ssion of the P Nurse Pra

The American Academy of Nurse Practitiones (AANP) has steadily grown in membership and services since its fonnation in

I985 as a 50 I (c)(6) not-for-profit national professional organization for nurse practitioners of all specialties. M N P condinlw to be

the largest and only full service professional organization for nurse practitioners, providing, through various membership categories,

national and international representation for over 70,000 nurse practitioners of all specialties.

Although world events of 2002 produced ongoing threats of terrorism and a weakening economy, the AANP Office of Health Policy

in Washington, DC and the National Administrative Office in Austin, TX remained focused on addressing issues impacting health

care, the role of nurse practitioners, and the care of their patients. Through activities and services outlined in the achievements

section of this report, AANP proactively represents and is immediately responsive to the needs of nurse practitioners.

The AANP board ofdirectors, state 7 * , and &-ly support you, our rnemben, and encourage your partic-

ipatbn In AANP aaivities and prosrarnsthatare desiped to support your profession and the health care sewices provided by

2002 BOARD OF DIRECTORS Ard&ot ..................... D a l k ~ M s , N P - C , F N P ,

Put Arridmt ................ .& Pmvcncio-Vasqua, PhD,

..... F W , U C O

Director of h "P, PNP, F W , zoDdkctli,R

BaltimoeMD dHm .

F W , Bbmnhgmn, IN . . * I .. ....... . .Dee swanson, MSN, NP-C, phD, w-c, iw ww

#2* kcerttionist hvnbg- ....... ..MiuyElknRabaa,MSN,

Haty jo Goomy, tau, nr-L rmr Dinctw of Fiwu

APN-C, F M , Short Hills, NJ

FAANR WryncsburR, PA Timm Fuller M- .............. .MonaCounts, PhD, CRNPFNAI?

v i i

. . pcutwn kmar N, NP, FMNP

ihh Palin

...............

- k m h

Carole Jenninp PhD, RN Beth Curtis

Hadrean Schober. HSN. ANP, FMNP Dm Linda Gonzales

b r n a l Editor Deborah Guiher Charon Pienon, PhD. APRN. FAANP

Information Technolm Hananer Erin Korstad

m lauuric chandler Regon 1 -a, MA. ME, NH, RI, VT h h p t M-, PhD, FNP-C, F W , Dovu, MA

Region 2 - NJ, NY -al Affairs liaison HlrthlFOrd Kristine Olson, MS, APN-C, Iambend ' e,NJ

MOM Counts, PhD, C W , FNAP, FAANP, Waynabtug PA

Pat Maybe, EdD, FNP, Glccnvillc, SC.

Dce Coleman, MSN, ANP-C, Perry, OH

Region 3 - DC, DE, MD, PA, VA, WV

ference 6 Heetinp Man= Debra Parr-White. CHP

Janice Bays

fxhibtr Coo- Kimberly Dempster-Gonzalu, HAOH

Htmbership Coordinator Dee Einstein

c, - - -

Region 4 - Ky, NC, SC, TN

Region 5 - IL, IN, MI, MN, OH, WI

h. LA Sophia Burgess, MN. FNP-C, PNP, T

Dixie Hams, MSN, m, FNP-C, '". ~ e s Wits, IA

Richard Madows, MS, ANP-C, F W , Colondo Spr, CO

Nicolmc Emrda, MS, MAOM, FNP-C, Mesa, AZ

Kris Robinson, PhD, FNPc, Pocado, ID

Region 7 - U, Ks, MO, NE

Region 8 - CO, MT, ND, SD, VT, WY

w o n 9 - AZ, CA, Nv, HI

RegiOnlO-AK,ID,OR,WA

Region 11 -& FL, GA, MS Gmille Gldwell, MS, ARNP-CS, LUG FL

M E M B E R S H I P Since our inception in 1985, AANP membership has grown steadily, providing national representation, through various member categories, for over 70,000 nurse practitioners of all specialties during 2002. In addition to growing to nearly 14,000 individual members by the dose of 2002, AANP as0 had 73 group members. (Percentage below by individual member specialty.)

