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INSIDE THIS ISSUE: President’s Message 1 NPAM Celebrates 25 Years 2-3 District Updates 4-5 NPAM Lobby Day 6 Maryland NP Go to the Hill 7 Legislative Committee Update 8-9 Committee & Group Updates 10-11 Guidebook for NPs 10 AANP Award Nominations 11 Bits & Pieces 12-13 Fall CE Conference Information 14-15 President’s Message Hello everyone, I recently had the privilege of attending the “Fireside Chat on Leadership Realities” at the University of Maryland School of Nursing (UMSON) on August 1, 2017. It was part of the closing program for the UMSON Nurse Leader- ship Institute. A panel of healthcare leaders shared their thoughts about healthcare and gave some sound advice. Dr. Mohan Suntha, President and CEO of the University of Maryland Medical Center, advised us to “stay rooted and grounded in the mission of healthcare.” As NPAM continues to celebrate its 25 th anniversary, we must stay rooted and grounded in the mission of NPAM. The recent review of our strategic plan suggests that NPAM is indeed rooted and grounded in its mission. The mis- sion of NPAM is to ensure a sound policy and regulatory foundation that enables Nurse Practitioners to provide ac- cessible, high-quality healthcare to the public. We have four goals to help us meet the mission. Each goal has a list of actions that, if we follow, will guarantee our continued success for another 25 years. I would like to take this time to review the goals and provide some insight into NPAM’s action plan in each area. Leadership- Promote patient access to high-quality care by Nurse Practitioners. We continue to monitor and address barriers of full practice authority on the local and state levels. We currently are working to remove barriers asso- ciated with NPs delegating to Medical Assistants in addition to working on legislation to enable Psychiatric- Mental Health Nurse Practitioners to complete history and physicals on involuntary admissions. . With guidance from our lobbyist and NPAM members with expertise in each area, NPAM will be convening work-groups in preparation for the 2018 legislative session. Knowledge- Nurse Practitioner practice will be based on current evidence. Our fall conference continues to provide members with high-quality, evidence based presentations on topics relevant to today’s healthcare challenges. Our weekly news blasts and The Oracle, which is published quarterly, keep members updated on clinical prac- tice and policy issues. Professional Practice- Promote the highest standards of Nurse Practitioner care. District meetings provide members with a chance to network with other members. As a volunteer, whether a committee or a board member, NPAM provides opportunities for mentoring and leadership development. Communication- Engage members, consumers, and other health care providers utilizing diverse, interactive commu- nication techniques. Our members-only Facebook group allows for the sharing of information among members and weekly email blasts to all members keep members abreast of happenings within the association and in the state. The Oracle The Newsletter from the Nurse Practitioner Association of Maryland Volume 24 Issue 1 September, 2017 This is just a snippet of the work that NPAM does as the only organization solely dedicated to Nurse Practitioners in the state of Maryland. As we con- tinue with our mission and commitment to NP practice in Maryland, we need your continued support and would love to have you join one of our several committees. If you have any ques- tions or suggestions, please do not hesitate to contact us. Sonia Brown, President, NPAM [email protected]. Sonia P. Brown, DNP, RN, ACNP-BC

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INSIDE THIS ISSUE:

President’s Message 1

NPAM Celebrates 25 Years 2-3

District Updates 4-5

NPAM Lobby Day 6

Maryland NP Go to the Hill 7

Legislative Committee Update 8-9

Committee & Group Updates 10-11

Guidebook for NPs 10

AANP Award Nominations 11

Bits & Pieces 12-13

Fall CE Conference Information 14-15

President’s Message

Hello everyone,

I recently had the privilege of attending the “Fireside Chat on Leadership Realities” at the University of Maryland

School of Nursing (UMSON) on August 1, 2017. It was part of the closing program for the UMSON Nurse Leader-

ship Institute. A panel of healthcare leaders shared their thoughts about healthcare and gave some sound advice.

Dr. Mohan Suntha, President and CEO of the University of Maryland Medical Center, advised us to “stay rooted and

grounded in the mission of healthcare.” As NPAM continues to celebrate its 25th

anniversary, we must stay rooted

and grounded in the mission of NPAM.

The recent review of our strategic plan suggests that NPAM is indeed rooted and grounded in its mission. The mis-

sion of NPAM is to ensure a sound policy and regulatory foundation that enables Nurse Practitioners to provide ac-

cessible, high-quality healthcare to the public. We have four goals to help us meet the mission. Each goal has a list of

actions that, if we follow, will guarantee our continued success for another 25 years.

I would like to take this time to review the goals and provide some insight into NPAM’s action plan in each area.

Leadership- Promote patient access to high-quality care by Nurse Practitioners. We continue to monitor and address barriers of full practice authority on the local and state levels. We currently are working to remove barriers asso-ciated with NPs delegating to Medical Assistants in addition to working on legislation to enable Psychiatric-Mental Health Nurse Practitioners to complete history and physicals on involuntary admissions. . With guidance from our lobbyist and NPAM members with expertise in each area, NPAM will be convening work-groups in preparation for the 2018 legislative session.

