NM Statewide Nursing Faculty Conference What is our shared vision? Nancy Ridenour, PhD, APRN, BC, FAAN Dean and Professor, University of New Mexico College of Nursing

Health Reform Cost AccessQuality

Health Reform 2009 Cost Access Quality

Health Care Costs Concentrated in Sick Few— Sickest 10% Account for 64% of Expenses 1% 5% 10% 49% 64% 24% Source: S. H. Zuvekas and J. W. Cohen, “Prescription Drugs and the Changing Concentration of Health Care Expenditures,” Health Affairs, Jan/Feb (1): 249–257. Distribution of health expenditures for the U.S. population, by magnitude of expenditure, % 97% $36,280 $12,046 $6,992 $715 Expenditure Threshold (2003 Dollars)

Sources of Growth in Projected Federal Spending on Medicare and Medicaid (Percentage of GDP)

Hospital Quality and Safety 40 percent of recommended care is not received by patients. Disparities in health care persist. One in seven hospitalized Medicare patients experience one or more adverse event. Patient safety measures have worsened by nearly 1 percent each year for the past 6 years. Central line associated blood stream infections strike hundreds of thousands of patients each year.

What Opportunities Do these Facts Present for Nurses? Chronic Disease Management Safety/Quality Prevention/Health Promotion Community based Care Nurse managed Clinics What else?

Implications for Nursing Education

External Forces Health Re-Form Escalating medical costs Aging population Increasing chronicity Workforce shortages Funding Decreasing state budgets Tuition fatigue Fill in the blank (s)________

Internal Forces Professional rivalry Funding Curriculum Team building Multiple roles “busy” Lack of shared vision Fill in the blank(s) _______

Why Should We Aspire to a Shared Vision? Faculty shortages Increased enrollment Decreased budgets Shrinking job market Health Re-form

Implications for Nursing Education Let’s fill in the details!