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2013

Book of Reports

2013PSNABookofReports/President’sReport

President’s Report

Wow ! What a thrilling ride these past two years of my presidency have been! PSNA has become a professional powerhouse for nurses in this state. As a dynamic professional organization, we continue to strengthen our relationships with various stakeholders within the state and at the national level. Likewise, we continue to: provide valuable services – including advocacy and continuing education – to our members; strengthen the PSNA‐PAC; and support the vision of the Nursing Foundation of Pennsylvania (NFP). To that extent, as your president, I have accrued more than 30,000 miles of statewide and national travel as I attend and participate in numerous board meetings, forums, state agencies’ meetings, national invitations and ANA national meetings. I love every minute of my travels as I am introduced to our members who have worked diligently to maintain and strengthen PSNA. As your representative at the national level, the attendance at the inaugural ANA Membership Assembly has forged crucial bonds with the leadership of ANA and other state associations. With a smaller venue, it is easier for state representatives to voice an opinion and to be heard by the Assembly; this creates an even stronger voice for PSNA. ANA’s restructuring of some of the state associations into regional entities continues. PSNA remains vigilant in its monitoring of this reorganization. At this point, PSNA is an independent entity under ANA’s new structural format. In the future, two key factors will determine PSNA as an independent state association: increasing membership and increasing revenues to cover future expenditures. To that end, I am challenging our membership to engage in the Member to Member Campaign, doubling our membership by the end of 2014. If we are committed to our mission of advocacy for all nurses in this state, our membership goal should be exceeded. Based on 2013 events, my President’s Report will continue to provide a brief State of the Organization overview for PSNA, the NFP and the PA Action Coalition. PSNA, as a membership organization, has had its peaks and valleys throughout the year. We continue to be a strong and active participant in health care reform (the only nursing association at the table during critical discussions with the governor’s office). PSNA is the only professional nursing association that provides a strong voice for all nurses, insisting that nurses serve as leaders and panel experts in the ever‐changing and challenging health care arena. The following points are major highlights of PSNA’s accomplishments:

Membership has increased to an all‐time high, hovering at 2,400. With the Member to Member Campaign, our goal is to be at 4,800 by the end of 2014. With each member having a goal of bringing one new member into the Association, our target can become a reality. Likewise, our retention rates for new members have increased, closing within reach of our 80 percent goal. The PSNA Board reviewed the categories for membership and approved only two categories: full and state with district membership. Being a member of a district provides opportunities for networking and engaging in the mission and advocacy work of PSNA. New members, regardless of the category, need to be welcomed and to become actively engaged at the district and state levels. District presidents are encouraged to develop strategies to engage new members in a more timely fashion. Meaningful connections and relationships always begin at the local level.


In 2013, PSNA excelled in its advocacy role. PSNA was front and center at two bill signing ceremonies with Governor Corbett. With a strong advocacy voice for APRNs, SB 5, the Community Based Health Care Act, was amended to incorporate all APRNs into the bill’s definition and to have APRNs eligible to receive funding through the grant process. The second bill signing ceremony related to HB 1190, Deemed Status for Health Care Organizations, with PSNA successfully advocating for the removal of exclusionary language from medical staff provisions for all APRNs and supervisory language for CRNAs. Additionally, PSNA was the only professional nurse association privy to the Governor’s Healthy PA Initiative prior to the public news conference. The governor’s office requested our input into the document and the proposed document included many of our requested changes. In our discussions with the administration, PSNA was quite clear of our position for nurses to be equal partners in developing strategies for the proposed Healthy PA Initiative of access, affordability and quality health care for all PA residents. And finally, PSNA has reintroduced HB 1631, Safe Staffing, and HB 1457, CNS Removal of Barriers. Strong grassroots efforts by our members are needed for these two bills to be passed into law. With your help, we may have two more bill signing ceremonies to celebrate in 2014.

Coalition building continues to be a major focus of my presidency with SNAP, HAP, PMS, education nursing associations, PCANE, PA State Board of Nursing, all APRN specialty organizations, PA Nursing Congress, LPN Forum, PONL, and the PA Action Coalition to name a few.

The PA Alliance for Advanced Practice Nurses was reconstituted in late 2012 to develop legislative initiatives for the removal of practice barriers and to have all APRNs receive full practice authority and full admission authority based on their practice authority. To date, three of the four advanced practice groups have introduced legislative initiatives. Likewise, the Hospital Association of Pennsylvania (HAP), in collaboration with all APRNs groups, has completed a detailed guidebook, Use of Physician Assistants, Certified Registered Nurse Practitioners, Certified Nurse Midwives, Certified Registered Nurse Anesthetist, and Clinical Nurse Specialists, providing information and updates from the various practice acts and regulations.

PSNA continues to have a strong commitment to continuing education for all nurses. Our CE applications remain strong. The Star Leadership Institute and Mentorship program is being offered in October 2013 and April 2014.

The New to Practice Committee, constituted in 2012, continues to develop strategies to assist graduates transition from the student role to one of a professional nurse. This committee has developed activities for a smooth transition of these new members into a professional nursing association and to increase retention rates within this cohort group. Throughout the past year, the members of this committee and the two co‐chairs have been actively developing strategies for success.

Over the past 18 months, the PA Action Coalition has evolved into a statewide network of volunteer nurses and other professional and consumer groups to advance the IOM Report (2010) under the umbrella of the Nurse Future Campaign supported by RWJF and AARP. Regional Action Coalitions have been established and have held several meetings to date. A Nursing Diversity Council has been constituted to assist with the formulation of a strategic plan to increase diversity into PA nursing workforce. The PA Action Coalition was successful in garnering a two‐year RWJF grant for $150,000 for the purpose of establishing baseline data on academic progression models, faculty vacancy rates and nurse residency programs, and of


forecasting registered nurses supply and demand for the state and each region. Success of these major initiatives for the PA Action Coalition rests on sustaining the high degree of energy and forward momentum of a large volunteer network across the state.

The NFP has developed a new strategic plan for the survival of the foundation and growth in monetary donations to the foundation. Over the past year, the NFP has received major gifts from several individuals and organizations for scholarships. Currently, the need for financial support for operational funds is being sought for the future success of the NFP. Several future expectancies have been designated for this purpose. The NFP Board remains diligent in seeking other avenues for operational funds. Our Standards for Excellence application have officially been submitted to PANO for review. The application is moving along the six‐month review process with the final outcome being announced in early 2014.

The above narrative highlights only a few of our major accomplishments in 2013. Additional staff and committee reports in the Summit’s Book of Reports provide greater depth and breadth to our successes and truly demonstrate PSNA’s excellence in fulfilling its mission and strategic plan. Before closing, a special thank you is extended to the PSNA Board of Directors for their enormous commitment to the goals of this Association. Through their time, talents and treasure, the Board continues to serve as a role model and a very stable and supportive force for PSNA. Likewise, PSNA is only as great as its membership. So a special thank you also is extended to the many volunteers on the Cabinet, Government Relations Committee, Environmental Health Committee, Continuing Education Committee, Bylaws Committee, PA Congress on Practice, Education, & Policy, PA Coalition for the Advancement of Nursing Education and Nursing Foundation of Pennsylvania, District Presidents and their leadership team/committees, as well as all of the smaller structural units. These structural entities of PSNA need to be applauded for their efforts to maintain a strong and highly visible Association in their region. And finally, a very special note of appreciation and thank you is extended to our CEO Betsy M. Snook and the PSNA, NFP and PA Action Coalition staff and consultants – Kevin J. Busher, Patti Gates Smith, Shirl Shaffer, Ella Fang, Sylvia Hill, Jennifer Neidig, Wayne Reich, Karen Reinert, Latoya Slaughter , Linda Smith and Christine Wertz – for their tireless dedication and endless hours of devotion. These individuals truly are the foundation for all of our successes in 2013. As a professional association, PSNA is positioned to lead in efforts to restructure health care and to have nurses lead in this endeavor. My only request to our members is your active engagement in all of PSNA’s activities and to encourage other nurses to join. Just imagine if all 212,000 registered nurses in PA were members of PSNA. What an impact PSNA, as a professional nursing association, could have in this state! Once again, I thank you for this humbling. Always, Chris Alichnie, PhD, RN President (2011‐2013)

2013PSNABookofReports/VicePresident’sReport

Vice President’s Report It was a privilege and pleasure to serve as the vice president of PSNA this past year. As usual the Association was busy as many objectives of the Strategic Plan were achieved. As Vice President, I have served on the Summit Planning Committee, including the planning for Summit 2013, which will be the 110th anniversary of PSNA. Additionally this year, I worked with the Executive Committee of the Board to finalize a new evaluation tool for our CEO that is being utilized for the first time this year, to ensure ongoing success of PSNA as the voice of the profession of nursing in the Commonwealth of Pennsylvania. Also, I served as a member of the Investment Committee, insuring that there are appropriate checks and balances to manage the reserves of the organization. Finally, I would like to thank PSNA CEO Betsy M. Snook and PSNA President Chris Alichnie for their tireless efforts on behalf of the Association, the Board for their dedicated volunteerism and the staff for their hard work and loyalty. Respectfully submitted, Paul E. Tarves, RN, MSN PSNA Vice President

2013PSNABookofReports/Secretary’sReport

Secretary’s Report

Thanks to Hurricane Sandy, this year has been unusual because of the delayed Summit. The PSNA Board of Directors held two face‐face meetings: January 31, 2013 and the delayed Annual Meeting/Summit on May 20, 2013. Each meeting and the interaction with our members, organizational affiliates, the PA Action Coalition and the Nursing Foundation of Pennsylvania added to the important work of PSNA. Attendance and participation at all meetings was excellent and significant progress on our Strategic Plan and goals was accomplished. In addition, I participated in Executive Committee Conference Calls and the Board met twice by conference call. Our next meeting will be at the Annual Fall Summit held October 17‐18, 2013. We will be celebrating 110 years of advocacy and representation of Pennsylvania’s registered nurses. I hope to see you there. It promises to be a fast‐paced, fun‐filled time. It has been my pleasure to serve as PSNA Secretary during this first year of my term. I thank Betsy Snook, Karen Reinert and the entire PSNA staff who carry out the daily work of PSNA on our behalf. Thank you, Patrick E. Kenny, EdD, RN, ACRN, APRN‐PMH, NE‐BC PSNA Secretary