Knowledge- Nurse Practitioner practice will be based on current evidence. Our fall conference continues to provide members with high-quality, evidence based presentations on topics relevant to today’s healthcare challenges. Our weekly news blasts and The Oracle, which is published quarterly, keep members updated on clinical prac-tice and policy issues.

Professional Practice- Promote the highest standards of Nurse Practitioner care. District meetings provide members with a chance to network with other members. As a volunteer, whether a committee or a board member, NPAM provides opportunities for mentoring and leadership development.

Communication- Engage members, consumers, and other health care providers utilizing diverse, interactive commu-nication techniques. Our members-only Facebook group allows for the sharing of information among members and weekly email blasts to all members keep members abreast of happenings within the association and in the state.

The Oracle The Newsletter from the Nurse Practitioner Association of Maryland Volume 24 Issue 1 September, 2017

This is just a snippet of the work that NPAM does as the only organization

solely dedicated to Nurse Practitioners in the state of Maryland. As we con-

tinue with our mission and commitment to NP

practice in Maryland, we need your continued

support and would love to have you join one of

our several committees. If you have any ques-

tions or suggestions, please do not hesitate to

contact us.

Sonia Brown, President, NPAM

[email protected].

Sonia P. Brown, DNP, RN, ACNP-BC

CONTACTING NPAM Phone:

1-888-405-NPAM toll free Website: WWW.NPAMonline.org Management Address: PO Box 540 Ellicott City, MD 21041-0540 Association Manager: Marty Buonato [email protected]

Sonia Brown President [email protected] Veronica Gutchell Past President [email protected]

Roseann Velez, President Elect [email protected]

Ameera Chakravarthy, Treasurer

[email protected] Allison Carew Secretary [email protected] Beverly Lang, Ex Director

[email protected]

Legislative Consultant Law Office of J. William Pitcher 410-268-0842 [email protected]

NPAM Celebrates 25 Years of Advocacy for NPs in Maryland

NPAM is celebrating 25 years in 2017! This special year has

been marked with several celebratory events. In February,

the Legislative Committee held the 2nd

Annual NPAM Lobby

Day in Annapolis and were treated to a welcoming and re-

marks by Delegate Bonnie Cullison. A presentation was pro-

vided by Julia Worcester and Bill Pitcher, NPAM Legislative

Consultants, on the inner workings of Annapolis and how

citizens can impact the legislative process. Those in attend-

ance visited legislators in Annapolis to educate them on the

important role of Nurse Practitioners (NPs) in Maryland.

In April, NPAM hosted the annual Spring Membership Meeting at Dutch's Daughter in

Frederick, MD, where we celebrated the 25th Anniversary of NPAM and the many ac-

complishments of the association. In attendance were many Past Presidents – Janet

Selway, Laurie Scudder, Joan Stanley, Jane Kapustin, Diana Heffner and Veronica Gutch-

ell, along with other association leaders and many members. Dr. Janet Selway, the first

elected NPAM President, provided the keynote. Attendees learned about the core group

of early NPs who wisely conceived of the idea of forming a dedicated Nurse Practitioner

(NP) association 25 years ago, and how they fought adversaries to move forward the

role of NPs in Maryland. By understanding the history of NPAM and the historical land-

marks, NPs in Maryland were reminded that we cannot be complacent as we move for-

ward to break down barriers to practice. Thank you, Dr. Selway, for sharing this very im-

portant and poignant historical perspective!

Additionally, Julia Worcester, JD, NPAM Legislative Consultant, presented the 2017 Legis-

lative highlights and explained many of the bills that were reviewed by the Legislative

Committee during the 2017 legislative session.

Incorporated in 1992, the first officers for NPAM were elected in 1993. Below is a list of

the Past Presidents who have contributed so much to the success of NPAM. We thank

these leaders for their dedicated service to NPAM!

1993-96 Janet Selway

1996-97 Margie Koehler

1997-98 Pat Papa

1999-2000 Marilyn Edmunds

2000-2001 Joan Stanley

2001-02 Kerry Palakanis

2002-03 Deborah Baker

2003-04 Teresa Yeo

2004-05 Elaine Crain

2005-06 Liz Shilling, Deb Baker

2006-07 Carolyn Buppert

We are very pleased to announce the newly elected 2017/18 officers: Sonia Brown, President; Roseann Velez, President Elect,

Allison Carew, Secretary; Shashi Ravindran and Lindsay Ward, Central District Co-Directors; Sharon Stagg and Steve Mears, Eastern

District Co-Directors; Lauri Lonberger and Maureen Kelley, Howard County District Co-Directors; and, Linda Muehl, Western Dis-

trict Director.

