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I have both an academic and clinical position. My Academic position at CWRU is as Professor in the Florence Cellar Chair of Gerontological Nursing. I am also the Associate Director of the University Center on Aging and Health. My clinical positions is in Internal Medicine Ambulatory Care at University Hospitals, Cleveland Medical Center.
Academically at Case Western Reserve University, I am lead faculty of the Adult Gerontology Primary Care NP program and Associate Director of the University Center on Aging and Health. I represent the School of Nursing on University Faculty Senate and Faculty Senate Executive Committee and serve on the School of Nursing Executive Committee. Professionally, I was a 2022 Coldiron Leadership Fellow sponsored by ANA, AONL, and HFMA. I am a Fellow in AANP and since 2022 I have been the Ohio Liaison to AANP. I am active in GAPNA I was President in the past and their representative to two National NP/APRN Advocacy Committees. I am active in NONPF and served as Chair of the Gerontological Special Interest Group until Fall 2023. I am a member of ANA and ANA-Ohio. I am active in OAAPN, an AANP NPO, and working with National and Ohio groups on passage of bills on Signatory authority and removal of our Collaborative Agreement. In my community, Cleveland, OH, my leadership includes service on the boards of Jennings Center for Older Adults and on Fairhill Partners. At Church of the Savior in Cleveland Heights, OH I am co-chair of the Leadership and Nominating Committee.
We are gaining increasing freedom to practice to our full education and training, but there continue to be barriers to carrying for our patients. Federal and State policies prevent the ability to provide the care we are capable of. Institutional policies require practice agreements for physician oversite even in FPA states. NPs need to participate in AANP to be informed of policy decisions at Federal and State level that impact their practice. NPs should realize that when legislation is passed, rules can still restrict practice, so vigilance is essential. NPs should not isolate ourselves from the larger nursing community. We should listen to the voices of staff and leadership RNs and partner to provide quality care to patients. NP leaders need to partner in ANA and AONL, groups that may promote their own agenda without regard to the priorities of AANP. NCSBN is a challenge, their members are not always supportive of the role of the NP. We need to encourage recognition of NPs are part of the profession of Nursing. As the NP role matures it is time for us to provide leadership to the broader Nursing profession which will ultimately improve our own position in health care.
As an academic, I have a national reputation for my leadership in identifying NP competencies. Specifically, for the AGPCNP role but also differentiating between Acute Care and Primary Care. I have worked nationally on guidelines that would help to clarify practice of Nurse practitioners. One of the major contributions I can make for AANP is my work as the co-PI on an interprofessional research project that includes Medicine, Nursing, Law, and Economics at Case Western Reserve University. We are collecting data to support the Economic argument for Full Scope of Practice. As part of that work, I was chair of a Forum that brought together leaders from all those professions as well as the policy leaders of AANP. ANCC, ANA, AACN, Amazon, Optum, and CVS to work together to identify strategies to advocate using the data from the research. We met in April of 2023 to gather comments on our work from experts across those professional organizations. As a result of that forum, we learned of an economic group at WV who has also been looking to make this economic argument but had no connection to the NP leadership. We have support form resources we never knew.
As an academic I prepare NPs to not only be excellent clinicians, but also to engage in their professional organization and in policy. In my courses on leadership and policy I emphasize the importance of engagement in professional organizations to keep current in practice, and informed of the political landscape to help move legislation forward in order to improve the lives of patients. NPs need to understand they are not employees but professionals who are revenue generating members of the health care team. They shouldn’t compete with physicians, but value the unique contribution of their nursing perspective. Addressing the biopsychosocial needs of the patient which has now been rebranded as the social determinants of health, but has always been the expertise of nursing. Because I continue to maintain a practice, caring for adults and older adults, I experience the challenges that my students will face. This informs my teaching understanding dealing with reimbursement issues, formulary requirements and the time consumed by paperwork for prior authorization. My experience will help me address the mission and strategic goals of AANP.