driving force for transforming health care through nursing in our state. Recognizing the important work already underway in Alabama and with a goal of long-term sustainable change, AL- HAC leads the way to improve the health of the population. 6
AL-HAC LEADERSHIP TEAM Carol J. Ratcliffe, DNP, RN, FACHE President, Alabama Organization of Nurse Executives Kathleen A. Ladner, PhD, RN, FACHE Past President, Alabama Organization of Nurse Executives Jane Yarbrough, BSN, RN Health Management Department Manager, Blue Cross Blue Shield of Alabama Lacy Gibson, BS Director of Human Resources/Workforce Development Committee, Alabama Hospital Association AL-HAC GOALS Improve the health status of all Alabamians Increase access to cost-effective and high-quality care Foster interprofessional and community collaboration Develop an Alabama Health Action Agenda that will incorporate the IOM/FON and Healthy People 2020 recommendations with ongoing state health initiatives 7
ALABAMA NURSE LEADERS IN EDUCATION AND PRACTICE (ANLEP) ANLEP CONSTITUENCY GROUP Alabama Organization of Nurse Executives (AlaONE) Alabama Board of Nursing (ABN) Alabama State Nurses Association (ASNA) State of Alabama Association of Colleges of Nursing (SAACN) Alabama Council of Administrators of Professional Nursing Education Programs (ACAPNEP) Alabama Department of Education Nursing Programs Nurse Practitioner Alliance of Alabama (NPAA) Birmingham Black Nurses Association Alabama 80 x 20 Task Force UABSON, IVMSON, UASON, UAHSON 8
BRINGING IT ALL TOGETHER AL-HAC ORGANIZATIONAL STRUCTURE 9
AL-HAC ACCOMPLISHMENTS Focus beyond nursing AL-HAC infrastructure Use of ALAHA s Health Research & Education Foundation 501c3 to deposit funds for financial support Support of the Medical Association of the State of Alabama (MASA) and AARP Alabama Engagement of new high profile stakeholders Questions added to the 2012 RN licensure renewal Questions added to the 2013 LPN licensure renewal AL-HAC ACCOMPLISHMENTS CONTINUED Andrea Brassard, DNSc, MPH, FNP (Senior Strategic Policy Advisor, Center to Champion Nursing in America at AARP) Keynote speaker at 2012 AlaONE Annual Leadership Conference Alabama 80 x 20 Taskforce Matriculation from Associate to Baccalaureate in nursing Attended the Campaign for Action Summit 2013: Transforming Healthcare Through Nursing RWJF State Implementation (SIP) Grant finalist to support the work of the Alabama 80 x 20 Taskforce 10
AL-HAC ACCOMPLISHMENTS CONTINUED Began a fundraising campaign with a goal of reaching $75,000 Jonas Scholars active in the work of AL-HAC Web domains secured by Alacare for the AL-HAC AlaONE Board of Directors supported the prescriptive authority bill for nurse practitioners and clinical nurse midwives Finalized the plan for the 2013 Health Summit Incorporation of the 2010 IOM Report recommendations in the AlaONE Annual Leadership 2013 Conference AL-HAC: NEXT STEPS Execute communication and media plan to include networks of diverse audiences Operationalize the RWJF SIP Grant proposal if selected Work toward a paid director and administrative support Aggressive fund raising efforts for sustainability Survey nurse participation on boards across Alabama Begin to work toward operationalizing the goals of the 2013 Health Summit 11
WHAT IS AT STAKE IF WE DO NOT CHANGE? Alabama s health rankings will continue as some of the worst in the nation (ranked 45th in 2012, 46th in 2011). Large numbers of Alabamians will remain uninsured and without access to primary and preventative health care. NPs in Alabama will continue to be restricted in practicing to the full extent of their education and training, thus further reducing access to care and causing NPs to flee the state. True interprofessional collaborative practice models, shown to result in safer, more effective care, will suffer. TAKE HOME POINTS Nursing is the catalyst for the Campaign for Action Goals to enhance access to care and improve health outcomes through inter-professional collaboration Action Coalitions exist in all 50 states and the District of Columbia Being an Action Coalition (AC) is a designation and entitles the AC to non-monetary resources from the Robert Wood Johnson Foundation and AARP 12
TAKE HOME POINTS Each State is structured differently; funded and non-funded Each State has different priorities based on their needs Ongoing evaluation of the plan to include a dash board with metrics and outcomes and revise as needed RWJF SIP Grant finalist Successfully achieved $75,000 seed money for SIP Grant ACTION COALITIONS NEED THE FOLLOWING TO BE SUCCESSFUL Strong Leaders Diverse Stakeholders Financial Resources Results Oriented 13
ACTION COALITION UPDATES http://campaignforaction.org/ http://campaignforaction.org/state/alabama http://campaignforaction.org/national-summit http://www.youtube.com/watch?v=v_pnaxjvn2c 14
Questions and Discussion Dr. Carol J. Ratcliffe, RN, FACHE cjratcliff@aol.com Dr. Kathleen Ladner, RN, FACHE ladner34@bellsouth.net 15