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Region10Update

TracyKlein,PhD,FNP,ARNP,FAAN,FAANPRegionXDirector

Therearenoconflictsofinterestrelatedtothispresentation

Objectives

• IdentifypurposeandinitiativesofAANPandtheirnationalprioritiesandactivities

• DiscusslegislativetrendsforRegionX• ExploreissuesofspecificconcerntoOregonNPs

• IdentifykeyopportunitiesforNPadvocacyandprofessionaldevelopment

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AANPMission:

LeadNPsintransformingpatientcenteredhealthcare

2015isayearofcelebration…

Whenitallbegan…

1965– Dr.LorettaFordandDr.HenrySilverdevelopedthefirstnursepractitionerprogramattheUniversityofColorado

1967 – BostonCollegeinitiatedoneoftheearliestmaster'sprogramsforNPs

1971 – OneofthefirstfamilyNPprograms,PRIMEX,openeditsdoorsattheUniversityofWashington

1973 – Morethan65NPprogramsexistedintheU.S.,andtheNationalAssociationofPediatricNursePractitionerswasestablished

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1974– TheAmericanNursesAssociation(ANA)developedtheCouncilofPrimaryCareNursePractitioners

1980– Over200NPprogramswereavailable, andtheNursePractitionerAssociatesforContinuingEducation(NPACE)wasestablished

1983 – Approximately22‐24,000NPsintheU.S.

1985– TheAmericanAcademyofNursePractitioners(AANP)wasestablished

1989– NinetypercentofNPprogramsweremaster'sorpost‐master'sdegreeprograms,publicationoftheJournaloftheAANP began,andthefirstAANPNationalConferencewasheldinPhiladelphiawith158attendees

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Leaderssteppedforward…

1994–Mary Mundinger publishedlandmark"AdvancedPracticeNursing– GoodMedicineforPhysicians"inTheNewEnglandJournalofMedicine,furthersupportingfactsthatNPsarecost‐effectiveandhigh‐qualityprimaryhealthcareproviders

1995– AmericanCollegeofNursePractitionerswasformed

1999– Approximately68,300NPsintheU.S.

2000– AANPFellowsprogramwasestablished,andthefirstinternationalNPconferencewasheld

2004– NationalNursePractitionerWeek,heldannuallyinNovember,wasrecognizedinaproclamationbytheU.S.Congress

Approximately106,000NPsintheU.S.8

2010– NPpolicyfocusedonhealthcarereform,CMSregulations,Medicarepayment,appropriations,MedicalHomeandstateandlocalissuesofimportancetoNPsandtheirpatients.

Therewereanestimated140,000NPsintheU.S.

AANPworkedwiththeWhiteHouseOfficeofHealthReformtoreviewprimarycareperspectiveonpreventivecare,access,coordinatedprimarycare,qualityofcare,paymentandtheneedtorecognizeallprimarycareprovidersassolutionstothehealthcarecrisis.

TheAANPFellowsprogram(FAANP)celebratedits10thanniversary. 9

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2013wasaverygoodyear…

• AmericanAcademyofNursePractitionersandtheAmericanCollegeofNursePractitionersmergedtoformtheAmericanAssociationofNursePractitioners™ (AANP)

• MembershipinAANPincreasednearly19percentfortheyear,endingwith48,075members

• Memberbenefitsgrewtoincludetwojournals(JAANPandJNP)andapackageoflifestylegoodsandservicessuchasautomobilerentals,vacationpackagesanddiscountsatmajorretailers

• Amulti‐medianationalNPPublicAwarenesscampaign,“171,000Solutions,”wasdevelopedthatincludeda30‐secondtelevisionspot,30secondradiospotandprintad

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Continuingtoraiseawareness…

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AANP’sFederalLegislativePriorities• Pass legislation which would enable NPs to certify eligibility for home health (S 578/HR 1392)

• Urge Congress to pass legislation recognizing NPs and other APRNs to practice at their full scope throughout the VA system (HR 1427/S 297)

• Pass legislation which includes NPs in Medicaid incentive payments (S 737)

• Authorize NPs to certify patients for Hospice care

• Authorize NPs to perform admitting exams and monthly patient assessments in SNFs