I 7 L

I 52% 1 m 52% - Family Nurse Ractitoner

m 20% - ~ u t t NUW Practitioner

D 5% - ~eronto~ogic NU= Ractitoner

5% - k u t e care NU= RKtitioner

5% -Women's Health Nurse Practitioner

0 4% - pediatric NUW RKtitioner

n 9% - All other specialties combined -

F I N A N C E S The AANP engages in carell and derailed fiscal management with constant attention to providing members with optimal benefits while increasing opera- tions. A f o r d independent audit is conducted every year.

NM NY NC ND OH OK OR PA ru sc

The actual revenue and expenditures for 2002 and projections for 2003 are presented in the following graph. In spite of the unsettling national and inter- national events that took place during the year, with continued terrorism threats and a weakened economy, the AANP revenue for 2002 exceeded expenses. We thank you for the trust that you have placed in our organization through your participation and financial support.

$4,000,000 - 3,500,000 - 3,000,000 - 2,500,000 - 2,000,000

1,500,000 - 1,000,000

-

- 500,000 -

2002

SD TN

BS!2&d Tx m Revenua-$3,390,709 UT I Expenset-$2,905,038

VA WA wv w WY

2!x!uds I R e v e n ~ - $3,738,950

Expenses - $3,682,236

Srrmlb4dhmk MSN, ARNB, FNP FbilyHulme,PhD,FNP QictiacAnmburu-Dnuy,MsN*APN cok GIebw Ms, FNP* ARNP KriNhc oloon, Ms, NP-C I M c i a G k MSN, CFNP, C N S Lalie-Ehirh T d MSN, ANP-C, GNP O R Bobby Loway, MN, RNKS FNP Gwen Wid, MSN, FNP-C Louvln Bailey, MSN, CRNP

Marguuite Smith, MS, ANP Jaw Bums, MSN, CRNP, ANPR" Marianne Hurley, MS, FNP, GNP

Alea Golis, MS, AF'RN,BC t

Sharon Craig, MSN, CFNP Margam Dun, MSN, GNP Carol Whitcsida, MS, FNP-C

Joyce Thompson, MSN, FNP-C Corlene Ann Eberle, MS, ANPdFNPc Joyce Kinamdr, PhD, FNP Nancy Whitehead, MS, NP Marsha Sicgal, MS, EdD(c), FNP-C

May -, MS, m, ANp

&,y * 4, Caroline Birdunorc, MN, FNP-C *

Carol Gm-Hernulda, PhD, ANP/FNP

Kiry e&ments of tbe AANP miision am + d d in tbej5uoWing initiatives tbat w m a c k d &ring tbepastyeac

plr#ainler$arhip t h o u g h p i u t i c i ~ n i n wmaous NP, other iMaduEip /comma corlitions, in cost to members.

for disasta rrsponsc activities, Health 5Pa& 2010 Consonium, National Diabetes E d u d o n Fkgram, National Kidney Disease Education Prognm, N a t i d Depression Day & Alcohol Day saecning, JACHO committees, WomenHart, College of American €ktbk+s PAPS Coalition, American Pharmaceutical Amciation, US Pharmacopock National Rural Health * o n , Assochion of clinidvls br the - - . - . __ Undersuvcd, Nurses br He2lthia Tomorrow national PR campaign, United Network lbr Organ Sharing, National CouncilofStatcBoprdsofNureing. Continued disatssions and participation in communiaaon networks with national defense agencies to provide assistana in dealing with the events of scptcmbu 11 and the k t

of hturc attacks and outbreaks related to terrorism and bioterrorism.

CroSslCDC on disastu response systuns, posted essential

i&rmatbn on wbsite and published timely i&rmation on disastu management and bioterrorism in journal and on web.

~ a u l d ~ s l l c h ~ ~ AmaicanRcdooss

atedAANPhbmuuon . at19NPc&&ationrsvinrdwrses.

/

Y Chdd wid^ a- otha h d h

- i.e., industry Pprmershipe.