2013PSNABookofReports/Treasurer’sReport

Treasurer’s Report ‐ FY 2012‐2013

As I enter my fourth year serving as PSNA Treasurer, I would like to thank the many people that have made PSNA successful. This past year, PSNA was seen acting in accordance with maintaining their vision and mission for the organization. Dues Revenue: Dues revenue came in over budget by a small yield of about 1.45% due in large part to the ANA rebate and an increase in total membership dues. I am happy to report we are approximating a membership high of 2,400! Non‐Dues Revenue: Non dues revenue came in under budget by about 5%. General Operating Expenses: As a whole, general operations revenue is proceeding under budget by about 2%. General operating expenses were under budget by about 5%. Respectfully submitted, Julia A. Greenawalt, PhD, RNC PSNA Treasurer

2013PSNABookofReports/PSNADistrict2

PSNA District 2 PSNA District 2 was again invited to present a legislative/organizational lecture to nursing student s at Alvernia University. The presentation was led by District 2 Vice President Vera Brancato, EdD, MSN, RN and PSNA Director of Government Affairs Kevin J. Busher. PSNA District 2 held six general meetings this year. We had two educational meetings that were open to local nurses. We also collaborated with the local chapter of the American Association of Critical‐Care Nurses to co‐sponsor a half‐day educational program in April. PSNA District 2 provided PSNA District 2 Vice President Vera Brancato, PSNA Director of Government Affairs Kevin J. Busher and PSNA Deputy CEO/Director of Membership Wayne Reich, BSN, RN. We presented on the topic of legislation and how nurses can become involved. We also held a celebration for Nurse’s Day at our June educational meeting on “The Affordable Care Act: Impact on Hospitals.” There were 32 nurses in attendance. A potted herb plant and PSNA District 2 items were given to all. Postcards with the PSNA logo were mailed to PSNA District 2 members to wish them a happy nurse’s week. We had one student award recipient of the Barbara Stratton Memorial Scholarship. The award includes a one‐year ANA membership. PSNA District 2 sponsored four members to attend the Summit in May. Our District is working with the city of Reading to place a monument in City Park to recognize the efforts of nurses during the Civil War. We also updated our bylaws and held annual election for board vacancies in June. PSNA District 2 continued to maintain a stable membership with 267 members. The District continued to maintain contact with our members. Each member was mailed a postcard to invite them to access the District’s website on a routine basis. We continue to post district meetings, sponsored educational offerings, minutes, bylaws and award criteria. PSNA District 2 continued to promote the image and practice of nursing through networking, communication, advocacy, research and education. We continued to support the initiatives, mission and vision of PSNA and continued to strive to increase visibility and remain active in both the nursing and public community. We look forward to continuing our activities in support of PSNA. Respectfully submitted, Karen R. Willard, MSN, RN, CCRN PSNA District 2 President Vera Brancato, Vice President; Adrienne Salanek, Treasurer; Barbara Romig, Secretary; Michele Furdyna, Recording Secretary; Tracy Scheirer, Corresponding Secretary; Joy Sweeney, Director; Danielle Kranis, Director; Nancy Johnston, Director; Laura Kane, Director; Cathy Weinheimer, Director; Barbara Romig, Director; Eugenia Umberger, Nomination

2013PSNABookofReports/District3

PSNA District 3

Goals and Activities:

1. Increase communication within District 3: a. We held District meetings via conference call in October 2012 and March 2013. This was a

means of recruiting increased member input. b. We distributed three District newsletters and two event announcements via mail and e‐mail.

2. Increase collaboration with other professional nursing organizations. 3. Increase visibility and relevance to members and non‐members by continuing our programming

efforts: a. We co‐sponsored an event with PSNA District 4 on March 20, 2013. The event, “Human

Trafficking: Implication for Health Care Professionals,” was presented by Dr. Mark Rogers. The event was held at Worthington Scranton Campus, Penn State University.

b. We co‐sponsored an annual CE program with the Collaborative Nursing Network of Northeastern PA. This year’s program was held April 23, 2013 at the East Mountain Inn. The topic was “Patient Safety Takes a Team!” and was presented by Franchesca J. Charney, RN, MS, CPSO, CPPS, CPHRM, CPHQ, FASHRM. More than 130 participants attended the program.

c. Two District 3 members serve in the following PSNA offices: Dr. Christine Alichnie is currently president of PSNA and Donna Ayers Snelson serves on the PSNA Board of Directors.

d. Three District members attended the Annual Summit in May at DeSales University. 4. Increase legislative and advocacy activity by local members:

a. On October 3, 2013, the District held a Town Hall Meeting at Geisinger Wyoming Valley Medical Center.

b. The District donated a basket of PSNA District 3 memorabilia to the PSNA‐PAC auction. c. The District had nurses and nursing students in attendance at PSNA’s annual Legislative Day in

Harrisburg. d. PSNA Director of Government Affairs Kevin J. Busher guest lectured at Misericordia University

for an RN student class. Thank you to District officers and members for their support. It is only because of their continued commitment to nursing and PSNA that District 3 remains viable. Respectfully Submitted, Donna Ayers Snelson, President District 3 Cindy Mailloux, Vice President; Karen Cominsky, Treasurer; Marion Villano, Secretary; Annette Weiss, Todd Hastings; Legislative Chair


PSNA District 4

Goals for the year 2013:

Increase member participation at meetings

Offer at least two continuing education events with contact hours to members

Raise funds by charging non‐members for continuing education offerings

Encourage PSNA membership at continuing education offerings Meetings with action taken: Oct. 11, 2012

a. CE on “Human Trafficking” was planned for March 20, 2013 at Penn State, Worthington. b. Members were encouraged to attend the Annual Summit at DeSales University. c. PSNA District 4 will donate a garden‐themed basket for the PSNA‐PAC Auction

Feb. 28, 2013 a. The PSNA Annual Summit was postponed to May 2013 due to Hurricane Sandy b. Last minute details for the “Human Trafficking” CE were completed c. The District will co‐sponsor the Annual Collaborative Nursing Network of NEPA CE on April 23, 2013 at

Best Western East Mt. Inn on “Patient Safety” April 23, 2013

a. District President Kathleen Karabell resigned due to personal responsibilities. Vice President Linda Harding assumed duties of president.

b. District realized a modest financial gain from the CE offering on “Human Trafficking” c. Reports were given on the Summit and PSNA Board actions. d. Nurse Week Proclamations will be sought in Pike and Wayne County and Scranton City. e. A District representative attended the April 15, 2013 PSNA Legislative Day in Harrisburg.

Sept. 18, 2013 a. PSNA President Chris Alichnie reported on ANA’s pilot membership programs, legislative issues and Board

actions. b. A survey was sent to non‐renewing members seeking their reasons for not renewing and inviting them

back. Only one responded, citing cost as her reason. c. Three requests were made for monetary donations: April 22 NEPA Collaborative meeting co‐sponsorship

and PAC Auction donation were approved. VN Hospice was not approved since the publicity has already been released and there would not be an opportunity for visibility. A request will be sent to consider co‐sponsorship for next fall’s CE offering.

d. A Town Hall meeting will be planned for the beginning of May 2014 e. There are CE opportunities at the Oct. 18, 2013 Summit (Environmental Health) and at Wilkes Univ. on

Oct. 9 (Newborns) and Nov. 7 (Diabetes). f. District President Linda Harding reported on the Pike County Nurse Week proclamation. g. Three new members joined since November 2012.

Respectfully submitted, Linda O. Harding, RNC, CDE, District 4 President Kathleen Carney, MSN, RN, Treasurer; Patricia Sweeney, PhD, CRNP, Secretary


PSNA District 6 Board Meetings: January 11, 2013 February 8, 2013 April 12, 2013 September 13, 2013 October 11, 2013 November 8, 2013 General Meetings: February 12, 2013 March 8, 2013 May 10, 2013 ‐ A Celebration Day to Honor Nurse’s Week, Sheraton Four Points, Cranberry, PA October 12, 2013 ‐ Brunch All general membership and Board meetings (except for the May Celebration) are held at Life’s Work, 1313 Forbes Ave., Pittsburgh, PA Legislative Day: PSNA District 6 attended Legislative Day. We emphasized to our District members the importance of attendance at Legislative Day. It is critical, that, as nurses, we present a unified and professional approach. With this in mind, we hope to enlist enough support to schedule a bus for next year’s Legislative Day. Nurses Week Celebration: District 6 was pleased to welcome to the Celebration two representatives from PSNA headquarters in Harrisburg: Wayne Reich, BSN, RN, Deputy Chief Executive Officer, Director of Membership and Shirl Shaffer, NFP Director of Philanthropy. The educational sessions began with the topic, “Crisis Response” by Marilyn Zrust, EdD, RN. The relevance of this topic and the two following was based on the increasing trend of violence in society generally. Examples of situations were given and nursing interventions were identified. Carol Ann Coles, MSN, RN followed with a presentation, “When Patient Violence to Others Call for Nursing Interventions.” Specific scenarios were set forth and discussed. Debra Ward, MSN, RN continued the discussion related to “When Suicidal Behaviors Indicate Suicidal Intervention.” October 12: Keynote Speakers: Dr. Bruce Rabin, MD, PhD, The University of Pittsburgh Medical Center Healthy Lifestyle Program; "Alzheimer's Disease and Frontotemporal Dementia: What Role Does Genetics Play?" ; Ms. Ellen Steinbart, RN, MA, Research Nurse (retired), University of Research Center, Seattle, Washington Strategic Plan:

