CSPCN IOC Meeting

Oakland CA 12/6/00

Attendees: S. Keating, P. Walker, E. Lewis, K. Sechrist, L. Miller Askew, P. Gonzalez-Leiva, D.Duell, D. Jones, C.Comeau, A. Whatley, J. Dahle, L. Stevens, J. Martin-Holland, A. Sargent

Regrets: P. McFarland, D. Harms, S. Fox, A. Shuman

Call to order: 9:30 a.m.

Approval of minutes, 9/1/00

Financial reports: E.Lewis - $41,186 RWJF; OSHPD contract $10,000

• No Report available from P. McFarland on CSPCN fund balance at ACNL.

Project Report (E.Lewis): See Attached Report

• All IOC members received via an email copy of the final presentation from the national task forces at the CIC Annual Grantee’s meeting in Sante Fe.

Project Consultant Report: K.Sechrist:

• Healthcare Association Southern California (HASC) – Sarah and Karen spoke to approximately 120 attendees at the HASC Nursing Workforce Summit on November 1,2000. Handouts were distributed about the Governor’s redlining of budget items for targeted nursing education funding. Discussion points included the support of legislators, the Governor's interest in preserving regional control, and the need to target initiatives toward regional need. Further, all of the political issues may not be apparent.
• Sigma Theta Tau/San Diego State University Meeting - Karen spoke on the data-based public policy initiatives of CSPCN. The "Nurses Now" industry/education partnership initiative in San Diego to fund increased enrollments at SDSU was also presented. Issues of public as opposed to private funding were discussed.
• Colleagues in Caring Annual Meeting - A presentation was prepared highlighting the CSPCN Strategic Planning Model, the data generated by the Model and the public policy activities resulting from the data synthesis. The presentation was shown on a continuous loop during the "best practices" fair.
• Data collection - California Healthcare Association provided labels with the name of the chief nursing officer in the label to facilitate delivery to an appropriate person. Additionally, surveys were hand carried to San Diego for all of the healthcare systems, to the Sutter group, the Public Health Nursing group, a nursing home executive's meeting (CAHF), and to the HASC meeting. There are limited returns to date. Karen will call Marilyn Chow to tell her individual institutions will be getting surveys. The suggestion was made to include in the cover letter suggestions as to where data may be located.

Update on Political/Policy Initiatives:

• Dorel working on Song Brown initiatives with P. Leiva; when governor vetoed monies for nursing, other ways to approach this were sought; CHA to introduce some language in bill re: money for funding programs, actual money ($?) to OSHPD; gets away from regional problem; programs would apply for this new pot of $ (allows for enhancement); OSHPD already has scholarship and loan repayment program (only 5% goes to ADN students); current Song Brown monies available to be applied for (RN grant program) and have a primary care focus; need to expand beyond 1 year funding; private colleges don’t need program funding, need funding for students; problems with generic masters (2^nd degree) getting any type of funding; wording needs to say pre-licensure; legislation/program still being structured; new director Dr. David Carlisle, amenable to placement of funds within OSHPD; Priscilla will be able to work with legislators once she retires 12/30/00.
• Public policy – re: importance of K-12 quality outcomes; need for funding for pre-nursing courses (approach some of the foundations); investment in future – more nurses; should decrease attrition in nursing courses; initiative needed (discuss with CMI in January)

Team Reports:

Career Mobility (D. Welch): several conference calls; progress slow; face-to-face meeting planned January 11, 2001 (Sacramento, CHA); looking at changes in prerequisites; CSUs are making attempts to be more uniform; another survey going out to educational institutions; community based nursing (Sandra de Bella) – job descriptions of community health nurses, where public health departments are hiring ADN nurses for specific jobs, what are these? What does ambulatory nursing encompass? What do nurses (by educational level) do in these sites? Committee recommended that Diane contact Kathleen Parris; look at courses put online; to date have not looked at specialty training (e.g., OR, ER, CCU/ICU).

Competency-based Role Differentiation (P. Walker; A. Sargent): telephone conference call 12/4/00; 4 objectives for this group were drafted (12/99); almost all have been met; criteria for tri-partnerships have been identified; a model of implementation has been identified; toolkit put together; 3 sites: Fresno, Sacramento, San Bernadino; IOC will receive toolkit in January; first CBPPSIT telephone conference 2000, 2/21; meeting with CalNOC was important for CBPPSIT – eventual link important; watch for Success Stories on websites.

