American Academy of Ambulatory Care Nursing

Diane D. ScherrDiane D. ScherrCOL, ANCOL, AN

Ambulatory Nursing ConsultantAmbulatory Nursing Consultant

30 April, 201230 April, 2012

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END STATE:An organization that consistently achieved performance excellence, fostered innovation,

built knowledge and capabilities, and insured organizational credibility and sustainability

ANC STRATEGIC LOA:Leader DevelopmentWarrior CareEvidence Based CareHuman Capital

To sustain our Army Nurse Corps we must maintain the quality and viability of the All-

Volunteer Force.

To prepare our Army Nurse Corps we must maintain a high level of readiness for the

current operational environments.

To reset our Army Nurse Corps we must prepare our Army Nurses for future

deployments and other contingencies.

To transform our Army Nurse Corps, we must continuously improve our ability to meet the

needs of future operations.

Human Capital: The ANC footprint is optimized through validation of priorities and the force structure is re-postured

for conditions-based capability and capacity

Warrior Care: Optimized nursing care delivery systems wrapped nursing capability

around AMEDD strategic goals and missions;

Warrior/patient/family-centered care models

embraced evidence-based practice to achieve best

patient outcomes.

Leadership: A persistent, sustainable nurse leader

succession plan created full-spectrum leaders; who were adaptive to any conditions-based mission, provided a

persuasive voice at key echelons of influence in the

AMEDD, and innovated doctrine to blueprint the

future of the ANC.

Evidence-Based Care: Evidence-based methodology optimized business practices

and cost-capabilities by blending analysis, measuring,

and re-designing into daily performance.

SUSTAIN PREPARE

RESET

TRANSFORM

Strategic Communication: Create and distribute “Public Diplomacy”; getting the right message, through the right

media, to the right audience at the right time and with the right effect

Research: Provides organizational traction and momentum

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Enhanced Communication

CapabilityBuilding

Evidence- Based

Healthy Work

Environments

Army Nursing Team Creed

I am a member of the Army Nursing Team

My patients depend on me and trust me to provide compassionate and proficient care always. I nurture the most helpless and vulnerable and offer courage and hope to those in despair. I protect the dignity of every individual put in my charge.

I tend to the physical and psychological wounds of our Warriors and support the health, safety, and welfare of every retired Veteran. I am an advocate for family members who support and sustain their Soldier during times of War. It is a privilege to care for each of these individuals and I will always strive to be attentive and respectful of their needs and honor their uniquely divine human spirit.

We are the Army Nursing Team

We honor our professional practice standards and live the Soldier values. We believe strength and resiliency in difficult times is the cornerstone of Army Nursing. We embrace the diversity of our team and implicitly understand that we must maintain a unified, authentically positive culture and support each other’s physical, social, and environmental well-being. We have a collective responsibility to mentor and foster the professional growth of our newest Team members so they may mentor those who follow.

We remember those nursing professionals who came before us and honor their legacy, determination, and sacrifice. We are fundamentally committed to provide exceptional care to past, present, and future generations who bravely defend and protect our Nation.

The Army Nursing Team: caring, strong, and always ready

Authored by LTC Leigh McGraw

Care Teams

Shared AccountabilityCenters for Nursing Science and Clinical Inquiry

Optimized Performance

Talent Management

Skill Building

Leader Development

Peer Feedback StandardizedDocumentation

Patient Advocacy

Core Values

Patient CareTouch System

Patient Centered Medical Home Model Implementation

• History of PCMH• CBPCC Progress

• Primary Care and PCMH “transition”• Challenges• Trends• Solutions• Way ahead

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Patient Centered Medical Home Model Implementation

Challenges

• Training

• Leadership

• Model Implementation and Expert Support

• Leadership Roles for Army Nurses

• Certification

• Standardization for Nursing Care and Training

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Patient Centered Medical Home Model Implementation

• Way ahead

PCMHCBPCC

Soldier PCMHStandards

Ambulatory Nursing Role- Near and Far Future

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They are all Entrusted to our Care They are all Entrusted to our Care