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Geriatric Nurse Certification
Heidi Keeler, PhD, RN
University of Nebraska Medical Center
Welcome!
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero PrepOnline certification training
Geriatric Nurse Certification
Jennifer Shimer
COO, AHCA/NCAL
Introduction:Timely New Member Benefit
Smart Preparation for Challenges Ahead
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero PrepOnline certification training
Geriatric Nurse Certification
Glenn Van Ekeren
President, Vetter Health Services
An Owner/Operator’s First-Hand Perspective
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero PrepOnline certification training
Geriatric Nurse Certification
Mary Cramer, PhD, RN, APHN-BCUniversity of Nebraska Medical Center
Urgent Gero Training Need vs. Soaring Gero Care Demand:
Triple-Win Outcomes of Regional Pilot Project
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero PrepOnline certification training
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Robert Wood Johnson Foundation: Partners Investing in Nursing’s Future
PIN Midwest Geriatric Nursing Quality Improvement
� Principal Investigator: Mary E. Cramer, PhD, RN,
UNMC College of Nursing
� Funded by Robert Wood Johnson Foundation &
Northwest Health Foundation with Vetter
Foundation
�Vetter Health Services President: Glenn Van Ekeren
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Robert Wood Johnson Foundation: Partners Investing in Nursing’s Future
• Vetter Foundation & UNMC College of Nursing
• $500,000 (2009 – 2011)
• 15 Regional Partners Representing 60 LTC Facilities
• One of Ten National Awards
• National Demonstration Project for Long Term Care
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Grant Purpose•LTC Administrators
Reduce RN turnover
Improve quality of nursing care
•LTC Registered Nurses
Enhance clinical competence & job satisfaction
•LTC Patients and Families
Improve care outcomes & family satisfaction
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Long Term Care: THE PERFECT STORM
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Aging of America
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Demand for Quality• BETTER EDUCATED
• MORE FINANCIAL
RESOURCES
• ACCUSTOMED TO HIGH
STANDARDS OF CARE
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Nursing Shortage
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
What Does Research Tell You About RNs & Quality Care?
• Direct Link Between RN
Staffing/Education & Patient
Outcomes
– Prevention of adverse events
(i.e., falls, decubiti, infections)
– Lower readmission rates
– Early recognition & correction
of life-threatening events
– Reduced mortality
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Your Challenges
Data Reveals an Urgent Need
to Invest in RN Care
• Highest RN Turnover Rates
• Highest RN Vacancy Rates
– Perceived image of low
opportunity &
advancement
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Nurse Workforce Challenges
RNs are Underprepared for
Geriatric Nursing Care
• < 25% of BSNs
• < 5% of ADNs
• < 1% of all RNs are
specialty certified in
geriatric nursing
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Project Focus
� 10 Week Online Education Course
� Innovative Teaching Strategies to Engage RN Learners
� Evidence-based Practice Content
� Leadership Content
� National Board Certification as Gerontological Nurse (RN-BC) by American Nurses Credentialing Center (ANCC)
� Marketing Value
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
National Board Certification
• ANCC – Gold Standard of
Excellence
• “Investment in people who
provide care”
• Research Based
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Our Research Findings
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Course Satisfaction
94.4%
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
ANCC Pass Rate
96%
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Improved Knowledge & Skills in Geriatric Nursing
• Statistically Significant Increases (p < .0001) in ALL areas:– Communication– Pain management– Physiological & psychological age
changes– Skin integrity management– Functional status enhancement– Proper use of restraints– Discharge planning– Recognition & intervention for
elder abuse
Findings based on the Hartford Geriatric Clinical Competence Scale
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Improved Decision Making, Satisfaction & Empowerment
• Statistically Significant
(p < .0001) Improvement In:
– Confidence in ability to do the job
– Self-assuredness about capability to perform well
– Mastery of skills needed for job
– Autonomy in how to do the job
– Decision making ability
– Impact of nursing unit
– Enhanced opportunity to do the job
Findings based on the Psychological Empowerment Scale
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Improved RN Retention
• Higher “intent to remain”
• Higher Job Satisfaction
– Translation
• Lower replacement &
administrative costs
• Uninterrupted care continuity
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
“What has been the best experience of the course?”
• “Becoming current in geriatric training”
• “I’m proud to become certified”
• “Gaining a better understanding of the
major physiological systems”
• “Discovering references, resources &
support networks that will be useful in
clinical practice”
• “Increasing my knowledge & skills”
• “My sense of accomplishment”
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
“How will you use your ANCC Specialty Certification?”
