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Vermont Organization of Nurse Leaders Scheduled Meeting Friday July 8, 2011 VTC Langevin Building Randolph Vermont Members in Attendance: Jeanine Carr, Anna L. Gerac, Michelle Stearns, Jeanne Fortier, Jan Oliver, Lorri Welch, Sue Goetschius, Judy Cohen, Mary Val Palumbo, Nicole Dubois, Meredith Roberts, Hallie Shannon McRae, Jill Lord, Aaron French, Sue Beyer, Anne Moore-Cox, Veronica Hychalk, and Kelley McAfee Meeting called to order at 9:10am by Veronica Hychalk. Veronica indicated that the meeting will be co-lead with Anne Moore-Cox the president elect. Upcoming Events Reminder: AONE March 21-23, 2012 VONL Summit (tentative dates: April 12 & 13 OR April 18 & 19), 2012 Sigma Theta Tau November 11 & 12, 2011 VSNA October 18 & 19 VONL Meeting Friday September 16: Hilton (WHERE???) Topic VSNA VONL September meeting Topic Scholarships – Veronica Hychalk Discussion Jeanne motioned to support VSNA event with $500.00 to support event Open social evening the night before this meeting to welcome new members Daisy Award – Anne Moore-Cox Discussion Veronica participated in awarding UVM and NU with Scholarships for excellence this year. Very positive experience. No one awarded the Marlene Ranker award this year- need follow up during this next year to ensure this occurs $1050.00 total scholarship monies provided by VONL annually This is a foundation established to appreciate nursing excellence. More information can be found @ http://daisyfoundation.org/ It was asked if anyone was interested in participating in this organization. It was indicated that there is $1200.00 to initiate process. Discussion at table to consider VONL as sponsor for this program. Service award through foundation does exist and information is available to honor Vermont nurses through this method. Action Sue seconded Veronica to F/U with Martha from VAHHS to determine price. The info will be e-mailed to today’s attendees. Action Executive committee :Develop plan to advertise on the VONL web page . No action at this time. Follow up Veronica will manage Follow up Topic Old Minutes Routine Business: 1. Legislative Discussion Jeanne provided addendum to page 3 of report under Topic: Legislative report to read as follows: Jeanne reported that the 3 bills mandatory overtime, staffing ratios and safe patient handling went nowhere during this session. However, because we are now in the middle of the biennium they are technically still active bills. Jill Olson at VAHHS believes they will remain back burner due to the healthcare reform. (Please note that VASSH is an error in previous minutes and should be VAHHS.) Minutes accepted by Judy Jeanne had no new business to report at this time. Veronica indicated that mandatory staffing ratios are being discussed at the federal level. Green Mountain Board: Dr. Betty Rambur has been nominated to this board. Many in attendance voiced support for her work in this position. Asked if Betty could come to VONL meeting to discuss the efforts being put forth on this board. Letters of support are needed to advocate for Betty’s participation in this board. Veronica suggested that VONL supports Action Nicole seconded Mary Val will contact Dr. Rambur to invite her to share information with VONL at September meeting. Veronica will draft a letter to be sent to the Green Mountain Board. Follow up Betty’s involvement. (Kevin Kelly – (member of nominating committee) Topic IOM Report- Mary Val Future of Nursing Campaign for Action Document Blue Ribbon Commission Report – Mary Val Discussion Brought to table the discussion if Vermont should support RWJF by participating in Regional Action Committees (RAC) This application due Monday July Webinar on this topic. Mary Val explained that RAC is networking with nursing workforce centers across the country - tech support without financial support with direction from RWJF Background information: members (name of all organizations) gathered, drafted letter, met with governor’s staff member named Ayna Walach. Since this time Legislator Steve Meyer has been named to initiate process with small advisory group and expected start date for commission of Sept 1, 2011 Executive order has been established to identify the need for the following positions: Chair, discussion of a paid facilitator, as well as commission members. May need to raise money for paid facilitator, concern voiced that nursing has limited support financially even with the number of nurses throughout the state. Will need approx. 30 individuals to Action Follow up Anne will watch webinar and follow up with more information. participate in committee work Topic Blue Ribbon Commission Report – Mary Val (Continued) IOM Recommendation #4 Increase the proportion of nurses with a Baccalaureate degree to 80% by 2020– Anne Moore-Cox Discussion It was questioned need for paid facilitator - if this would be effective All in attendance asked to provide reflective thought and consideration for names of Blue Ribbon Chairperson Characteristics of Chairperson brought to table included: healthcare related, large base of respect among all stakeholders, invested for implementation of recommendations Mary Val presumed that potential commission participants will be called in July with first meeting in Sept. Group reviewed 8 IOM Recommendations Discussed collapsing some of IOM recommendations and formulating possible names of individual interested to support efforts of Blue Ribbon Commission Anne requesting tracking information regarding current efforts towards BSN progress and group discussion was as follows: Strategies to increase timeliness for students to advance educational goals of PN and ADN grads Online not as available due to limitations in access in areas of Vermont to high speed access web Action Blank IOM report sent around table for everyone to use as method to write down any names that the group feels would be appropriate for the individual recommendation to commission Follow up Tracking students from within facilities as they engage in advancing degrees Topic IOM Recommendation #4 (Continued) Discussion Currently: UVM - 50 in cohort of RN to BSN program CSC - 12 students transitioned from ADN to BSN Action Anne identified these are great areas to be discussed at Blue Ribbon level and is developing a report of current situation to submit to the