2011 SON Global Health Awards

Congratulations to the School of Nursing students and faculty who received global health awards this year. These awards are primarily from the School’s global health funds, which are generated from the Visiting Scholars program. This year $22,000 was awarded.

Applications were reviewed by three teams from the Global Nursing Advisory Council (GNAC) joined by faculty who received awards in previous years. Award amounts are primarily based on airfare to the destination. We were still unable to fund all who applied. Through the GNAC we have focused our areas of support so that students and faculty are helping expand our capacity in global health but also are involved in sustainable work, either through service that can be built on from year to year, or in developing scholarship opportunities. We are particularly pleased to award two Cronenwett Global Awards designated for undergraduate students (see Global Study Award Helps Students Gain World Experiences).

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Cronenwett Participates in National Teaching Quality, Patient Safety Conference

MEDIA ALERT  from the Robert Wood Johnson Foundation

CONTACT: Gretchen Wright or Matt Freeman

May 18, 2010                                                                          202/371-1999

Leading Nurse Educators to Meet in Denver to Discuss Latest Innovations in Teaching Quality, Patient Safety

Dean Emerita and Beerstecher-Blackwell Professor Linda Cronenwett, PhD, RN, FAAN, the principal investigator for QSEN (Quality and Safety Education for Nurses), a national intiative, announces the following:

In 2003, the Institute of Medicine (IOM) released a groundbreaking report which identified quality and safety competencies that all health professionals should master. Nurses’ mastery of these competencies is crucial, because they represent the largest group of health professionals and their role is being recognized as increasingly important as more people gain access to health care. The Quality and Safety Education for Nurses project (QSEN), funded by the Robert Wood Johnson Foundation, has identified appropriate knowledge, skills and attitudes (KSAs)  for nursing students to achieve based on the IOM competencies and is fostering the development and dissemination of approaches and techniques  nursing schools can adopt to effectively incorporate them into their curricula.

Leading faculty from nursing schools across the country will meet in Denver next month to discuss innovations in curricular design and teaching strategies that help students master the QSEN competencies. The QSEN national forum, Climbing from Good to Great, will be held:

June 2-4, 2010

Westin Westminster Hotel

10600 Westminster Boulevard

Westminster, Colorado

The QSEN competencies are: patient-centered care; teamwork and collaboration; evidence-based practice; quality improvement; informatics; and safety.

Sessions will address integrating the competencies into and across nursing school curricula, assessing and evaluating the impact of teaching the QSEN competencies, creating successful academic-practice partnerships, teaching competencies through simulations, multidisciplinary and inter-professional approaches to teaching the competencies and much more.

The keynote speaker is Rosemary Gibson, M.Sc., writer and thought leader in U.S. health care, author of Wall of Silence: The Untold Story of the Medical Mistakes that Kill and Injure Millions

of Americans and the 2010 book, The Treatment Trap, which puts a human face on the overuse of unnecessary medical treatment. Other speakers will include several nursing faculty who ran or participated in pilot sites at nursing schools across the country to develop methods for teaching the knowledge, skills and attitudes related to the QSEN competencies.

A complete conference schedule is available online at http://www.qsen.org/conferences/2010/QSEN%202010%20Conference%20Schedule.pdf.This event is open to media.

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The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, we work with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years we’ve brought experience, commitment and a rigorous, balanced approach to the problems that affect the health and health care of those we serve. When it comes to helping Americans lead healthier lives and get the care they need, we expect to make a difference in your lifetime.

Dean Emerita Linda Cronenwett Helps Bring Robert Wood Johnson Executive Nurse Fellows Program to NC

FOR IMMEDIATE RELEASE CONTACT: April 12, 2010 , Natalia Barolin, (240) 221-4088, nbarolin@iqsolutions.com

Center for Creative Leadership Selected as New National Program Office for RWJF Executive Nurse Fellows

Princeton, N.J.—The Robert Wood Johnson Foundation® (RWJF) is pleased to announce that after an intensive search, the Center for Creative Leadership (CCL) in Greensboro, North Carolina has been selected as the new national program office (NPO) for the RWJF Executive Nurse Fellows (ENF) program. The Center for Creative Leadership is ranked among the world’s top providers of executive education by Business Week and is ranked sixth worldwide in the 2009 Financial Times annual executive education survey.