[. PROMOTE EXCELLENCE IN PRACFICE, ELNCMION

ANDREsmRcH

* A p p d 356 continuing education programs b r NP AANP CE contact hours and approved CE fbr ova 90 MNP p u p member meetings at no or low cost to the Groups. Provided ova 53 contact hours of CE at the national conk-

ence and 7 to 9+ CEcontact hours at the AANP Regional Continued parmuship with FWAmerican Rcd CEmmings. .

Formed an innovative national practice bascd rrseud! network of NPs - the AANP Network for Rtsearck (AANPNR) A p p d numerous reseaKh projeas b r collection of ..

A A N P A C H I E V E M E N T S 1

Markaed video segment on NPs and VNR to educate consumers about NPs that had been aired on CNBC, Bravo, The Health Channel and distributed to TV stations nation- wide.Made available video and CD-ROM copies for members and others. Listed the AANP and contact information in several news resources including the National Prcss Club's Ditrmty of News Sorrrrrs. Held AANP Regional Leadership, LeadershipKE or CE meet-

- ings and the largest national confirence for NPs with ,' outstanding miews.

Continued leadership in the development of the International Network for NPdA.F"s with the M N P International Liaison as chair of the Con Steering Group.

reseaKh data.

primary a r e practice sites. Completed a major national project to collect data on

Supported the Fellows of the AANP Program. Fostered and enhanced the State A d for Excellence

Enhanced quality of practice, research, and educational manu-

Reviewed & updated numerous position statements and initi-

AANP Foundation awarded numerous scholarships, research

AANP National Certification Program dendoped computer-

kogam.

suipts published in the JAANP.

ated development of new ones.

grants and project grants.

based testing capabiity. Increased listservs and alerts - including special interest groups, regiona communications, general member aerts communication and others specific in scope.

Continued expansion of proactive leadership in legislative, d regulatory and health policy arenas. Proactive efforts and leadership with, e.g., HCFA(CMS), HRSA, DEA, FDA, VA, the Justice Department, National Health Service Corps, and the White House on behalf of NPs. Continued to increase and expand regular personal “Hill” visits by AANP health policy stafF to key legislators and staff related to all policy issues involving NPs. Supported maintenance of NP/CNM funding for educa- tional programs and traineeships. Supported passage of safety net legislation providing for NP scholarshipslloans and funding for clinical services in community health centers, school based clinics, migrant and homeless clinics served by NPs. Advocated for prevention of changes to antitrust laws that would be harmful to NPs and patients and maintenance of NP protection under federal antitrust laws.

regarding telemedicine/telehealth.

Medicare and Medicaid recipients. Supported funding for NP education through Title VIII, GME and other nsg shortage legislation.

other health professions and consumer coalitions, alliances and consortiums related to legislative and health policy issues.

fellowships and internships.

members, policy makers, and other health professionals by AANP health policy staff. Increased use of multiple communication modalities such as listsem, web information, hot links, e-mail, and other mailings for timely dissemination of information to members and others.

I

Advocated for development/implementation of priorities

Continued to support legislation introduced to benefit

I Increased proactive leadership and participation in NP,

Conducted national, regional and local leadership forums,

Expanded free consultation and guidance for AANP

I

Supported the AANP PAC (political action committee) Continued the AANP Health Policy Internship Program

Continued the Leadership Fellowship Program for legisla- through the Office of Health Policy.

tive and health policy.

Continued planning for a program for development of clinical guidelines to foster NP standards for health care. Actively participated with other organizations and disci- plines to assess educational competencies and clinical competencies and practice guidelines.

initiated development of new ones.

statements and fact sheets.

Revised and updated numerous position statements and

Continued extensive dissemination of multiple position

Continued efforts to enhance NP identity, utilization and access as primary health care providers.

