The Future of Nursing Report: Where Are We Now?
By Jennifer Thew RN | March 15, 2019
How much progress has been made in nursing toward the IOM's Future of Nursing recommendations? The Robert Wood Johnson Foundation's Dashboard of indicators reveals where advancement has been accomplished.
The year 2010 was monumental in healthcare. Not only was the Affordable Care Act signed into law, but the Institute of Medicine (now the National Academies of Sciences, Engineering, and Medicine) issued its landmark report, The Future of Nursing: Leading Change, Advancing Health.
The report called for significant changes in nurses' roles, responsibilities, and education to meet the increased demand for care and to make improvements to the healthcare system, and made recommendations in the following categories:
- Improving access to care
- Fostering interprofessional collaboration
- Promoting nursing leadership
- Transforming nursing education
- Increasing diversity in nursing
- Collecting workforce data
State practice environment
The IOM recommended that APRNs be able to work to the full-extent of their education and training. Since the Campaign for Action began, nine states have removed statutory barriers that prevented nurse practitioners from providing care to their full capacity. That means today, 22 states allow NPs to practice to the fullest extent of their training and education. Additional states have made substantial or incremental improvements toward meeting this goal.
Plus, in 2017, the Department of Veterans Affairs granted APRNs (with the exception of certified registered nurse anesthetists) full practice authority.
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Important Scam Alert!
Alert
The Division of Consumer Affairs (Division) is warning all licensed professionals about individuals impersonating New Jersey Division of Consumer Affairs (DCA) investigators, Drug Enforcement Administration (DEA) agents, DEA investigators, New Jersey Drug Control Unit investigators, Federal Bureau of Investigation (FBI) investigators, and other law enforcement personnel, as part of an extortion scheme.
The impersonators are contacting licensees by telephone, stating that they are the subject of an investigation. The callers are demanding money to clear up the matter, or threatening to revoke the individual’s license. Please be advised that the Division of Consumer Affairs will not contact licensees by telephone to discuss investigations or demand money. READ MORE
Anyone receiving a telephone call from a person purporting to be any of the abovementioned individuals seeking money, should refuse the demand. We encourage you to report the call to the Federal Trade Commission (FTC) at FTCComplaintAssistant.gov. You may also report the call to the Division at AskConsumerAffairs@lps.state.nj.us.
What Can We Do? Learn More About Our Nurse Practice Act HERE
NJ Signs Multistate Nursing Licensing Compact
NJSpotlight: The Garden State will partner with 33 other states to address its nursing shortage, which is the third most severe in the U.S.
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National Survey On The Economic Burden and Practice Restrictions Associated with Collaborative Practice Agreements
Brendan Martin, PhD, and Maryann Alexander, PhD, RN, FAAN
The U.S. healthcare system is facing workforce shortages in rural and primary care settings. Despite growing demand for providers and comparable quality metrics, advanced practice registered nurses (APRNs) still face significant barriers to independent practice due to reduced scope of practice regulations. In this study, APRNs working in rural areas and APRN- managed private clinics were one and a half to six times more likely to be assessed Collaborative Practice Agreement (CPA) fees, often exceeding $6,000 and up to $50,000 annually. Similarly, APRNs subject to minimum distance requirements, fees to establish a CPA, and supervisor turnover reported a 30% to 59% uptick in restricted care. Such unnecessary regulation risks diverting health services away from and increasing costs in traditionally underserved areas, contributing to inequities in care. It is incumbent on state legislatures to address these disparities and make their constituents’ access to high-quality care a top priority. READ MORE
2019 Nurse License Renewal
License renewal letters for the 2019 Nurse License Renewal will be mailed on or about March 21, 2019. The license renewal portal will be available on or about April 1, 2019.
The late renewal period runs from 6/1/2019 – 6/30/2019. Licensees renewing during that time will be charged a late fee of $50.00.
Nurses whose licenses expire on May 31, 2019, and who renew their licenses as "inactive" or select "inactive" in error, hold valid licenses and are eligible to work through May 31, 2019. Facilities may request that such nurses produce their licenses showing their eligibility to work during the period June 1, 2017 through May 31, 2019.Facilities may also contact the Board of Nursing directly at 973-504-6430 for further information.
FREE Statewide Buprenorphine Waiver Trainings
Coordination of statewide DATA 2000 Waiver training for physicians, Advanced Practice Nurses (APNs) and Physician Assistants to expand the use of Medication Assisted Treatment (MAT) for individuals with an Opioid Use Disorder in both primary and behavioral healthcare. Stipends are available upon prescriber attaining their DATA 2000 Waiver.
Buprenorphine Waiver Trainings
Northern Region
Buprenophine Waiver Trainings
Central / Southern Region
For more information>
https://www.state.nj.us/humanservices/dmhas/information/events/index.html
Opioid Continuing Education Requirement
Pursuant to N.J.S.A. 45:11-26.3 (L.2017, c.28, S.21), as a condition of biennial license renewal, all registered professional nurses and all licensed practical nurses must complete one (1) credit of continuing education concerning prescription opioid drugs, including alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction, and diversion.
Out-of-Network Billing
On June 1, 2018, Governor Murphy signed P.L. 2018, c. 32. This law, among other things, restricts out-of-network billing in certain situations; requires providers to notify patients of certain insurance-related information and post a list of standard charges for the provider’s services; mandates that carriers provide certain information to patients; and permits arbitration to resolve disputes between providers, carriers, and patients.
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