Since 1997, the Executive Nurse Fellows program office at the Center for Health Professions at the University of California San Francisco (UCSF) has produced more than 250 senior executive nurse leaders.  From finding innovative ways to make health reform a reality in the community and at the bedside to transforming nurse education by addressing the nurse and nurse faculty shortage, these nurses are leading change in America’s health care system.

“We are proud of the program that UCSF has built, and we are excited about the unique expertise that the new program directors from the Center for Creative Leadership and the UNC-Chapel Hill School of Nursing will bring to the development of exceptional senior executive nurses in the years to come,” said Maryjoan D. Ladden Ph.D., R.N., F.A.A.N., senior program officer and alumna of the Executive Nurse Fellows program.

Linda Cronenwett, Ph.D., R.N., F.A.A.N., dean emerita and professor at the University of North Carolina at Chapel Hill School of Nursing, and David Altman, Ph.D., executive vice president for research, innovation, and product development at CCL, began their work with the program on April 1, 2010.

The three-year fellowship program is focused on expanding the role of nurses to lead change in the U.S. health care system. It provides extensive leadership development for nurses in executive roles from a variety of fields, such as public or community health, science and research, corporate health, academia, government, or military health service. A key part of program participation is the development of an innovative initiative to improve health care delivery in the fellow’s organization or community.

About The Center for Creative Leadership

Founded in 1970 as a nonprofit educational institution to help clients cultivate creative leadership, the Center has helped clients unlock difficult challenges through an array of programs and services. The Center’s efforts allow them to attract the most accomplished faculty and staff, and secure its position as the world’s preferred resource on the understanding, practice and development of leadership. For more information, visit www.ccl.org.

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The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. For more information, visit www.rwjf.org.

Linda Cronenwett Co-Chairs National Panel to Improve Quality & Delivery of Primary Care

The below press release was provided by the Josiah Macy, Jr. Foundation.

Diverse panel of HEALTH CARE Experts convened by Josiah Macy, Jr. Foundation urges Comprehensive primary care reform

Sweeping Recommendations Aim to Strengthen Primary Care through Greater Investment, Expanded Roles for Nurse Practitioners and Physician Assistants, New Care Models, Changes in Education, and Involvement of Academic Health Centers

New York, NY – A diverse panel of leaders from across the health care community – including allopathic and osteopathic physicians from academic and general practice settings, nursing professors and nurse practitioners, physician assistants, deans, academic health center executives, and representatives from health policy, government, and business – today said that nurse practitioners and physician assistants must have more authority to deliver primary care along with general physicians if the United States is to meet growing demands for such care.

The proposal is a key element of a set of recommendations developed by the panel that aim to create a robust primary care system in the U.S., with the workforce and infrastructure to support it.  Other recommendations call for creating incentives for more people to choose careers in primary care, reforming education and training of new providers, ensuring a strong primary care infrastructure, and increasing financial resources for primary care.

“Primary care should be the hub of our health care system, where acute illness is managed, chronic illness is managed, and care is coordinated across the board.  Unfortunately, we do not have nearly enough providers to do the job – nor will we, without expanding our primary care workforce,” said George E. Thibault, MD, president of the Josiah Macy, Jr. Foundation.  “We must address this problem immediately, regardless of whether national health reform legislation is enacted.”

The panel, co-chaired by a former nursing school dean and the CEO of an academic health care system, was convened earlier this year by the Macy Foundation, and included nearly 50 health care leaders and experts who agree that the time to act on primary care reform is now.  The Macy Foundation released the recommendations today.

“To my knowledge, this is the first time that such a diverse group of leaders has forged this kind of agreement on what needs to happen in primary care,” said panel co-chair Victor J. Dzau, MD, CEO of the Duke University Health System and James B. Duke Professor of Medicine and Chancellor for Health Affairs at Duke University.  “We hope that payers and policymakers at all levels, as well as academic health centers, will take these recommendations to heart and act on them quickly.  The need for change is urgent.”