NPAM thanks the following outgoing members of the Board of Directors: Dale Jafari, who has been a member of the Board of

Directors for many years and provided continuity of leadership, serving as Eastern District Director, President Elect, President, and

Past President; Maryann Reimer, outgoing Western District Co-Director; and, Rinku Bais and Vijay Ramraj, outgoing Central District

Directors.

On October 7, 2017 NPAM will be hosting a Fall Pharmacology Conference at Howard Community College where NPs will gather

to learn and network.

Other events are in the works and you will know as soon as they are announced by checking our home page or through our

weekly email blasts, if you are a member.

P A G E 2 S E P T E M B E R , 2 0 1 7

2007-08 Jane Kapustin

2008-09 Diana Heffner

2009-11 Sandi Nettina

2011-12 Susan Delean Botkin

2012-13 Shannon Idzik

2013-14 Tonya Appleby

2014-15 Andrea Schram

2015-16 Dale Jafari

2016-17 Veronica Gutchell

P A G E 3 S E P T E M B E R , 2 0 1 7

More information about NPAM and the work we do to break down practice barriers in Maryland can be ac-cessed on our home pages at www.npamonline.org. We invite you to join NPAM and get involved! For more information or to join, contact our Association Manager, Marty Buonato at [email protected] or Bev-

erly Lang, NPAM Executive Director, at [email protected].

The author, Beverly Lang, is the Executive Director of NPAM and can be reached at

[email protected].

Pictured left to right are three former NPAM Presi-

dents: Joan Stanley (2000- 2001), Laurie Scudder

(1997 – 98), and Janet Selway (1993 – 96), first NPAM

President and Keynote Speaker.

Pictured left to right are Kelly Huffer, Confer-

ence Planning Committee Chair, Alissa Dye,

Membership/PR Committee Chair, & Julia

Worcester, NPAM Lobbyist.

Pictured left to right are Cathy Chapman,

Mountain District Director, Claire Bode, MNA

Legislative Committee Liaison, Laura Garcia,

NPAM PAC Chair & Kathleen Herberger, Mary-

land State Representative to AANP.

District updates

Baltimore District When: September 20, 2017 Where: Bar Vasquez, Baltimore Topic: Focus on Uterine Fibroid Speaker: Kristin Cova, Pharm D Commercial Support: Allergan RSVP: 15 Max attendees https://npam.site-ym.com/events/EventDetails.aspx?id=1003975 This is a members only event. Please log in in order to register. ALLOW FOR REGISTRATION

Additional Baltimore district meetings posted on our Calendar

Capital District Our district directors are in process of scheduling for the summer

months. Please monitor Monday Announcements and our website

Calendar

Central District Central/Howard County District Meeting When: September 12, 2017 6:30 PM Where: Timbuktu Restaurant, Hanover Topic: Monoclonal Antibodies (mAbs): Three Decades of Inno-vation and Progress Speaker: Lana Konigsberg, PharmD Commercial Support:Sanofi-Aventis RSVP: http://www.npamonline.org/events/EventDetails.aspx?id=973508&group= This is a members only meeting. Please log in in order to regis-ter.. Additional Central district meetings posted on our Calendar

Eastern District When: 9/21 at 6:30 Where: Scossa Restaurant and Lounge, 8 N. Washington Street, Easton Speaker: Shawn Dhillon, MD Topic: Clinical Evaluation of Pure EPA Commercial Supporter: Kowa Pharmaceuticals Please register at Https://amarin.phoenixgrpmeetings.com En-ter code AMA-KOW-51043

Howard District Our district directors are in process of scheduling for the Fall. Please

see joint meeting with Central District (above) and monitor Monday

Announcements and our website Calendar

NPAM Leadership

Baltimore District Director

Suzette Heptinstall [email protected]

Capital District Director

Eliabeth Joyal [email protected]

Central District Co-Directors

Shashi Ravindran Hanover MD

[email protected]

Lindsay Ward Edgewater MD

[email protected]

Eastern Shore Co District Directors

Steve Mears Salisbury, MD

[email protected]

Sharon Stagg Easton, MD

[email protected]

Howard County District Co-Directors

Lauri Lonberger

Elkridge, MD

[email protected]

Maureen Kelley

Columbia, MD

[email protected]

P A G E 4 J U N E , 2 0 1 7

NPAM Leadership

Mountain District Director

Cathy Chapman

LaVale, MD

[email protected]

North West District Co-Directors Sharon Praissman

Baltimore, MD [email protected]

Charlotta Turner

Essex, MD [email protected]

Southern Maryland District Director

Ellen Farrell

Cheltenham, MD

[email protected]

Western Maryland District Director

Linda Muehl Frederick, MD

[email protected]

Conference Committee Chairperson Kelly Watson Huffler

[email protected]

Legislative Committee Chair

Kathy Woodruff [email protected]

Membership/PR Committee Co-Chairs

Alissa Dye [email protected]

Veronica Gutchell [email protected]

District updates

Mountain District Please watch these announcements for details or email Mountain District Director Cathy Chapman at [email protected] with questions.