NP barriers in areas of reimbursement and scope of practice in both the

Advocated for reduction of

legislative and regulatory arena at the national, state and local levels. Actively advocated for recognition of NPs as PCPs in both private and public sectors. Continued to support implementation of Medicare fee for service reimbursement legislation. Monitored development of regulations stemming from Medicare legislation. Consulted with members and others on issues of patient rights, safety, privacy and protection. Proactively advocated for protection of NP practice and patient care by NPs in rural and underserved communities. Supported inclusion of NPs in GME funding framework. Proactively advocated for credentialing of NPs in managed

Increased and enhanced alliance and partnerships with care organizations/within institutions.

other organizations, groups, disciplines, industry, and consumers. Enhanced efforts to work towards primary care provider

Increased and enhanced presence of the AANP as a major advocate and leader for all NPs in the delivery of quality and cost effective health care through lobbying and direct

status for all NPs.

1 I

t i o n e

I

A A N P F O U N D A T I O N 2 0 0 2 A n n u a l R e p o r t

i 1 ^ ,

ThCAANPFoondntro ' n was wnccived and created by the AANP to meet the cvu-inaeasing need of tinand support fbt NP education, d, and hcalth-carc projects. The Foundation began options in 1998 as an independently inwqorated 501(c)(3) non-profit charitable organization bendting AANP members. The Foundation is the first, and currently the only, national fbundation operating to benefit NPs of all specialties. The mission of the Foundation is to adwnn the mk of nursepnrctitionm hvugb the support of education, mamb, andprrrrtinfir the improYnmnt of nbcpublicj be&.

1

Dnring2002, A?- * B o d w a s n r a d c n p o f r 5 c f i f f o w i n g ~

President .............. .Delia OHara, JD, RN, CFNP, FAANP Vice-President . . Secretary . . . . . . . . . . . .Felicitas dela Cruz, DNSc, RN, FAANP

.. .Melanie Arntz, RN, NP-C, FNP, FAANP

.. .Denise Laine, MSN, NP-C, FNP, FAANP ... .Carla Duryee ... .Debra Danforth, MS, ARNP

Member .............. .Rebecca Johnson

Executive Director ......... .Judith Dempster, DNSc, NP-C, FNP, FAANP Director of Development .... .Kimberly Dempster-Goda, MAOM

Major &rts fbr 2003 an fbcused on the continued development and growth of new and existing Foundation programs through increased financial support and expansion of operations. To support this goal, major fundraising efforts will continue in 2003.

AANP NATIONAL CERTI F I CAT I o 2 0 0 2 A n

provides competency based national certification aumin?dons for graduates of family and adult nursc practitioner programs thnc time a year in a variety of locations. In 2002, wntxact neg0ti;ltions wrrc concluded to initiate computer based testing in

computer based testing in over 300 sites throughout the United States. The examina- tions will be conducted during thnc, cight wcdr testing windows: Februaryhhch, JundJdy, Sptcmbcr/O~~ber. The thm papedpcncil tcsts will continue to bc ofkd in Fdmary, June and September. The examinations arc developed in cooperation with h k i o n a l Egminadon suvices (PES), a not-&profit organization with over

and ccrti6cation araminations sped ing in health related fields.

The certification program is a free standing corporation govuncd by an elected Boprd of Commissioners and a consumer member appointed by the Commissioners. The commissioners for 2002 were Richard Mcadaws ANP (Colorado) Qir, Pat Brcdcnbcrg ANP (Maine) Vice ch?ir; Leanne Busby FNP ~ ~ c s s u ) WendyThon FNP (Alaska) T- Madrran Schobcr ANP (hdiana); Loma !jchuman FNP (Idaho); Tan Feduichi ( D d c t of Columbia) consumer member. The certification program is d t e d by National Commission for cutifying Agencies (NCCA) and is rrcognizad by the National Council of Spre Boards of Nursing, Medicare, Medicaid, theVemmsAdmi&mu 'on and privatc managed can organiaions for &tialing purposa.

The ccrti6cation program has maintained ;Ictivc partiapation in the National Organiaion of certifying Agencies, the American Board of Nursing Specialties, with rcp"ntation on both its Committee on Policy and hocadurcs and its Rsearch Committee, and the Consortium for Quality Nurse Practitioner Education. Most rcccntly it has participated in the mision of the Criteria for Evaluation of Nursc pnccitiona prosnmS written by thc National Task Force on Quality Nurse Practitioner and thc Nursc Practitioner Primvy Care Cornpaen& in Specialty Aras: Adult, Family, Guontologic, W c and Women's Health funded by the

HHS. The director of the American Academy of Nurse Practitioners National certification Prognm aumtlyserves as an e l d NCCA Commissioner.

