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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
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,[email protected]
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
StatePracticeEnvironment:
Full
%ofNPsthatareAANPMembers:19.3%
• Practice&PolicyUpdates• Legislationpassedtotitleprotect“APRN”• Nursestaffinglawenhancedandupdated• Reimbursementtermsforindependentpracticeclarified
• PharmacistsgainedRXauthorityforcontraception
• Legalizationofnonmedicalmarijuana
• UpcomingItems• NPOconferenceOctober8‐10inSunriver
Oregon
StateStats:
NancyLawton
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…