Practice Team Update 6/14/12

Feels like summer is already here! This update is a bit tardy, please forgive me. Helping with 2 grants and writing 2 additional grants in a period of 3 weeks took up most of my time. Since our last update in early May, you may be noticing that there are more discussions in the media about nurse practitioners. It is good to see this uptick – some articles we may cheer about, others make us realize we have a lot of work to do (e.g., the 6/7/12 front page article in the Omaha World Herald titled “If doctor’s not in, can nurse fill the role?”
With the help of many of you and the NAC’s Executive Committee I wrote an op-ed to that article. It was denied yesterday (they said it was too similar to the original article) so I shortened it up and submitted it as a “letter to the editor.” Unfortunately, R.H.’s beautiful story didn’t make the paper. I will include it here:

R. H., a NP from South-central Nebraska, was the primary healthcare provider for an elderly gentleman who was recently widowed. When he couldn’t drive anymore she started making house calls. On one occasion he was too dizzy to get off the couch. His pulse was 36. An EKG she obtained indicated he was in complete heart block. Ms. H. called Emergency Medical Services, the gentleman was transferred to the hospital, and a pacemaker was implanted. Over the next four years she continued to make house calls. When his health began to fail, he begged her not to send him to a nursing home. She honored his wishes, and with the help of Hospice, he was able to spend his last days at home.
Recent media releases and upcoming events:
• From AANP SmartBrief

• Expanding the scope of practice of nurse practitioners will help alleviate the shortage in primary care doctors and reduce health care costs, physician John W. Rowe writes. Opposition from medical groups is an obstacle to progress despite analyses that show giving NPs more authority doesn’t affect physician incomes, Rowe writes.
• July 17, 3:00-4:00 p.m. EDT – Strategies and Tactics for Successful Legislation to Remove Barriers to APRN Practice and Care (invitation to be sent) thru Campaign For Action
• One Strong Voice a health policy blog (web-log) from the ANA was launched in April. One of the main focuses of the blog is removal of barriers to practice for APRNs
Go to
Posts are in chronological order and archived. An RSS feed is available which will let you know automatically when a new post is published.

A small group met on Friday, June 8 in Lincoln for a meeting with NNA, NAC, and NNP organized by Cora Micek. Points of discussion were:
• Talked about using a “grass top” approach-contacts made by NPs that are leaders in legislative districts
• Using disaster examples – Joplin, Katrina to make sure NE is prepared
• Mirror the language of IA
• Do a gap analysis between the NCSB and NE Scope of Practice
• Collect stories

Here’s to building needed momentum!!!!!!

Education Team Bi-Weekly Update 6/06/12

I can already tell it’s summer-many emails come back to me saying OOTO back in a week! I hope all of you will be taking some time out for some summer fun.
I want to commend the Education Team on the exceptional job you have all done in keeping the momentum going on improving education in our state. I hope your enthusiasm rubs off on our Leadership Team (TBA). Practice has some big work cut out for them this summer as we will be setting the stage to make some legislative changes next session. If any of you have a relationship with a state senator-let me know and we’ll share our talking points with you.

Data continues to be collected for the NANDD. Schools I’ve received data on:
Creighton-MSN, DNP
Clarkson- all
College of St Mary -all
UNMC all divisions & programs
Weslyan-RN to BSN
Extras from the Campaign for Action newsletter:
July 11, 3:30-4:30 p.m. EDT – Midwestern Regional Action Coalition Education Webinar (invitation sent to Midwestern Regional Education Meeting attendees and co-leads only) Register here to attend:  Login information will be provided after registration. Individuals involved: Marilyn, Aubray, Lianne, and Vicki

Nebraska Action Coalition Recruitment PackageThe Nebraska Action Coalition has developed an introductory letter and talking points about the AC as part of a recruitment package to engage new partners.  Our colleagues in the AC have generously offered to share those materials, which may be helpful in developing your own package.  You can find these resources at the links above.