Candidacy for testing is ofkd to graduates of a p p d mastas and posrmzctcrs

edge in thc following ill~s: ;rssessmcnf, diagnosis, formulation and implementation of

k b ~ 2 0 0 3 . At that time the testing program will bc expanded to include

50 years of cxperia~cc in the development and adminisaa 'on of national li-

Division of Nursing, Bunau of Health h k i o m , Hdth Rsources Adminisaad on,

Id adult and family nurse practitioner program& The program tcsts dinic;rl k n d -

trc?rmcat plan& evrlu?don, follow-up and applicable profbional issues. The family nursc practitioner mamhation COMS knowledge in the areas of prcn?ta, pediilaic, adolcstxnt, adult and gdatric primary can. The adult nurse practitioner aumin?tion tests knowledge in thc vcas of ha adokscmt, adult and gdatric primary care. Knowledge of health promotion and disease prevention, diagnosis and managclllcat

of acute episodic and chronic illness in the primary can setting is tested. Mapants arc arpcacd to apply knowledge of pathophySobgy, pharmacology, psychology and sociology to the process utilized in the assessment, diagnosis and mamgumnt of patients in thcir care. At the close of 2002,9,784 candidates had sat for the examha- tions with an overdl pass rate of over 80 perant,

I

43 32 2s 17 13 10 07 04

I Enhance the visibility of the AANP as the premiere organization b r all NP s#cialties. I' Continue to increase and improve AANP Icadaship, pro legislation and regulation at the national and state levels Implement an updated organizational strategic plan. Increase cornrnunidon with NP and other health care organizations, agencies, and groups. Expand partnerships, alliances and coalitions with NP and multidisciplinary org;mizattions, agencies Complete development of a comprchcnsii and interactive d a k system. Continue to main& the only ~ t i ~ n a l database of all practicing NPs in the US. Launch a new and expanded cuttiqgadgc website based on an interactive content management systcm. Continue to increase membership Conduct a comprehensive mem bel!Lr 'p survey to lssess member needs. Rcvise member benefits in all categories based on results of Enhance self-publication of the Jd of the &an Actaahy OfNurSc hct i t ionm. Continue review and &ion of AANP position statements, publiarions, and documents. Develop new position statements, publications, and documents as needed Gntinut to market the NP video and CD-ROM. Inucase leadership, activities, and visibility in the international are Continue leaduship in the development and implementati Host the largest national conference for NPs in Anaheim, CA. Continue regional invitational leadership meetings in each of thc AANP 11 regions. Expand the AANP National Invitational Leadership Fellowship Program to twice a year. Enhance the State Awards for Excellence Program. Increase AANP march proposal submission to enable evidence based research studies to i m p m h d t h promotion and

1

categories.

disease prevention by NPs.

- AANPNR - the only national practice based research network for NPs. - Fellows of the American Academy of Nurse Practitioners (FAANP) Program. - AANP Foundation in its &om to offer scholarships and grants. - AANP Political Action (h immee . (PAC).

Amaicpn A.ca&!my of Practitioners (AANP) Practitioners National Grti6cation of Nurse Practitioners UAANP) Web Site www.aanv.org PO. Box 12965

Austin, TX 7871 1 National Administmk Office Austin, TX 7871 1 Td: 5 12.442.4262 PO. Box 12846 Ph: 512.442.5202 Fax: 512.4426469

PO. Box 12926

Austin, TX 787 1 1 Tel: 512.442.4262 Fax 512.442.6469

Fx: 512.442.5221

Email: admin@aallp.org Pmctitio-PorrPdPtiolr

Office of H d t h Policy PO.Box10729 - PO. Box 40130 Glendale, AZ 8531 Washington, DC 20016 Td: 623.376.9467 Td: 202.966.6414 Fax: 623.376.0369 Fax: 202.966.2856 Email: foundation@aanp.org Ernail: dcoffice@aanp.org