1. 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

2. Health Reform 2007-2008 Cost AccessQuality

3. Health Reform 2009 Cost Access Quality

4. 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 2007 26(1): 249–257. Distribution of health expenditures for the U.S. population, by magnitude of expenditure, 2003 50% 97% $36,280 $12,046 $6,992 $715 Expenditure Threshold (2003 Dollars)

5. Sources of Growth in Projected Federal Spending on Medicare and Medicaid (Percentage of GDP) http://www.cbo.gov/publications/collections/health.cfm

6. 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. http://www.ahrq.gov/qual/qrdr08.htm

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

8. Implications for Nursing Education

9. 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)________

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

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

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