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Dr. Lori Lioce, CRNP, FNP-BC AANP 26 th  Annual Conference Presentation Las Vegas, Nevada June 25, 2011 Restrictive Collab...
<ul><ul><li>  Init. Apps  Active 9-30  CNM   CRNA </li></ul></ul><ul><ul><li>2009  182 1863 3/19   81/1487 </li></ul></ul>...
Alabama State Health Facts  statehealthfacts.org by Kaiser <ul><li>1726 NPs (2010) 1% of US total </li></ul><ul><li>36 NPs...
America’s Healthcare Rankings 2010 ALABAMA  OUTCOMES 49th
Alabama Overall Health
AL Public Health Funding 13th <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Public%20Health%20Funding.aspx...
Alabama Lack of Insurance  18 -> 26 <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Lack%20of%20Health%20Ins...
Alabama Legislative Facts <ul><li>Quadrennium (4-year period) </li></ul><ul><li>Regular Annual Session </li></ul><ul><li>N...
Authority  for Health Care Decisions  <ul><li>Governor’s Office </li></ul><ul><li>Statewide Health Coordinating Council (S...
 
Restrictive Collaboration <ul><li>ADPH Committee on Public Health/ABME (S) </li></ul><ul><li>10 % on-site MD Requirement (...
Strategic Plan <ul><li>SHORT TERM </li></ul><ul><ul><li>Adhere to 2010 Strategic Plan </li></ul></ul><ul><ul><li>Recognize...
 
We MUST…. <ul><li>  </li></ul><ul><li>Understanding the State Legislative Process </li></ul><ul><li>How a Bill Becomes Law...
ADVOCACY MUST CONTINUE FOR CHANGE TO PREVAIL
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Restrictive Collaboration : One States Story

Dr. Lori Lioce

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Restrictive Collaboration : One States Story

