Connected Care Quotient (CCQ) and the Future of Nursing.

Abstract

It is nearly five years since the Institute of Medicine released its seminal report, Future of Nursing: Leading Change, Advancing Health. report made several far-reaching recommendations for nursing as follows:* Remove scope-of-practice barriers.* Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.* Implement nurse residency programs.* Increase the proportion of nurses with baccalaureate degrees to 80 percent by 2020.* Double the number of nurses with doctorates by 2020.* Ensure that nurses engage in lifelong learning.* Prepare and enable nurses to lead change to advance health.* Build an infrastructure for the collection and analysis of interprofessional health care workforce data.To evaluate progress, resolve issues outlined in the report, and assess the impact of the AARP and Robert Wood Johnson Foundation's (RWJF) Future of Nursing: Campaign for Action, the Committee for the Evaluation of the Impact of the Institute of Medicine Report held a series of meetings this spring and summer. According to the project description (www8.nationalacademies.org/cp/projectview.aspx- ?key=49704), The workshops...invite[d] stakeholders representing nursing, medicine, health systems, consumer groups, business and policy makers at the state and national levels to provide testimony...on the following broad topics: practice, education, and leadership; with diversity, interprofessional collaboration, and needed data as cross-cutting issues. (See the Figure for the names of committee members.)Dr. Marsha Howell Adams, president of the NLN, participated in the first workshop on May 28. This workshop had two sessions. first focused on assessing data and information about the progress of the Campaign for Action. second involved three stakeholder groups (Education and Training, Delivery of Care - Policy and Regulatory, and Delivery of Care - Health Care Organizations and Providers). goal was to gain insight into the efforts, successes, and barriers to implementing the recommendations. (Recordings and slides for these presentations are available online at http://iom.nationalacademies.org/ Activities/Workforce/FutureofNursingImpact/2015-MAY-28.aspx.)The second workshop, held July 27-28, included a variety of sessions: Day 1, Toward a More Highly Educated Nursing Workforce, Models of Academic Progression, Nursing Education and Workforce Data, Toward Establishing Nurse Residency Programs, and Recruiting and Retaining a Diverse Nursing Workforce; Day 2, Impact of Health Care System Changes on the Culture of Care Delivery and Roundtable on Culture Change in the Health Professions and Health Care Delivery. (The agenda, recordings, and slides are online at http://iom.nationalacademies. org/Activities/Workforce/FutureofNursingImpact/2015- JUL-27.aspx.)I had the privilege of speaking on the second day in a panel discussion on the culture of care delivery moderated by Richard A. Berman, a professor at the Institute for Advanced Discovery & Innovation, University of South Florida, our taskmaster in terms of timing. (See the Figure for all panel participants.) When I received the letter with the invitation to participate, I had heart palpitations: OMG, they want me to speak!Our 75-minute session began with a brief introduction by Berman, followed by individual remarks by each of the panelists (six minutes, slides optional), and then 40 minutes of Q&A with the IOM committee. Berman asked us to focus on the changes we have seen in the health care delivery system and in the skills or roles of nurses in health care delivery. committee sent specific questions on a number of topics - how technology has affected the nursing profession in terms of patient care and team-based care, leadership in team-based care, the impact of value-based payment on primary care and the health system, and cultural and organizational conflicts that need monitoring and management - and we could anticipate questions on topics including interprofessional practice and leadership in the health arena. …