1. Increase Membership 2. Increase Presence at Legislative Day 3. Establish a well‐funded scholarship program

The result of the election on November 13, 2012


President: Marilyn Zrust, RN President‐Elect: Mildred Jones, PhD, RN Vice President: Jeffrey Rompala, BSN, RN Board of Directors: Linda Frank, Ph.D., RN Megan Mattos, MSN, RN Danielle Wymard Tomlinson, DPN, RN Gretchen Zewe, PhD, RN


PSNA District 7

District 7 held one Town Hall and one membership meeting this year. We also held two Board meetings, which are open to all members. We participated in the 5 County Dinner Meeting, held elections for District office, and contributed an item for the Silent Auction at the 2012 Annual Summit (rescheduled to May 2013 at DeSales University thanks to Hurricane Sandy). We look forward to another successful year. See you at Summit 2013! Thank you, Dr. Patrick Kenny District 7 President


PSNA District 15 District 15 continued with its tradition of awarding our Nursing Student Leadership award in Fall 2012 (HACC Wildwood and HACC Gettysburg campuses) and Spring 2013 (HACC Wildwood, HACC Gettysburg and Messiah College). This award is selected by the nursing faculty at the schools to recognize a student who exhibits leadership ability and commitment to the profession. The award winners receive a one‐year state‐level membership to PSNA and a monetary award. This year, the majority of award winners activated the membership and we are seeking ways to keep them in the Association. The District held one meeting in the past year. This meeting was mainly a networking meeting. PSNA Deputy CEO and Director of Membership Wayne Reich and PSNA Director of Government Affairs Kevin J. Busher attended and updated the membership on current issues. A PSNA Town Hall meeting was held on October 10 and we had a good. In addition, PSNA District 15 has been active in the South Central Regional PA Action Coalition meetings and will continue to support these important efforts. Respectfully submitted, Kelly A. Kuhns, PhD, RN District 15 President Judy Hauck, Treasurer; Christine Pyne, Secretary


PSNA District 16 Goals 1. Support nursing education in Pennsylvania via financial support of the Nursing Foundation of Pennsylvania

(NFP). 2. Provide opportunities for PSNA members to attend continuing education events and network with other

members. 3. Host a Town Hall meeting. 4. Support Safe Staffing Legislation and other crucial legislation via letter‐writing and grassroots political

activity.

Report of Activities On April 18, 2013, District 16 sponsored a Town Hall at Millersville University. The event was attended by Representative Brian Cutler, Gordon Denlinger and Keith Greiner’s staff assistant. Approximately 35 were in attendance. On June 13, PSNA co‐sponsored a public viewing of the film Escape Fire at the Penn Cinema in Lititz, PA. This documentary explained the challenges inherent in the U.S. health care system. At the conclusion of the movie, a panel of physicians and nurses, including PSNA CEO Betsy Snook, led a discussion. As a way to advance the profession of nursing and, in particular, The Institute of Medicine’s Goals, the PSNA District 16 Board of Directors are supporting nursing education through scholarship assistance. A donation of $1050 was made on February 4, 2013. The funds are earmarked for the operating fund of the NFP. To support the PSNA‐PAC, the District will donate a Kindle Fire to the Summit silent auction. Two other donations were made by individual members of the District 16 Board of Directors. Respectfully submitted, Priscilla Simmons President N. Kay Lenhart, Vice President; Lois Olney, Treasurer; Nancy Elliot, Secretary; Rebecca Modene, Nominations; Sandy Albright, Director; Christie Leviste Magsino, Director


PSNA District 23

There has not been any activity scheduled within the District. If there are members that would be interested in

helping the District become active, please contact Betsy Walls at [email protected].

Thank you,

President District 23, Betsy Walls


PSNA District 25

Treasurer Reports: For period from 7/1/2012 to 6/30/2013

A. Total cash & investments $18,404.75

REVENUES DURING THE PERIOD:

1. Dues Received $1,697.44 2. Investment income (checking, savings, certificate) $226.63 3. Miscellaneous $2,437.00

B. Total Revenue for the period $4,361.07

Thank you, Joan Yuan Diane Wieland, President; Rose Elliott, Vice President; Joan Yuan, Treasurer; Teresa Wenner, Secretary

PSNA District 25, Montgomery County Nurses On August 16, 2012, the Board of Directors had an organizational meeting and welcomed: Joan Yuan, Treasurer; Meryle Gurmankin, Board Member; Pat Dillon, Board Member; and Marilyn Harris, Board Member. On October 12, 2012, the Legislative Dialogue Dinner and Dessert was held at the Café La Fontana in Hatboro, PA. Included was a fundraiser for student scholarships and the PSNA‐PAC. The program, “Healthcare Issues at the State and Federal Levels,” hosted Pennsylvania legislators and staffers participating in an engaging and lively discussion considering pre‐ and post‐elections impact on health care. Other board meetings occurred on December 11, 2012 at Gwynedd‐Mercy College. A virtual meeting scheduled on January 16, 2013 was cancelled due to low attendance. Due to the annual Summit re‐scheduled from November 2012 to May 2013, the board decided to forego the May 1, 2013 meeting due to attendance of board members at the annual Summit in May 2013. The highlight of the 2012‐2013 year for District 25 was the Annual Awards with recognition of: Dr. Diane Breckenridge, 2012 PSNA Global Citizen Award (for her work with nurses in The Netherlands, University of Utreck); and Dr. Diane Wieland, 2012 Distinguished Nurse Award (for years of scholarly research with veterans’ post‐traumatic stress and veteran women’s homelessness and health issues). The Annual Business Dinner Meeting was held on June 13, 2013. The invited speaker was Ms. Susan Mojaverian, MSN, RN and the topic was “Out of the Box Thinking: Nurse Entrepreneurship.” The discussion included: creativity, resilience and perseverance in sustaining nursing practice integrating business practices in‐home care in providing comprehensive services. District 25 members attended the 2013 PSNA Legislative Day at the State Capitol and took part in continuing education programs. Members who were unable to attend met with state representatives and legislators to discuss PSNA initiatives including safe staffing. The District 25 Montgomery County Nurses Board volunteered and organized the PSNA 5‐County Dinner for the Fall 2012. This event was held on October 4, 2012 at the Double Tree Hotel in Plymouth Meeting. The evening began with a Meet and Greet with Dr. Betty Neuman and was followed by a review of a “wholistic” approach in developing the Neuman Systems Model. This was followed with a presentation by Dr. Meryle Gurmankin and Ms. Mary Wilby, MSN, CRNP, on “Caring for Ourselves and Others: A Holistic Approach.” PSNA representatives Wayne Reich and Kevin Busher, and PSNA Board of Directors were in attendance with a PAC donation by Dr. Betty Neuman and Dr. Diane Breckenridge with over 40 PSNA 5‐County members, nursing students and guests in attendance. Several student nurses were given financial support to attend the 5‐County meeting by their respective universities and educational institutions along with nursing student scholarships announced by Dr. Stacey Keech. Poster presentations by nursing faculty and nursing students enhanced nursing research and scholarship of all attendees. On Thursday, October 18, 2012, District 25 hosted its Legislative Dinner and Dialogue, addressing “Healthcare Issues at the State and Federal Levels.” This was chaired by Dr. Diane Breckenridge and held at the Café La Fontana in Hatboro, PA. District 25 continues to reach out to District 25 nurses to fill board of director vacancies. One challenge has been to recruit members to run for the board. We plan on contacting District 25 members over the summer to engage membership to join in Fall events of District 25 Legislative Dialogue 2013, September 26, 2013, PSNA 110th Year

Anniversary, Malvern, PA and Legislative Day 2014 in Harrisburg. Ballots will be included with “The Capsule” newsletter during Summer 2013 to invite members to participate in District 25 board of director positions. Important issues continue to be: safe staffing; bullying in the work environment; local and global healthy environments; new roles for nurses given health care reform efforts; and contacting our membership to encourage participation on board of directors PSNA District 25 Montgomery County Nurses. Respectfully submitted: Rose Elliott, MSN, MA, M Ed, RN, CSN PSNA District 25 President, 2012‐2014 President Rose Elliott Treasurer Joan Yuan


PSNA District 27 District 27 scheduled four dinner meetings and educational events with the area Medical Surgical Nurses (AMSN) from November 2012 – September 2013.

November 13, 2012: Renee Smith, MS, RN, CPAN, CAPA, CSRN: “The Nuss Procedure”

April 23, 2013: Robin Brewer, RN, BSN, CDE: “Diabetes Update”

June 20, 2013: Mary Jane Reed, MD, Geisinger Medical Center: "Disaster Nursing”

September 25, 2013: Robert D. Moser, RRT, MHA of GHS Sleep Services, “Obstructive Sleep Apnea: A 21st Century Approach Regarding Screening, Recognition and Management”

District 27 and AMSN will meet for their next program at a dinner meeting on November 6, 2013.

Thank you,

Kathleen Baas, District 27 Secretary

Renee Smith, President; Kathleen Baas, Secretary/Treasurer

2013PSNABookofReports/NursingFoundationofPennsylvania

Nursing Foundation of Pennsylvania (NFP)

The NFP’s mission is about community – every organization, nurse leader and individual who benefits from the

care and expertise of RNs. As one of a very few nursing scholarship organizations in Pennsylvania, NFP connects

the dreams of nursing students with the needs of our patients and communities.

We wanted to express how grateful we are to be included in your ongoing philanthropy! We take seriously the

trust you have placed in us, and look forward to serving you further in the months and years ahead. This year

was extraordinary. As you begin your review of this annual report, we would like to point out a few highlights:

While we continue to feel the effects of an economy that is slowly recovering, we hope that you, like us, remain

optimistic. We have seen leadership emerge in our profession as health care leaders forged a vision for a

transformed health care system through the contributions of nurses in the delivery of quality, cost‐effective

care. Nurses, taking the lead to adapt to evermore challenging circumstances and the increased needs of our

patients and communities. We believe that the future will be brighter.

