F UT URI ST I C NURSI NG Nursing Ca re Qua lity Assura nc e - PowerPoint PPT Presentation

F UT URI ST I C NURSI NG Nursing Ca re Qua lity Assura nc e Co mmissio n

F uture o f Nursing 2030 Hig h T e c h to Hig h T o uc h Robert Wood Johnson Foundation/National Academy of Medicine Future of Nursing: Leading Change, Advancing Health Future of Nursing 2030 Seattle Town Hall - August 7, 2019  Quadruple Aim in Health Care  Social Determinants of Health  Increased Technology  Nurse Autonomy/Inter-professional Collaboration  Nurses and Self-Care Wa shing to n Sta te De pa rtme nt o f He a lth | 2

Ne xt E ra o f He a lth Ca re As much as 30% of what we do we will do differently • Ho w we e va lua te pa tie nts • Ho w we fo llo w-up • Ho w we b ring e xpe rtise in b e twe e n c linic ia ns a nd • o the r he a lth c a re pro vide rs Ho w we ma na g e pa tie nts a c ro ss se tting s • Becoming digitally-enabled is not just about replacing • analogue or paper processes with digital ones I t is a b o ut re thinking wha t wo rk is do ne , re - • e ng ine e ring , le a rning , a nd a da pting Wa shing to n Sta te De pa rtme nt o f He a lth | 3

Na tio na l Ac a de my o f Me dic ine Qua druple Aim He a lth c a re must b e :  Sa fe  E ffe c tive  Pa tie nt-Ce nte re d  T ime ly  E ffic ie nt  E q uita b le Wa shing to n Sta te De pa rtme nt o f He a lth | 4

Nursing Spe c ia ltie s/ Se tting s Wa shing to n Sta te De pa rtme nt o f He a lth | 5

So c ia l De te rmina nts o f He a lth Nursing a re e q uippe d to le a d the • re duc tio n o f he a lth dispa ritie s Nurse s a c t a s a dvo c a te s fo r c o mmunity- • inte g ra te d he a lth Wa shing to n Sta te De pa rtme nt o f He a lth | 6

Social Determinants of Health Wa shing to n Sta te De pa rtme nt o f He a lth | 7

Wha t Will it T a ke to Addre ss So c ia l De te rmina nts o f He a lth? Recommendations  Reform state SOP regulations to support RN participation in the diagnosis process  Adopt a common conceptual model of diagnosis  Adopt a common language for diagnosis  Designate and adopt an appropriate set of RN competencies for diagnosis  Interprofessional collaborative teams  Expand LPN scope to include full assessment Wa shing to n Sta te De pa rtme nt o f He a lth | 8

T e c hno lo g ie s Sha ping the F uture o f He a lth  Cognitive Computers  Augmented and Virtual Reality  Scanners at Home  Wearables  Holographics  Artificial Intelligence  3-D Printing  Genomics and Biotechnology  Nanotechnology https://www.bing.com/videos/search?q=Futur  Distant Care/Telehealth e+Technology+Devices+health+care&&view=de tail&mid=A426FCF5CEA86EA0503DA426FCF5C  Surgical Robots and Androids EA86EA0503D&&FORM=VRDGAR  Exoskeletons and Neuroprosthetics Wa shing to n Sta te De pa rtme nt o f He a lth | 9

https://www.msn.com/en-us/news/technology/the-robot-will-see-you-now-ai-and- health-care/vi-BBPaaoy

Hig h T e c h – Hig h T o uc h  Use Technology  Ensure people feel human o Be present o Listen o Create space o Communicate o Educate healthcare leadership o Support policies for a positive work environment o Take care of yourself Must remain true to compassionate nursing care directed by science Wa shing to n Sta te De pa rtme nt o f He a lth | 11

T e c hQua lity = T e c hno lo g y + E q ua lity Rapid Emerging Technology – Expanding Data collection Privacy and Security issues and Cybersecurity Threats Shortage of Health Care Workers Increasing Patient Expectations Aging Population “Silver Tsunami” Wa shing to n Sta te De pa rtme nt o f He a lth | 12

I mpa c t to Nursing  Nurses need to be ready to lead – nurses must be involved in leading developments and improving systems – Nursing Informatics  Nurses’ must be more tech literate  Nurses will be involved in care coordination using technology  Technology is a tool, not a panacea to good care – there is good and potential harm in these systems “The Right Balance of Information Science and Nursing Science” Wa shing to n Sta te De pa rtme nt o f He a lth | 13

Nurse ’ s We ll-Be ing a nd Re silie nc e  “Compassion Fatigue”  “Burnout” o Depression o Suicide o Substance Use Disorder https://proqol.org/uploads/ProQOL_5_English_Self-Score.pdf Nurses are Often Devoured by our Systems https://www.bing.com/videos/search?q=nurse+resilience+video&&view=detail&mid=8D506AB1BD1B79BD4A018D506AB1BD1B79BD4A01&&FORM=V RDGAR https://www.bing.com/videos/search?q=self+care+nurse+game&&view=detail&mid=924CD7E30B79525EA926924CD7E30B79525EA926&&F ORM=VRDGAR Wa shing to n Sta te De pa rtme nt o f He a lth | 14

Co nta c t Shana Johnny, MSN, RN Nursing Practice Consultant 360 236-4729 Nursing Practice Email Box: Shana.Johnny@doh.wa.gov NursingPractice@doh.wa.gov Margaret Holm, JD, RN Nursing Practice Consultant ARNPPractice@doh.wa.gov 360- 236-4731 Deborah Carlson, MSN, RN Nursing Practice Director 360 236-4725 Deborah.Carlson@doh.wa.gov Wa shing to n Sta te De pa rtme nt o f He a lth | 15

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