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9/17/2015 Region 10 Update Tracy Klein, PhD, FNP, ARNP, FAAN, FAANP Region X Director There are no conflicts of interest related to this presentation Objectives Identify purpose and initiatives of AANP and their national priorities and


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9/17/2015 1

Region 10 Update

Tracy Klein, PhD, FNP, ARNP, FAAN, FAANP Region X Director

There are no conflicts of interest related to this presentation

Objectives

  • Identify purpose and initiatives of AANP and

their national priorities and activities

  • Discuss legislative trends for Region X
  • Explore issues of specific concern to Oregon

NPs

  • Identify key opportunities for NP advocacy

and professional development

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9/17/2015 2

AANP Mission:

Lead NPs in transforming patient centered health care

2015 is a year of celebration… When it all began…

1965 – Dr. Loretta Ford and Dr. Henry Silver developed the first nurse practitioner program at the University

  • f Colorado

1967 – Boston College initiated one of the earliest master's programs for NPs 1971 – One of the first family NP programs, PRIMEX, opened its doors at the University of Washington 1973 – More than 65 NP programs existed in the U.S., and the National Association of Pediatric Nurse Practitioners was established

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1974 – The American Nurses Association (ANA) developed the Council of Primary Care Nurse Practitioners 1980 – Over 200 NP programs were available, and the Nurse Practitioner Associates for Continuing Education (NPACE) was established 1983 – Approximately 22‐24,000 NPs in the U.S. 1985 – The American Academy of Nurse Practitioners (AANP) was established 1989 – Ninety percent of NP programs were master's or post‐ master's degree programs, publication of the Journal of the AANP began, and the first AANP National Conference was held in Philadelphia with 158 attendees

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Leaders stepped forward…

1994 – Mary Mundinger published landmark "Advanced Practice Nursing – Good Medicine for Physicians" in The New England Journal of Medicine, further supporting facts that NPs are cost‐ effective and high‐quality primary health care providers 1995 – American College of Nurse Practitioners was formed 1999 – Approximately 68,300 NPs in the U.S. 2000 – AANP Fellows program was established, and the first international NP conference was held 2004 – National Nurse Practitioner Week, held annually in November, was recognized in a proclamation by the U.S. Congress Approximately 106,000 NPs in the U.S.

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2010 – NP policy focused on health care reform, CMS regulations, Medicare payment, appropriations, Medical Home and state and local issues of importance to NPs and their patients. There were an estimated 140,000 NPs in the U.S. AANP worked with the White House Office of Health Reform to review primary care perspective on preventive care, access, coordinated primary care, quality of care, payment and the need to recognize all primary care providers as solutions to the health care crisis. The AANP Fellows program (FAANP) celebrated its 10th anniversary.

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9/17/2015 4 2013 was a very good year…

  • American Academy of Nurse Practitioners and the American

College of Nurse Practitioners merged to form the American Association of Nurse Practitioners™ (AANP)

  • Membership in AANP increased nearly 19 percent for the year,

ending with 48,075 members

  • Member benefits grew to include two journals (JAANP and JNP)

and a package of lifestyle goods and services such as automobile rentals, vacation packages and discounts at major retailers

  • A multi‐media national NP Public Awareness campaign, “171,000

Solutions,” was developed that included a 30‐second television spot, 30 second radio spot and print ad

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Continuing to raise awareness…

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AANP’s Federal Legislative Priorities

  • Pass legislation which would enable NPs to certify

eligibility for home health (S 578/HR 1392)

  • Urge Congress to pass legislation recognizing NPs and
  • ther 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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Improved Access to NP Services

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’s State Legislative Priorities

  • 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

Increased NP Visibility

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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=y

  • utu.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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Social Media

NP Infographic

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Increased NP Visibility

  • 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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NP Related Research

  • 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

Annual Compensation Surveys

*Data self-reported in the 2015 National Nurse Practitioner Compensation Survey. Data weighted to be representative of the NP population within each region.

State Stats: Incoming: Karen Fell, MSN, RNC, FNP‐C Kafellrncanp @gmail.com State Practice Environment: Full % of NPs that are AANP Members: 28.75%

  • Practice & Policy Updates
  • Senate Bill #53 to incorporate consensus

model language in the nurse practice act, introduced while nurses and APRNs were in Juneau for the annual legislative fly in session.