Generous donors, dedicated organizations, students and scholars benefiting from focused and useful valuable

scholarships add up to real and measurable positive impact for Pennsylvania.

We profoundly appreciate your trust, your confidence, and above all, your partnership with the Nursing

Foundation of Pennsylvania.

Sincerely,

Elizabeth (Betsy) A. Walls, MBA, MSN, RN President, NFP Board of Trustees

2013PSNABookofReports/Awards

Awards Committee

The PSNA Awards Committee met two times via conference call. The Committee reviewed the awards, the

criteria and nomination forms. Minor changes were made in the criteria to make them clearer and in keeping

with the intentions of the original awards criteria.

As was announced last year, the PSNA Awards were changing for 2013. Nominations were opened in March

2013 and closed in August 2013. The Committee reviewed all nominations and chose the following recipients:

Lifetime Nursing Achievement Award: Marilyn D. Harris

Emerging Nurse Leader Award: Michelle Trupp

John Heinz Friend of Nursing Award: J. Roger Glunt

Distinguished Nurse Award: Dean Afaf Meleis

Congratulations to all of the recipients.

Respectively submitted:

Carol Ann Coles, Awards Committee Chair

Members:

MaryAnn Dailey, Chris Marakovits, Chris Rosner

4/26/2013 / Bylaws 1

Proposed Bylaws Changes – 2013 Current Revision Rationale

ARTICLE I TITLE, PURPOSE, FUNCTIONS AND RELATIONSHIPS SECTION 2. PURPOSES AND FUNCTIONS c. This purpose and functions of PSNA shall be congruent with those of the American Nurses Association (hereafter referred to in these Bylaws as the ANA). These shall include: 4. Advance the economic and general welfare of nurses; 5. Act and speak for the nursing profession in Pennsylvania in regard to governmental affairs and research; and 6. Address and respond to the equal opportunity and human rights concerns of nurses and health care recipients.

ARTICLE II MEMBERSHIP, PRIVILEGES AND DUES

SECTION 1. MEMBERSHIP a. A full member is one who: 4. Holds concurrent membership in a constituent district and whose dues are not delinquent. 1. Membership shall be unrestricted in accordance with the ANA Bylaws. 2. Constituent districts shall require the same qualifications for membership SECTION 2. PRIVILEGES a. Full members have the following rights and privileges to: 9.Attend the Congress of the ICN, ANA House of Delegates, PSNA Voting body sessions, meetings, and the other unrestricted activities.

ARTICLE I TITLE, PURPOSE, FUNCTIONS AND RELATIONSHIPS

SECTION 2. PURPOSES AND FUNCTIONS c. This purpose and functions of PSNA shall be congruent with those of the American Nurses Association (hereafter referred to in these Bylaws as the ANA). 4. Promote and protect the welfare of nurses; 5. Advocate for workplace standards that foster safe patient care and support the profession; 6. Act and speak for the nursing profession in Pennsylvania in regard to governmental affairs and research; and. 7. Address and respond to the equal opportunity and human rights concerns of nurses and health care recipients.

ARTICLE II

MEMBERSHIP, PRIVILEGES AND DUES SECTION 1. MEMBERSHIP a. A full member is one who: 4. Holds concurrent membership in a constituent district and whose dues are not delinquent. 1. PSNA membership is open to all registered nurses who meet the above criteria. 2. Constituent districts shall require the same qualifications for membership

SECTION 2. PRIVILEGES a. Full members have the following rights and privileges to: 9.Attend the Congress of the ICN, ANA Membership Assembly, PSNA Voting body sessions, PSNA/ANA conventions and meetings and other unrestricted activities.

PSNA Bylaws must be compliant/congruent with the updated ANA Bylaws PSNA Bylaws must be compliant/congruent with the updated ANA Bylaws

4/26/2013 / Bylaws 2

10. Participate in the election of constituent member’s delegates and alternates to the ANA House of Delegates in accordance with the ANA bylaws. b. In-state only members have the following rights and privileges to: 4. Participate in state election except for the ANA delegates and alternates. 5. Be a candidate for PSNA elective and appointed positions except for an officer of PSNA and ANA delegate and alternate delegate and appointive positions in accordance with PSNA and the ANA bylaws and applicable policies. 6. Apply and receive Life Membership after 40 years of uninterrupted members in PSNA. 7. Receive the official publication of PSNA. 8. Attend the PSNA voting body sessions, meetings and other unrestricted activities. 9. Shall be entitled to the same benefits as PSNA/ANA/DNA members except for the benefit of national membership sent as a representative such as representation at the ANA House of Delegates. SECTION 4. PAYMENT a. PSNA shall pay dues to ANA in accordance with the policies adopted by the ANA House of Delegates. SECTION 5. DUES A new a. and b. have been added to this section; a. through l. will become c. through n. However, a new h. will be added, which will change the lettering, after the new a. and b. are added, to c. through o.

10. Participate in the election of constituent member Representative to the ANA Membership Assembly in accordance with the ANA bylaws. b. In-state only members have the following rights and privileges to: 4. Participate in state election except for the ANA Representatives and alternates. 5. Be a candidate for PSNA elective and appointed positions except for an officer of PSNA and ANA Representatives and alternate and appointive positions in accordance with PSNA and the ANA bylaws and applicable policies. 6. Apply and receive Life Membership after 40 years of uninterrupted members in PSNA. 7. Receive the official publication of PSNA. 8. Attend the PSNA voting body sessions, meetings and other unrestricted activities. 9. Shall be entitled to the same benefits as PSNA/ANA/DNA members except for the benefit of national membership representation at the ANA Membership Assembly and may not be nominated for or hold an elected position or receive the ANA news periodicals. SECTION 4. PAYMENT a. PSNA shall pay dues to ANA in accordance with the policies adopted by the ANA Membership Assembly.

SECTION 5. DUES

a. The annual dues for a PSNA member shall be set forth in dues policy and shall include the present rate of dues paid by the PSNA to the ANA. b. In the event that the rate of dues payable to the ANA by the PSNA is increased in the future, any such change shall be automatically added to the annual dues owed by the PSNA/ANA member to the PSNA. h. PSNA shall remit a portion of dues to ANA, which shall be equal to the amount ANA remits to the PSNA for ANA direct members in accordance with the ANA dues policy established by the Membership Assembly and per the written agreement between the PSNA and ANA.

In accordance with ANA bylaws, change all language that refers to ANA House of Delegates to ANA Membership Assembly In accordance with ANA bylaws, change all language that refers to ANA House of Delegates to ANA Membership Assembly

4/26/2013 / Bylaws 3

i. PSNA shall continue to pay dues to the ANA pursuant to the ANA bylaws and House of Delegates policy until such time as 2/3 of the full membership of the CMA vote to disaffiliate from the ANA. PA State Nurses Association membership for these purposes is defined as individual members of the CMA who have rights and privileges of membership as a result of their CMA membership. The vote may occur by mail or electronic ballot, with appropriate notice and procedures to protect the integrity and validity of the vote.

ARTICLE V OFFICERS

SECTION 4. DUTIES OF OFFICERS a. The President of PSNA shall preside over meetings of PSNA, the Board of Directors and the Executive Committee. The President shall: 3.Serve as a representative of PSNA at meetings of the ANA Constituent Assembly of the ANA; 4. Serve as delegate to the House of Delegate of the ANA b. The Vice President shall: 2. Serve as the delegate to the House of Delegates of ANA.

ARTICLE VIII

NOMINATING COMMITTEE SECTION 3. DUTIES The Nominating Committee shall: e.Report the slate of candidates stating the number elected to each office. The committee shall include on the slate of candidates the following: the Officers of the PSNA and members of the Board of Directors, the Nominating Committee, the Cabinet on Nursing Practice and Professional Development. On a biennial basis, the slate shall include the candidates for ANA delegate and alternates. The slate for the year preceding the ANA convention may include at least double the number of nominees for delegates as allocated by the ANA for that year. SECTION 4. ELECTIONS b. PSNA Officers, Directors and Cabinet/Committee members shall be elected in the following sequence:

l. PSNA will continue to pay dues to the ANA pursuant to the ANA policies adopted by the ANA Membership Assembly until such time as 2/3 of the full membership of the CMA vote to disaffiliate from the ANA. PSNA membership for these purposes is defined as individual members of the CMA who have rights and privileges of membership as a result of their CMA membership. The vote may occur by mail or electronic ballot, with appropriate notice and procedures to protect the integrity and validity of the vote.

ARTICLE V OFFICERS

SECTION 4. DUTIES OF OFFICERS a. The President of PSNA shall preside over meetings of PSNA, the Board of Directors and the Executive Committee. The President shall: 3. Serve as a representative of PSNA at meetings of the ANA Membership Assembly. b. The Vice President shall: 2. Serve as an alternate Representative to the ANA Membership Assembly.

