Download - Restrictive Collaboration : One States Story
Dr. Lori Lioce, CRNP, FNP-BCAANP 26th Annual Conference
PresentationLas Vegas, Nevada
June 25, 2011
Restrictive Collaboration
One States Story
Init. Apps Active 9-30 CNM CRNA
2009 182 1863 3/19 81/14872008 202 1744 0/27 151/14202007 126 1633 2/26 118/14062006 220 1600 4/28 219/13192005 190 1259 0/23 98/11312004 167 1388 2/33 189/1389
Alabama CRNP statistics
Alabama State Health Facts statehealthfacts.org by Kaiser
1726 NPs (2010) 1% of US total36 NPs per 100,000 (U.S 54)MDs 21.6 per 10,000 (2008)73 Rural Health Clinics (2011)16 FFQH Clinics (2009)887,591 citizens live in underserved
areas (2008)15.8% Sought NO health Care r/t Cost (2009)
Physician REQ for Dx/Tx 1:27Physician REQ for Rx 1:35
America’s Healthcare Rankings
2010
ALABAMA OUTCOME
S49th
Alabama
OverallHealth
AL Public Health Funding 13th
http://www.americashealthrankings.org/Measure/2010/AL/Public%20Health%20Funding.aspx
Alabama Lack of Insurance 18 -> 26
http://www.americashealthrankings.org/Measure/2010/AL/Lack%20of%20Health%20Insurance.aspx
Alabama Legislative FactsQuadrennium (4-year period)Regular Annual Session
No more than 30 legislative days, within a 105 Calendar day period annually
Priority is on BudgetCareer LegislatorsNP regulation formally began 1995no
scope of practice in statue
Authority for Health Care Decisions Governor’s Office
Statewide Health Coordinating Council (SHCC) AL Code - Section 22-4-7
State Health Planning and Development Agency (SHPDA) Certificate of Need Review Board (CON)
LegislatureAlabama Department of Public HealthU.S. Government
Restrictive Collaboration1. ADPH Committee on Public Health/ABME (S)2. 10 % on-site MD Requirement (R)3. Mandatory Reimbursement (PP)4. Sign Handicap Parking Permits (S)5. Sign Sports Physicals (PP)6. Order Physical Therapy for Patients (S)7. Regulatory Authority (S)8. Scope of Practice (R)9. Remove Ratio for MD/NP Collaboration 1:3(R)10. Primary Care Provider Recognition (S/R)11. Prescriptive Authority (R)12. Nursing Data RX/Workforce (S)
Strategic PlanSHORT TERM
1. Adhere to 2010 Strategic Plan
2. Recognize & Publicize NPs
3. Educate Public/NPs4. Participate/Influence
the Legislative Process5. Expose
Rules/Regulations6. Build Allies7. Collect NP Data
LONG TERM1. Establish NP Organization
by transitioning to staff support of Volunteer Board
2. Build Allies 3. NP Data collection4. Inclusiveness5. Educate Public/NPs6. Participate/Influence the
Legislative Process7. Research
Rules/Regulations
We
MUST….
Understanding the State Legislative Process
How a Bill Becomes Law
Development of an Effective Chapter Legislative Program
Interacting With Your State Legislators
How to Introduce Legislation
Key Contact Program
Working With a Professional Lobbyist
Working With Your State Medical Society
Building Successful Coalitions
Campaign Involvement
State Political Action Committees
Legislative Receptions
Nurse-of-the-Day Programs
Nursing Resolutions and Proclamations
Regulatory Agencies
The Mini-Internship Programs
The Legislative Seminar
Media Relations
ADVOCACY MUST CONTINUE FOR CHANGE TO PREVAIL