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%