Nebraska

Mission: To improve healthcare access, quality, & cost-effectiveness in a manner that embraces & reflects diversity in Nebraska through collaborative partnerships with consumers, providers, policy makers, and businesses. Vision: Transform Leadership. Embrace Diversity. Promote Best practices. Provide Quality Healthcare.

Features

Education

The  nurse of the future in Nebraska needs to be as effective as possible in leading care that is of  high-quality and  patient-centered, with an interprofessional focus to improve delivery.

Progress

The Nebraska Action Coalition in collaboration with NE Assembly of Nursing Deans & Directors or NANDD (comprised of  20 schools of nursing) is working to create seamless academic progression of nursing education from the LPN through graduate degrees.  This is being accomplished through development of competencies across all education levels, data analysis of current curriculums to identify competency gaps, and implementation of a pilot program.

December, 2012 NANDD meeting with NAC to review competency based model and make revisions

January 17, 2013 - Awarded funding for SIP application: Merging Leadership & Education to Implement IOM Recommendations in Nebraska

October 2013 - Pilot underway to test competency-based curriculum of RN to BSN programs using a portfolio system to present the five competencies (developed and approved by NANDD) required for credit.

 

Leadership

Nurses bring a unique, important perspective to health care, education, business and policy discussions that are often not heard. Faced with Nebraska’s significant health care challenges, nurses at all levels must contribute their valuable perspective through healthcare decision making bodies and Board involvement.

Progress

We understand that communicating the value of nursing leadership, and building allies are critical to providing opportunities for nurses to take on leadership roles. At the same time nurses must develop leadership competencies, and identify opportunities to contribute their value. We will engage Nebraska’s nurses at all levels to train and provide them with opportunities to lead.     

January, 2011: Convened steering committee

March, 2011: Steering Committee (Executive Committee) formed

Spring, 2011: Aligned major Nebraska nursing organization

May, 2011: Identified Co-Leads                                                                                        

  • Visiting Nurse Association nurse lead organization
  • HDR, Inc. non-nurse lead organization (architectural firm involved in healthcare design)

Feb., 2012:  Director hired

May, 2012:  D. Frey, MD V.P. of Health Sciences, Creighton & C. Benjamin, Director AARP, NE join Strategic Advisory Committee (SAC)

July, 2012:  Leadership Team formed. P.Lopez MSN, Public Health Assc. NE joins SAC

Sept. 13, 2012:  Kick-off celebration of Leadership Team - reception Honoring Nurse Leaders: 40 under 40. 130 attended including stakeholders. Winifred Quinn CCNA guest speaker

Sept. 14, 2012:  Nurses Leading at All Levels: Bedside to Boardroom attended by 126 nurses. W. Quinn, Angela Barron McBride PhD, conference and summit

November, 2012 Kim Moore, MSN, CEO St. Elizabeth's Hospital, RWJF Fellow, joins SAC

January, 2013 -  Engaging 40 U 40 by recruiting for governor and DHHS board appointments

January 11, 2013 First CAH IOM presentation in McCook for nurse leaders.

January 17, 2013 Awarded funding for SIP application: Merging Leadership & Education to Implement IOM Recommendations in Nebraska

May 8, 2013 North Regional Nursing/Interprofessional Conference and Stakeholder's Roundtable Breakfast in Columbus. Addition of SAC member Branen Betz of Aureus Medical (C & A Industries).

June 19, 2013 South Regional Nursing/Interprofessional Conference and Stakeholder's Roundtable Breakfast in Kearney. Quarterly Statewide Practice & Leadership Team Meetings held

Sept. 11, 2013 West Regional Nursing/Interprofessional Conference and Stakeholder's Roundtable Breakfast in Ogallala

Nov 5, 2013 Formation of Diversity Taskforce. Diversity champion assigned at every NAC meeting to keep diversity top of mind in our action plans

Nov 22, 2013 East Regional Nursing/Interprofessional Conference and Stakeholder's Roundtable Breakfast in Omaha

March 1, 2014 Begin pilot of mentor/mentee pairs one in each of 4 regions in Nebraska to prepare nurses for board/decision-making bodies

April 22, 2014 Sending winning applicant to  STTI Leadership Institute's Board Service: Passion, Preparation, and Power. Winning applicant will produce webinar to train mentors across the state.