commission. Follow up Discussed need to increase and improve availability PN to RN Need to address articulation agreement between CSC and VTC from PN to RN to BSN VTC looking to flip # of PN to RN admissions Difficulty due to clinical placement DEU - Oregon Community resources Educational Program Overview Institution 2011 Grads UVM 63 BS VTC 124 AD 169 PN CSC 48 NU – no Freshmen Sophomore 80 Junior 30 86 59 Senior RN-BS 12 MS 19 report at this time Topic Legislative Action for the Advancement of APRN – Mary Val Discussion Much support provided by Linda Davis Vermont Medical Society present throughout process and did not provide support APRN in practice 2 years or 2400 hours - no longer need collaborative MD. New grad - must work collaborative for 2 years with DO, MD or NP QA quarterly Details still need to be completed on this matter and will be forthcoming Action Follow up Current trend is from primary care physician towards hospital based Nationally 63% of hospitals part of a conglomerate (changes occur with hospital cost because increase use in onsite lab, x-ray etc but MD is costly to hospital) APRN bylaws and function in hospital settings will need to be addressed to meet the same level of practice of new law. Topic Membership Discussion Current Status as of July 7, 2011: 87 total members 25 new members Action Sue (Murdock) Goetschius Newly Appointed Membership Chair Follow up 62 renewing members Sue (Murdock) Goetschius - Newly Appointed Membership Chair Topic Membership (continued) Discussion Presently all membership application’s comes to president after completed Cycle begins in January for membership Veronica Vision: Recommendation for new process to allow for improved communication to member earlier in process. New member: welcome letter (include web site resources) copy of bylaws copy of last meeting minutes Renewing member: similar Recommendations from all in attendance: Highlight individual new members when they attend meeting Include names of contact member from within organization to support the new members’ engagement. CNO/Directors from acute care and outside of acute care Long term care Personal invite to these individuals to join or attend meeting Consider these people as well as another individual from within there organization Action Follow up Topic Membership (continued) Topic Financial – Veronica VAHHS/VONL Nursing Summit report & VONL Income Statement Discussion Anne Moore-Cox brought to the group a request for special interest groups such as informatics (Susanne Newbolt) at the Summit meeting Concern related to cost - smaller organizations unable to support themselves This would provide a venue for these types of subgroups and increase VONL opportunity Action Veronica suggest special interest group opportunity at the end of regular business meeting to encourage and generate new members (this is the second time the organization has discussed this) Need to address improving opportunity to enroll online membership Need VASHH connection to support credit card application process. Need this information to connect with Sue (Murdock) Goetschius - Membership Committee Chair. Computer input needed of new members (Cliff and Nicole) Is was suggested by Veronica that all members are encouraged to bring a non-member to the September meeting Discussion Income statement $27,212.95 in checking account Judy Cohen asked what criteria used to manage money beyond checking account. Action Follow up Will formulate a plan for this to begin in 2012 Follow up Veronica to inquire if the current checking is an interest bearing account. Topic (Subtopic to Financial report) Summit Committee 2012 Topic Financial (continued) Discussion It was discussed and supported to use outside guest speakers again this year IOM report theme will be continued into this years Summit Educational committee will participate in planning Student participation had very positive Survey feedback and will include in decision making Contractual relationship with VAHHS in relation to the Summit: pay for losses but will receive 1/2 of profit Action VONL Summit 2012 meeting coordinator recommended - Sue Boyer Follow up Discussion Budget supports AONE meeting Anne is sponsored by her company to participate in National meeting, this will allow another member to be supported by VONL to attend annual meeting. Regional meeting is in December. Action Encourage member to step forward and participate in this opportunity. Follow up Topic FinancialScholarships (continued) Discussion Increase Marlene scholarship from $2000.00 to $2,500.00 Action Identified by (????) Seconded by Holly Web page management - uncertain amount dedicated to this responsibility. Follow up Veronica will follow up with financial amount dedicated to web page management. Masters education scholarship $500.00 to remain unchanged. One for UVM and 1 for Norwich Topic VONL’s relationship with VAHHS Discussion Independent of VAHHS VAHHS receives and pays all VONL bills Created contractual relationship (historical reference from a member) based on common link of American of Hospital Association Provides pathway for administrative support (Martha and Carol) VONL had no written agreement that anyone is aware of with VAHHS Relationship is not as strong as originally established Historically a member of VAHHS would attend and take minutes back to VAHHS It may be necessary time to have full decision with VAHHS Action Consider asking for seat at VAHHS board - Strategic planning items as follows 1. Outline specific role with VAHHS for future interactions 2. Define management of checking account 3. Vision, mission, core values of both organizations and how to we align Follow up No member of VONL has check writing abilities VAHHS does not have voice for nursing at the table. Remarks by President Veronica Hychalk: Past Bylaws had missed information presented has been updated and will be provided to members in September Executive Board: Veronica’s vision to ensure enhancement of this Board as organization moves forward Nominations for upcoming elections need to be posted to Veronica Outline of President’s succession role on Executive Board: President Elect: 2 year term President: 2 year term Past President: 2 year term Afternoon strategic planning meeting conducted by President Elect Anne Moore-Cox with follow up information to be provided at the September meeting.