Nurses Need a Voice on Hospital Boards Nurses and the Future Of
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Provided to Virginia’s Nursing Community by VNA. Are You a Member? The Official Publication of the Virginia Nurses Association Volume 21 • No. 4 Circulation 99,000 Registered Nurses and 2,300 Student Nurses November 2013 Nurses Need a Voice on Hospital Boards Nurses and the Nurses represent the largest population of How would you characterize the participation Future of Virginia healthcare workers across Virginia, but hospitals of your nursing board member? rarely tap into this resource when considering new The nursing board members have been very board members . While nurses have an important involved in the strategic planning . They know what Healthcare understanding of care delivery from start to finish, the community needs along with the outcomes health systems often overlook the importance that are driving us, such as growth, quality, and by Terry McAuliffe of having this unique and essential perspective greater patient satisfaction . A nurse on the board is represented on their board . absolutely the right skill set that we need . The future Virginia stands on “I call nurses the reality check on boards,” said of nursing recommends that we have nursing leaders the brink of a dramatic Susan Hassmiller, PhD, RN, FAAN, senior advisor at the board level to help drive efficiency and monitor healthcare transition . The for nursing at the Robert Wood Johnson Foundation clinical outcomes . The board of 10 years ago may expansion of Medicaid gives (RWJF) and director of the Future of Nursing: not have had that, but today we have to have that as us the opportunity to enact Campaign for Action . “It’s detrimental to the quality reimbursement changes and as we continue to grow much needed reforms to of patient care in our country to not have nurses on and become more competitive . how we deliver medical care . the board ”. With advanced medical As part of a national Nurses on Boards initiative How can the VAC educate others about the and data management spearheaded by the Future of Nursing: Campaign value of having a nurse on the board? technology, we have the for Action, members of the Virginia Action Coalition Reimbursement is driven by outcomes and the ability to implement a (VAC) Leadership Workgroup determined the need nurse has a greater perspective on influencing patient-centered model of to increase statewide awareness of the value of patient satisfaction and quality metrics to support care that will proactively nurses on hospital boards in Virginia . Theresa the best things for our patients . The only way to do Terry McAuliffe Brosche, MSN, BSN, RN, CCRN, organized a Nurses this is by having nursing at the table ”. on Boards video production project with Dr . Nancy Littlefield, chief nursing officer of Spotsylvania Nurses Need a Voice continued on page 8 Nurses and the Future continued on page 9 Regional Medical Center (SRMC) . Dr . Littlefield and SRMC were approached as a model because a nurse currently serves on their board, and most importantly, they have a long-standing history of inclusion of nurses as essential board members . “We struck gold when we were connected with Dr . Littlefield and SRMC . I was impressed with her 2013 Nancy Vance Award message and support of VAC’s focus on nursing Winner Florence Jones leadership,” said Brosche . “Nationally, only four Clark (5th from right) to six percent of hospital board slots are filled by is congratulated by nurses . Our hope is that through our VAC outreach, members of the National these percentages will increase in Virginia – which Black Nurses Association, benefits everyone involved in our healthcare system ”. Central Virginia Chapter. More VNF Annual Gala A few excerpts from the Nurses on Boards coverage on pages 4-7. interview with Dr. Littlefield: Why do you value having a nurse serving on the board? The nursing board member has the ability to balance the business of healthcare with the clinical outcomes that drive our success as a hospital . What skill sets do you feel a nurse brings to the board that is different than other board members? The nurse’s knowledge of healthcare, along with his/her education, experience, and perspective to CONTENTS drive the results that we need to achieve . November 2013 President’s Message ..................... 2 News Briefs New Implementation Guide Complements Presort Standard Virginia Nurses Association Announces ANA’s National Standards on SPHM ..... 11 US Postage New Board Members . 3 PAID Permit #14 Membership Assembly ................... 3 Surviving a Board of Nursing Complaint . 13 Princeton, MN current resident or 55371 VNF Gala 2013 Nurse Leadership Institute Change Gala Sponsors. 4 Projects Shared . 16 Nancy Vance Award Recipient ........... 4 Implementing an Effective Fall Prevention Virginia Nurses Foundation Leadership Program .......................... 16 Excellence Award Recipients ......... 4-7 Role of Consistent Assignments in Improved SAVE THE DATE . 10 Quality of Care ..................... 18 Education Day Celebrating over 70 Poster Presenters . 10-11 Page 2 November, December 2013, January 2014 Virginia Nurses Today www.VirginiaNurses.com President’s Message straight year, were identified by Americans as the You Have a Voice most trustworthy professionals in Gallup’s annual is the official publication of the Virginia Nurses “Honesty and Ethics” survey . Association: 7113 Three Chopt Road, Suite With the legislative 204 Richmond, Virginia 23226, a constituent session upon us, I wanted 1. Enable Advanced Practice Registered Nurses member of the American Nurses Association . to summarize various (APRNs) to contribute to the health care www VirginiaNurses. com. approaches VNA is using solution by practicing to their full scope of admin@virginianurses com. to keep you connected to education and training. Fax: 804-282-4916 political activity and to APRNs (nurse practitioners, nurse anesthetists, encourage Virginia nurses nurse midwives, and clinical nurse specialists) The opinions contained herein are those of the to be aware of legislative have provided safe and effective care in the individual authors and do not necessarily priorities in our state United States for more than four decades . reflect the views of the Association . and the value of local When the Affordable Care ACT (ACA) is fully grassroots activities to keep implemented millions will gain coverage Virginia Nurses Today reserves the health care priorities at under the law . APRNs in the US . currently right to edit all materials to its style the forefront . Indeed you Loressa Cole have barriers to practice which include and space requirements and to have a voice, and many requirements for being supervised by or having clarify presentations . opportunities to impact the legislative process . a collaborative agreement with a physician, Earlier this year our VNA Board of DIrectors inability to admit patients into hospice or finalized Nursing’s Public Policy Platform as follows: home health and restrictions on prescription of VNA Mission Statement Ensuring that Virginians have access to sufficient controlled drugs . There is currently a shortage The mission of the VNA is to promote education, numbers of nurses, that an increasing supply of primary care physicians and the restriction advocacy and mentoring for registered nurses to of nurses and nursing faculty are positioned to to APRN practice limits patients’ access to care . advance professional practice and influence the educate the future nursing workforce, and that Advanced practice registered nurses’ autonomy delivery of quality care . nursing’s voice is heard on public policy issues is is imperative to avoiding a crisis in the delivery a top priority . We seek the following commitments of health care, and should be allowed to VNT Staff from the Commonwealth on behalf of Virginia’s more practice to their full scope of education and Janet Wall, Editor-in-Chief than 100,000 registered nurses who, for the 11th training . Kristin Jimison, Managing Editor While Virginia has enabled collaborative Virginia Nurses Today is published quarterly agreements for APRN practice, it’s essential that every February, May, August and November by we continue to remove the barriers that restrict the Arthur L . Davis Publishing Agency, Inc . www.VirginiaNurses.com their full scope of practice . Copyright © 2012, ISSN #1084-4740 Subscriber rates are available, 804-282-1808 . 2. Increase educational capacity and faculty salaries at the state’s schools of nursing For February 2014 advertising rates and in order to ensure an adequate supply of information, please contact Arthur L . Davis registered nurses to meet the future needs Publishing Agency, Inc ,. 517 Washington Street, Published by: of the residents of the Commonwealth. PO Box 216, Cedar Falls, Iowa 50613 . (800) 626- Arthur L. 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