Dissecting Patient-Centered Care

DISSECTING PATIENT-CENTERED CARE Healthcare as we know it is changing. We must educate our nurses to be even more dynamic than our healthcare system, adapting to new models and standards of care. Patient-centered care is the next evolution: healthcare providers are redirecting their focus to meet the unique needs of every patient. YOUR HEALTHCARE SYSTEM NEEDS YOU IMPORTANCE OF A NURSE LEADER • Management of chronic conditions • Primary care (including care coordination and transitional care) The new healthcare laws identify great challenges in: • Prevention and wellness • Prevention of adverse events (such as hospital-acquired infections) .... ... Healthcare reform provides many opportunities for nurses to make a difference in developing new ways to approach patient-centered care, ensure safe, high quality care, and engage in interprofessional practice teams to facilitate change. Strong nurse leaders will be at the forefront of innovative healthcare delivery and change. With more than 3 million members, the nursing profession is the largest segment of the nation's healthcare workforce +1 million new and replacement registered nurses are needed by 2016 to provide for the healthcare changes 100, 000 THE EPOCH OF THE AGING BABY BOOMER As the American population ages, questions arise regarding both how care is provided and who does it 55% 1 in 3 nurses is 50 years or older of the American population will be 65 and 20% older by 2030, heightening emphasis on New nursing opportunities in gerontologic nursing, care coordination, and chronic illness management may now be more essential than ever intend to retire in the next 10 years gerontologic nursing, care coordination, and chronic illness management PROLIFERATING CHRONIC ILLNESS While chronic conditions account for most of today's care, the U.S. healthcare system still reflects the model constructed in the early 20th century to treat acute illness and personal injuries 60% of all deaths worldwide are now due to chronic illness 3 major chronic conditions: Cancer Diabetes Cardiovascular disease (CVD) LEADING CAUSE OF DEATH, 20TH & 21ST CENTURIES 1900 2010 SWITCHING FROM DISEASE-CENTERED CARE TO PATIENT-CENTERED CARE In 2010, most RNs worked in private practices/hospitals: 48% Private general medical and surgical hospitals 8% Physicians' offices 6% Local general medical and surgical hospitals 5% Home healthcare services 5% Nursing care facilities 30% 26% Same-day chemotherapy, rehabilitation, and surgery • Treatment at home or in residential care facilities of hospital Medicare reimbursements will be determined based upon patient experience beginning in 2013 RN employment is expected to grow 26%, mostly in outpatient and long-term care centers like: Long-term rehabilitation for stroke and head injury patients, as well as facilities for Alzheimer's treatment TAKING CONTROL OF OUR FUTURE: THE NEED FOR ADVANCED NURSING EDUCATION Highly-educated nurses are fundamental to the evolving healthcare system and to transforming patient outcomes -2020- BSN MSN Currently, only 50% of nurses have a The industry is driving higher minimum educational requirements Bachelor's of Science Number of nurses with a BSN should Going from BSN to MSN boosts the average salary 17% in Nursing (BSN) increase to 80% by 2020 Most employers are (or will be) demanding a minimum of a BSN; particularly Magnet facilities or those wishing to 13% of nurses hold a graduate degree, allowing for focus on specialties. A growing number of employers require higher levels of education. Currently, at least 10% of all BSNS will matriculate into a master's or doctoral program within 5 years of graduation - more than ever before. apply for Magnet status. Benefits of an MSN: Specialties Include: * Standing out in a competitive market • Increased employability - Increased autonomy •Opportunity to specialize • Clinical Systems Leadership • Nurse Practitioners Less than 1% of current Nurse-midwives nurses have a doctoral degree • Clinical nurse specialists • Nurse educators • Nurse anesthetists That number must double by 2020 Education will create new generations of nurses who are equipped to handle the shifting landscape of global healthcare. The future of patient care is truly in their hands. To learn more, visit: msnonline.arizona.edu SOURCES http://www.aacn.nche.edu/media-relations/fact-sheets/enhancing-diversity http://www.washngtonpost.com/wp-dyn/content/article/2010/06/13/AR2010061304096.html http://www.publichealthreviews.eu/show/f/24 http://www.thefutureafnursing arg/sites/defauit/files/Future%20of%20Nursing %20Report_0.pdf http://www.kevinmd.com/blog/2011/10/hospitals-physicians-patientcentered-care htmi http://stats. bls.gov/ooh/Healthcare/Registered-nurses htm/tab-3 http://www.thefutureafnursing.arg/sites/default/files/F%20Health%20Care%20System%20Reform%20and%20the%20Nursing% 20Workforce 620Matching %20Nursing% 20Practice %20and%20Skill %20to%20Future%20Needs, %20Not%20Past%20Demands %201323-346)_0.pdf http://stats. bls.gov/och/Healthcare/Registered-nurses.htmetab-6 http://www.thefutureofnursing arg/sites/default/files/Future %20of%20Nursing%20Report_0.pdf http://wwww.iom.edu/-/media/Files/Report620Files/2010/The-Future-of-Nursing/Nursing% 20Education %202010%20Eriet, puf http://www.nursezane.com/nursing-news-e. 35674.aspx http://www.nsna.org/Portals/0/Skins/NSNA/pdt/mprint_Jan07_AdvancedPractice.pdf A COLLEGE OF NURSING ARIZONA Jiphtheria Senility Cancer Accidents vephropathies Cerebrovascular disease Heart disease Gastrointestinal infections Tuberculosis Pneumonia/Influenza Heart disease Cancer Noninfectious airways diseases Cerebrovascular disease Accidents Alzheimer's disease Diabetes Nephropathies Pneumonia/Influenza Suicide