Dr. Peter Buerhaus--Workforce Scholar Visits UNM, April 25-26
Transcription
Dr. Peter Buerhaus--Workforce Scholar Visits UNM, April 25-26
Week of April 15, 2013 Dr. Peter Buerhaus--Workforce Scholar Visits UNM, April 25-26 Since April 2000 Peter Buerhaus, Ph.D, RN, FAAN, has served as the Valere Potter Professor of Nursing and Senior Associate Dean for Research at Vanderbilt University School of Nursing. Based on his extensive research, Buerhaus is a recognized authority on the dire nursing shortage our country is facing due to an aging and retiring nursing workforce being on a collision course with a large population— estimated to be 80 million strong—of Peter Buerhaus, Ph.D, aging and retiring Baby Boomers. At RN, FAAN, is one of the precisely the time the demand for most respected and health care mushrooms, according to influential nurses in the Buerhaus, the number of nurses will country. be significantly reduced. Buerhaus said that when this demographic impact occurs, access to and quality of health care will be dramatically altered. In 2010, Dr. Buerhaus was named chair of the National Health Care Workforce Commission, a 15-member panel comprised of distinguished leaders from academia and the health care industry created under The Patient Protection and Affordable Care Act. Reporting to the U.S. Government Accountability Office (GAO), the commission’s role is to serve as a national resource for Congress, the President, and states and localities; to communicate and coordinate with federal departments; to develop and commission evaluations of education and training activities; to identify barriers to improved coordination at the federal, state and local levels and recommend ways to address them; and to encourage innovations that address population needs, changing technology, and other environmental factors. Amid concerns about a national physician shortage, a study published in recent years in the Journal of the American Medical Association found that more young physicians are entering the workforce and fewer older physicians are remaining active, resulting in estimates for a smaller and younger physician workforce now and in the future. The study was led by health care economists, including Dr. Buerhaus, Douglas Staiger, Ph.D, of Dartmouth College, and David Auerbach, Ph.D, of the Congressional Budget Office. Projections indicate that the supply of physicians may soon decrease below requirements. Some analysts project a physician shortfall of as high as 200,000 by 2020. Although debate over potential shortages has focused largely on the number and type of physicians needed in the future, the study shows that concerns have also been raised about data used in physician supply estimates and projections. Buerhaus has achieved expert status and his findings are frequently put forth as evidence that legislative efforts must be made to deal with the crisis the nursing shortage will inevitably bring. “To really knock this (nursing shortage) down, we need our government to step up and do its part,” he said. “While it is estimated there will be a shortage of 600,000 to 800,000 nurses by the year 2020, more than 147,000 qualified applicants were turned away from nursing programs in 2005, primarily due to inadequate numbers of nursing faculty and limited classroom and clinical facilities,” said Buerhaus. Highly esteemed by his colleagues, Buerhaus has received numerous prestigious awards and honors, including his 1994 election as a Fellow in the American Academy of Nursing and, in 2003, election to the National Academies, Institute of Medicine. Thank you, Contributors! Mary Kay Anderson, Center for Nursing Excellence, Delana Florio, HR Division, Doreen Garten, Amanda Ortiz, Mindy Tinkle Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 1|P a g e Applause, Please!! Beth Rodgers, PhD, RN, FAAN received $26,000 in funding from DeVilbiss Health Care for her project titled, Increasing Patient Engagement in the Management of Obstructive Sleep Apnea. Jenny Vacek, MSN, RN has been invited by Aga Khan University in Kenya, Africa on May 2 and 3 to serve on an International Panel whose mandate is to provide input regarding the University's newlydesigned integrated (medical and nursing) Campus in Kenya, Africa conceptually-based curriculum. Aga Khan University is a non-profit, and has several campuses in East Africa, Pakistan, and the United Kingdom. Welcome New Faculty/Staff Practice Team Pamela Iwamoto, RN, MSN Senior RN Case Manager at GEHM clinic. (Photo unavailable) Education Team Arthur Sedore (left) Simulation Lab Supervisor Administration Services Team Derric