Northwest District Meeting Our district directors are in process of scheduling for the fall

months. Please monitor Monday Announcements and our

website Calendar

Southern District Meeting

Our district directors are in process of scheduling for the fall

months. Please monitor Monday Announcements and our

website Calendar

Western District Meeting When: September 21, 2017, 6:30 PM Place: Dutch's Daughter Restaurant, Frederick, MD Topic: : Hidrandentitis Suppurativa Speaker: Dr. Liotta Commercial Support: Abbvie RSVP by: September 19, 2017 https://npam.site-ym.com/

events/EventDetails.aspx?id=1009026

Additional Meetings on website for Western District

District Meeting Etiquette 1. RSVP required for all district meetings. Go to calendar at

www.NPAMOnline.org to register.

2. As there may be a waiting list, please notify the person accepting RSVPs if plans change and you are unable to attend.

3. NPAM members are given priority in attending district meetings.

4. National professional guidelines prohibit the attendance of non-healthcare professionals at these educational meetings. Due to popular demand of our meetings, we are now limiting attendance to practicing NPs, new grads, and active NP students only.

5. If you are a “no show” for 2 meetings in 6 months, you will be asked to provide a credit card to hold your reservations for any sub-sequent meetings.

Visit http://www.npamonline.org/events/event_list.asp for full listings

P A G E 5 J U N E , 2 0 1 7

NPAM Holds 2nd

Annual NP Lobby Day in Annapolis

Delegate Bonnie Cullison addresses NPs

Eighteen nurse practitioners from around Maryland convened at the House of Delegates in An-

napolis at the 2nd

annual NPAM Nurse Practitioner Lobby Day on February 21, 2017. Organized

by the NPAM Legislative Committee chair, Kathy Woodruff with the help of Legislative Consult-

ants Julia Worcester and Bill Pitcher, the event proved very successful.

Delegate Bonnie Cullison, a champion of health care and friend of nurse practitioners in Mary-

land, opened the day with remarks about proposed legislation that is being discussed in Annapo-

lis. NPAM thanks Delegate Cullison for taking the time from her busy schedule in Annapolis to

greet those in attendance and for her continued support.

NPAM Legislative Consultants Julia Worcester and Bill Pitcher reviewed how a bill becomes a law

and updated the attendees on what bills NPAM is watching closely.

All attendees visited legislators with messages pertaining to several bills that have been intro-

duced this session and are of special interest to Nurse Practitioners in Maryland. One bill that

NPAM supports is HB 683/SB 436: Income Tax Credit for Nurse Practitioner or Licensed Physician

in Preceptorship Program – Alterations which fixes an error in the 2016 legislations authorizing a

state income tax credit for individuals who have served as a preceptor in certain preceptorship

programs and work in certain areas of Maryland with a health care workforce shortage.

Thank you to all of the Nurse Practitioners who attended the 2nd

annual NPAM NP Lobby Day in

Annapolis! For more information about NPAM and to check out what is happening in Annapolis,

visit our home page at www.npamonline.org.

The author, Beverly Lang, is the Executive Director of NPAM and can be reached at

[email protected].

P A G E 6 S E P T E M B E R , 2 0 1 7

Delegate Bonnie Cullison

addresses NPAM NP

Lobby Day attendees on

February 21, 2017.

Pictured above (L to R) are nurse practitioners Beverly

Lang, Lystra Williams, Mark Abbott & Karen Millett in

the Maryland State House of Delegates during NPAM

NP Lobby Day.

P A G E 7 S E P T E M B E R , 2 0 1 7

Maryland NPs Go to The Hill

Maryland Nurse Practitioners were in Washington, DC to attend the American Association

of Nurse Practitioners (AANP) Health Policy Conference on February 26-28, 2017. While

there, they visited legislators on the hill to highlight issues that are of particular interest to

Nurse Practitioners, including SB 445, a bill to amend Title XVIII of the Social Security Act,

which will ensure more timely access to home health services for Medicare beneficiaries

under the Medicare program. This bill, sponsored by Susan Collins, ME, and co-sponsored

by Maryland Senator Ben Cardin, would allow Nurse Practitioners to order home care for

their patients.

Pictured above (L – R) are Maryland NPs Brenda Nettles, Kathy Herberger, Maryland State Rep to AANP, Claire Bode, Sen. Ben Cardin, Janet Selway, AANP PAC Treasurer and NPAM Past President, Janice Agazio, and Sharon Morgan who met with Senator Ben Cardin as part of AANP's Hill Day. We gave him a big THANK YOU!

NPAM LEGISLATIVE UPDATE

NPAM Legislative Committee

Kathleen Woodruff, Chair

The 2017 Legislative session in Annapolis was very busy this year, with 2,876 legislative bills and resolu-

tions plus the proposed Fiscal Year 2018 budget to consider. The legislative committee and the J. William

Pitcher law firm worked diligently to track many pieces of legislation that potentially impact our practice

and/or the lives of our patients. Below is a sampling of the important issues that were addressed this year

by NPAM with the support of the committee and general membership. Though we did not introduce leg-

islation this year we certainly were active in tracking, supporting and working to modify legislation.

