NM Statewide Nursing Faculty Conference

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NM Statewide Nursing Faculty Conference

• What is our shared vision?
• Nancy Ridenour, PhD, APRN, BC, FAAN
• Dean and Professor, University of New Mexico
  College of Nursing

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Health Reform 2007-2008
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Health Reform 2009
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Health Care Costs Concentrated in Sick
FewSickest 10 Account for 64 of Expenses
Distribution of health expenditures for the U.S.
population, by magnitude of expenditure, 2003
Expenditure Threshold (2003
Dollars)
1
5
10
36,280
24
12,046
49
50
6,992
64
715
97
Source S. H. Zuvekas and J. W. Cohen,
Prescription Drugs and the Changing
Concentration of Health Care Expenditures,
Health Affairs, Jan/Feb 2007 26(1) 249257.
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Sources of Growth in Projected Federal
Spendingon Medicare and Medicaid (Percentage of
GDP)

• http//www.cbo.gov/publications/collections/health
  .cfm

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Hospital Quality and Safety

• 40 percent of recommended care is not received by
  patients.
• Disparities in health care persist.
• One in seven hospitalized Medicare patients
  experience one or more adverse event.
• Patient safety measures have worsened by nearly 1
  percent each year for the past 6 years.
• Central line associated blood stream infections
  strike hundreds of thousands of patients each
  year.
• http//www.ahrq.gov/qual/qrdr08.htm

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What Opportunities Do these Facts Present for
Nurses?

• Chronic Disease Management
• Safety/Quality
• Prevention/Health Promotion
• Community based Care
• Nurse managed Clinics
• What else?.......

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• Implications for Nursing Education

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External Forces

• Health Re-Form
• Escalating medical costs
• Aging population
• Increasing chronicity
• Workforce shortages
• Funding
• Decreasing state budgets
• Tuition fatigue
• Fill in the blank (s)________

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Internal Forces

• Professional rivalry
• Funding
• Curriculum
• Team building
• Multiple roles
• busy
• Lack of shared vision
• Fill in the blank(s) _______

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Why Should We Aspire to a Shared Vision?

• Faculty shortages
• Increased enrollment
• Decreased budgets
• Shrinking job market
• Health Re-form

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Implications for Nursing Education

• Lets fill in the details!