Romero (right) IT Student Employee Michael Korach IT Student Employee Alec Plante (starts 4/15) IT Student Employee (Photo unavailable) New Mexico Health Insurance Exchange Act (NM HIXA) New Mexico Health Insurance Exchange Act (NM HIXA) was passed by the legislature and signed by the governor, and went into effect as soon as it was signed into law, as it is deemed an emergency. The Board of Directors of NM HIXA must convene a meeting within 30 days of the enactment of the law, and come up with a preliminary plan in 60 days, with a full plan due in 6 months. NM HIXA Board of Directors (BOD) shall be made up of 13 members, including the insurance superintendent or their designee, six members appointed by the governor (with a maximum of four from a single political party) and six appointed by the legislature, including appointments by leadership of both majority and minority parties. NM HIXA BOD members must meet eligibility requirements, including experience or expertise in area listed in the act, which include insurance procurement, IT, health policy, providing healthcare to the underserved, health care delivery and economics of health care NM HIXA BOD must represent Native American, ethnic, cultural and geographic diversity. Non-health insurance issuers on the board will serve threeyear terms, and may serve two consecutive terms. Health insurance issuers on the board will serve two-year terms, and may not serve two consecutive terms. NM HIXA BOD will receive only per diem for BOD meetings, which will be held at least quarterly. Members of the board may attend meetings by phone. NM HIXA BOD shall create one or more advisory committees, including a stakeholders advisory committee, a Native American advisory committee, and a Native American liaison to assist the board. The Board may contract with Human Services Department and other entities to provide funding for their work, and may also seek grants and donations from foundations. NM HIXA BOD may also enter into contracts with other state health insurance exchanges for joint performance of common administrative tasks. Here is a link to the actual text of the law http://openstates.org/nm/bills/2013/SB221/documents/NMD0 0013720/ Faculty Staff Please submit your profile for future issues. There are always new/existing faculty and staff who would like to get to know YOU!! Send to dbessette@salud.unm.edu Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 2|P a g e Eat Right: 18 Tips That Really Matter for the Environment and Your Health City of Hope and AACN Partner to Enhance Care for Cancer Patients by Integrating Palliative Care Content into DNP Curriculum New NCI Funding Will Support National DNP Faculty Development Effort Washington, DC, March 12, 2013 – The National Cancer Institute (NCI) has awarded grant funding to the City of Hope Medical Center to prepare Doctor of Nursing Practice (DNP) faculty to integrate palliative care content into DNP program curricula. By preparing DNP graduates to provide evidencebased palliative care in oncology, this initiative will support the commitment of nursing schools nationwide to preparing clinical experts with the skills needed to orchestrate and provide optimal patient care to those with serious, life-threatening illnesses. “We are grateful for this opportunity from the National Cancer Institute to provide four national train-the-trainer courses for DNP nursing faculty over the next four years. DNP graduates play a pivotal role in leading change and transforming care for the 1.6 million Americans who will be diagnosed with cancer this year, plus the 13.7 million Americans who are living with a history of cancer. As we near full implementation of the Affordable Care Act, DNPs will have unprecedented opportunities to promote excellent palliative care to those with cancer,” said Betty Ferrell, PhD, RN, FAAN, FPCN, Principal Investigator. “AACN applauds the City of Hope and the National Cancer Institute for recognizing the expanding role DNP-prepared nurses are playing in redesigning health systems and raising the bar on patient-centered care,” said AACN President Jane Kirschling, PhD, RN, FAAN. “Though great strides have been made in reducing the death rate from cancer, much more must be done to prepare a new generation of nursing leaders with the skills needed to provide state-of-the-art palliative care for patients and their families.” This new project, titled Integrating Palliative Oncology Care into Doctor of Nursing Practice (DNP) Education and Clinical Practice, will give nursing faculty the tools and resources needed to educate DNP graduates on how to