The lack of a strong primary care system in the United States has had significant consequences for access, quality, continuity and cost of care.  Despite spending $2.3 trillion on health care in 2008, Americans are not nearly as healthy as they should be.  In fact, the U.S. lags behind many other countries on key measures of health and longevity.

Meanwhile, the nation’s primary care needs are escalating.  Between 2003 and 2023, overall chronic illness prevalence is expected to increase by 42 percent.  Yet some 65 million Americans live in areas where there are not enough primary care providers.

“The workforce issues are serious, and there is no simple ‘fix’,” said panel co-chair Linda Cronenwett, PhD, RN, professor and Dean Emeritus of the University of North Carolina at Chapel Hill School of Nursing.  “Unless trainees from all provider groups witness care being delivered by effective and efficient teams of primary care professionals who have the infrastructures to support patients, families, and communities to achieve goals for individual and population health, we will continue to produce fewer and fewer primary care providers.”

The recommendations from the Macy Foundation panel include:

  • State and federal policymakers must act to remove legal, regulatory, and reimbursement barriers that prevent nurse practitioners and physician assistants from providing primary care. Nurse practitioners and physician assistants should be empowered not only to provide primary care but to lead multi-disciplinary teams of primary care providers.
  • Government and private payers and academic medical centers must increase their investment in primary care. This will require rebalancing current resources to change how providers are reimbursed and to put more money into the tools and infrastructure needed to provide effective primary care, such as new health information technology systems.
  • Medical, nursing, and other health professions schools must educate students differently for careers in primary care. They should expose students early in their education to primary care, immerse them in community primary care practice settings, teach them to work in teams, and identify effective role models for them.
  • Schools must also work harder to attract more students into primary care. They should establish programs to diversify their student bodies – socioeconomically, racially, and geographically – and partner with government agencies and other organizations on scholarship and loan repayment programs for students choosing careers in primary care.
  • Greater involvement from academic health centers is also needed. Academic health centers must embrace new team-based primary care systems as part of their mission, and they must provide inter-professional leadership by developing and implementing effective delivery models for others to replicate.

Copies of the recommendations may be obtained by visiting www.macyfoundation.org.

The Josiah Macy, Jr. Foundation is a privately endowed philanthropy located in the borough of Manhattan, New York City. The Foundation supports programs designed to improve the education of health professionals in the interest of the health of the public.

Health Affairs Paper Grades Nurse-Pt. Safety a B-; SON Faculty Leading the Way for Improvement

On Dec. 1, 2009, the journal Health Affairs published a paper written by Robert M. Wachter, professor and associate chair of the department of medicine at the University of California-San Francisco that graded the healthcare industry’s progress toward goals enumerated in the 1999 Institute of Medicine reporter “To Err Is Human.”

Wachter gave the industry a B- overall. He also assigned a B- to progress made toward improving doctor-patient and nurse-patient safety. Although the paper references SBAR (Situation, Background, Assessment, Recommendation) nurse-physician communication strategies, it does not address the lastest research underway to improve quality and safety education for nurses.

Dean-emeritus Linda Cronenwett and Associate Dean for Academic Affairs Gwen Sherwood are co-principal investigators on the Quality & Safety Education for Nurses (QSEN) grant funded by the Robert Wood Johnson Foundation. This program, which has received a total of $4.25 million in funding, is designed to prepare nurses who have the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they work, based on the six quality and safety competencies. The six competencies are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

Currently, 15 pilot schools have partnered with QSEN to develop and disseminate strategies and best practices for improving nursing education and patient safety.

QSEN will hold a 2010 National Forum, entitled “Climbing from Good to Great,” in Denver on June 2-4. The conference is designed to attract innovators and nurture faculty leaders for the improvement of quality and safety education through exposure to innovations in curricular design and teaching strategies, research related to quality and safety education, and quality improvement or safety studies.

QSEN is currently accepting abstracts. For more information, see the Conference Details page or contact QSEN at qsen@unc.edu.

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