Hello California Nurse Practitioners! My name is Surani Kwan and I am running for the office of the Northern California AANP State rep. I have a 25 year history in healthcare and work as an NP at a community clinic and urgent care. I have seen the gaps in our state’s healthcare access and seen the challenges NPs face serving our patients. NPs are the answer! I am a current member of California Association for Nurse Practitioners, past-president and am serving my 9th year on the Health Policy and Practice committee. I just completed a 3rd term as president for the North Bay chapter and remain active on the Board. I work for Sutter Health in a system-wide role as Director for Professional Practice & Nursing Excellence, supporting nursing and advanced practice clinicians. My objective- full practice for all NPs in California and partnership with AANP to make this happen!
Director, Professional Practice & Nursing Excellence
I am a current member of California Association for Nurse Practitioners and am serving my 9th year on the Health Policy and Practice committee. I have served on the Association for California Nurse Leaders Health Policy, Education and Communications committees for the past year. I have been the Secretary of the Board of Directors and Quality Committee Chair for the Northern California Center for Well-being, a local nonprofit focused on evidence-based preventive services and self-care classes for the past 3 years. For the past 2 years I have been the Board President for Pediatric Dental Initiative, a nonprofit surgery center that serves the low income children of Northern California who need sedation for dental treatment, prevention education and oral health. I am the current Chair of the Community Advisory Board for all nursing programs in Sonoma County and have served in this role for the past 3 years.
In the next decade NPs must be positioned to address the huge number of older adults aging into Medicare. There are a number of barriers to NP practice for this cohort, primarily related to the outdated regulations in Medicare that do not include NPs as clinicians. NPs are not included as members of hospital staff; this limits the ability to admit patients when they need acute services. NPs are prevented from certifying and re-certifying home health services, another barrier for patients needing transfer out of costly healthcare setting. Another challenge is the looming lack of clinicians in the next 10 years. Retirements and burnout are creating a widening gap in the number of clinicians needed to deliver care to the cohort of the population that typically uses more health care. AANP can lead the way by partnering with Congress to make long-delayed changes to regulations, setting standards for medical staff membership, recognition of NPs as equal partners in the delivery of healthcare across every state.
I have over 2 decades of leadership experience, serving local and state organizations, serving in board positions ranging from president to committee chair. In my current role, I am responsible for advancing professional practice throughout our health system that serves almost 1 million residents, supporting 2 divisions, 5 medical groups and more than 1000 NPs and PAs. I am organized and have years of experience leading complex and challenging projects for my employer and different nonprofit boards. I have served as a union president and learned how to become a successful negotiator in high-stakes conversations. In the past 2 years I have led the first ever system-wide initiative to improve the experience and engagement of NPs and PAs. I used leadership skills to lead 3 interdisciplinary teams and meet project timelines and ultimate goals of implementation. I used negotiating skills to partner with leaders of all 5 medical groups to support the implementation and sustainability of all 3 work groups. The outcome was the creation of standard work to improve the hiring, on-boarding and orientation of NPs and PAs in all 5 medical groups and was asked to join the system-wide medical group leadership committee as the first NP member.
AANP’s mission to empower all NPs to advance serves as inspiration for my work in NP practice improvements and NP leadership. At the state level, I have been an unwavering advocate for full practice authority demonstrated by my legislative advocacy and the many bills I have successfully supported through bill language development, legislative testimony and lobbying efforts. The AANP strategic plan goal A to increase access to NPs is the objective in my work as an NP executive in a respected health care system of over 50,000 employees serving three million patients. Through my leadership we have effectively pushed to transform ambulatory care through the increased use of NPs to meet the triple aim of increased quality, affordability and patient experience. In order to meet the demands of 21st century health care delivery, NPs are the solution. The AANP strategic plan goal B to put more NPs in leadership positions was realized with the creation of my current position. I now have a unique position, allowing me to oversee the creation of opportunities for NPs in all practice settings, including the development of system-wide learning opportunities for NPs seeking exposure to system-wide projects and leadership skills.