provide compassionate and evidence-based palliative care to those with cancer. Using the grant funding, free registration will be offered to 200 nursing faculty interested in attending a two-day train-thetrainer course. Faculty will be chosen competitively based on their ability to disseminate the curriculum content to other faculty, students, and clinical partners. Faculty must be from a nursing school that is currently offering the DNP degree. Web sites: http://www.cityofhope.org, http://www.cancer.gov/ and http://www.aacn.nche.edu. 1. Eat at home and cook for yourself: it’s cheaper than eating out, you choose the ingredients, you control the nutrition, you drive less, you waste less food 2. Eat less meat: Livestock accounts for 18% of the world’s greenhouse gas emissions; if we take meat (beef in particular) out of just one meal a day, it would be like taking half a million cars off the road and we could live a little longer 3. Eat real foods: the less processing, the less energy, and fewer resources have been expended and real foods haven’t had all the nutrition processed out of them 4. Eat in season: Eating produce when it’s in season means it’s fresh (and tastier), has traveled less, and stored less 5. Shop local, buy local: eating locally and what’s in season is easier when you shop at a farmer’s market or community supported farm 6. Start your own backyard garden: you can have complete control over the quality of your diet 7. Learn to preserve your food: by canning, drying, and preserving in other ways, you can make your harvest (or store bought bulk produce) really pay off 8. Compost: why send food to the landfill when you can turn it into great soil for your yard or garden? 9. Buy USDA Organic foods: avoid consuming pesticides and help prevent destruction to the environment 10. Learn the labels that have integrity: USDA Organic, Fair Trade Certified, Rainforest Alliance, and others Read full article and tips at thedailygreen.com from Good Housekeeping. Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 3|P a g e Many moms start babies on solid foods too soon Michelle Healy, USA TODAY, March 25, 2013 Many mothers introduce solid food to their infants earlier than medical experts recommend, especially babies who are formula-fed. Story Highlights: Experts recommend no solid food before baby is 4 mos. old Most common reason was that the baby was old enough Younger infants are not developmentally ready for solid food Forty percent of mothers start feeding their babies solid food before the recommended minimum age of 4 months old, says a new study. And many said their health care provider gave them the go-ahead. Moms who gave babies formula were twice as likely as those who exclusively breast-fed to start solids too early (53% to 24%), says the study in the April issue of Pediatrics, released online today. Understanding parents' motivations is important, because a number of health problems are associated with the early introduction of solid foods, says study co-author Kelley Scanlon, an epidemiologist with the Centers for Disease Control and Prevention. These findings "don't offer a full understanding why, but they give us some insight," she says. The moms cited reasons such as, "My baby was old enough," and, "It would help my baby sleep longer at night." According to the American Academy of Pediatrics, the head and neck control and overall coordination that infants need to safely eat solids does not develop until around 4 months. In addition, the early introduction of solids may increase the risk of some chronic diseases, such as diabetes, obesity, eczema and celiac disease, the study notes. Giving solids too soon also ends exclusive breast-feeding, which the AAP recommends for about the first 6 months because of numerous health benefits for infants, including reduced risk of respiratory and ear infections, diarrhea, diabetes, obesity and sudden infant death syndrome. A bit of cereal added to a bottle of formula is sometimes recommended by physicians for babies with reflux, says Lana Gagin, a pediatrician at the Helen DeVos Children's Hospital in Grand Rapids, Mich. She was not involved in the study. From a medical standpoint, however, "There is no good, solid evidence that it helps a baby sleep," she says. In the study, researchers analyzed information collected almost monthly from 1,334 mothers on when and why they introduced solid food during infants' first year. "We didn't expect to see so many (give solids) before 4 months," says Scanlon. She says the finding in this study that 40.4% do so is higher than previous findings that range from 