Regulatory/Workforce Update

South Carolina Organization of Nurse Leaders Membership Meeting

SCHA William L. Yates Conference CenterOctober 4-5, 2012

Topics for SCONL Update:

SCDHHS & BC/BS will end payment for non-medically necessary early deliveries.

New CDC/CMS Flu Vaccination Requirements AHA & SCHA Policy statements

CMS considers changing physician supervision levels for 28 outpatient therapeutic services. 15 vs. 13

Proposed revisions for Reg. 61-16, Hospital Licensure

Changes regarding authentication of Verbal Order

APRNs & Scope of Practice

Achievement & Potential You can do anything you set your mind to as long as you

have an endless supply of free labor and unbelievable amounts of cash.

Marketing is critical Because making it look good now is more important than

providing adequate support later.

Always have a positive outlook The bad news: Robots can do your job now. The good news: Robot repair technicians are in high

demand now.

The Meaning of work Get to work because you are not getting paid to believe

in the power of your dreams.

Topics for SCONL Update:

SCDHHS & BC/BS will end payment for non-medically necessary early deliveries.

New CDC/CMS Flu Vaccination Requirements AHA & SCHA Policy statements

CMS considers changing physician supervision levels for 28 outpatient therapeutic services. 15 vs. 13

Proposed revisions for Reg. 61-16, Hospital Licensure

Changes regarding authentication of Verbal Order

APRNs & Scope of Practice

“To achieve the highest possible level of protection for our patients and

our employees, the SCHA supports hospitals adopting workforce and

patient safety policies that require influenza vaccinations for all

employees, students, volunteers, contract staff and temporary staff. These

policies should provide exceptions for personnel who provide

documentation of specific medical contra-indications. Anyone granted an

exception should be required to wear a surgical or isolation mask while on

duty. Depending upon the resources of an individual hospital,

consideration should be given to the inclusion of all providers who are

credentialed and affiliated with the hospital, as well as vendors, in those

covered by these policies.”

workforce facts in sc

NPs practice under supervision of physicians 1 physician can supervise up to 3 NPs NPs must be within 45 miles of supervisor Definite interest in independent practice

if NPs seek to practice more independently, should scha:

1. Support independent practice 50%

2. Oppose independent practice 17%

3. Support another option (increase in ratio) 25%

4. Take no position 8%

workforce facts in sc

CRNAs practice under supervision of physicians

Anesthesiologist does not need to be onsite 1 physician can supervise up to 4 CRNAs Definite interest in independent practice

if CRNAs seek to practice more independently, should scha:

1. Support independent practice 83%

2. Oppose independent practice 9%

3. Take no position 9%

“South Carolina hospitals believe that the limitations on the

scope of practice for advanced practice nurses should be

changed so that hospitals have more flexibility in meeting the

healthcare needs of their communities. Hospitals will

continue to use their credentialing process to manage all

healthcare professionals under their responsibility. We

encourage all hospitals to review their medical staff bylaws

and their credentialing process so that if such flexibility is

given, the utilization of advanced practice nurses will be both

effective and efficient for their communities.”

workforce facts in sc

In 2010 for hospitals, 52% ADN, 34% BSN, 6% MSN, 7% diploma

17 ADN programs, 16 BSN programs Challenges with funding, articulation,

shortage of faculty clinical placements Extensive use of ADN to BSN online programs IOM report suggested goal of 80% BSN, 20%

ADN by 2020

should scha support?

1. Goal of 80%-20% by 2020 8%

2. Goal of 50%-50% by 2020 33%

3. Some goal less aggressive by 2020 21%

4. Take position of opposing any specific goal 38%