 

 

 

 

 

 

 

 

 

Practice

Nurses are often the sole health care providers for Nebraska’s rural citizens. Removing outdated laws and regulations that restrict the practice & reimbursement of these providers will expand access to those who need high quality health care in even the most remote corners of the state. 

Progress

We are tracking the progress of proposed changes to laws to lift restrictions which prevent advanced practice registered nurses (APRNs) from practicing to the full extent of their education and training. The Nebraska Action Coalition (NAC) will capitalize on this activity – conducted by the Board of Health - by educating  The NAC is currently collaborating with Nebraska Nurse Practitioners as the legislature has requested that NP's go through a 407 Review Process (required of professional practice groups looking to change their scope of practice). Together our groups will work to educate lawmakers and the public.

Nebraska experienced 2 wins for NPs in the 2012 legislative session:

  • LB 788 Respiratory Care Act which allows NPs to order respiratory services
  • LB1042 Authorizes NPs to sign death certificates

December, 2012 - Collaborating with Nebraska Nurse Practitioners for 407 Review Application Process (a preliminary step before legislating removal of Integrated Practice Agreement (IPA) in 2014). NAC testified at first hearing.

May, 2013  Governor Dave Heineman signed LB 243 into law, adding the word "acute" to the definition of practice for nurse practitioners. The Credentialing Review Committee & Technical Review Board for the 407 process recommended that the proposal for removal of the IPA be enacted in the 2014 legislative session.

January 15, 2014 - LB916 to remove Integrative Practice Agreement co- sponsored by Senator Sue Crawford

February 13, 2014 - LB916 receives priority status and will be debated in the Unicameral. Sponsored by Senator Dan Watermeier.

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. 

Progress

 

We are building partnerships with diverse stakeholders, including physicians and other health providers, to encourage mutual understanding and collaboration and to integrate interprofessional strategies into education and transition to practice initiatives. The Action Coalition seeks to promote a balance of skills and perspectives among all health professionals.
 

Diversity

As a rural state with growing elderly and minority populations, we strive to recognize their unique health care needs and will strive to provide a diverse workforce to provide culturally sensitive care.

 

Progress

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. 

Recent appointments to regional co-chair positions have heeded the call for diversity among our leadership recognizing minority populations, men, and rural representation

November 5, 2013 - formation of diversity taskforce. Meeting monthly. Speaker's Bureau currently speaking at AHEC high school events, AHEC, and Douglas Co. Youth Center

Data

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.

April, 2013 Leadership Survey completed (N= 1161) to assess participation on and interest in decision-making bodies and boards.

June, 2013 NE Center for Nursing officially joins NAC as a partner to collecting meaningful data. Included on organizational chart.

 

Progress

We are partnering with the Nebraska Center for Nursing to address data collection in our state so we can identify workforce requirements and to provide timely and publicly available data for our health care providers. Accurate and comprehensive workforce numbers will support our efforts to promote data-driven policy decisions to improve health care for patients and families in our state. 

 

 

 

leadership

 

James Summerfelt, President and CEO, Visiting Nurse Association

Cyndi McCullough MSN, RN , Vice President , HDR Architecture, Inc.

Victoria Vinton MSN, RN, Director, Nebraska Action Coalition 

Send Message

 

partners

Visiting Nurses Association*

HDR Architecture, Inc*

Immanuel Communities*

Nebraska Hospital Association

Saint Elizabeth Regional Medical Center*

St. Francis Medical Center* - Grand Island

Nebraska Medical Center*

Alegent Health

Aureus Medical affiliate of C & A Industries

Great Plains Med Center – N.P.

Good Samaritan Hospital* – Kearney

Executive Committee of NAC*

NE Assc. of Nursing Deans and Directors*

Creighton University School of Nursing*

University of Nebraska College of Nursing*

Donor-members of NAC*

Nebraska Association of Nurse Anesthetists*

Nebraska Emergency Nurses Association

Nebraska Nurses Association

Nebraska Nurse Midwives

Nebraska Nurse Practitioners*

NONL* District I* and III

Community Hospital - McCook

Methodist Hospital*

AWHONN

NNA District 2

Nebraska Methodist College*

Clarkson College*

AARP-Nebraska Chapter*

Equitable Bank Foundation – Grand Island

Five Points State Bank – Grand Island

Heartland Gerontological Nurse Association*

AORN

NE School Nurse Association*

NE Assc. Psychiatric Nurses

 

join the conversation

learn

about progress in your state