1. THE IOM / RWJF INITIATIVE ON THE FUTURE OF NURSING REPORT: What Does it Mean for Nursing and Michigan 2010 MONE Conference Michael R. Bleich, PhD, RN, FAAN Dean and Dr. Carol A. Lindeman Distinguished Professor of Nursing Vice Provost of Interprofessional Education and Development Oregon Health & Science University November 12, 2010

2. The Report Visit http://www.iom.edu/nursing to view the reporthttp://www.iom.edu/nursing Messages and recommendations are from The Future of Nursing: Leading Change, Advancing Health report, published by the Institute of Medicine of the National Academies (Hardcopy available in January 2011)

3. Committee on the RWJF initiative on the Future of Nursing, at the IOM Public health Nursing Federal & state administration Hospital & health plan administration Business administration 18 members (5 intergenerational nurses) with expertise in: Health information & technology Health services research Health policy Workforce research & policy Economics Health care consumer perspective

4. Study Process 5 committee meetings 3 public workshops 3 public forums (including submission of testimony) that resulted in published workshop reports  Acute care  Care in the community  Education Literature review 5 commissioned papers RWJF Nursing Research Network Interviews with nurses for case studies and nurse profiles

5. The Gestalt of the Report Public lens and need for nurses and nursing Focused messages and recommendations Actors named Implementation plans and funding The last chapter matters

6. Examples of Implementation: Scope of Practice Advanced practice registered nurses should be able to practice to the full extent of their education and training. To achieve this goal, the committee recommends actions for the following entities: Office of Personnel Management Federal Trade Commission and Antitrust Division of the Department of Justice Congress State Legislatures Centers for Medicare and Medicaid Services

7. Examples of Implementation: Nurse Residency Programs State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas.

8. State of Our Science Research priorities for Transforming Nursing Practice Research priorities for Transforming Nursing Education Research priorities for Transforming Nursing Leadership

9. Key Messages

10. Remove scope-of- practice barriers Nurses should practice to the full extent of their education & training Key Message No. 1 RECOMMENDATION NO. 1:

11. Implement nurse residency programs Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression Key Message No. 2 RECOMMENDATION NO. 3:

12. Increase the proportion of nurses with a baccalaureate degree to 80% by 2020 Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 4:

13. Double the number of nurses with a doctorate by 2020 Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 5:

14. Ensure that nurses engage in lifelong learning Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 6:

15. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Nurses should be full partners, with physicians and other health care professionals, in redesigning health care systems in the United States Key Message No. 3 RECOMMENDATION NO. 2:

16. Prepare and enable nurses to lead change to advance health Nurses should be full partners, with physicians and other health care professionals, in redesigning health care systems in the United States RECOMMENDATION NO. 7:

17. Build an infrastructure for the collection & analysis of inter- professional health care workforce data Effective workforce planning and policy making require better data collection and an improved information infrastructure Key Message No. 4 RECOMMENDATION NO. 8:

18. Lessons Learned With best minds available  Best minds are NOT “like” minds Solve Complex Issues Movement Responsiveness Nimbleness Process Matters Listen for principle(s)  Do not take literally Some have the gift of argument Extreme Viewpoints Be patient & iterative Reframe the message at critical times  Listen sharply & differently Use Your Voice

19. Get Involved! Upcoming Robert Wood Johnson Foundation (RWJF) Meeting on November 30 th – December 1st 500 multi-stakeholder participants Go to the RWFJ Website link to volunteer and receive more information about the upcoming live webcast: http://www.rwjf.org/humancapital/product.jsp?id=69548

20. Implementation Strategy Regional Access Coalitions Must be co-led Five lead states named, but more to follow and not to deter other action from moving ahead  California  Mississippi  New York  New Jersey  Michigan

21. Convergence and Forward! The convergence of decades of hard work, growth in our science, linkage of academic- service technology with the human condition, and health policy can reinvigorate our purpose for being nurses. Let us converge our energy for the sake of good.

22. Michael R. Bleich, PhD, RN, FAAN Dean & Dr. Carol A. Lindeman Distinguished Professor Vice Provost for Interprofessional Education and Development Oregon Health & Science University School of Nursing – SN-ADM 3455 SW US Veterans Hospital Road Portland, OR 97239-2941 Phone: 503-494-7444 Fax: 503-494-5165 Email: bleichm@ohsu.edu Contact Information