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ImprovedAccesstoNPServices

State maps updates available at :http://www.aanp.org/legislation‐regulation/state‐legislation/state‐practice‐environment/66‐legislation‐regulation/state‐practice‐environment/1380‐state‐practice‐by‐type

AANP’sStateLegislativePriorities• Modernize state licensure laws

• Streamline care delivery with NP signature recognition

• Create flexible and sustainable reimbursement and care delivery• Ensure NP participation in ACOs and Patient Centered Medical Home models

• Call on state policy makers to compel insurance company compliance with non‐discrimination language in the ACA

• Recognize NPs for reimbursement in value based payment models

Track state legislation at:http://www.aanp.org/legislation‐regulation/state‐legislation/state‐legislation‐tracking‐center

IncreasedNPVisibility

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• Television media adds in targeted areas across the United States:  https://www.youtube.com/watch?v=JFKQm1IB‐DY&feature=youtu.be

• Radio spots: https://www.youtube.com/watch?v=mmkLxiFK16c&feature=youtu.be

• Media tool links and media training for NPs at state and national conferences: http://www.aanp.org/press‐room/media‐tools‐for‐nps

• Regular media feeds and updates regarding NPs in the news: http://www.aanp.org/press‐room/nps‐in‐the‐news

• Position statements and one pagers to educate legislators and consumers: http://www.aanp.org/press‐room

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SocialMedia

NPInfographic

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IncreasedNPVisibility• AANP also increases NP visibility through membership/alliances with health related organizations and sponsorship of initiatives

• Collaborative alliances included:

• Department of Health and Human Services Million Hearts Initiative

• Know Your Dose: Acetaminophen Awareness Coalition

• Joining Forces: White House Initiative to raise awareness of health issues affecting America’s military, veterans and their families

• Antibiotic Stewardship Initiative

• United Nations Foundation Shot @ Life Campaign

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NPRelatedResearch• http://www.aanp.org/research

• AANP conducts research studies on an annual basis focusing on NP salaries and practice

• AANP is a member of ICONS: Interagency Collaboration on Nursing Statistics

• AANP also sponsors projects by NPs in the form of a number of yearly grants and awards: http://www.aanp.org/practice/grants‐scholarships2

• AANP has opportunities to support research through:

• Question procurement

• Mailing lists

• Space at national conferences

• Listserves

• Letters of support 

• Mentorship

AnnualCompensationSurveys

*Data self-reported in the 2015 National Nurse Practitioner Compensation Survey. Data weighted to be representative of the NP population within each region.

StateStats:

Incoming:KarenFell,MSN,RNC,FNP‐C

Kafellrncanp@gmail.com

StatePracticeEnvironment:

Full

%ofNPsthatareAANPMembers:28.75%

• Practice&PolicyUpdates• SenateBill#53toincorporateconsensusmodellanguageinthenursepracticeact,introducedwhilenursesandAPRNswereinJuneaufortheannuallegislativeflyinsession.

• Legislationpassedtosupportwiderprovisionofnaloxone

• Legislationlegalizednonmedicalmarijuana

• UpcomingItems• AlaskaNursePractitionerAssociationConferencewillbeSeptember17‐19,2015inAnchorage,Alaska.

Alaska

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StateStats:

BeverleeFurner,MS,NPbeverleefurner@cableone.net

StatePracticeEnvironment:

Full

%ofNPsthatareAANPMembers:35.34%

• Practice&PolicyUpdates• Billsofinterest:

• MedicalPracticeCompact(passed)• PsychologistPrescribing(didnotpass)• Naloxone(passed)

• UpcomingItems• NoNPpracticeorlicensurebills.PossiblytheAPRNcompactin2016or2017.

