Institute of Medicine (IOM) Report

1
Institute of Medicine (IOM) Report Affect on
Nursing

• Donna Lester, ACNP-BC
• PCAPNA President

2
Committee Members

• Led by Donna Shalala
• 17 members
• IOM provides independent, objective, evidence
  based advice to policy makers, health
  professional, the private sector and public.
• www.iom.edu

3
Four Key Messages
4
Eliminate Practice Barriers

• Practice to full extent of their education and
  training
• NP, CNS, CRNA Midwives
• State regulations vary practice
• Federal Trade Commission
• Residency Programs for new grads
• High Turnover Rate among new nurses

5
APN Success Stories

• Veterans Health Administration
• Geisinger Health System
• Kaiser Permanente
• Indian Affairs
• CDC
• HRSA
• Red Cross

6
Research on Practice

• Compare cost, quality outcomes and access with a
  range of primary care models
• Examine impact of expanding range of providers to
  certify patient for Admission, HHC, SNF or
  Hospice
• Capture reimbursement consequences of APN, MD or
  other

7
Practice (cont.)

• Explore payment reform for NP, PA and teams
• Residency programs and reallocating funds for
  training

8
Improve Nursing Education

• Competencies to deliver high quality care
• Leadership
• Policy
• System Improvement
• Evidence based practice
• Teamwork/Collaboration
• Public Health/Community

9
Research on Education

• Identify combination of salary, benefit and job
  attributes to recruit and retain highly qualified
  faculty
• Analyze faculty to student ratio and affect on
  knowledge
• Identify if online is beneficial
• Identify and evaluate programs

10
Nurses as Partners

• Involved in the Redesign efforts as leaders and
  collaborators.
• Take Responsibility
• Identify problems
• Devise improvement plan
• Track progress
• Adjust
• Professional growth

11
Transitional Care Model

• Saw barriers to provide care to the chronically
  ill

12
Effective Workforce Planning

• Better data collection
• Affordable Care Act
• Create National Health Care Workforce Commission
• Gauge the demands and analyze needs
• Devise a way to meet the needs in all areas of
  specialty and in states

13
Conclusion

• Nurses play a fundamental role
• Power lies with
• Government
• Businesses
• Health Care Organizations
• Insurance companies
• Professional organizations