Susan Reinhard, PhD, RN, FAAN Senior Vice President & Director, AARP Public Policy Institute; Chief Strategist, Center to Champion Nursing in America 2

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 3

Advancing Education Transformation Removing Barriers to Practice and Care Nursing Leadership Interprofessional Collaboration DATA Diversity 4

All practitioners should practice to the full extent of their education and training Physicians, nurses and other health professionals work in a patient centered team-based model of care delivery Models of care maximize time that providers can spend on their respective roles and responsibilities to patients 5

Evidence Studies show that APRNs permitted to practice to full extent of education and training provide equal or better care Patient satisfaction Length of stay NPs: BP, glucose, lipid control CNMs: Fewer C-sections, fewer episiotomies Systematic review of published literature between 1990 and 2008 indicate patient outcomes of care provided by APRNs and equivalent or better than MD 6

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Barbara Safriet, JD, LLM Visiting Professor of Health Law at Lewis & Clark Law School, Portland, Oregon; Former Associate Dean for Academic Affairs and Lecturer in Law at Yale Law School The Future of Nursing: Leading Change, Advancing Health - Appendix H: 8 “Federal Options for Maximizing the Value of Advanced Practice Nurses in Providing Quality, Cost-Effective Health Care”

Removing Barriers to APRN Practice and Care can – Increase access to highly qualified health care providers – Decrease costs (unnecessary duplication, additional visits, etc.) – Increase patient satisfaction – Improve continuity of care – Improve health care outcomes – Enhance flexibility in delivery of care. 9

Advocacy Expert: Winifred Quinn, PhD Director, Legislation and Campaign Operations

Policy Change requires Power Shift Strategic Plan – Identify who can give you what you want – Determine your specific ask(s) – Who will make this ask and how Coalition, Coalition, Coalition – Broad stakeholders – This issue is important for consumers, payers (employers/businesses), nurses 11

Options Exist at the Federal Level – CMS’ hospital conditions of participation rules – Home Health Bill – Rural Health Bill – The FTC and state bills CCNA ‘s Technical Assistance – AARP State Office Assistance – Products – More in the planning stages 12

Content Expert : Andrea Brassard, RN, DNSc, FNP Senior Strategic Policy Advisor, CCNA

CCNA Resources – Who are APRNs & Types of APRNs (charts) – “Southern States” – Improving Access to Primary Care: The Growing Role of APRNs – Removing Barriers to APRN Practice & Care Hospital Privileges [forthcoming] Home Care and Hospice 14

Other Resources – Campaign for Action “Standard Presentation” cites Newhouse et al 2011 “Advanced Practice Nurse Outcomes” – Pittman & Williams research – Missouri APRN white paper – NCSBN APRN Consensus Model Toolkit – Citizen Advocacy Center – Scope of Practice Initiative For links to these resources and MORE Sign Up for the Campaign for Action Extranet (see handout) – Contact Barbara Akinwole with 15

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Upcoming Webinars on Removing Barriers to APRN Practice and Care – The North Dakota experience: Strategies and tactics for successful legislation – Certified Registered Nurse Anesthetists (CRNAs): Cost Savings and “Opt-Out” Update – Federal Trade Commission: Update on how the FTC can help remove barriers to practice and care Learning Collaborative on Removing Barriers to APRN Practice and Care 17

INQRI Webinar Regarding IOM Recommendation 6: – Lifelong Learning: Creating Partnerships to Build a Culture for Professional Growth – Thursday, May 17 at 1pm-2pm ET – Register at 18

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