• Share my knowledge with co-workers & staff
• Mentor our new nurses & CNAs
• Improve my communication with other staff
• Enhance my critical thinking ability
• Incorporate evidence based practices into our
facility’s care
• Enhance my staff education
• Improve the quality of patient care at my facility
• Helps make my work & others’ more meaningful
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Geriatric Nurse Certification
Catherine Bevil, EdD, RN
Director of Continuing Nursing Education
University of Nebraska Medical Center
10 Module Prep Course Overview:Professional Development, Skills Takeaway,
Practice Impact
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero PrepOnline certification training
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
UNMC CON CNEUniversity of Nebraska Medical Center College of Nursing Continuing Nursing Education
• Housed within an
Academic Medical Center
• National Accreditation as
a Provider by ANCC
• National Reach
• Distance Delivery Pioneer
• Multiple PartnersUNMC Center for Nursing Sciences
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Course Content
• Dual Aims:
– Latest knowledge, skills
& competencies in
geriatric practice
– Success on ANCC
Certification Exam –
Gerontological Nursing
(RN-BC)Image obtained from Google Images
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Module Topics
1. RN roles – leader, manager, communicator, collaborator – in LTC nursing
2. Wellness, aging, using evidence-based decision making
3. Psychosocial assessment, management (i.e., elder abuse, substance abuse, etc)
4. Cardiovascular, respiratory, immune system problems
5. Pain; aging & medication management, lab values/findings
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Module Topics
6. Safety in light of changing mobility, vision, hearing
7. Integumentary system (i.e., aging skin, nails, hair, etc); pressure sores; sleep & rest
8. Nutrition, digestion, elimination
9. End of life care;
10.Managing cognitive-emotional changes (delirium, dementia, depression)
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Customized Delivery to RNs
• Diversity
– Educational
– Experiential
– Tech skills
• Busy Life Styles
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Delivery Strategies
• Web Based
– Any time
– Any where
• Chunked
– Self select topics
– Self select depth & detail
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Delivery Strategies
• Learner Centered – Beginning & Ending with the RN
• Variable
• Active
• Practice Applications
• Feedback, Feedback, Feedback
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Other Key Features
• Textbook
• Tests & Test Taking
• Application for Certification
• Evaluation –Outcomes & QI
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
What Can Facility Administrators Do?
• SIGN UP!• Select RNs
• Support RNs for Certification Exam
• Formal Recognition from AHCA/NCAL & UNMC CON
www.geronurseprep.org
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
What Will RNs Do?
• Enroll & Receive Textbook
• Complete 10 Modules, Prep for
Certification, Final Exam
• Earn 30 ANCC CE Contact Hours
• Take ANCC Certification Exam
• Notify UNMC & Receive
Personalized Recognition
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
ANCC Eligibility Criteria for Certification
RNs need to meet the following eligibility criteria:
• Hold a current, active license within a state or territory of the United States or the professional, legally recognized equivalent in another country
• Have practiced the equivalent of two years full-time as a registered nurse
• Have a minimum of 2,000 hours of clinical practice in gerontological nursing within the last three years
• Have completed 30 hours of continuing education in gerontological nursing within the last three years
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Recertification Requirements (as of 2014)
• When: 5 years post certification
• Practice Hours: 1,000 hours in geriatrics over past 5 years
• Continuing Education: more details on next slide
• Retesting: Not required if above condition are met
• Cost: $350 (ANA non-member); $200 (ANA member); $280 (NGNA member)
For specifics go to:
http://www.nursecredentialing.org/Certification/NurseSpecialties/Gerontological.aspx
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Recertification Requirements: Continuing Education
• Continuing Education: 150 hours (15 CEUs) over past 5 years– Average of 30 hours per year
– 50% of hours can be non-accredited, related to staff development at work, etc
– 50% of hours must be accredited by an approved organization (ANCC, many others)
– 51% must directly relate to geriatric nursing
– 49% may indirectly relate to geriatrics, geriatric roles
– Live, web-based, and other CE formats allowed
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Role of State Affiliates
• Partner with AHCA/NCAL
• Disseminate Information
about Gero Prep
• Facilitate Sign Up for Gero
Prep through Web Site
www.geronurseprep.org
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero Prep Pricing StructureDiscounted Packages to AHCA Members if Registered by December 31, 2011
• Course Price: $400
• Textbook: $90
• Total: $490
Basic Packages to AHCA Members, Effective January 1, 2012
• Course Price: $600
• Textbook: $90
• Total: $690
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero Prep Package Price Rates
• Register for Up to 3 Packages: Full package price
• Register for 4-10 Packages: 2% Discount on course, plus cost of all textbooks
• Register for 11-20 Packages: 5% Discount on course, plus cost of all textbooks
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Investment in Staff vs. Cost of Doing Nothing
Gero Prep Course Price
(Including ANCC Certification Exam Fee)
Course: $400
Textbook: $90
ANCC Certification Exam Fee: $395 (non-ANA member price)
Total Investment:
$885
Cost of Replacing One RN who Resigns
+Search Firm Fee
+Internal HR Time/Costs
+Employee Benefits
+Delay: Care Continuity Suffers
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
www.ahca.org(Quality Improvements Tab)
www.geronurseprep.org
For More Information:
To Sign Up RNs:
Geriatric Nurse CertificationQuestions & Answers
Sponsors Provider
AHCA American Health Care Association
NCAL National Center for Assisted Living
UNMCUniversity of Nebraska Medical Center
College of Nursing
Gero Prep Online certification training
Heidi
Keeler
Jennifer
Shimer
Glenn
Van Ekeren
Mary
Cramer
Catherine
Bevil