Recruitment (J. Martin-Holland; S. Keating):

• Katie, Sarah, Judy, Lauren met 12/5/00
• Lauren Miller Askew - talked about making the recruitment video; contact with John Miller, staff chair, who knew about the need for a recruitment video in nursing focusing on diversity; thus, a favorable time for this project; get videos made/funded through Senate rules; CSPCN will need to work more on dissemination; Lauren met with a production company with 2 young producers (USC contacts) who did video for USC school of medicine; MTV style narration about different views of medical students with photos of students actually doing things; Donna ver Steeg and Lauren previewed; production company was educated re: nursing and possible ideas for video; $6000 price; 1000 videos; this gives numbers for Senate; now, Lauren needs to decide who will be subjects in video and get script together; main message – diversity from all aspects; timeline – by end 2/14/01; footage maybe at Cedars Sinai (Linda Burnes-Bolton has been contacted).
• Video could be very useful for nurses’ week (May); need to reach broad area, different audiences; all schools of nursing to receive one package, then students to distribute to feeder schools; need distribution to junior colleges, adult education groups, guidance counselors (figuring out networks – big job), hospitals and service organizations; also need to link the video from websites for middle school/high school students (career links); lists from PSAT, SAT tests; public TV; blitz; tell shortage story – future of health care if shortage not remedied; perhaps, this group can put out a corporate call to help CSPCN make more copies for this massive distribution.
• Recruitment group not to do CNCC job (build/rebuild image of nursing using language of public health crisis), but more nuts and bolts to help counselors.

RWJF/CIC annual project site visit (March 5-6): site team will go to Fresno March 4^th for visit to pilot site on March 5^th; IOC members to come into Fresno Monday eve at 5 p.m. for dinner with site visitors (Becky Rice and JoEllen Koerner), IOC meeting is scheduled to meet at 9 a.m. – 1 p.m. on Tuesday March 6th.

• Sarah Keating will send a formal letter requesting that Marilyn Chow become reinvolved as IOC member.
• C. Bradley was awarded the Southern CA; Hospital Council contract to address and develop strategies to manage the nursing shortage in So. California; one approach will include partnering between education/service organizations.
• D.Jones – Institute of Nursing (ION) in CA; ideas brewing for a while; meeting 12/4/00; wants commitment/buy-in; ION – need to have non-partisan organ (free-standing) to function as fiduciary agent for CalNOC (now ACNL – affiliate of ANOE; not of CHA), CSPCN, other similar groups; politicization of CalNOC process by current link with ACNL; joining with almost any extant group creates bias of some sort; several initiatives functioning to assist nursing in CA; need alignment across initiatives; allows for common voice, agenda; opportunity to leverage resources; would like $5 million to fund initial endowment; C.Bradley – mission related to (1) quality/pt outcomes (public face – nursing cares about people), (2) workforce planning, (3) work environment, (4) image; ION to allow/facilitate research, coordination, advocacy; first step – register with state, 501C3 status; initial name – Pacific Institute for Nursing Excellence (allows expansion from CA); location - not discussed; mission – to advance health of Californians through nursing excellence; next step - line up board of directors (to include well rounded group of stakeholders, consumers selectively chosen to be connected to $$); 1 year of planning; 3 years, actual implementation; Dolores to meet with ACNL, then ANA/C; discussion of fundraising tactics; Dolores to draft and disseminate talking points; needs feedback.
• Report coming out of from Center for Health Professions (UCSF – Ed O’Neill; Janet Coffman) – use of CSPCN data with no citations to reports; Karen Sechrist was cited; CNA has infiltrated this report; national recognition for this group; a problem with our image; they will unfortunately influence the way things will change
• Colleagues in Caring – as funding winds down, other groups have formalized; why not CSPCN?
• (P. Leiva) Survey of NPs, PAs, CNMs in the state, report out; now looking at LPNs as to their mobility (employers, educational institutions, nurses themselves); as Priscilla leaves OSHPD, she will be making recommendations to the organization; please email her with your suggestions

Next meeting: March 6 in Fresno; details to be mailed out with Toolkit in January 2001.