I am an M.S. prepared Adult-Gerontology Nurse Practitioner, skilled in Community Organizing, Policy Analysis, Primary Care, and Health Policy. I am seeking AANP Hawaii State Representative position to deepen my advocacy for NPs in all settings of care, statewide. My interests include:
Director, Hawaii State Center for Nursing. NP, Hawaii Keiki School Based Health Clinic
Paid positions: Hawai`i State Center for Nursing, Director, November 2015 – Present Working Groups Hawaii Initiative Healthcare Education and Training Alliance, Champion/Steering Committee member, 2019-present O‘ahu Chamber of Commerce Health Workforce Initiative Nursing Steering Committee, co-chair, 2018-present Project ECHO Steering Committee, Hawai‘i State Rural Health Association, 2019-present Interprofessional Education Committee, University of Hawai‘i, 2015-present Leadership In Action Conference Awards Committee, AONE/ACHE/HSCN, 2015-present Telehealth Committee, Hawai‘i Department of Health, 2017-present Conference Co-Organizer AONE/ACHE/HSCN Leadership In Action Conference, Honolulu, Hawai‘i, Conference, 2015-2019 Nurse Practitioner Week Celebration and Conference, Honolulu, Hawai‘i, Conference, 2015-2018 Hawai‘i Healthcare Workforce Summit, Honolulu, Hawai‘i, Conference, 2015-2019 Grant Review Mini-grant reviewer, Hawai‘i Department of Labor and Industrial Relations Healthcare Workforce Advisory Board grants, Honolulu, Hawai‘I, 2016-2018
The biggest challenge will be reimbursement. Currently, NPs have gained considerably in number, and are poised to take on a sizable role in health care delivery. However, if the current state of reimbursement (85% of Medicare, less than that for Medicaid, depending on the state plan) continues, this may not support healthcare delivery in an environment that has a large NP provider population. If the cost of business (medical malpractice, clinic facilities fees, office staff, etc) continues to be greater than the reimbursements that NPs bring in to a practice, the business case for the NPs will be lost and it will not matter how well we provide care... employers will not be able to justify our hire. This will have greatest effects on vulnerable populations and medically underserved regions first.
I am skilled in health policy, identifying future trends that require planning and coordination, and consolidating data to establish an evidence-base for policy and programatic decisions. I am most effective on large projects but with small teams. I also am interested in facilitating the success of local NP groups, whether professional associations or employer groups to foster a greater sense of community within the state. By amplifying their strengths, we will have greater opportunities for new NPs, either new grads or new to the state, to enter a warm, passionate, and professional environment of NP colleagues.
I propose to invest in greater efforts related to APRN reimbursement challenges, as our Medicaid reimbursement policies inhibit NPs, who want to care for this population, from doing so. I also will engage in training opportunities and policy strategies to improve education and practice models, particularly focusing on interprofessional practice and preceptor development and support. The strategic plan aligns with our local NP priorities, making this a shared strategy for state and national efforts. As successes arrive, I will communicate these efforts through written or presentation formats to AANP members so that our efforts may be applied elsewhere. I will also use this platform to identify strategies that we may be able to apply in Hawaii to further our mission and achieve our goals in this state, as a contribution to the national efforts.