ARTICLE VIII

NOMINATING COMMITTEE SECTION 3. DUTIES The Nominating Committee shall: e. Report the slate of candidates stating the number elected to each office. The committee shall include on the slate of candidates the following: the Officers of the PSNA and members of the Board of Directors, the Nominating Committee, the Cabinet on Nursing Practice and Professional Development. On a biennial basis, the slate shall include the candidates for ANA Representative and alternates. SECTION 4. ELECTIONS b. PSNA Officers, Directors and Cabinet/Committee members shall be elected in the following sequence:

In accordance with ANA bylaws, change all language that refers to ANA House of Delegates to ANA Membership Assembly


4/26/2013 / Bylaws 4

1. The President and Delegate to the ANA, Vice President and Delegate to the ANA as listed specifically on the ballot. The ballot will clearly state that the individual is simultaneously elected President/Delegate to the ANA and Vice President/Delegate to the ANA. The President and Vice President shall be elected in odd years. In-state only members may not vote for President and Vice President (as these are also ANA Delegates). Three (3) Directors and two (2) members each of the Nursing Practice and the Professional Development Cabinets and three (3) members of the Nominating Committee shall be elected in the odd years. The Secretary, Treasurer, four (4) Directors, three (3) members each of the Nursing Practice and Professional Development Cabinets, three (3) members of the Nominating Committee shall be elected in the even years. 2.ANA delegates shall be elected from among the individual full members of PSNA for a two (2) year term or until a successor is elected in the following manner: a.To serve as a delegate, a member shall be required to hold full membership in PSNA and meet eligibility requirements as established by the ANA. b.The President and the Vice President shall be elected to serve as delegates to the ANA’s House of Delegates and special meetings held during their term of office. These two (2) delegate positions shall be counted among the total number of delegates as determined by the ANA. c.Delegates and alternate delegates shall be elected by plurality vote, the candidates receiving the highest number of votes being declared elected. In case of a tie, the delegate shall be determined by lot. The person receiving the highest number of votes shall be the delegate-at-large. d.The remainder of nominees, in order of the number of votes received, shall be elected as alternate delegates. e.Should a board member be appointed Vice President to fill a vacancy, that person may serve as a delegate only if also elected as an ANA delegate.

1. The President/ANA Representative and Vice President/Alternate ANA Representative as listed specifically on the ballot. The ballot will clearly state that the President is simultaneously elected President/ANA Representative and Vice President/Alternate ANA Representative. The President and Vice President shall be elected in odd years. In-state only members may not vote for President and Vice President (as these are also Representative/Alternate Representative to the ANA Membership Assembly). Three (3) Directors and two (2) members each of the Nursing Practice and the Professional Development Cabinets and three (3) members of the Nominating Committee shall be elected in the odd years. The Secretary, Treasurer, four (4) Directors, three (3) members each of the Nursing Practice and Professional Development Cabinets, three (3) members of the Nominating Committee shall be elected in the even years. 2.ANA Representatives shall be elected from among the individual full members of PSNA for a two (2) year term or until a successor is elected in the following manner: a.To serve as a Representative, a member shall be required to hold full membership in PSNA and meet eligibility requirements as established by the ANA. b.The President and one additional Representative shall be elected to serve as a Representative to the ANA Membership Assembly and special meetings held during their term of office. These two (2) Representative positions shall be counted among the total number of Representatives as determined by the ANA. c. Representatives and alternate Representatives shall be elected by plurality vote, the candidates receiving the highest number of votes being declared elected. In case of a tie, the Representative shall be determined by lot. The person receiving the highest number of votes shall be the Representative-at-large. d. The remainder of nominees, in order of the number of votes received, shall be elected as alternate representatives. e. Should a board member be appointed Vice President to fill a vacancy, that person may not serve as a Representative unless duly elected as an Alternate Representative.


2012PSNABookofReports/CabinetonNursingandProfessionalDevelopment

The Cabinet on Nursing and Professional Development

The Cabinet on Nursing and Professional Development met three times in 2013. The Cabinet met in person on September 25, 2013 and via conference calls on February 8 and July 19, 2013. The Cabinet reviewed and recommended approval of the following Position Statements in 2013 to the PSNA Board:

1. Workplace Violence 2. Medical Marijuana 3. Revisions to Safe Professional Nursing Staffing in Healthcare Facilities

The Cabinet serves as the Planning Committee for the Annual PSNA Summit. The November 2, 2012 Summit at DeSales University, Center Valley was moved to May 2, 2013 due to Hurricane Sandy. The theme was Bullying: Are You the Aggressor, the Bystander or the Target. Dr. Cheryl Dellasega, author of When Nurses Hurt Nurses, was the keynote speaker. Other sessions relate to healthy workplaces, moral courage in nursing, combat‐related PTSD and appreciative inquiry. Three members of the Cabinet served as the review panel for the Practice Showcase poster abstract submissions; twenty‐one submissions were received and seventeen were accepted. There were three NFP posters on display. There was a good turnout for the conference.

The theme for the 2013 Summit is Sustaining a Healthy Future: Ecocentric Nursing in a Local and Global Environment. The Summit will be held at The Desmond Hotel, Malvern on October 18. The keynote speaker is David Nelson, Vital Smarts Master Trainer in Crucial Conversations. His session, “Creating Lasting Change in the World around You: Be an Influencer,” assists professional nurses in recognizing factors contributing to human behavior. This session will arm attendees with tools to create lasting change within their organizations. This year’s Summit features a series of continuing education sessions on issues ranging from contaminants in our waterways, sustainable environments, green teams and communicating environmental risk. There will be six posters in the Practice Showcase for this conference. On October 17, we will celebrate the 110‐year anniversary of PSNA. The guest speaker will be Gloria Donnelly, PhD, RN, FAAN.

The 2014 Summit theme is Own Your Future: The Power of Nurse Leadership.

Thank you for this opportunity to serve as Cabinet Chair in 2013.

Respectfully submitted,

Cabinet Chair, Christie DiMichele, MSN RN NEA‐BC

Cabinet Members – Christie DiMichele – Chair, Mary Lou Kanaskie, Kathie Malloy, John Modene, Peg Rosenzweig, Mel Seitz, Shirley Powe Smith, Jean Whelan Staff – Patti Gates Smith

2013PSNABookofReports/Cabinet

2013PSNABookofReports/PANursingCongressonPractice,Education&Policy

PA Nursing Congress on Practice, Education & Policy

The PA Nursing Congress on Practice, Education & Policy met two times in 2013. The Congress is a deliberate, planned body of the Pennsylvania State Nurses Association, and its membership includes the PA Cabinet on Nursing Practice & Professional Development, along with Organizational Affiliate members (of which there are 23, at present). The Congress provides a forum for nurse leaders to network and share priority issues in order to develop and recommend policy alternatives and solutions.

The first meeting was held on April 16, 2013 at Central Pennsylvania College. The education session was presented by Dr. Frances Ward, Executive Director of the Pennsylvania Action Coalition and was entitled “The Pennsylvania Action Coalition: Your Role in the Future of Nursing in Pennsylvania.”

The second meeting was held on September 25, 2013 and included a follow‐up on the progress of the Coalition with updates from Betsy Snook, PSNA CEO and Dr. Christine Alichnie, PSNA Board President. There were 35 attendees at this meeting, with several guests in addition to Organizational Affiliate members. There was a very informative education session presented by Roseanne Egan, Deputy Regional Administrator, Centers for Medicare and Medicaid Services on “How Medicare Changes Will Affect Nurses and Patients in Pennsylvania.” During the September meeting, discussion ensued about the core mission of the Congress. With regards to the agenda of the spring meeting, a decision was made to focus on one or two major issues that would prompt the Congress to action, in lieu of offering an education session. In future planning, fall meetings will continue to offer education sessions.

The dates for the 2014 Congress meetings are May 1, 2014 and September 10, 2014 at Central Pennsylvania College.

Respectfully,

Kimberly K. Trout, PhD, CNM, APRN

Chair, PA Nursing Congress on Practice, Education, and Policy

2013PSNABookofReports/ContinuingEducation

Continuing Education Committee

The Continuing Education (CE) Committee met twice via conference call during the 2012‐2013 year. The Reviewer Unit membership has increased to 40 members. The Reviewer Unit members review educational activities applications and provider applications. The new CE Manual is complete and several educational conference calls have been held with our customers. These calls include education regarding the additional changes made by ANCC since the new criteria went into effect.

During the Fiscal Year 2012 ‐ 2013, a total of 282 applications were reviewed.

230 educational activities (49 accelerated)

52 provider applications

January 1, 2013 through August 1, 2013 a total of 168 applications have been received

131 educational activity applications (26 accelerated)

36 provider applications


Sherry Obert, MSN, RN NE‐BC

CE Committee Chair

2013PSNABookofReports/EditorialBoard

Editorial Board, Pennsylvania Nurse Pennsylvania Nurse continues to develop as a peer‐reviewed journal written by and for nurses. The journal is published quarterly. Through the pages of Pennsylvania Nurse (which has a Pennsylvania focus), diverse authors, leaders of PSNA, advertisements and announcements are brought together in ways that educate and involve readers in and beyond the Commonwealth. Pennsylvania Nurse includes: a “Message from the President,” scholarly nursing research; CE offerings; special topical features; first‐person reflection articles; information about upcoming events; news related to PSNA, nursing in PA and health care; relevant ads; and such essential information as the continuing education requirements for re‐licensure and guidelines for potential authors and reviewers. The Editorial Board again communicated through personal communication, conference calls and e‐mail. PSNA Director of Communications Jennifer Neidig worked closely with the Board’s chair, members, authors and PSNA staff to produce a journal that reflects the needs of Pennsylvania’s nurses. The feature, “Highlighting a Pennsylvania Nurse,” continued to be popular. The column evolved from narrative to question‐answer interview format, which brings the nurse to life. The nurses featured highlight the diversity among Pennsylvania nurses. This year the journal moved from issue themes to include continuing education and other articles on a variety of topics. While both approaches have great merit, a journal with a variety articles better reflects the interests of the readers of Pennsylvania Nurse. Excellent articles can be accepted on merit rather than on relationship to a theme and can be published without waiting for a future themed issue. Pennsylvania Nurse continues to invite authors and welcomes unsolicited manuscripts and ideas for articles. The Editorial Board is in the process of developing an article based on what to do and to avoid in preparing an article for the journal. All articles received are reviewed. As with other peer reviewed journals, not every article submitted to Pennsylvania Nurse is appropriate for the journal, and not every article is accepted for publication. Reviewers’ comments have been valued by authors and have enhanced both the articles and the journal. The whole review process has been very positive. Future goals continue to focus on maintaining and building excellence in the journal and the relationship between the journal and its readers. The Editorial Board especially thanks Director of Communications, Jennifer Neidig, for all that she does to make the journal and communications at PSNA successful. Submitted by,

