the aprn legislative message

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The APRN Legislative The APRN Legislative Message Message Lynda Woolbert, MSN, RN, Lynda Woolbert, MSN, RN, CPNP-PC CPNP-PC www.cnaptexas.org

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The APRN Legislative Message. Lynda Woolbert, MSN, RN, CPNP-PC www.cnaptexas.org. Delivering the APRN Message. Stay at 50,000 feet. (Detail on Rx Authority is confusing and derails message.) - PowerPoint PPT Presentation

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Page 1: The APRN Legislative  Message

The APRN LegislativeThe APRN Legislative Message Message

Lynda Woolbert, MSN, RN, CPNP-PCLynda Woolbert, MSN, RN, CPNP-PC

www.cnaptexas.org

Page 2: The APRN Legislative  Message

Delivering the APRN MessageDelivering the APRN Message• Stay at 50,000 feet. (Detail on Rx Authority

is confusing and derails message.)

• Avoid negativity & return to your message. (In a year with a $26.8 billion shortfall, physicians have a non-solution.)

• Do not respond to negative assertions in detail.

• Leave them feeling good about you. “APRNs just want to be part of the solution.”

Page 3: The APRN Legislative  Message

The APRN MessageThe APRN Message1. Texas is facing an unprecedented health

care crisis.

2. APRNs can be part of the solution. APRNs already Dx & Rx, but can do more.

3. Texas should join 18 other states and allow APRNs to practice to the full extent of their education by removing bureaucratic barriers in Texas law.

Page 4: The APRN Legislative  Message

The APRN MessageThe APRN Message1. Texas is facing an unprecedented health

care crisis– Budget Shortfall in the Billions

– Texas already ranks 47th in ratio of primary care physicians per 100,000 population (42nd in ratio of all physicians)

– Texas ranks dead last in access to health care

Page 5: The APRN Legislative  Message
Page 6: The APRN Legislative  Message

The APRN MessageThe APRN Message2. APRNs can be part of the solution.

APRNs already diagnose and prescribe.– Research established safety– Think tanks report same outcomes in

states with narrow or full scope of practice laws

– No cost to Texas

Page 7: The APRN Legislative  Message

The APRN MessageThe APRN Message

3. Texas should join 18 other states and allow APRNs to practice to the full extent of their education by removing bureaucratic barriers.

Page 8: The APRN Legislative  Message

The APRN MessageThe APRN Message3. Texas should join 18 other states and

allow APRNs to practice to the full extent of their education by granting full authority to diagnose and prescribe in the Nursing Practice Act.

Page 9: The APRN Legislative  Message

Independent

Collaborative

Delegated

Page 10: The APRN Legislative  Message

The APRN MessageThe APRN Message3. Texas should join 18 other states and

allow APRNs to practice to the full extent of their education.– Not asking to do anything we are not already

fully educated & trained to do.

– APRNs must pass national certification exams.

– Educated to national standards so Texas APRNs can move to any state to practice.

Page 11: The APRN Legislative  Message

The APRN MessageThe APRN Message3. Allow APRNs to practice to the full

extent of their education by removing bureaucratic barriers.– Eliminates 2nd Step (physician delegation &

site-based restrictions are not related to patient safety)

Page 12: The APRN Legislative  Message
Page 13: The APRN Legislative  Message

The APRN MessageThe APRN Message3. Texas should join 18 other states and allow

APRNs to practice to the full extent of their education by removing bureaucratic barriers.– Both physicians and APRNs must practice

as efficiently as possible.– Simply asking to remove physician

delegation & supervision so APRNs can reach their full potential to make health care more accessible and affordable.

Page 14: The APRN Legislative  Message

The APRN MessageThe APRN MessageTexans recommend laws to allow APRNs to

practice to the full extent of their education:– Texas Legislative Budget Board (LBB)– House County Affairs Committee– AARP Texas– NAMI San Antonio– Texas Association of Business (TAB)– Texas Public Policy Foundation (TPPF)– & 9 other Texas organizations

Page 15: The APRN Legislative  Message

The APRN MessageThe APRN MessageNational consumer & policy organizations:

– Institute of Medicine (IOM Future of Nursing) – Association of Academic Health Centers (Out of Order Out of Time) – AARP (2010 Policy Supplement)– Josiah Macy, Jr. Foundation– Bipartisan Policy Center (Crossing Our Lines)– Brookings Institution (Bending the Curve)– Center for American Progress (Closing the Health Care Workforce Gap)– CATO Institute (Medical Licensing: Obstacle to Affordable, Quality

Care)– Heritage Foundation (November 29, 2010)– Pew Health Professions Commission (1998)– NCSBN (Model APRN Legislation & Regulation)

Page 16: The APRN Legislative  Message

REMEMBERREMEMBER• Stay at 50,000 feet. (Detail on Rx Authority

is confusing and derails message.)

• Avoid negativity & return to your message. (In a year with a $26.8 billion shortfall, physicians have a non-solution.)

• Do not respond to negative assertions in detail.

• Leave them feeling good about you. “APRNs just want to be part of the solution.”