  1. 1. Dr. Lori Lioce, CRNP, FNP-BC AANP 26 th Annual Conference Presentation Las Vegas, Nevada June 25, 2011 Restrictive Collaboration One States Story
  2. 2. <ul><ul><li> Init. Apps Active 9-30 CNM CRNA </li></ul></ul><ul><ul><li>2009 182 1863 3/19 81/1487 </li></ul></ul><ul><ul><li>2008 202 1744 0/27 151/1420 </li></ul></ul><ul><ul><li>2007 126 1633 2/26 118/1406 </li></ul></ul><ul><ul><li>2006 220 1600 4/28 219/1319 </li></ul></ul><ul><ul><li>2005 190 1259 0/23 98/1131 </li></ul></ul><ul><ul><li>2004 167 1388 2/33 189/1389 </li></ul></ul>Alabama CRNP statistics
  3. 3. Alabama State Health Facts statehealthfacts.org by Kaiser <ul><li>1726 NPs (2010) 1% of US total </li></ul><ul><li>36 NPs per 100,000 (U.S 54) </li></ul><ul><li>MDs 21.6 per 10,000 (2008) </li></ul><ul><li>73 Rural Health Clinics (2011) </li></ul><ul><li>16 FFQH Clinics (2009) </li></ul><ul><li>887,591 citizens live in underserved areas (2008) </li></ul><ul><li>15.8% Sought NO health Care r/t Cost (2009) </li></ul><ul><li>Physician REQ for Dx/Tx 1:27 </li></ul><ul><li>Physician REQ for Rx 1:35 </li></ul>
  4. 4. America’s Healthcare Rankings 2010 ALABAMA OUTCOMES 49th
  5. 5. Alabama Overall Health
  6. 6. AL Public Health Funding 13th <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Public%20Health%20Funding.aspx </li></ul>
  7. 7. Alabama Lack of Insurance 18 -> 26 <ul><li>http://www.americashealthrankings.org/Measure/2010/AL/Lack%20of%20Health%20Insurance.aspx </li></ul>
  8. 8. Alabama Legislative Facts <ul><li>Quadrennium (4-year period) </li></ul><ul><li>Regular Annual Session </li></ul><ul><li>No more than 30 legislative days, within a 105 Calendar day period annually </li></ul><ul><li>Priority is on Budget </li></ul><ul><li>Career Legislators </li></ul><ul><li>NP regulation formally began 1995no scope of practice in statue </li></ul>
  9. 9. Authority for Health Care Decisions <ul><li>Governor’s Office </li></ul><ul><li>Statewide Health Coordinating Council (SHCC) AL Code - Section 22-4-7 </li></ul><ul><li>State Health Planning and Development Agency (SHPDA) Certificate of Need Review Board (CON) </li></ul><ul><li>Legislature </li></ul><ul><li>Alabama Department of Public Health </li></ul><ul><li>U.S. Government </li></ul>
  10. 11. Restrictive Collaboration <ul><li>ADPH Committee on Public Health/ABME (S) </li></ul><ul><li>10 % on-site MD Requirement (R) </li></ul><ul><li>Mandatory Reimbursement (PP) </li></ul><ul><li>Sign Handicap Parking Permits (S) </li></ul><ul><li>Sign Sports Physicals (PP) </li></ul><ul><li>Order Physical Therapy for Patients (S) </li></ul><ul><li>Regulatory Authority (S) </li></ul><ul><li>Scope of Practice (R) </li></ul><ul><li>Remove Ratio for MD/NP Collaboration 1:3 (R) </li></ul><ul><li>Primary Care Provider Recognition (S/R) </li></ul><ul><li>Prescriptive Authority (R) </li></ul><ul><li>Nursing Data RX/Workforce (S) </li></ul>
  11. 12. Strategic Plan <ul><li>SHORT TERM </li></ul><ul><ul><li>Adhere to 2010 Strategic Plan </li></ul></ul><ul><ul><li>Recognize & Publicize NPs </li></ul></ul><ul><ul><li>Educate Public/NPs </li></ul></ul><ul><ul><li>Participate/Influence the Legislative Process </li></ul></ul><ul><ul><li>Expose Rules/Regulations </li></ul></ul><ul><ul><li>Build Allies </li></ul></ul><ul><ul><li>Collect NP Data </li></ul></ul><ul><li>LONG TERM </li></ul><ul><ul><li>Establish NP Organization by transitioning to staff support of Volunteer Board </li></ul></ul><ul><ul><li>Build Allies </li></ul></ul><ul><ul><li>NP Data collection </li></ul></ul><ul><ul><li>Inclusiveness </li></ul></ul><ul><ul><li>Educate Public/NPs </li></ul></ul><ul><ul><li>Participate/Influence the Legislative Process </li></ul></ul><ul><ul><li>Research Rules/Regulations </li></ul></ul>
  12. 14. We MUST…. <ul><li>  </li></ul><ul><li>Understanding the State Legislative Process </li></ul><ul><li>How a Bill Becomes Law </li></ul><ul><li>Development of an Effective Chapter Legislative Program </li></ul><ul><li>Interacting With Your State Legislators </li></ul><ul><li>How to Introduce Legislation </li></ul><ul><li>Key Contact Program </li></ul><ul><li>Working With a Professional Lobbyist </li></ul><ul><li>Working With Your State Medical Society </li></ul><ul><li>Building Successful Coalitions </li></ul><ul><li>Campaign Involvement </li></ul><ul><li>State Political Action Committees </li></ul><ul><li>Legislative Receptions </li></ul><ul><li>Nurse-of-the-Day Programs </li></ul><ul><li>Nursing Resolutions and Proclamations </li></ul><ul><li>Regulatory Agencies </li></ul><ul><li>The Mini-Internship Programs </li></ul><ul><li>The Legislative Seminar </li></ul><ul><li>Media Relations </li></ul>
  13. 15. ADVOCACY MUST CONTINUE FOR CHANGE TO PREVAIL

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