OONE Fall Conference November 11, 2016 Sandy Beidelschies, MSN, RN OONE Representative to OAC

OONE Fall Conference November 11, 2016 Sandy Beidelschies, MSN, RN OONE Representative to 1

Sandra Beidelschies, MSN, RN, CNO/VP Patient Services, Wood County Hospital beidelschiess@woodcountyhospital.org. Linda Maurer, MSN, RN, CNO, Wilson Health lmaurer@wilsonhealth.org. Alternate: Mary Bigowsky, MSN, RN, Director of Nursing, St. Elizabeth Health Center mary_bigowsky@mercy.com. 2

Why do we provide an update about the? What will attendees gain from the update? What is the Ohio Action Coalition ()?

Why do we provide an update about the Ohio Action Coalition ()? One of the OONE Board s objectives is to advance the s strategic plan, in collaboration with community-based partners in all areas of healthcare, by: Supporting engagement of OONE members on the Steering Committee and its work groups. Communicating to OONE members about activities. Implementing partnerships to increase the proportion of nurses with a BSN to 80% by 2020. Facilitating data requests. Promoting and advocating for Transition to Practice (TTP) programs to improve nursing competence and patient safety. Advocating for new community-based inter-professional care delivery models, including use of APRNs, which support the full continuum of care. Identifying ideas for grant funding.

What will attendees gain from the update? Understanding of how OONE is connected to the. Understanding of how the is connected to the other Action Coalitions and the Culture of Health. Generation of interest in becoming involved in the activities.

What is the? A team of passionate volunteers, representing: The Ohio Organization of Nurse Executives (OONE) The Ohio Hospital Association (OHA) The Ohio League for Nursing (OLN) The Ohio Board of Nursing (OBN) The Ohio Nurses Association (ONA) The Ohio Council of Deans and Directors (OCDD) The Ohio Council of Associate Degree in Nursing Education Administrators (OCADNEA) Greater Cincinnati Health Council (GCHC) Northeast Ohio Nursing Initiative (NEONI) Nursing Institute of West Central Ohio American Association of Retired People (AARP) Ohio and Columbus Departments of Health Ohio Student Nurses Association and committed to working together to impact the future of nursing.

The Ohio Action Coalition () was formed in 2011 and is one of 51 Action Coalitions (ACs) - one in each state and also in Washington, D.C. Why was the formed? ACs were formed in response to a national call to action to implement the Institute of Medicine s (IOM) recommendations from their 2010 report The Future of Nursing: Leading Change, Advancing Health. The Robert Wood Johnson Foundation (RWJF) is one of the largest U.S. philanthropy organizations devoted to health and health care. The American Association of Retired People (AARP), is one of the country s largest consumer organizations. In 2010, these two groups, along with the AARP Foundation, partnered to create The Future of Nursing: A Campaign for Action to improve America s health through nursing. The Campaign for Action is coordinated through the Center to Champion Nursing in America (CCNA), which is another initiative of the AARP Foundation, AARP, and the RWJF (http://www.championnursing.org). The Institute of Medicine (IOM) had delegated to CCNA the task of implementing the IOM recommendations. 7

In order to connect with the IOM recommendations and fulfill the vision of The Future of Nursing Campaign - that everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health - ACs nationwide, including the, are focusing efforts on: Transforming nursing education Collecting workforce data Fostering inter-professional collaboration Improving access to care Promoting nursing leadership Increasing diversity in nursing 8

In addition, in 2014, based on the premise that everyone deserves to live the healthiest life possible *, the RWJF, the RAND corporation, the AARP Foundation, and others proposed a vision of a Culture of Health that places well-being at the center of every aspect of life.* They created a Culture of Health framework for individuals and organizations to think differently about health and to take action in their community :* 1. Making Health a Shared Value. 2. Fostering Cross-Sector Collaboration to Improve Well-Being. 3. Creating Healthier, More Equitable Communities. 4. Strengthening Integration of Health Services and Systems. *www.cultureofhealth.org 9

Why are ACs incorporating a Culture of Health into their work? Transforming health and health care through nursing, where all Americans live a healthier life, supported by a system with nurses as essential partners in providing care and promoting health (focus of the ACs) is a complementary goal in improving health for all persons (focus of a Culture of Health). 16

The, like most other ACs, is not funded and relies heavily on in-kind support and volunteer participation. The has been fortunate to receive funding from RWJF State Implementation Program (SIP) grants, for 2014-2016 and again for 2016 2018. Grantees must meet identified goals and outcomes; and include plans to increase diversity in nursing workforce, faculty, and nurse leaders. No further SIP grants will be awarded after the current grant cycle so securing additional funding is a top priority for the. Representatives from the Columbus Department of Health and the Ohio Department of Health were seeking a partner for a grant-funded Culture of Health project; and have been added as representatives to the Steering Committee. Also added to the Steering Committee were representatives from the Ohio Student Nurses Association. 17

s overall mission is to improve the health of Ohioans by maximizing the role of nurses in support of the recommendations of the IOM report. s vision is to be the catalyst for Ohio nurses leading change and advancing a culture of health. 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) Carol Drennen, MSN, RN Project Director Steering Committee: Representatives from each of the following organizations: 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 Ohio Student Nurses Association Columbus Department of Health Ohio Department of Health Diversity and a Culture of Health Integrated Into All Work Groups Work Groups Increasing BSN Workforce Data / Research Nurse Residency / Transition to Practice Full Practice Authority Leadership Diversity 18