One major focus this year related to opioid abuse and substance use, which is not only a state concern but

a national priority. Over 40 bills were introduced on topics such a prescription limits, education in school,

and removing restrictions on insurance. In the end, a balance was achieved through a package of three

bills.

HB 1432: Health Care Providers – Prescription Opioids – Limits on Prescribing (The Prescriber Limits Act of 2017) (passed). As introduced, this bill would have limited an initial prescription of an opioid to seven days. MedChi took the lead on this issue, coordinating all prescriber stakeholders and worked tirelessly to re-move the limitation and ensure that the bill did not legislate clinical practice. In the end, the language is based on his/her clinical judgment, to prescribe the lowest effective dose of an opioid and a quantity that is no greater than the quantity needed for the expected duration of pain based on evidence-based clinical guidelines that is appropriate for the health care service delivery setting for the patient, the type of health care services required by the patient, and the age and health status of the patient. The bill does not apply to an opioid being prescribed for a substance related disorder, pain associated with a cancer diagnosis, pain experienced while the patient is receiving end-of life, hospice or palliative care services, or chronic pain.

SB 967/HB 1329: Heroin and Opioid Prevention Effort (HOPE) and Treatment Act of 2017 (passed) focus-es on expanding treatment options and rolls provisions of The Keep the Door Open Act (SB 476/HB 580) into the language that passed. The bill requires specified increases in funding for community behavioral health services (Keep the Door Open Act). Payments to providers increase by 3.5% in each of the next two fiscal years, and by 3% the following year. The bill also requires that the Behavioral Health Administration and Medicaid, in consultation with stakeholders, conduct a rate-setting study for community behavioral health services and implement a payment system based on the findings. The study must be completed by September 30, 2019. This bill requires the State Court Administrator to assess drug court programs in circuit courts, juvenile courts, and district courts to determine how to increase these programs in a manner suffi-cient to meet each county’s needs.

The bill also: (1) requires the Behavioral Health Administration in DHMH to establish crisis treatment cen-ters for individuals experiencing a mental health or substance use disorder crisis; (2) requires DHMH to es-tablish a tollfree health crisis hotline and maintain certain information on behavioral health programs; (3) requires each health care facility that is not part of a health care system and each health care system to make available the services of health care providers who are trained and authorized to prescribe opioid addiction treatment medications, including buprenorphine-containing formulations; (4) requires DHMH to develop written information about opioid use disorders and distribute the information to health care facili-ties and health care providers that treat opioid use disorders so they can make it available to patients; (5) expands access to naloxone by removing the need to be a certificate holder; (6) requires DHMH to estab-lish guidelines for the co-prescribing of opioid overdose reversal drugs that are applicable to all licensed health care providers in the State; (7) provides a mandatory appropriation for community providers that

P A G E 8 S E P T E M B E R , 2 0 1 7

P A G E 9 S E P T E M B E R , 2 0 1 7

serve mental disorders, substance-related disorders or a combination of these disorders; (8) requires hos-pitals to develop a discharge protocol for individuals treated for a drug overdose; and (9) prohibits an insurance carrier from applying a prior authorization requirement for a prescription drug used for treat-ment of an opioid use disorder and that contains methadone, buprenorphine or naltrexone. An insur-ance carrier can apply a prior authorization for an opioid antagonist (naloxone or other similarly acting and equally safe drug approved by the FDA) if the entity provides coverage for at least one formulation of the opioid antagonist without a prior authorization requirement.

SB 1060/HB 1082: Heroin and Opioid Education and Community Action Act of 2017 (Start Talking Mar-yland Act) (passed) focuses on education. This bill: (1) requires the Maryland State Board of Education (MSDE) to expand an existing program to encompass drug addiction and prevention education in pub-lic schools that specifically includes heroin and opioid addiction and prevention; (2) requires each local board of education to establish a policy requiring each public school to store naloxone and authorize a trained school nurse or other school personnel to administer it; (3) requires each local board of educa-tion to hire a sufficient number of either county or regional community action officials; (4) requires the Governor to include a general fund appropriation of at least $3.0 million in the FY2019 budget for MSDE to award grants to local boards of education to implement the bill’s policy and training require-ments; (5) requires each institution of higher education in Maryland that receives State funding to estab-lish a policy that addresses heroin and opioid addiction and prevention, including awareness training for incoming students, obtaining and storing naloxone, and campus police training; and (6) requires MSDE to convene a workgroup to evaluate programs that provide behavioral and substance abuse dis-order services in the public schools in the State and develop proposals to expand the programs. In addi-tion to these bills, the Governor allocated approximately $23.5 million in the FY2018 budget to combat opioid and substance use disorders. The budget bill also included language expressing the intent of the General Assembly that the Governor assign an individual in the Executive Branch on a permanent basis who will be designated to administer the Governor’s authority to operationally address the heroin, opi-oid, and fentanyl overdoes crisis, until such a time that the crisis can be satisfactorily controlled and elimi-nated.