Carol Toussie Weingarten, PhD, RN, ANEF, Editor‐in‐Chief, Pennsylvania Nurse Members of the Editorial Board: Cheryl Hettman, Kim Hitchings, Kelly A. Kuhns, Shelly Watters Reviewers: Karen Blake, RNC, BSN, MSN, CRNP; Susan Callahan, RN, BSN, CCRN; Joan Clites; BSN, MSN, EdD; Nancy Elliott, BSN, RN‐BC; Sharon Gordon, MSN, RN, CNOR(E); Cheryl Mee, MSN, MBA, RN, BC, CMSRN; Aislynn Moyer, MSN, MEd, RN; Elizabeth Palmer, PhD, RN, CNE; Carol Patton; Kathleen T. Peterson, PhD, PMHCNS, BC; Susan G. Poorman, PhD, APRN, BC; Holly Tavianini, MSN, RN, MSHSA, CNRN; Zane Robinson Wolf, PhD, RN, FAAN

2013PSNABookofReports/EnvironmentalHealthCommittee

Environmental Health Committee PSNA’s Environmental Health Committee continues to be an active and dynamic group within the Pennsylvania State Nurses Association. This past year included several milestones for the group as well as continuing to develop our existing work. On October 18, 2013, we will be holding our fourth environmental health conference, “Sustaining a Healthy Future: Ecocentric Nursing in a Local and Global Environment.” The conference on sustainability will be held at The Desmond Hotel, Malvern and features presentations by a master trainer from Vital Smarts, nurses, physicians and others who work with sustainability solutions across the state. The Committee thanks Ruth McDermott‐Levy for her dedication and hard work for PSNA and at ANA on behalf of environmental health as she completed her term as co‐chair. The Committee continues to advocate for healthy environments on the local, state and national levels. The Committee wrote a Letter of Support regarding reducing carbon emissions. PSNA continues to support the ANA's call for a moratorium on new hydraulic fracturing wells. The Committee and PSNA support HB 1259, which applies appropriate safety standards and limits access of minors to tanning beds and salons. Additionally, the Committee supports House Bill 968, a bill that will strengthen requirements for carbon monoxide (CO) alarms in Pennsylvania apartments that meet the criteria. This past spring, Nina Kaktins represented the Committee and PSNA as an ambassador in the 50 States United for Healthy Air conference held in Washington DC, hosted by the ANA, Earthjustice, Hip Hop Caucus, National Association for the Advancement of Colored People, National Council of Churches, National Latino Coalition on Climate Change and Physicians for Social Responsibility. During the three‐day meeting, more than 200 ambassadors shared stories about the impact of poor air quality on people living throughout the U.S. Activities included meeting with the EPA and lobbying state representatives to support legislation that decreases air pollution. The Committee continues to publish our quarterly newsletter, Nurses for a Green Keystone, on the PSNA website. The newsletter features brief articles on environmental health issues, upcoming events and legislative updates, and the “Living Green” and “Reading Green” columns. We also have quarterly conference calls to organize our work and support our committee members. Communication of environmental health issues and events within the Commonwealth is also enhanced by the Committee’s Facebook page. We look forward to the coming year, to promote and advocate for initiatives that improve the natural and built environment for a healthier Pennsylvania. Respectfully submitted, Nina M. Kaktins and Carol Patton Co‐Chairs, PSNA Environmental Health Committee Nina Kaktins, RN, MSN, PhD(c) and Carol Patton, Dr. PH, RN, FNP‐BC, CRNP, CNE, Co‐Chairs; Peggy Slota, DNP, RN, FAAN, Secretary; Kate Lawler, EdD, RN, APN‐BC and Erin Johnson, RN, MSN, MPH, Members‐at‐Large

2013PSNABookofReports/PSNAPAC

Political Action Committee (PSNA‐PAC) and Government Relations Committee (GRC)

During 2012‐2013, PSNA‐PAC/GRC met as follows: 10‐30‐12 (conference call), 12‐13‐12 (face‐to‐face), 2‐20‐13 (conference call), 4‐4‐13 (face‐to‐face) and 5‐19‐13 (conference call). A final conference call meeting for the year is currently being scheduled. On August 2, 2013, Nurse Safe Staffing Legislation (House Bill 1631) was introduced by Representative Mauree Gingrich (R‐101) and referred by the Speaker to the Health Committee, of which Rep. Gingrich is also a member. For her part, Representative Gingrich has been working effectively with Kevin Busher, PSNA Director of Government Relations and with Safe Staffing former prime sponsor and Majority Appropriations Chair Bill Adolph to gain movement of this bill through Committee. As of September 10, 2013, the bill had garnered 74 co‐sponsors, which is an impressive amount of legislative support. In the previous legislative session, there were 78 representatives who co‐sponsored another version of this bill, so we are on track, but we still need more co‐sponsors. Kevin Busher has effectively used email alerts to reach District Presidents, PAC and GRC members, who were asked to contact their respective State Representatives and encourage their co‐sponsorship of HB 1631. On behalf of the PAC, I would like to extend the Committee’s appreciation to those members who have been assisting us with this legislation.

While HB 1631 does not mandate nurse‐to‐patient ratios, it does contains the following provisions:

Staffing committee split 50/50 between bedside professional nurses and hospital administration appointees

Bedside professional nurses make up 50 percent of the committee and are elected by anonymous ballot Hospital appoints 50 percent of the committee, one appointee must have understanding of the

hospital’s finances Staffing plan(s) approved by 2/3 majority vote Committee chairperson is a bedside professional nurse Staffing plan(s) available to staff, nurses and patients Annual report, which determines compliance to the staffing plan(s), is for internal use only Annual report given to CEO, board of directors and staffing committee Staffing plan(s) and committee focus on individual hospital needs and patient acuity Whistleblower Protection as in current law Administrative fine levied by the Department of Health for non‐compliance with the law

Rep. Steve Barrar (R – 160) introduced HB 1457, which contains language drafted by PSNA. This bill amends the Professional Nursing Law and adds language allowing a registered nurse who is licensed and certified by the Board as a clinical nurse specialist in a particular clinical specialty area to use the title "advanced practice registered nurse‐clinical nurse specialist" and the letters "A.P.R.N.‐C.N.S." Additionally, HB 1457 makes changes in the qualifications for clinical nurse specialists and requires a clinical nurse specialist with prescriptive authority to complete at least 16‐hours of board‐approved continuing education in pharmacology during the two‐year biennial renewal date of certification. PSNA remains an active partner in legislation introduced by Senator Pat Vance (R – 31) that removes barriers to practice for advanced practice registered nurses. SB 1063 amends the Professional Nursing Law to provide for the licensure of certified nurse practitioners by the Medical Board and details the scope of practice of licensed certified nurse practitioners including practice areas and the ability to prescribe certain drugs. The legislation

2013PSNABookofReports/PSNAPAC

details the licensure and continuing education requirements for currently certified nurse practitioners. Additionally, the legislation makes substantial editorial changes to the Act. Senator Vance also introduced Senate Bill 959, which amends the Professional Nursing Law to provide a definition of "certified registered nurse anesthetist" and allows those that meet the qualifications outlined in the legislation for certified registered nurse anesthetists to use the title and the abbreviation CRNA. Legislative Day at the Harrisburg State Capitol was held on April 15, 2013. While this year’s session did not coincide with Nurses’ Week, the date proved to be a much better fit, as member and student nurse attendance was phenomenal. The press conference held in the Capitol Rotunda was well attended by members, student nurses, legislators and the general public. PSNA awarded “Standing with Nurses” white lab coats to Representatives Jim Cox (R ‐ 129) and Pamela DeLissio (D – 194) for actively supporting nurses during their tenure in the state legislature. A total of 3.25 contact hours were provided for full‐day attendance of the following:

“If not now, when? If not in Pennsylvania, where? Presented by Janet Haebler, MSN, RN – ANA Associate Director of State Government Affairs

“Only in Pennsylvania (Legislative Update)” Presented by Kevin Busher – PSNA Director of Government Affairs

“Getting your legislator to listen” Presented by Representative Stan Saylor – Member of the PA General Assembly.

“Advocacy 201, Taking the process to the next level” Presented by Mary Ann Dailey, PhD, RN – PSNA PAC Chair

Senate Bill 5, Community‐Based Health Care Clinics, that was introduced by Senator Edwin Erickson (R ‐26) became Act 10 of 2013 on May 21, 2013. This bill provides for the establishment of the Community‐based Health Care Program within the Department of Health to receive grant funding, which paves the way for APRNs (CRNPs, CNMs, CNSs and CNAs) to provide improved access to care for patients. This bill was supported by PSNA, who advocated for the inclusion of APRNs within the legislation, as they will be managing these proposed clinics. While legislators are not seeking re‐election until 2014, the PSNA PAC continues to receive invitations to legislative receptions that seek PAC donations. Because we build alliances with legislators by showing our support through both endorsements and monetary contributions, it is important that we maintain a ‘presence’ at these receptions. These actions, in turn, allow us not only to seek legislators’ support on subsequent bills but also maintain an open dialogue on issues important to nursing. While funds have been limited, we were able to provide some monetary support for those legislators who have been consistent and effective supporters of our legislative agenda. These important contributions are only possible through the generous donations of our members, so we thank all those members who have assisted us this past year and encourage all members to donate to the PAC and to support the annual Silent Auction. Respectfully submitted, Mary Ann Dailey, PhD, RN Chair, PSNA PAC

2013 PSNA Book of Reports / New to Practice

New to Practice (NTP) Task Force The New to Practice Task Force met on the following dates:

November 13, 2012

December 14, 2012

January 22, 2013

February 19, 2013

April 9, 2013

May 21, 2013 – held NCLEX Review with Kaplan at Summit

July 24, 2013

August 8, 2013 Members of the Task Force are: Latasha Kast, Co‐Chair; Donna Ayers Snelson, Co‐Chair; Carol Coles, PSNA Board of Director; Pat Sweeney, former PSNA Board of Director; Wayne Reich, Deputy Chief Executive Officer /Director of Membership for PSNA; NTP nurses: Raquel Brenner, Olivia Prebus, Jacquelyn Rothermel, William Shellhammer, and Noelle Stack; Other Task Force members include Windy Alonso, Catherine Friel, and Justina Melinak.