How do the work teams align with the work of other ACs, as well as the IOM recommendations? Transforming nursing education (Increasing BSNs in the Workforce) Collecting workforce data (Data and Research) Fostering inter-professional collaboration (Transition to Practice) Improving access to care (Full Practice Authority) Promoting nursing leadership (Leadership) Increasing diversity in nursing (Diversity) 19

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Transforming Nursing Education Implement Seamless Academic Progression Model(s) (SIP4 Goal 1) Offer RN to BSN seamless progression pathways : Dual admission between ADN and BSN programs. BSN completion in 1 year. Increasing BSN Workforce Workplace policies contributing to increased BSN and also advanced degrees. The number of BSN prepared nurses, including RN-to-BSN, has now surpassed those earning an ADN.* Fostering Cross-Sector Collaboration to Improve Well-Being IOM goal is 80% employed RNs with BSN by 2020 -> in 2014 ~51%* In 2015 - Ohio had 36% employed RNs with BSN (48% BSN or higher)** * Source: 2016 www.campaignforaction.org ** Source: 2015 OBN Nursing Workforce Data 21

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Transforming Nursing Education Develop and Implement Seamless Academic Progression Model(s) (SIP 4 Goal 1) Minimize academic barriers to timely BSN completion: Easier transfer of credits. Elimination of duplicate nursing content. Credit for experience. Creation of course delivery methods that increase accessibility. Increasing BSN Workforce Five models being tested across the U.S. to reduce barriers to obtaining advanced academic degrees. * RN-to-BSN from a community college. State or regionally shared outcomesbased curriculum. Accelerated RN-to- MSN. Shared statewide or regional curriculum. Shared baccalaureate curriculum. Fostering Cross-Sector Collaboration to Improve Well-Being * Source: 2016 www.campaignforaction.org 22

AC Focus Goal Objectives and Actions Work Team(s) Other AC/IOM Culture of Health Area Transforming Nursing Education Increase awareness of the benefits of advanced educational preparation of nurses to meet growing health care demands and new environments of health care delivery. (SIP 4 Goal 2) Advise potential students of benefits of a BSN education Create and use toolkit for high school, college, and nursing practice. Conduct live sessions with nursing workforce. Educate the public about the increasing role of the nurse of the future. Use websites, publications, and other media sources. Provide information about the Campaign for Action and the. Increasing BSN Workforce Steering Committee Other ACs have produced videos; held open houses; created brochures.* Doctorate-prepared RNs more than doubled between 2010-2014.* * Source 2016 www.campaignforaction.org Strengthening Integration of Health Services and Systems 23

AC Focus Goal Objectives and Actions Work Team(s) Other AC/IOM Culture of Health Area Transforming Nursing Education Decrease identified barriers to completion of BSN education through collaboration with nursing practice partners, especially in rural areas. (SIP4 Goal 3) Analyze reasons for nurses not continuing their education Review data from OBN database. Review data from RN-to-BSN programs and accreditation agencies for trends in educational progression. Evaluate data specific to diverse nursing student populations. Develop strategies to provide assistance to students to reduce resistance to continuing education : Coordinating education program and practice residency requirements for the new RN. Data and Research Transition to Practice Leadership In Ohio 53% RNs have no plans to obtain BSN.* 33% - Age 29% - Other 13% - Financial 9% - Plan to leave nursing 8% - Work schedule 7% - Satisfied 1% - Too hard Fostering Cross-Sector Collaboration to Improve Well-Being Exploring tuition reimbursement programs and other incentives. * Source: 2015 OBN Nursing Workforce Data 24

AC Focus Goal Objectives Actions Work Team Other AC/IOM Culture of Health Area Collecting Workforce Data Continue to grow the nursing workforce database by collecting data about nursing faculty and diversity. (SIP4 Goal 5) Expand data collection elements to include education levels, gender, race, workload, and pay scales about Ohio s nursing faculty. Analyze data to determine future demand for faculty and barriers that hinder nurses from pursuing a career in nursing education. Data and Research Dashboard on campaign for action website details stats on U.S. nursing workforce. Making Health a Shared Value Analyze and expand data on diversity of nursing faculty and students. Explore strategies to increase diversity of underrepresented groups in nursing. Implement the nursing workforce forecasting tool for the NE; Dayton; and Central Ohio regions. 26

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Fostering Interprofessional collaboration Analyze the use of inter-professional educational (IPE) strategies in Ohio to foster a teambased approach in health care. (SIP4 Goal 6) Survey educational institutions about the use of IPE in health care education. Survey health care providers on IPE methods used to promote IP practice and education. Steering Committee Transition to Practice Case Western Reserve University will open the Health Education Campus in 2019 for Nursing, Medicine, and Dentistry. * Other academic organizations offer shared multidisciplinary classes.* Strengthening Integration of Health Services and Systems Offer workshop on IPE for nursing and other health care providers. * Source 2016 www.campaignforaction.org 28