Important bills related to professional practice, such as the pharmacists- contraceptives –prescribing and

dispensing bill (passed) and the income tax – credit for nurse practitioner or licensed physician in pre-

ceptorship program - alterations (passed). Other areas that were addressed this session included child

abuse & neglect, insurance, and pharmaceuticals.

During session, the legislative committee met by conference call every two weeks. Julia Worcester, our

lobbyist, and many of our members provided both written and oral testimony in Annapolis. Additional-

ly, many letters of support and opposition for legislation were also drafted by the membership.

NPAM held a NP Lobby Day for the second year, which was a great success. Delegate Bonnie Cullison

welcomed the attendees, Julia Worcester and Bill Pitcher, NPAM Legislative Consultants reviewed to

process for a bill to become a low, and then all visited legislators in Annapolis. Many thanks to everyone

who attended and I invite you to join us again next year during the 2018 Legislative Session.

Now, as fall approaches the legislative committee is gearing up for Legislative Session 2018! We need

all NPAM members to be active in calling, writing and meeting with their representatives as we confront

specific issues. During NPAM Lobby Day 2017, Delegate Bonnie Cullison reminded us that being seen

and heard in Annapolis is a function of our numbers and our presence! She urged us to encourage

nurse practitioners to join their state organizations – there is power in numbers and as a collective

group NP’s will make a positive impact.

Please contact me if you want to be a part of the Legislative Committee or if you have any questions.

Kathy Woodruff, NPAM Legislative Chair [email protected]

A Message From Your Friendly Neighborhood PAC

Hello to all NPAM members; we need you! The Political Action Committee (PAC) works to support

the advocacy efforts of NPAM by contributing money to elected officials’ fundraising efforts. How-

ever, money isn’t everything; building relationships is crucial. One of our strongest assets is our-

selves--Nurse Practitioners! We are great at talking to people and are passionate about advocat-

ing for our patients. We need to speak with our representatives in person to have the impact that

we seek, and that is where you come in. Contributing funds from the PAC allow NPAM to send

representatives to elected officials’ fundraisers, giving them the opportunity to speak with politi-

cians directly. These conversations between NPAM members and elected officials are crucial to

NPAM’s continued advocacy efforts throughout Maryland. When your elected official knows your

name and what you do in your community, they trust you and understand what type of expertise

we, Nurse Practitioners, bring to the table.

A few years ago, before I was on the PAC, I attended a fundraiser for one of my delegates. It was

the first time I had spoken to any of my elected officials, and it was eye opening. I was nervous

and felt like a fish out of water, but it provided me the opportunity to talk about being a Nurse

Practitioner and to share a few challenges from my patients’ perspective. After a few years of at-

tending fundraisers together, my delegate and I now know each other well and he is very knowl-

edgeable about NPAM as a result of our relationship.

The PAC’s job is to select officials we need to focus on in order to strengthen our advocacy efforts

in Annapolis. It does take a village and support from all NPAM members is necessary to create pos-

itive, long-term relationships with elected officials throughout Maryland. The strength of our rela-

tionships is the strength of our organization. Please stay tuned for emails from the PAC committee

asking if you would be willing to represent NPAM at an upcoming fundraiser for one of your rep-

resentatives in Annapolis!

If you are interested in donating to the PAC, you can do so online by clicking this link https://

npam.site-ym.com/donations/donate.asp?id=10390.

Laura Garcia, PAC Committee Chair, can be reached at [email protected].

P A G E 1 0 S E P T E M B E R , 2 0 1 7

Pathway to Practice: A Guidebook for

Nurse Practitioners in Maryland

Did you know you can purchase your own personal copy of the Pathway to Prac-tice: A guidebook for nurse practitioners in Maryland? Written by NPAM members

and Nurse Practitioner experts, this guidebook will answer your questions about

licensure and certification in Maryland, scope and standards of practice, insurance

and billing, malpractice, hospital admitting privileges, employment, advanced prac-

tice education, legislative achievements, and so much more.

If you are a student wishing to practice in Maryland, a Nurse Practitioner currently employed in Maryland, an educator teaching NP students, or just interested in practice in Maryland, this resource guide is for you! For just $40.00 you can quickly get your questions answered and have the resources you need at your fingertips. Just go to this link and order your copy today https://npam.site-ym.com/store/ViewProduct.aspx?id=2660457 or visit NPAM at http://www.npamonline.org/ and go to Resources on the home page and click on Guidebook for NPs.

P A G E 1 1 S E P T E M B E R , 2 0 1 7

Update from the Membership/Public Relations Committee

It is an exciting time for NPAM. We are celebrating 25 years of advocating for Nurse Practition-

ers. NPAM is the only organization that is dedicated solely to supporting NPs in Maryland. In

honor of the 25th

anniversary, the dues for full membership have been reduced $25 for 2017.