1. The NTP Task Force formulated the Mission and Purpose Statements: Mission Statement: The New to Practice Task Force of the Pennsylvania State Nurses Association is the premier interactive professional resource for new registered nurses designed as a venue for the exchange of ideas and to provide information on professional development, education, and workplace issues. Purpose Statement: The New to Practice Task Force of the Pennsylvania State Nurses Association, proposes to:

Support and empower new nurses in their career development Connect NTP nurses with PSNA, a professional nursing organization Assist new nurses to respond effectively to a rapidly changing health care system Develop leadership connections to ensure new nurses are able to lead change Support new nurses' role in the coming transformation of the health care system

2. The Task Force chose a Logo with the exceptional support and work of Jennifer Neidig and Wayne

Reich. The logo is included at the top of this report. 3. The Task Force conducted a two hour NCLEX Review for senior nursing students at the May 21st PSNA

Summit. NTP Task Force distributed letters of invitation to all deans and directors of nursing schools in Pennsylvania. President Alichine also distributed a letter to the deans and directors introducing them to the NTP Task Force and inviting students to attend the NCLEX review at the spring PHENSA Meeting. Forty students attended the event. Although successful, the group decided this type of event was not a cost‐effective strategy to accomplish the purpose of the Task Force. Therefore this will not be a focus of the Task Force in the future.

4. Website construction: Presently the NTP page is on the NurseFuture.com website. The Task Force discussed the NurseFuture.com website in detail. Construction of the site was determined to include three topic areas that pose as challenges for new nurses: information on residency programs; skill sets;

2013 PSNA Book of Reports / New to Practice

and transition to practice issues such as mentoring, communication, and work‐life balance. The website layout is in the process of being revised to accommodate a more dynamic, interactive and user‐friendly format.

5. The future direction of the NTP Task Force includes: Revising the NTP page of the NurseFuture.com site or creating a new website that suits the task

force needs. Defining and expanding the topic areas selected as challenges to new nurses. Co‐chairs of the NTP Task Force will meet with Student Nurses Association of PA (SNAP) officers to

discuss the website and request link(s) to NTP site on the SNAP Home page. Present the NTP Task Force at the SNAP Convention in November 2013. Increased involvement of new nurses with the NTP Task Force and as members of PSNA.

Submitted by: Latasha Kast and Donna Ayers Snelson, Co‐Chairs of the NTP Task Force

2013PSNABookofReports/Nominating

Nominating Committee Meeting

The Nominating Committee met on July 11, 2013. Marcia Cook‐Love called the meeting to order at

approximately 1 p.m.

Present: Marcia Cook‐Love; District 2, Susan Mojaverian; District 25, and Laura Ann Velasquez; District 15 were

in attendance.

Wayne Reich and LaToya Slaughter (PSNA Staff) were also in attendance.

Consent‐to‐serve received by PSNA were reviewed by the Committee and accepted. The Committee identified

candidates for each open position. Consideration to diversity, selecting candidates across the state and

variations in educational background was given with each name suggested. The committee strived to double the

open seats on the slate of candidates.

The slate selected by the Nominating Committee is as follows:

President/ANA Membership Representative (1)

Chris Alichnie, District 3 Vice President/Alternate ANA Membership Representative (1)

Elizabeth Walls, District 23

Julia Greenawalt, District 5 Board of Directors (3)

Mary Ann Dailey, District 2

Nicole Hartman, District 2

Olivia Prebus, District 1

Kelly Kuhns, District 15 Cabinet on Nursing Practice and Professional Development (2)

Cheryl Lenhart, District 6

Terry Reilly, District 25

Nancy Johnston, District 2

Nominating Committee (3)

Ellen Schauerman, District 9

Jennifer Bellot, District 1

Melanie Shatzer, District 6

Sharon Mallon, District 7

Maureen M Kelly, District 16

Donna Seibert, District 7 ANA Representative (1)

Carol Patton, District 6

Kelly Kuhns, District 15

Wayne Reich, District 27

Betsy Snook, District 27

Respectfully submitted, Nominating Committee Marcia Cook‐Love, Chair Susan Mojaverian Laura Ann Velasquez

2013PSNABookofReports/Investment

Investment Committee

The Investment Committee continues to meet quarterly as per our bylaws and policy requirements. The

majority of our meetings tend to be conducted via teleconferencing. The Committee continues to monitor our

financial status and make recommendations to the BOD which supports the vision and mission of PSNA.

During the past fiscal year, the investment committee has reviewed and updated the Investment Policy

Statement (IPS). On a quarterly basis, it has monitored the investment allocation being used and has confirmed

that this allocation remains within the guidelines stated in the IPS. It has also received and reviewed a report

that monitors the selected investments according to the criteria set forth in the IPS.

The one year net time‐weighted return for the investment account, from 10/01/2012 through 9/30/2013, was

10.2%. This return has met our expectations as it has exceeded a benchmark consisting of 50% stock and 50%

fixed income.

Respectfully submitted, Julia A. Greenawalt, PhD, RNC Chair, Investment Committee Members: Sue Kelly, Paul Tarves, Andrea Hollingsworth, and Financial Advisor: Mr. Jonathan Freeman

2013PSNABookofReports/Policy

PSNA Policy Committee The Policy Committee met twice via conference call (June 12, 2013 and July 24, 2013) to review the attached polices. Members present during both calls were Zane Robinson Wolf, chair; Amy Wishner; and Peggy Austin. Wayne Reich and Karen Reinert, PSNA staff, were also in attendance. The Committee reviewed a total of 32 original policies and 24 updated policies from Sections 2 and 3, which are reviewed in odd years. Sections 4, 5 and 6 are reviewed in even years. All of the policies were previously reviewed and updated by PSNA CEO Betsy M. Snook and PSNA Deputy CEO/Director of Membership Wayne Reich to bring them up‐to‐date and formatted congruently. Below is the list of policies reviewed by the Committee. Listed are the original names of the policies along with the new names of the policies (if applicable). Some policies did not have any content changes, but formatting was changed.

Original Name New Name

2.1 Bylaws Conformity District Bylaws Conformity

2.3 Pennsylvania State Nurses Association Policy and Procedure for Disciplinary Action to Constituent Districts

Disciplinary Action to Constituent Districts (CD)

2.4(1) Board Liaison Board Liaison to Districts

2.4(2) Dues Collection Dues Collection and Distribution to Districts

2.4(3) Bonding Deleted/located in other policies

2.4(4) Member Communication District Staff Liaison

2.4(5) Attendance at Board Meetings and Meetings of Elected and Appointed Bodies

This policy was moved to another section

3.1(2)A Elected and Appointed Bodies Annual Reports

Elected or Appointed Bodies

3.1(2)B Request for Funding Added to 3.1(2)A

3.1(2)C Conference Calls Added to 3.1(2)A

3.1(2)D Consultants Added to 3.1(2)A

3.1(2)E Reimbursement to Elected and Appointed Members

Added to 3.1(2)A

3.1(3)A Policy Regarding Chief Executive Officer Signing Contracts

Vendor Contracts and Fixed Asset Purchases

3.1(3)B Purchase of Fixed Assets and Vendor Contracts

Added to 3.1(3) A

3.1(3)C Policy for Sale or Use of Pennsylvania State Nurses Association (PSNA)

Sale or use of PSNA Membership Lists

3.1(3)D Financial Review

3.1(3)E Expense Reimbursement

3.1(3)F Financial Philosophy, Policies and Guidelines

Financial Policy

3.1(3)G Policy and Procedures – Cash Management Cash Management

3.1(3)H Investments Investment Policy

3.1(3)I Policy for Check Signers

2013PSNABookofReports/Policy

3.1(3)J Depreciation

3.2 Reporting Mechanisms – Elected or Appointed Representative Meetings

Elected or Appointed Members and Meetings

3.3 Executive Committee

3.4 Bylaws Committee

3.5 Executive Sessions of the Board

3.6 Guidelines for the Selection of State Board of Nursing Nominees

Selection of State Board of Nursing Nominees

3.7 Relationship of Legal Counsel to PSNA

3.8(1) Members, Elected and Appointed Bodies Deleted (covered under other policies)

3.8(2) Chairperson, Cabinet on Nursing Practice and Professional Development

3.9 Official Minutes of the PSNA Board of Directors

3.10 Conflict of Interest Policy Conflict of Interest

During the meetings, the Committee compared, reviewed and approved the policies and suggested changes and/or corrections to some of the policies; suggested changes have been made to all of the policies.


Zane Robinson Wolf, PhD, MSN, BSN, RN, FAAN Chair, Policy Committee Policy Committee Members: Amy Wishner, MSN, RN Peggy Austin, RN, PHRN, SANE

2013PSNABookofReports/PCANE

PA Coalition for the Advancement of Nursing Education The Pennsylvania Coalition for the Advancement of Nursing Education (PCANE) has been meeting since Fall 2007. The vision of PCANE is to achieve a cohesive plan for the advancement of nursing education within the Commonwealth of Pennsylvania. The Coalition met on the following dates:

1) November 19, 2013 2) February 1, 2013 3) April 19, 2013 4) June 19, 2013 5) September 13, 2013

2012 – 2013 Accomplishments (Next steps for 2013 – 2014) Assessment of Nursing Faculty Workforce in Pennsylvania

o Survey developed, distributed and analyzed to collect data relative to Pennsylvania’s nursing faculty workforce (all nursing education program types)

o Executive Summary created and ready for distribution Next Step: o Follow up survey will be distributed by the end of 2013 to clarify some important data points

assisting with projections regarding nursing education faculty needs in Pennsylvania o Information will be disseminated to interested stakeholders

Retention of Pennsylvania Nurse o Nurse Residency Programs (NRP) are a focus of the PCANE group in coordination with the PA Action

Coalition. Survey developed, distributed and analyzed to collect data relative to NRPs in Pennsylvania hospitals (i.e. existing NRPs, programs currently in the planning stages, and what type of NRPs are being utilized at these organizations.)