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Improving Access to Care Addressing legislative and regulatory barriers to full scope of practice. Support passage of HB 216 and SB 279 (CRNA) Full Practice Authority Since the AC s inception, eight states Connecticut, Maryland, Minnesota, Nebraska, Nevada, North Dakota, Rhode Island, and Vermont have removed statutory barriers to full extent of education and training. * Strengthening Integration of Health Service and Systems * Source: www.campaignforaction.org. 30

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Promoting Nursing Leadership Increase nursing representation on Ohio boards to enhance nurses ability to help build a culture of health. (SIP4 Goal 4) Analyze collected data on nursing serving on boards to establish baseline representation. Develop board leadership training materials and educate nurses regarding the necessary skills to effectively serve on boards. Conduct curricular mapping of leadership content in under-graduate nursing education programs. Leadership Data and Research Nurses on Boards Coalition (NOBC) - composed of RWJF, AARP, and 19 other organizations established goal of 10,000 nurses on boards and other influential bodies by 2020. As of May 2016 1,192 nurses on boards. * In Ohio, only 1% of RNs were on boards that influenced health care policy. ** Leap Into Leadership concepts being explored. Creating Healthier More Equitable Communities Communicate to organizations the benefits of nurses on their boards. * Source: 2016 www.campaignforaction.org ** Source: 2015 OBN Nursing Workforce Data 32

AC Focus Goal Objectives and Actions Work Team Other AC/IOM Culture of Health Area Increasing Diversity in Nursing Analyze data related to diversity of nursing faculty and students to develop recommendations. Collect data during 2016 license renewal on nursing faculty diversity. Data and Research Diversity As of 2015, the number of minority students pursuing a BSN or higher was 30%* 88% RNs with BSN or higher were female; 12% were male. In Ohio = 92% were female; 8% were male. ** Making Health a Shared Value * Source: 2016 www.campaignforaction.org ** Source: 2015 OBN Nursing Workforce Data 34

Why do we provide an update about the? What will attendees gain from the update? What is the Ohio Action Coalition ()?

So what is missing? 36

YOU! 37

Questions 38

To get updates on all ACs: http://www.campaignforaction.org information can be found on the Ohio tab under State info. To get updates about the you can also check: http://www.ohioleaguefornursing.org information can be found on the tab To learn more about the Culture of Health: http://www.cultureofhealth.org. 39

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 Le-Ann.Harris@ohiohealth.com. Education Co-Chairs: Kathleen Carissimi, MSN, MEd, RN, CNS, CNE Director RN to BSN Program, University of Cincinnati, College of Nursing kcarissimi@cinci.rr.com. Cindy Wilkins, PhD, RN Director and Chair of Nursing, Muskingum University cwilkins@muskingum.edu.

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 & NEONI pamela.waite@chanet.org. Education Co-Chair: Donna Martsoff, PhD, RN Associate Dean for Research and Translation, University of Cincinnati martsoda@ucmail.uc.edu.

Practice Co-Chair: Lisa Gossett, MSN, RN Chief Nursing Officer & VP Patient Care Services, OhioHealth Riverside Methodist Hospital lisa.gossett@ohiohealth.com. Education Co-Chair: Pamela Rutar, EdD, MSN, RN, CNE Assistant Professor, Cleveland State University p.rutar@csuohio.edu.

Education Co-Chair: Kathleen Ballman, DNP, RN ACNP-BC, CEN Asst. Prof. Clinical Nursing, University of Cincinnati College of Nursing Kathleen.Ballman@uc.edu. Practice Co-Chair: Anne Gunther, DNP, RN, NE-BC Chief Nursing Officer, Aultman Hospital agunther@aultman.com Other Co-Chairs: Terry Pope, MSN, RN Executive Director, Mid-Ohio District Nurses Association tpope@modna.org. Sally Morgan, AGPCNP-BC President, Ohio Nurses Association morgansal@gmail.com.

Practice Co-Chair: Peter DiPiazza, RN, BC-FNP Director of Advanced Clinical Practice, OhioHealth pdipiazz@ohiohealth.org. Education Co-Chair: Barbara Nash, MS, RNC, CNS Retired lwiseinc@aol.com.

Guy Beck, MSN, RN President, Greater Cincinnati American Association Men in Nursing (AAMN) guy.beck1@cchmc.org. Pauline Bryant-Madison, BSN, RN, CLNC Statewide Community Outreach Coordinator, Columbus Chapter, National Black Nurses Association Cbna_ohio@yahoo.com. Camlaria Felismino, MSN, RN Clinical Program Developer and Assistant Professor, PNA Cin-Nky camfelismino@gmail.com. Roberto Gonzalez, RN, TNCC HERT B-2 Indirect Trainer RN Emergency Department, Cleveland Clinic National Association of Hispanic Nurses (NAHN) of Northeast Ohio (NEOH) Roberto.gonzalezrn@gmail.com.