19% to 29%. Unlike most past studies, which surveyed mothers two or three years after they first introduced solids, the new study asked moms to recall what was fed during the previous seven days. Among other findings: • Mothers who introduced solid food before 4 months were more likely to be younger, unmarried, have less education or be participating in the federal Women, Infants and Children (WIC) nutrition program. • 8% said they introduced solid food as early as 1 month or younger, including 11% who formula-fed only and 5% who breast-fed only. • 89% of moms who introduced solid food early said they did so because their baby was old enough to begin eating solids; 71% said the baby seemed hungry a lot; 67% said the baby wanted the food I ate or showed interest in solid food; 8% said the baby had a medical condition that might be helped by eating solid food. Although 56% of moms who introduced solids early said a medical provider recommended that their baby begin eating solid food early: "We don't know actually what advice the health care provider gave. But at least this was the perception the parents got — that this was the time to begin solids," says Scanlon. That finding underscores the importance of pediatricians and other providers giving clear, accurate and supportive advice to parents, says Gagin. "We sometimes wait until (parents) come in for the 4-month well visit to discuss complementary foods, when introducing the subject during the 2-month check might be better," she says. "We may not spend enough time explaining why they should wait and explaining that every time a baby cries doesn't mean they're hungry." NM Center for Nursing Excellence—April 23rd Lecture by Nursing Pioneer, Jean Watson See the below flyer, and register via http://nmnursingexcellence.org. Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 4|P a g e The FY2014 Budget: Strengthening Health and Opportunity for all Americans By Kathleen Sebelius, Secretary of Health and Human Services On April 10, the President released a budget that strengthens the middle class, creates jobs and reduces the deficit in a balanced way. The budget for the Department of Health and Human Services (HHS) provides critical investments in health care, disease prevention, social services and scientific research to create healthier and safer families, stronger communities and a thriving America. First, our budget makes sure we can continue to implement the Affordable Care Act to give more Americans the security of affordable health coverage. The health care law is already making a huge difference in Americans’ lives, and more options for health insurance coverage are just around the corner. Open enrollment for the new Health Insurance Marketplaces begins st on October 1 of this year, and coverage will start on January 1, 2014. This budget supports investments in the Health Insurance Marketplace and will ensure Americans in every state have somewhere they can go to get quality health insurance to fit their budget. We’re also proposing a major new investment in programs to help identify mental health concerns early, improve access to mental health services and support safer school environments. While we know that the vast majority of Americans who struggle with mental illness are not violent, recent tragedies have reminded us of the staggering toll that untreated mental illness takes on our society. This budget supports the President’s call to provide every American child with access to high quality early learning services, so that our children gain the skills they need to do the jobs of tomorrow. And it helps make America a magnet for jobs by securing America’s place as the world leader in science and technology, and supporting the groundbreaking research that will generate the treatments, vaccines, and cures of tomorrow. The significant new investments this budget contains for the NIH reflect our commitment to furthering the biomedical research that will help create good new jobs and advance the cause of medical science. That work will include projects like the human brain mapping initiative the President announced earlier this month. At the same time, the budget contributes to the President’s balanced plan to significantly reduce the deficit in the long term. Due in part to the successful implementation of the Affordable Care Act, Medicare spending per beneficiary grew at a historically low rate of 0.4% in 2012. The President's 2014 budget would achieve even more savings. In total, the budget would build on the Affordable Care Act by generating an additional $370 billion in Medicare savings over the