Comprised of key partners across the state representing nursing, businesses and other health care providers, the Idaho Nursing Action Coalition aims to improve the ability of Idaho nurses to respond to the health care challenges of the future and deliver quality care that is accessible and affordable.

Congratulations to the Idaho Nursing Action Coalition for successfully competing for the State Implementation Project (SIP) grant from the Robert Wood Johnson Foundation! The INAC proposal Advancing Nursing in Idaho to Improve Health has received funding to support progress on two of the IOM report eight recommendations. In January INAC was awarded $150,000 from RWJF, which was matched by $78,000 from supporting Idaho organizations. Press Release

The Idaho Nursing Action Coalition (INAC) was formed in February 2011 as a voluntary coalition lead by the Idaho Alliance of Leaders in Nursing (IALN) and the Idaho Hospital Association (IHA). The goal of this coalition is to improve the ability of Idaho nurses to respond to the health care challenges of the future, and to deliver quality care that is accessible and affordable. It is made up of key partners statewide including nursing, business, government and health policy leaders. INAC's priorities are focused on improving nursing leadership and collaboration with other healthcare providers, nursing education, and access to care. A leadership team coordinates the efforts of these three action teams.

The work of INAC is coordinated by a 10 member leadership team. Three Action Teams focus on education, leadership and access to care. Each team has established goals, action steps and baseline data needs. The Idaho SIP grant provides the resources and personnel to make measureable progress in each of these three areas:

Nursing Education and Nursing Leadership:

INAC will develop a continuum model for transitions into practice available statewide that targets new graduate transition into practice, the transition into a clinical leadership and management role, and the role transition from clinical practice to nurse educator.  This goal is designed to improve access to professional development opportunities at key transition times for nurses in rural and urban settings across a variety of career paths that have demonstrated need in Idaho.

The plan includes the development, dissemination and piloting of evidence based curriculum and identification of  reasonable and sustainable funding mechanisms for transition resources across the three domains of entry into practice, leadership, and education.  It also establishes a framework to increase the communication and cooperation between nursing education and practice in Idaho.

Project Manager: Val Greenspan

Education Action Team co-chairman: Sandie Nadelson, Lori Stinson & (recruiting clincial practice partner)

Leadership Action Team co-chairman: Buffie Main & (recruiting additional co-chair)

Nursing Practice

INAC will improve patient access to health care services provided by advanced practice nurses in Idaho through the creation of an actionable plan to overcome cultural and statutory barriers that limit APRN’s ability to practice to the full extent of their education and training. The strategic plan focuses on a review of barriers to practice in Idaho that exist in institutional privileging, insurance, reimbursement and business which result in a limitation of access to needed primary care services.

Throuhg a survey of APRN's and their employers in idaho,  a comprehensive review of cultural and non-plenary statutory barriers  will be completed,  followed by an analysis and development of evidence based strategies to systematically overcome these barriers. The plan will establish a longitudinal data base and practice report card, develop marketing strategies and engage the media, and initiate a legislative process if needed.

Project Manager: Julie Marcum

Access to Care Action Team co-chairs: Cherese Serverson & Sandy Evans

To become part of the campaign in Idaho and join INAC, contact or call 208-367-1171.




If nurses are to be as effective as possible in helping to provide high-quality patient care in Idaho, they will need to be better prepared as care becomes more complex and moves into the community.


We are working to strengthen nurse education and training by developing an education model for nursing that encourages associate degree nursing graduates to achieve higher levels of nursing education. We are working to increase the number of masters and doctorally prepared nurses in Idaho, as well as developing a model for nurse residencies.


Nurses bring a unique, important perspective to health care, higher education, business and policy discussions. Faced with Idahos significant health care challenges, nurses at all levels must step up, and contribute their valued perspective.


We are working to inrease leadership and full partnership roles of nurses to contribute to a transformed health care system. To that end, our approach includes influencing health care delivery innovations, such as Accountable Care Organizations and the Patient Centered Medical Home. Additionally, we will support nurses as leaders on boards and other positions of influence, including developing a mentor program for future nurse leaders.


In rural Idaho, access to high quality health care can be challenging; so nurses must practice to the full extent of their education and training. Our laws and regulations support this, however, institutional policies still exist creating barriers to care.


We are implementing strategies that improve patient access to health care services provided by advanced practice registered nurses (APRNs) in Idaho through the creation of an actionable plan to overcome cultural and statutory barriers limiting nurses’ ability to practice to the full extent of their education and training. We are working to establish baseline data to truly understand how APRNs are credentialed, reimbursed, and granted hospital privileges, and what historic, cultural, statutory and regulatory barriers they face.

Interprofessional Collaboration

To ensure high quality, patient-centered care, nurses, physicians and other health professionals must collaborate in education and practice, and across all health care settings.


To ensure true interprofessional collaboration, we are integrating our efforts in this area into our leadership initiatives, recognizing that nursing leadership is required for nurses to be full partners with physicians and other health providers. We are building relationships with diverse stakeholders to support, spread and implement models of interprofessional collaboration in education and practice.


Idaho’s population is becoming increasingly more diverse, and many residents have unique health care needs. The nursing workforce must evolve to reflect these changing dynamics.


We will work with our colleagues throughout the state to communicate the value of diversifying the nursing workforce to reflect the state’s population, while also looking to other successful programs as models for implementation.


Effective deployment of the health care workforce requires information – data to tell us what kind of health providers we will need and with what skills. Yet major gaps exist in the workforce data we now have.


In Idaho, we have established a collaborative with the Idaho Department of Labor, the Idaho Board of Nursing, colleges and universities, the Idaho Alliance of Leaders in Nursing, and the Idaho Hospital Association to gather, analyze and publish nursing supply and demand data. This collaborative agreement allows us to develop and promote data-driven policy decisions that improve health care for patients and families in Idaho.



Margaret Wainwright Henbest, Executive Director, Idaho Alliance for Leaders in Nursing

Steve Millard, President, Idaho Hospital Association

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