Warm regards,

Nurses are critical to a hospital’s financial health

From ANA Smart Briefs

Why nurses are critical to hospitals’ financial health
Nurses will become the most important asset for a hospital’s success, writes Richard J. Bogue, a lecturer at the University of Iowa College of Nursing. Hospitals need nurses to thrive under the quality-related payment systems, he writes. “Hospital leaders can succeed better with QRP methods by encouraging nurses’ personal and professional aspirations.” Hospitals & Health Networks Magazine (5/2012)

Education Team Bi-Weekly Update 5/15/12

Congratulations to the Education Team, members of the Executive Board, and key contributors at UNMC’s College of Nursing. A special thank you to Mary Cramer for spearheading and seeing the grant application through to the very end! The application was submitted just before the deadline on Monday. Pulling off this feat was nothing short of miraculous! I think we deserve the award not only because it was an extraordinary proposal but because of the teamwork required to meet such a challenge in less than 10 days. Here’s to our success!
Upcoming dates:
• May 22, 2012: 12 – 3pm Education Team Meeting at Methodist College. Lunch provided. Please RSVP to Marilyn @ or Aubray @ Arrangements will be announced for distance participants. Please print and bring the information specific to your school from this link

• May 29 – Application Due
HRSA – Nurse Education, Practice, Quality and Retention – Interprofessional Collaborative Practice

• September 13 – Reception in Lincoln 6:30pm “40 under 40” to kick off Leadership Summit on the 14th (location TBA). Consider individuals who are leaders with in your organization who are leaders at work or in the community.
Colorado’s Nursing Faculty Shortage: What it is and why you should care
Like many states, Colorado faces a shortage of nurse educators. In order to address this problem, the Colorado Center for Nursing conducted research and published a report with a very convincing rationale. To be successful, the rationale for resolving the nursing faculty shortage has to be well defined, publicly visible and associated with an economic and health care return-on-investment (ROI). Fortunately, the return on an investment in nursing faculty is very high, ranging from 350% to 1,300%, depending on assumptions.
This report explores the profiles of over 1,500 Colorado nursing faculty that taught between 2008 and 2010, focusing on these questions: “Why, when and what, specifically, is Colorado’s nursing faculty shortage?” and “Why should anyone care?” This research yielded a set of eight nursing faculty investment return-on-investment scenarios. This report defines the nature, timing and impact of Colorado’s nursing faculty shortage, and helps to build a case for responding to the issue. The insights developed by this research have helped to inform a statewide dialogue as well as the creation of a Colorado nursing faculty shortage website.
Read the full report here.

Men Slowly Change the Face of Nursing Education
Men represent only 7 percent of today’s nursing workforce and an even smaller fraction of nurse educators. In the United States, only 29 of the 838 nursing school deans across the county are males. This article, published by RWJF Human Capital, demonstrates how male nurse educators can help diversify the nursing workforce and improve patient outcomes.

Practice Team Update

Practice Team Bi-Weekly Update 5/2/12

(This update will be brief as Kathy submitted minutes from your meeting this week).

Many thanks to all who attended and participated in the April 24 practice meeting. I am looking forward to working with you toward achieving the recommendations from the IOM. During this week’s Executive Committee Meeting Julie, your practice consultant, and I committed to assisting your team set up structure and an action plan to ensure success. Please choose a time in the near future that we can begin this process.

A meeting date with Cora is still in the works. I have had several emails from her in attempts to meet with a small group with representatives from NNP, NAC, and NNA. Will keep you posted.

 Our new website is up. Check us out at  I am in hopes that I can break away from my old VNA email and consistently use for future communication. I will send your updates to your email address until you become accustomed to using the website to view them.  It is a blog site. You can post/comment there. This could be a great tool for us. I will be looking into making some of  the pages private. More to come. The organizational chart and an “About Us” page are forthcoming.  

 Thanks for all your efforts!