The Future of Nursing in Indiana ISNA Policy 101 Legislative Conference February 24, 2015

Indiana Center for Nursing (ICN) Vision The ICN shall serve as a unified voice for the profession of nursing in Indiana to: Assure a highly qualified nursing workforce prepared to meet the demand of a dynamic healthcare system Promote Indiana as a destination state for nursing practice

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

ICN Member Combined Schools and Hospitals/ Health Systems

ICN Statewide Organizational Members

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

The Institute of Medicine Report

IOM Recommendations Remove scope of practice barriers Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Implement nurse residency programs Increase proportion of nurses with BSN degree to 80 percent by 2020

IOM Recommendations (cont.) Double the number of nurses with a doctorate by 2020 Ensure that nurses engage in lifelong learning Prepare and enable nurses to lead change to advance health Build an infrastructure to collect and analyze health care workforce data

Action Coalitions Created Collaboration funded by the Robert Wood Johnson and AARP Foundations to ensure that all Americans have access to high quality, patient-centered care

Indiana Action Coalition (INAC) Partnership between Indiana Center for Nursing (ICN) and Indiana Area Health Education Centers (IN AHEC) state-wide to achieve the Indiana goals related to the recommendations of the Institute of Medicine Report on the Future of Nursing

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

IOM Recommendation 8 Build an infrastructure for the collection and analysis of interprofessional health care workforce data. The National Health Care Workforce Commission, with oversight from the Government Accountability Office and the Health Resources and Services Administration, should lead a collaborative effort to improve research and the collection and analysis of data on health care workforce requirements.

IOM Recommendation 8 (cont.) Build an infrastructure for the collection and analysis of interprofessional health care workforce data. …The Workforce Commission and the Health Resources and Services Administration should collaborate with state licensing boards, state nursing workforce centers, and the Department of Labor in this effort to ensure that the data are timely and publicly accessible.

We MUST Have Data! The national Workforce Commission and Health Resources and Services Administration (HRSA) collect “some” data, which is used to predict workforce data Most states collect nursing data at some level though many do not use the data plan for the future workforce Indiana has moved a long way in the last few years to capture data regarding the nursing workforce

We MUST Have Data! (cont.) Indiana now collects the national Minimum Data Set (MDS) for nursing workforce in the areas of : Supply Education Demand which is/will be reported through the ICN website as well as the sites of others involved in the collection and analysis and used for future planning

Very Cute, But…Seriously?

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

You Did It!

Funding Initiatives ICN is raising funds that are provided to graduate and undergraduate nursing students across IN ICN is partnering with other groups like Spotlight on Nursing to raise scholarship funds Always looking for potential legislative possibilities to increase funding for nursing

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

IOM Recommendation 1 Remove scope-of-practice barriers. Advanced practice registered nurses should be able to practice to the full extent of their education and training.

National and State Initiatives Many states moving legislatively toward statute changes – some successful, some not Veterans Affairs working to initiate changes in the Handbook allowing autonomous practice across the US Indiana Access to Care Discussion Group Scope of Practice Workgroup

Promising Practices are Increasing All across the US nurses are utilizing nursing research and evidence based practice to change current practice resulting in improved patient outcomes More healthcare organizations nationwide are supporting nurses in their research and practice Indiana healthcare employers and schools of nursing are participating in more and more in bringing nursing to the table

ICN Strategic Priority Areas One Voice, One Center for Nursing in Indiana Designing Indiana Nursing’s Future Building Indiana Nursing Workforce Infrastructure Nursing Scholarships and Tuition Reimbursement Education - Practice Partnerships Increasing Diversity in Nursing to Reflect the Population of Indiana

ICN Diversity Initiative State-wide initiative Held large focus group in Spring 2014 Work group formed Moving forward with a strategic plan to address early selection of the profession, support through nursing school, support during early employment, leadership and mentoring

Soooo…What Can We Do Right Now? Step up to the plate! Get involved! Be heard! Collaborate with our partners! Participate in life long learning! Be a part of the inevitable change!

Thoughts/Comments?

Chief Executive Officer Indiana Center for Nursing Nursing Lead Kimberly Harper, MS, RN Chief Executive Officer Indiana Center for Nursing Nursing Lead Indiana Action Coalition National Future of Nursing Campaign for Action kharper@ic4n.org 317-574-1325 www.IC4N.org