  • Legislation passed to support wider

provision of naloxone

  • Legislation legalized non medical

marijuana

  • Upcoming Items
  • Alaska Nurse Practitioner Association

Conference will be September 17‐19, 2015 in Anchorage, Alaska.

Alaska

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State Stats: Beverlee Furner, MS, NP beverleefurner @cableone.net State Practice Environment: Full % of NPs that are AANP Members: 35.34%

  • Practice & Policy Updates
  • Bills of interest:
  • Medical Practice Compact (passed)
  • Psychologist Prescribing (did not pass)
  • Naloxone (passed)
  • Upcoming Items
  • No NP practice or licensure bills. Possibly

the APRN compact in 2016 or 2017.

  • Membership drives (new 2 yr. option)
  • Fall Conference October 7‐8‐9 in Boise
  • Focus on organization financial stability

Idaho

State Stats: Mandy Mckimmy, DNP, FNP mandymckimm y@gmail.com State Practice Environment: Full % of NPs that are AANP Members: 19.3%

  • Practice & Policy Updates
  • Legislation passed to title protect “APRN”
  • Nurse staffing law enhanced and updated
  • Reimbursement terms for independent

practice clarified

  • Pharmacists gained RX authority for

contraception

  • Legalization of non medical marijuana
  • Upcoming Items
  • NPO conference October 8‐10 in Sunriver

Oregon

State Stats: Nancy Lawton NELawton1 @gmail.com State Practice Environment: Full % of NPs that are AANP Members: 18.94%

  • Practice & Policy Updates
  • HB 2315 Global Signature
  • SB 5052 Cannabis Patient Protection Act
  • SB 5175 Telemedicine
  • State Budget:
  • Enhanced reimbursement dead
  • Loan repayment pending as of May
  • Upcoming Items
  • DOH Rule Writing
  • CNSs
  • Psychiatric Nurses
  • APRN Licensing Compact

Washington

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Idaho State Award: Clinical Idaho State Award: Advocate Oregon State Award: Clinical

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Oregon State Award: Advocate Meg Portwood Lincoln City, OR

About AANP

  • National Administrative Office
  • Austin, TX
  • Government Affairs Office
  • Washington, DC area

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9/17/2015 11 AANP Membership

  • More than 62,000 individual NP members
  • 194 NP organization members
  • National NP organizations and national nursing
  • rganizations with large NP constituencies
  • State and local NP groups/organizations
  • AANP represents over 205,000 practicing NPs

to the public, policy makers and industry

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Three Yearly Conferences

  • 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

Current National Stats

  • AANP reached the 50,000 member milestone in 2014, and now

membership totals more than 61,000

  • More than 916 million patient visits are made to NPs annually
  • 95% of NPs have graduate degrees
  • 97% of NPs maintain national certification
  • 87% of NPs are prepared in primary care
  • 85% of NPs see patients covered by Medicare (74% accept new

Medicare patients)

  • 84% of NPs see patients covered by Medicaid (68% accept new

Medicaid patients)

  • NPs hold prescriptive privilege in all 50 states and D.C., with

controlled substances in 49

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Shaping the Future

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AANP Leadership Programs

  • 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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Roger Fogg, FAANP

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Issues of Concern to Oregon

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Opportunities for Advocacy

  • 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
  • ther 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

  • r have them visit you in your practice

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Resources

  • National Conferences focus on clinical and professional development
  • Health Policy Conference provides legislative updates and
  • pportunities for attendees to meet with congressional leadership
  • Continuing Education is offered through the National, Specialty and

Health Policy conferences, the AANP CE Center and peer‐reviewed journals

  • AANP–Developed Toolkits keep NPs informed regarding important

health issues and assist them in educating their patients

  • Student Resource Center provides tools developed exclusively for

students

  • AANP’s Practice‐Based Research Network allows NPs to shape,

develop and participate in national NP research

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Membership Benefits

  • Over 85 free Continuing Education offerings

through the CEcenter.AANP.org

  • Discounts on Prescriber’s Letter (one year

plus CME for 87.00)

  • Discounts on malpractice, national

certification rates, and conferences

  • Student membership 55.00 a year
  • Annual membership is 125.00 a year

WHY I SERVE…