APNA 29th Annual Conference Session 2034.2: October 29, 2015 AN - - PDF document

APNA 29th Annual Conference Session 2034.2: October 29, 2015 Boykins 1

AN EDUCATION AND PRACTICE COLLABORATION TO BUILD NURSE PRACTITIONER CAPACITY IN INTEGRATED CARE DELIVERY

APNA 29th Annual Co nfe re nc e , Oc to be r 29, 2015 Anita Boykins, DNSc, PMHNP-BC, FNP-BC College of Nursing, University of Southern Mississippi

DISCLAIMER

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number, D09HP28673, Academic- Practice Partnerships to Enhance Nurse Practitioner Readiness to Practice in an Integrated Care Model, $1,667,529. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.

OBJECTIVES

• Discuss psychiatric and mental health nurse practitioner workforce needs in

a rural southern state

• Describe approaches utilized by the nursing school to expand collaborative

relationships with regional primary care and behavioral care healthcare systems.

• Explain the collaborative relationship between the nursing school and the

practice settings to provide education and training for nurse practitioners in integrated care delivery models.

APNA 29th Annual Conference Session 2034.2: October 29, 2015 Boykins 2

NATIONAL EDUCATION AND PRACTICE NEEDS

T he Affor dable Car e Ac t Pr

• visions
• Train primary care and mental

health providers

• Expand advanced practice nurses

in community-based settings

• Training programs that focus on

primary care models that integrate physical and mental health care T he Institute of Medic ine F utur e of Nur sing r e por t

• Nurses should
• practice to the full extent of their

education and training

• achieve higher levels of

education and training through improved education systems that promote seamless academic progression

• be full partners with other

healthcare professionals in redesigning healthcare

.

STATE LEVEL ASSESSMENT

• Rural State
• High Poverty Levels
• High Minority Population
• Poor Health
• Health Rankings
• Mental Health Outcomes
• Complex Practice Settings
• Inadequate Mental Health Professional Workforce

STATE LEVEL WORKFORCE NEEDS

• Workforce Development
• Mental Health Professional Workforce Shortage
• Prescribing Providers
• Physicians
• Nurse Practitioners
• Build Workforce Capacity
• 91 Medically Underserved Areas (MUAs)
• 261 Health Professional Shortage Areas (HPSAs)
• 42 Mental Health HPSAs
• 110 Primary Care HPSAs

APNA 29th Annual Conference Session 2034.2: October 29, 2015 Boykins 3

EDUCATION AND PRACTICE SETTINGS

Practice Settings

• Behavioral Care Settings
• Regional community mental health

centers

• Acute inpatient behavioral care

facilities

• Community Based Primary Care

Settings

• Rural Health Clinics
• Federally Qualified Health Centers

Educational Setting

• Comprehensive doctoral university

with high research activity

• Advanced Degree Programs
• Family Nurse Practitioner and

Psychiatric Mental Health Nurse Practitioner (PMHNP) MSN degree and Post-graduate certificate

• Doctor of Nursing Practice

(DNP) and PhD degree

REGIONAL EDUCATION AND PRACTICE COLLABORATION

• Grant Proposal
• Workforce development
• Increase number of PMHNPs through a qualified workforce
• Build workforce capacity
• Rural, underserved primary and behavioral care settings
• New models of providing education and training
• Increase involvement of practice partners in NP training
• New models of health care delivery
• Integrated care

APPROACHES TO EXPAND EDUCATION AND PRACTICE COLLABORATION

• American Association of Colleges of Nursing (AACN) Academic-

Practice Partnerships Resources

• http://www.aacn.nche.edu/leading-initiatives/academic-

practice-partnerships

• AACN and AONE Guiding Principles for Academic Practice

Partnerships

• Academic Practice Partnership Toolkit
• Template to Develop Academic-Practice Partnership

APNA 29th Annual Conference Session 2034.2: October 29, 2015 Boykins 4

TEMPLATE ACADEMIC-PRACTICE PARTNERSHIP

• Players
• Selecting Partners
• Preparing for the First Meeting
• Partnerships
• Initial Meeting
• Subsequent Meetings
• Environment
• Time
• Space
• Regulation
• Context

AACN Template to Develop Academic-Practice Partnership- http://www.aacn.nche.edu/leading-initiatives/academic-practice- partnerships/Template.pdf

EDUCATION AND PRACTICE COLLABORATION

• Identified health care organizations
• Interested in establishing integrated models of healthcare delivery
• Collaboration with current practice sites
• Community based primary care clinics
• Regional mental service areas
• Community mental health centers
• Acute inpatient behavioral care facilities

EDUCATION AND PRACTICE COLLABORATIVE RELATIONSHIP

• Grant proposal funded
• Develop new models of providing education and training
• Student and Preceptor Training
• Curriculum Improvements
• Develop new models of health care delivery
• Behavioral health and primary care integration
• Integrating primary care in behavioral care settings
• Integrating behavioral care in primary care settings

APNA 29th Annual Conference Session 2034.2: October 29, 2015 Boykins 5

DOCTORAL PREPARED NURSE PRACTITIONER EDUCATION

• Post-graduate Nurse Practitioner Certificate and Doctor of Nursing Practice Degree
• ption
• Curriculum Mapping of Course Content
• AACN Essentials of Doctoral Education for Advanced Nursing Practice

Competencies

• National Organization of Nurse Practitioner Faculties (NONPF)
• Quality and Safety Education for Nursing (QSEN) Graduate Level

Competencies

• Evidence-based Educational Improvements
• New and Existing Courses
• Develop Integrative Health Care Delivery Model
• DNP Scholarly Project Practice Partner Mentor
• Behavioral and Primary Care Integration Standards