Next Step: o The PA Action Coalition and members of the PCANE group are planning two educational

programs to be held in the Spring of 2014 focused on Nurse Residency Programs. Dr. Rhonda Maneval and Dr. Fran Ward are leading these efforts.

Nursing Career Pathways o Assessed current high school programs (i.e. Middle College in Rhode Island and Technical College High

School located in Chester County) that exist in the nation aimed at providing a high school seamless pathway to nursing education programs, resulting in nursing licensure.

Next Step: o Continued exploration planned for 2013‐2014

Diversity in the Nursing Profession o Assessed workforce data relative to diversity of LPNs and RNs

Next Step: o Continued exploration planned for 2013‐2014

2013PSNABookofReports/PCANE

Overall Communication o Planning a breakout session on the work of PCANE at the statewide PA Action Coalition meeting being

held in April 2014 at Geisinger Medical Center. o White Paper continues to be a focus of PCANE and will continue to be updated and will focus on

academic progression and competency based evidence based practice. o Dr. Andrea Hollingsworth stepped down as Chair of PCANE. The members of PCANE and PSNA

leadership appreciate the leadership Dr. Hollingsworth has provided the PCANE group since its inception. I became the current Chair effective after the April meeting.

o Dr. Pamela Meinert has joined PCANE o Thanks to the Jonas scholars, involved with the PA Action Coalition, who have contributed to PCANE

accomplishments. The next meeting of PCANE is scheduled for December 2013. Respectfully submitted, Patty Knecht

2013PSNABookofReports/PAActionCoalition

PA Action Coalition

The Pennsylvania Action Coalition moved at an accelerated pace this year. Our efforts targeted the Regional

Actions Coalitions, the Nursing Diversity Council, the Nurse Residency Program, and workforce and educational

data collection as part of our Robert Wood Johnson (RWJ) SIP grant.

Regional Action Coalitions: The Coalition successfully established nine Regional Action Coalitions (RACs)

throughout the state in collaboration with volunteer conveners in each region. Each RAC held at least one

meeting and are working to select the IOM recommendations that best fits the health care and workforce needs

of the particular region. Each RAC will develop a strategic plan to address the chosen recommendations.

Nursing Diversity Council: The Council held numerous conference calls and one in‐person meeting to discuss

issues faced by nurses from different racial and ethnic groups. We currently are planning a meeting in the

beginning of December with the purpose of creating Council deliverables and a strategic plan.

Data Collection: Dr. Fran Ward, former Action Coalition executive director, has continued to pursue multiple

requests to various state agencies for the data collection requirements of the RWJF SIP grant. Dr. Ward expects

to have data submission by the end of October. At that point, she will collate the information and distribute it to

the steering committee and various stakeholders across the state.

Upcoming Events: There are several events scheduled in the upcoming year. First on the calendar is the State

Steering Committee meeting on November 12, 2013 at University of Pennsylvania in Philadelphia. Co‐conveners

will have a CE conference November 20, 2013 at the Giant Community Center in Harrisburg. The 2014 Annual PA

Action Coalition Statewide Meeting will be held on April 3, 2014 at the Geisinger Health System Research

Center. Conferences are also in the planning stages for the Nurse Residency Program. The Coalition plans to

offer as many as four but no less than two conferences to disseminate information regarding current nurse

residency programs throughout the state.

Organizational Updates: The Coalition experienced some personnel changes this year. As of August 1, 2013, Dr.

Fran Ward resigned her position as executive director. After an exhausting search, the chair of the State Steering

Committee and PSNA co‐lead representatives decided that the best solution would be for Sylvia Hill to assume a

majority of the administrative responsibilities. Sylvia is now the project manager. Julie Fairman, the current chair

2013PSNABookofReports/PAActionCoalition

of the State Steering Committee, announced she will be stepping down in November. Victoria Rich has

graciously offered to fill that role.

We continue to investigate options for the co‐lead position required by RWJ and AARP. PSNA representatives

have met and discussed opportunities with a number of organizations and individuals. The Coalition will

continue to actively search to fill this vacancy.

2013PSNABookofReports/PHC4

Pennsylvania Health Care Cost Containment Council

PHC4

The Pennsylvania Health Care Cost Containment Council (PHC4) is an independent state agency formed under Pennsylvania statute (Act 89 of 1986, as amended by Act 3 of 2009) in order to address rapidly growing health care costs. The Council's strategy to contain costs is to stimulate competition in the health care market by:

• giving comparative information about the most efficient and effective health care providers to individual consumers and group purchasers of health services; and • giving information to health care providers that they can use to identify opportunities to contain costs and improve the quality of care they deliver.

Pennsylvania Act 89 of 1986, as amended by Act 3 of 2009, specifically assigns the Council three primary responsibilities:

• to collect, analyze and make available to the public data about the cost and quality of health care in Pennsylvania; • to study, upon request, the issue of access to care for those Pennsylvanians who are uninsured; and • to review and make recommendations about proposed or existing mandated health insurance benefits upon request of the legislative or executive branches of the Commonwealth.

The Pennsylvania Health Care Cost Containment Council collects over 4.5 million inpatient hospital discharge and ambulatory/outpatient procedure records each year from hospitals and freestanding ambulatory surgery centers in Pennsylvania. This data, which includes hospital charge and treatment information as well as other financial data, is collected on a quarterly basis and is then verified by PHC4 staff. The Council also collects data from managed care plans on a voluntary basis. The Council shares this data with the public through free public reports. Since its creation, PHC4 has published hundreds public reports about health care in Pennsylvania. These reports are widely distributed, and can be found on the Council's website, http://www.phc4.org/ , and in most public libraries throughout the state. The Council has also produced hundreds of customized reports and data sets through its Special Requests division for a wide variety of users including hospitals, policy‐makers, researchers, physicians, insurers, and other group purchasers. The Council is funded through the Pennsylvania state budget. In addition, the Council receives revenue through the sale of its data to health care stakeholders around the state, the nation, and the world. The PHC4 includes 23 members and is currently chaired by Gene Barr, President and CEO of the Pennsylvania Chamber of Business and Industry. Nursing is represented on the PHC4 through recommendation to the Governor by the Pennsylvania State Nurses Association.

In 2013, the PHC34 released two major reports in May, including one on hospital finances (see http://www.phc4.org/reports/fin/12/nr051513.htm ) and a second on Medicare outpatient payment data online to assist consumers (see http://www.phc4.org/reports/fin/12/nr051513.htm). The 2012 Annual Report, with a succinct overview of the Council’s progress in operationalizing its strategic plan, was primarily written by Joseph Martin, the PHC4 Executive Director (see http://www.phc4.org/council/annualreports/annual2012report.pdf ).

2013PSNABookofReports/PHC4

The PHC4 services the healthcare industry in Pennsylvania in many ways, with its data collection and analysis services critical to agencies across the state. The PHC4 can tailor reports based on the requests of end‐users. PHC4 has over There are over 70 fields of data available. Some examples of these include clinical information such as Diagnosis Related Groups (DRGs) and Major Diagnostic Categories (MDCs) in an inpatient discharge database, as well as admission source and type, diagnosis and procedure codes, and discharge status. Lengths of stay, hospital charges, and patient origin information are also available in the databases.


Frances Ward

Member, PHC4 2010‐November, 2012

Member, PSNA

2013PSNABookofReports/PAStateBoardofNursing

PA State Board of Nursing The State Board of Nursing (Board) continues to implement an alternative to discipline program specifically designed for practice deficiencies. This program is known as the Practice Education Remediation Collaboration (PERC) program. Additional information is available in the August 2009 newsletter available on the Board website at www.dos.state.pa.us/nurse. The Board continues to review disciplinary matters and imposes sanctions, PERC and PHMP VRP alternatives and dismissals as warranted. The Department of State continues to collaborate with the Department of Health to collect workforce data through a survey completed upon renewal. Workforce reports are available on the Department of Health website. The Board office has released Version 7.0 of eppiccNURSE (a secure database for exchange of information between the Board office and PA nursing education programs). The CRNP Program Annual Report is part of eppiccNURSE. In addition, pre‐licensure nursing education programs have the ability to submit the graduate’s verification of program completion through eppiccNURSE. A FAQ document about eppiccNURSE is available on the Board website. In order to renew the license, an RN must verify completion of 30 hours of Board‐approved continuing education (CE). Graduates continue to have the ability to apply online for a Graduate Nurse Temporary Practice Permit and/or Exam. NCSBN Participation ‐Board member Ann L. O’ Sullivan, PhD, CRNP, continues to serve as Area 4 Director , National Council of State Boards of Nursing (NCSBN). Ann Coughlin MBA,MSN , RN , Board Chair was selected to serve on the NCSBN Leadership Succession Committee . Sue Petula PhD,MSN , RN , Board Staff was selected as Chair of the Leadership Succession Committee . On October 17 – 18 the Board will hold an Information Session and Board meeting in Scranton. The remaining meeting of the year will be on December 12‐13, 2013 in Harrisburg. Please visit the website for additional information. Regulations The Board is the process of reviewing and updating some sections of the regulations. These are discussed during Committee Meetings held in conjunction with the Board meetings . The Board has received pre‐draft input from stakeholders on continuing education and general revisions regulations. Child Abuse and Volunteer health license regulations are undergoing departmental review. Thank you, Laurette D. Keiser RN MSN Executive Secretary/ Section Chief PA State Board of Nursing

Pennsylvania State Nurses Association 2578 Interstate Drive, Suite 101

Harrisburg, PA 17110

www.psna.org

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