• Membershipdrives(new2yr.option)• FallConferenceOctober7‐8‐9inBoise• Focusonorganizationfinancialstability

Idaho

StateStats:

MandyMckimmy,DNP,

FNP

mandymckimmy@gmail.com

StatePracticeEnvironment:

Full

%ofNPsthatareAANPMembers:19.3%

• Practice&PolicyUpdates• Legislationpassedtotitleprotect“APRN”• Nursestaffinglawenhancedandupdated• Reimbursementtermsforindependentpracticeclarified

• PharmacistsgainedRXauthorityforcontraception

• Legalizationofnonmedicalmarijuana

• UpcomingItems• NPOconferenceOctober8‐10inSunriver

Oregon

StateStats:

NancyLawton

NELawton1@gmail.com

StatePracticeEnvironment:

Full

%ofNPsthatareAANPMembers:18.94%

• Practice&PolicyUpdates• HB2315GlobalSignature• SB5052CannabisPatientProtectionAct• SB5175Telemedicine• StateBudget:

• Enhancedreimbursementdead• LoanrepaymentpendingasofMay

• UpcomingItems• DOHRuleWriting

• CNSs• PsychiatricNurses

• APRNLicensingCompact

Washington

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IdahoStateAward:Clinical

IdahoStateAward:Advocate

OregonStateAward:Clinical

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OregonStateAward:Advocate

MegPortwood LincolnCity,OR

AboutAANP

• NationalAdministrativeOffice• Austin,TX

• GovernmentAffairsOffice• Washington,DCarea

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AANPMembership

• Morethan62,000individualNPmembers

• 194NPorganizationmembers• NationalNPorganizationsandnationalnursingorganizationswithlargeNPconstituencies

• StateandlocalNPgroups/organizations

• AANPrepresentsover205,000practicingNPstothepublic,policymakersandindustry

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ThreeYearlyConferences• National Conference

• June 2015 New Orleans  5,678 attendees

• June 21‐26, 2016 San Antonio,  TX

• Specialty and Leadership Conference

• September 2015  San Diego, CA

• Health Policy Conference

• March 2015 Washington, DC 323 attendees

CurrentNationalStats• AANPreachedthe50,000membermilestonein2014,andnowmembershiptotalsmorethan61,000

• Morethan916millionpatientvisitsaremadetoNPsannually

• 95%ofNPshavegraduatedegrees

• 97%ofNPsmaintainnationalcertification

• 87%ofNPsarepreparedinprimarycare

• 85%ofNPsseepatientscoveredbyMedicare(74%acceptnewMedicarepatients)

• 84%ofNPsseepatientscoveredbyMedicaid(68%acceptnewMedicaidpatients)

• NPsholdprescriptiveprivilegeinall50statesandD.C.,withcontrolledsubstancesin49

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ShapingtheFuture

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AANPLeadershipPrograms• AANP Leadership Mentorship

• 12 month program

• Formal program, meetings and projects specific to mentoring NPs for leadership programs in their communities as well as nationally

• Now in second cohort

• AANP Fellows Program

• Developed in 2000

• Currently 542 nationally recognized NPs for roles in policy, research, education and practice

• Fellows help shape AANP initiatives as well as white papers and policy briefs

• Fellows serve as expert advisors and peer reviewers for AANP programs

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RogerFogg,FAANP

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IssuesofConcerntoOregon

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OpportunitiesforAdvocacy• Elected and appointed office in AANP

• Participation in the research network

• Apply for a year long leadership or health policy fellowship

• Speaking and presenting at conferences to teach and mentor other NPs

• Signing up at the advocacy center for letter campaigns and briefs

• Track and engage in state and federal legislation

• Contacting AANP Governmental Affairs regarding mentorship and opportunities to set up appointments with your legislator or have them visit you in your practice

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Resources• NationalConferencesfocusonclinicalandprofessionaldevelopment

• HealthPolicyConferenceprovideslegislativeupdatesandopportunitiesforattendeestomeetwithcongressionalleadership

• ContinuingEducationisoffered throughtheNational,SpecialtyandHealthPolicyconferences,theAANPCECenterandpeer‐reviewedjournals

• AANP–DevelopedToolkits keepNPsinformedregardingimportanthealthissuesandassistthemineducatingtheirpatients

• StudentResourceCenterprovidestoolsdevelopedexclusivelyforstudents

• AANP’sPractice‐BasedResearchNetworkallowsNPstoshape,developandparticipateinnationalNPresearch

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MembershipBenefits

• Over 85 free ContinuingEducationofferingsthroughtheCEcenter.AANP.org

• DiscountsonPrescriber’sLetter(oneyearplusCMEfor87.00)

• Discountsonmalpractice,nationalcertificationrates,andconferences

• Studentmembership55.00ayear• Annualmembershipis125.00ayear

WHYISERVE…