next decade, reducing the deficit and putting Medicare on sounder financial footing. The FY 2014 Budget reflects our efforts to make cutting fraud, waste and abuse a top Administration priority. We’re proposing an increase in mandatory funding for our Health Care Fraud and Abuse Control program—an initiative that last year saved the taxpayers nearly eight dollars for every dollar spent on it. And we’re investing in additional efforts, including reducing improper Medicare, Medicaid, and CHIP payments, enhancing the investigative efforts of our Office of Inspector General. What this all adds up to is a budget that will help HHS to pursue this Administration’s North Star of a thriving middle class. It’s a budget that promotes job growth and bolsters the programs and investments American families count on to live healthy lives. And it will keep our economy strong in the years to come, while also helping to bring down the deficit. Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 5|P a g e April 17-18-TEDMED Comes to UNM HSC in HSLIC Studio There be a live simulcast of TEDMED 2013 on Wednesday and Thursday, April 17 & 18. Due to a lag time in offering sessions "on demand," we are not able to create a schedule here that better accommodates the time change from Eastern to Mountain time. The live schedule adjusted for our time (Mountain Daylight) is provided below. TEDMED does not typically assign speakers and topics to specific times until the week prior to the conference. However, judging from last year, all the sessions are extremely interesting and well-done. Most of last year's sessions are available on TEDMED at http://www.tedmed.com/videos -- check them out. The latest speakers to be added to this year's event are shown below, but all speakers are all listed at http://tedmed.com/speakers. For TEDMED 2013 Conference Schedule and topics, see http://tedmed.com/event/abouttheevent?ref=schedule Schedule for Live Simulcast at UNM HSC (times shown are Mountain Daylight) Note: Sessions will be shown in the Studio in the basement of the HSLIC building. Enter through the south door from the alley between the HSLIC and BMSB. We will not simulcast Session 1, which airs from 6:00-8:00 p.m. on Tuesday, April 16; and Session 9, which airs from 6:30-8:30 a.m. and Session 10, which airs from 9:30-10:30 a.m. on Friday, April 19. There may be an opportunity for individuals to watch these from their own computers, either live or on demand. Further information will be provided as it becomes available. Schedule from TEDMED is subject to change. Wednesday, April 17 Thursday, April 18 6:30-8:30 a.m. - Session 2 9:00-10:45 a.m. - Session 6 9:30-11:00 a.m. - Session 3 12:15-2:00 p.m. - Session 7 12:30-2:15 p.m. - Session 4 3:00-5:30 p.m. - Session 8 3:15-5:30 p.m. - Session 5 Spring Open Enrollment 2013— April 24-May 7 Open Enrollment for UNM’s medical, dental, vision, life, long term disability, and accidental death and dismemberment (AD&D) insurance plans is scheduled for Wednesday, April 24, 2013 through Tuesday, May 7, 2013. To learn more about upcoming changes for the new plan year, you can attend an open enrollment benefits presentation. Presentations will be held at various locations across campus and are listed in Learning Central at: https://learningcentral.health.unm.edu/ plateau/user/login.jsp. Register for the session you would like to attend. Sign up early, as space is limited. For a list of session dates, times, and locations, see schedules attached. There will also be vendor sessions during Open Enrollment with representatives from Lovelace, Presbyterian, Delta Dental, VSP, Express Scripts, and Standard Insurance on hand. Learn how to efficiently write strong, strategic grant proposals in the Introduction to Grant Proposal Writing Workshop 23 April (Tuesday) 9 am – 12 pm 09 May (Thursday) 1 – 4 pm 13 June (Thursday) 1 – 4 pm New to grant writing or just want to be more strategic in your pursuit of funding? Learn how to efficiently write strong, strategic grant proposals in this 3-hour grant writing class through the HSC Office of Research, the Introduction to Grant Proposal Writing Workshop. This class is open to all HSC faculty and staff. No previous grant writing experience is needed for this class, although the Introduction to Grantsmanship for Health Care Reform Opportunities Seminar is a recommended prerequisite for those with little or no general knowledge of grants (i.e., how to find appropriate funding opportunities, the agencies' evaluation processes, etc.). Please contact J. Kelly Byram, MS (JKByram@salud.unm.edu) with any questions or to register for a session. Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 6|P a g e . In your 50s plus… Whittle your waist If a few extra pounds have settled around your middle since menopause, you’re not alone. “Basically, we start putting on weight more like men,” says Nieca Goldberg, MD, medical director of New York University’s Women’s Heart Program and author of Complete Guide to Women’s Health. The “meno potbelly” is especially hard on the heart because it builds up around internal organs, triggers inflammation, and leads to insulin resistance. Research from the famous Nurses’ Health Study found that women with a waist circumference of more than 35 inches were twice as likely to die of heart disease than women with a 28-inch waist, regardless of weight. Low-intensity workout routines can help slow down the belly buildup, but to shrink it you’ll need to work up a sweat with 60 minutes of moderate intensity aerobic exercise at least three times a week. Try jogging, walking on the treadmill on a challenging incline, or swimming laps. Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 7|P a g e Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 8|P a g e Room Openings Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 9|P a g e Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 10 | P a g e Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 11 | P a g e Editor: Diane Bessette-Shore, dbessette@salud.unm.edu, tel 2-0716. Lobo Nurse News deadline: COB Thursdays. 12 | P a g e OPEN ENROLLMENT BENEFIT OVERVIEW PRESENTATIONS Presented by Division of Human Resources Benefits Office Provides a general overview of benefits available during Open Enrollment for Plan Year 2013-2014 Main Campus Location: John & June Perovich Business Center, Building #183 1700 Lomas Blvd. – 1st Floor, Room 1007 Central Campus Map North Campus Locations: Domenici Center West, Building #200 Basement Floor, Room B114 North Campus Map April Presentation Dates Monday, April 8, 2013 Location: Business Center, Room 1007 Time: 2:00 pm – 3:30 pm Tuesday, April 16, 2013 Location: Business Center, Room 1016 Time: 10:00 am – 11:30 am Tuesday, April 9, 2013 Location: Domenici Center West, Room B114 Time: 9:00 am – 10:30 am Wednesday, April 17, 2013 Location: Domenici Center West, Room B114 Time: 2:00 pm – 3:30 pm Wednesday, April 10, 2013 Location: Business Center, Room 1016 Time: 10:00 am - 11:30 am Thursday, April 11, 2013 Location: Domenici Center West, Room B114 Time: 1:00 pm - 2:30 pm Friday, April 12, 2013 Location: Business Center, Room 1018 Time: 2:00 pm – 3:30 pm Monday, April 15, 2013 Location: Domenici Center West, Room B114 Time: 10:00 am – 11:30 am Thursday, April 18, 2013 Location: Business Center, Room 1016 Time: 2:00 pm – 3:30 pm Monday, April 22, 2013 Location: Domenici Center West, Room B114 Time: 9:00 am - 10:30 am Tuesday, April 23, 2013 Location: Business Center, Room 1016 Time: 10:00 am - 11:30 am These sessions are listed in Learning Central at: https://learningcentral.health.unm.edu/plateau/user/login.jsp . Register for the session you would like to attend. Sign up early, as space is limited. Revised 04.09.2013 UNIVERSITY OF NEW MEXICO 2013 Open Enrollment Presentations & Vendor Sessions* Event DATE TIME TARGET CAMPUS** LOCATION Vendor Fair* Thursday, April 25 1:30 pm – 4:30 pm Main Campus John & June Perovich Business Center Room 1016 11:30 - Presentation/ 11:30 -1:30 Vendor Fair* Friday, April 26 11:30 am – 1:30 pm Los Alamos Campus 11:30 - Presentation/ 11:30 -1:30 Vendor Fair* Monday, April 29 11:30 am – 1:30 pm Gallup Campus Student Services Technology Center Room 200 Vendor Fair* Tuesday, April 30 1:00 pm – 4:00 pm Main Campus John & June Perovich Business Center Room 1016 11:30 - Presentation/ 11:30 -1:30 Vendor Fair* Thursday, May 2 11:30 am – 1:30 pm Valencia Campus 11:30 - Presentation/ 11:30 -1:30 Vendor Fair* Friday, May 3 11:30 am – 1:30 pm Taos Campus Lecture Hall Building 2 Student Community Center UNM-Taos Klauer Campus Pueblo Hall West Room 129 All Branch Campuses: Starting at 11:30 am, the Division of Human Resources Benefits Department will be present an Open Enrollment Overview *Vendors include Lovelace, Presbyterian, Express Scripts, Delta Dental, VSP, and Standard. (If a vendor is not present at a session, see the UNM Benefit Contact at that event with questions.) **Employees can attend any session that is convenient. Tech Support Walk-in Help at John & June Perovich Business Center, STE 1400 Assistance with online enrollment will be available on a walk-in basis. Please have your Net ID and password available for assistance. Revised 03.20.2013