There is no better time to get involved! We are your voice in Maryland at the state and national

levels. There is power in numbers and we need to have a loud, unified message that Nurse

Practitioners are providers of high-quality, cost-effective, comprehensive, patient-centered

health care. We cannot become complacent.

If you are creative and want to help us celebrate 25 years, the PR/Membership committee is

holding a t-shirt designing contest. To submit a design, please e-mail the file to Alissa Dye at

[email protected]. The deadline for submission is September 30, 2017. We look for-

ward to seeing all the wonderful ideas our NPs can come up with. The winner will receive a

free membership for one year!

NP Week 2017 is November 12th-18th, so keep an eye on the weekly e-mail blasts for opportu-

nities to volunteer and support the efforts to promote Maryland NPs. If you are interested in be-

coming involved with the PR/membership committee, please feel free to contact Alissa Dye at

[email protected] or Veronica Gutchell at [email protected].

Update from Psychiatry Focused NP Group

There is a dinner presentation on depression planned for September 26, 2017 at 6pm at Cun-

ninghams restaurant in Towson. There will also be a meeting about the hummingbird study for

postpartum depression on November 8, 2017 – details to come. Our meetings are posted on

the website calendar, and we ask that you register in advance of the meetings. We will also be

starting a peer supervision group monthly in Perry Hall for anyone who is interested. If you are

interested in either of the events and/or joining this focus group, please contact Sharon Praiss-

man at [email protected].

Call For Nominations

The AANP State Award for Excellence 2018 Call for Nominations Opens August 7 - Start think-

ing of a deserving nurse practitioner or nurse practitioner advocate to nominate for an AANP

State Award for Excellence. You do not have to be an AANP member to nominate someone or

to be nominated. The AANP 2018 State Award for Excellence Call for Nominations opens

on Monday, August 7, 2017 and closes on Tuesday, October 10, 2017. To be considered for the

2018 awards, nominations must be submitted electronically to AANP on the official 2018 State

Award Nomination Form that will be available August 7 at aanp.org. Thank you in advance for

taking the time to nominate deserving NPs and NP advocates.

Bits & Pieces

Happy News to Share! Congratulations to Julia Worcester (NPAM Lobbyist) and her husband Key on the arrival of Oliver

Key Leslie Worcester on July 19, 2017. Oliver weighed in at 8 lbs and joins his big brother Colt at

home. NPAM sends our best wishes to the entire Worcester family and to the proud and happy

grandparents, Bill and Susan Pitcher.

Roseann Velez Inducted As 2017 Fellow of the American Association of Nurse Practitioners Join us in congratulating NPAM member and President Elect, Roseann Velez, DNP, CRNP, FNP-BC, who was recently inducted into the Fellows of the American Association of Nurse Practitioners (FAANP). She was honored by the American Association of Nurse Practitioners (AANP) during the AANP 2017 National Conference at the Pennsylvania Convention Center in Philadelphia, PA, in June 2017. The FAANP program was established by the AANP to recognize Nurse Practitioner leaders who have made outstanding contribu-tions to health care through clinical practice, research, education or policy. The program enhances the association’s mission and helps to develop Nurse Practitioner leaders of the future. Congratulations Roseann!

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Mountain District Planning Meeting Held August 26th On Saturday, August 26th, NPs from Allegany and Garrett Counties met for lunch at the Cornucopia Cafe, in Grantsville, MD to discuss the future of NPAM’s Mountain District. Beverly Lang, Executive Director of NPAM and Veronica Gutchell, NPAM Past President, joined the group to help with the strategic planning, share advice and offer the support of the association. Those in attendance in-cluded Corrine Lamm, Greta Cain, Darlene Smith, Kelly Rock, Sherry Campbell, Cheryl Nelson, Car-olyn Sheaffer, and Cathy Chapman, Mountain District Director. In 1995, a small group of 5 NPs started meeting for the purposes of networking and support. The group has grown in size and interest and will now meet regularly in both Allegany and Garrett Counties under the direction of Cathy Chapman to provide a forum for networking and comradery and access to continuing education.

Contact Cathy Chapman ([email protected]) directly or check out the weekly email blasts for events as they are posted, or visit the NPAM home pages www.NPAMOnLine.org for more infor-mation as it happens!

Pictured left: (L-R) Darlene Smith,

Kelly Rock, Sherry Campbell, Beverly

Lang, Cheryl Nelson, Carolyn

Sheaffer, Veronica Gutchell, Cathy

Chapman, Corrine Lamm, and Greta

Cain.

Dale Jafari Honored at AANP National Conference Longtime NPAM member and past president Dale Jafari was honored at the 2017 AANP National Conference at the Pennsylvania Convention Center in Philadelphia, PA in June 2017. Dale received the 2017 State Award for Excellence which recognizes an NP in each state who demon-strates excellence in clinical practice and who makes significant contri-butions toward increasing the awareness and acceptance of NPs. Congratulations Dale!

