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College of Nursing

South Carolina One Voice One Plan

Action Coalition Team 1

Key Message #1: Nurses should practice to the full scope of their education and training.

Co-Leaders:  Cindy Rohman and Stephanie Burgess

Goal: Remove Scope-of-Practice Barriers

  • Implement the APRN White Paper recommendations focused on removing scope of practice barriers
  • Collaborate and empower Team 1 to remove scope of practice barriers
    • Coordinate Team 1 and the SCNA Nurse Practitioner group meetings and communications to utilize both groups' manpower and networking influence to implement the two bullet point strategies above.
    • Invite and include the Certified Registered Nurse Anesthetists, Certified Nurse Midwives, and Clinical Nurse Specialists state group leaders to participate with Nurse Practitioners in removing APRN scope of practice barriers.
    • Utilize the election cycle as a campaign opportunity to inform policy makers and ask them if they will endorse removal of barriers
  • Educate the public about the role and value of APRN's e.g. consumers, hospital CEO's and CFO's, policy makers, business leaders
    • Develop a marketing plan to immediately begin this educational process
    • Seek funding to support marketing strategies. Invite and involve AARP as a potential powerful public relations network
    • Utilize the LACE document(s) for assistance with defining and explaining roles for different constituent audiences
  • Leverage and demonstrate the economic value of APRN's
    • Create a marketing tool showing financial impact of APRN's to include salary, spending power within the workforce in a given community.
    • Share the projected health care cost savings with APRN providers in selected patient populations using DHEC and other statistical data (i.e. state mapping by DHEC region overlaid with number of APRN's, top health risk facts in region, Medicaid spending, etc.)
    • Include samples of the data compiled by the AHEC statewide workforce office regarding primary care providers to assist with these economic value statements
    • Include initial and on-going analysis of capacity/demand modeling if additional and/or expanded educational programs are indicated.
  • Position APRN's to be key providers of population health and in primary care settings.
    • Using data from the above bullet point, work with the Nursing Workforce Office within the Center for Nursing Leadership and the Office for Healthcare Workforce Analysis and Planning create scenarios regarding the current supply of APRN's and projected needs for SC
    • Share all data via dissemination through coalition member organizations' websites, print, and electronic communications, etc.
    • Utilize other primary care provider meetings/workshops to "make the case" – include MD's in presentations to support APRN's.

Goal: Implement Nurse Residency programs 

  • Monitor effectiveness of CMS demonstration programs around the country to look at feasibility of residency programs for APRN's.
    • Begin to research and track the five CMS demonstration programs as information for these groups becomes available.
    • Seek funding to send SC Action Coalition representative(s) to one or more of these sites for information-gathering purposes.
    • Solicit input from other types of CMS payer activities as these develop at the national level.
  • Investigate barriers to implement RN residency programs in health care organizations beyond new graduate residency programs.
    • When source of barrier data is identified, begin to research and track these barriers and proposed/actual efforts to remove barriers in South Carolina.  
    • Seek funding to offer small grants for organizations willing to conduct pilot and/or demonstration projects. 
    • Seek opportunities for workforce development offerings/programs through state tech schools.