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is proud to present

2017 Pharmacology Updates Saturday, October 7, 2017 from 7:00 AM – 5:00 PM

Howard Community College RCF 400 Columbia, MD

We have an exciting line up of expert speakers to enhance your learning, focusing on pharmacolo-

gy CE that all NPs need. Two national speakers from AANP will speak on opioid prescribing practic-

es and diabetes. In addition, Kurt Haspert, CRNP, NPAM member, and expert in the treatment of ad-

dictions in both in-patient and out-patient settings will educate the attendees on using Medication

Assisted Treatment for Opiate Use Disorders. Debra Scrandis PhD, FNP, PMHNP, Associate Professor

at the University of Maryland School of Nursing, and NPAM member will address the treatment of

Maternal Mental Health in Primary Care. NPAM member Laura Simpkins MSN, FNP, an NP at Balti-

more Medical System Belair Family Health Center, will focus on Pre Exposure Prophylaxis (PrEP) in

HIV . Finally, NPAM North West District Director Sharon Praissman Fisher, MS, APRN-A, PMHNP, who

works at Balance Point Wellness as a PMHNP, will focus on the Treatment of ADHD in Adults in the

primary care setting.

Seats are filling quickly so reserve your spot today and bring along a friend! A continental breakfast

and lunch will be available and there will be time to visit the exhibitors who consistently support

NPAM and to socialize and catch up with your colleagues.

Click here for a copy of the Conference Flyer

Visit the NPAM website today at http://www.npamonline.org/?page=FallCE2017 to register today!

Hurry! Fees increase after September 20th! Registration closes October 6, 2017

CEs have been applied for through AANP and we anticipate that participants can earn up to 7 CEs

(heavily focused in Pharmacology).

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2017 Session Descriptions

Yvonne D’Arcy, MS, CRNP, CNS, FAANP returns again this year as AANP’s national speaker. Her ses-sion, entitled Opioid Prescribing: Safe Practice, Changing Lives , builds on the 2016 session. This ac-tivity is presented by AANP, a member of the Collaborative on Relevant Education (CO*RE), which is made up of 11 inter-professional organizations working together to improve pain management and prevent adverse outcomes. Upon completion of this REMS-compliant educational activity the learner will be considered a “completer” of the FDA-recommended, REMS-compliant training on ER/LA opi-oid analgesics. In addition to a robust presentation on Extended Release/Long Acting (ER/LA) opi-oids based on the full FDA REMS blueprint, our faculty will also review the nature of pain and pain management, Immediate Release/Short Acting opioids, and the CDC Guideline for prescribing opi-oids for chronic pain. Our second AANP national speaker is Angela R. Thompson, MSN, RN, FNP-C, CDE, BC-ADM, pre-senting Best Practices in the Use of Incretin Based Therapies in the Management of Type 2 Diabe-tes. The management of type 2 diabetes mellitus (T2DM) remains a major clinical challenge as many patients continue to struggle with achieving therapeutic targets. Despite recent advances in T2DM therapies, optimal glycemic control is often not achieved. The goal of this activity is to improve knowledge and competency of nurse practitioners in addressing glycemic variability and cardiovas-cular considerations in patients with T2DM through optimal therapeutic management, with a partic-ular focus on the optimal use of GLP-1 receptor agonists and DPP-4 inhibitors in individualized treat-ment regimens We will end the morning with Debra Scrandis, PhD, CRNP-PMH, presenting her session Maternal Mental Health: Pharmacology for Primary Care. Debra has conducted research over the last 17 years on maternal mental health and clinically specializes in perinatal mood disorders. This session will focus on prescribing psychotropic medications for anxiety and depression in postpartum wom-en, analyzing existing evidence on psychotropic medication use in lactation, and identifying appro-priate timing for psychiatric referral for postpartum women. After a lunch break and time with exhibitors, we will return with Sharon Praissman Fisher MS, ANP-BC, PMHNP-BC lecturing on Focusing on ADHD Management in Adults. Sharon has worked the last 11 years in psychiatry. This session reviews the diagnostic criteria for ADHD in adults, common ADHD medications and appropriate dosing ranges, and the mechanism of action for three common ADHD medications. Laura Simpkins, MSN,FNP addresses a universally relevant topic of Pre-Exposure Prophylaxis (PrEP) in HIV. As an FNP who sees patients across the age spectrum, Simpkins will review PrEP, how it works, why it works, considerations and side effects, starting/stopping therapy, drug trials and their out-comes. Our day long learning will conclude with Kurt Haspert, MS, BSN, Addiction Medicine NP at the Uni-versity of Maryland Balt/Washington Med Center. Kurt shares his extensive expertise in Medication Assisted Treatment (MAT) for Opiate Use Disorders, covering the spectrum from contraindications, pharmacological differences between agents, federal laws and regulation on specific medications and treatments, and training requirements for working with medication assisted treatment of opiate use disorders. This timely topic is sure to enhance audience knowledge.