AAENP 2017 YEAR IN REVIEW

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1 AAENP 2017 YEAR IN REVIEW PROGRESS, CHAOS AND CHANGE Birth and Trajectory of a Disruptive Organization

2 DISCLOSURES I have nothing to disclose

3 TRENDS IN EMERGENCY CARE 130,400,000 annual ED visits (NHAMCS, 2013) Between 1994 and 2004 ED volumes increased by 26% and are increasing at a rate of 3% annually (Kellerman, et al., 2013) 354,000,000 annual visits for newly arising health problems (Pitts et al., 2010) 42% of visits are to personal HC providers 28% of visits occur in EDs The ED is the front line and the front door into the HC system

4 Pitts, Carrier, Rich & Kellerman. (2010). Health Affairs, 29, 9,1 9.

5 Visits by age

6 Emergency Department Acuity Trends % of all patients triaged Advance Data, CDC, 2001; Advance Data, CDC, 2004; NHAMCS Health Stats, CDC, 2006; NHAMCS Health Stats, CDC, 2010

7 Changing ED Patient Mix

8 AAENP: BIRTH AND TRAJECTORY OF A DISRUPTIVE ORGANIZATION 1976 First ENP program University of VA 1990 s Rapid growth of ED volumes 2008 ENA Competencies for Nurse Practitioners in Emergency Care endorsed by ANA and NONPF 2008 LACE committee publishes Consensus Model for APRN Regulation 2011 ANA recognizes emergency nursing as a specialty 2011 and 2012 NONPF publishes white papers to explain the scope of practice and roles of NPs in the ED 2013 ANCC creates an Expert ENP Committee to develop the ENP Portfolio certification

9 AAENP: BIRTH AND TRAJECTORY OF A DISRUPTIVE ORGANIZATION 2014 AAENP is established as the specialty organization and voice for NPs in emergency care 2015 AAENP submits proposal to AANPCB to consider develop of an ENP board examination 2016 AAENP and ACEP members collaborate AANPCB to create an ENP board examination based on national survey data of NPs in emergency care 2016 AAENP announces AENJ as it s official professional journal; ENP scopes and standards of practice published 2017 AAENP launches the ENP C exam in January; Curricular guidelines for ENP academic and fellowship programs published August 2017 AAENP Board meets for first annual strategic planning retreat at ACEP headquarters in Dallas, Tx October 10, 2017 ANCC retires the ENP portfolio certification program after 124 NPs have certified by portfolio 68% FNP, 25% ACNP October 22, 2017: AAENP reports 675 members; AANPCB reports 154 NPs have obtained the ENP C and 45 are approved to test

10 Mission Goals (measurable) AAENP Mission The American Academy of Emergency Nurse Practitioners (AAENP) promotes high quality, evidence based practice for nurse practitioners providing emergency care for patients of all ages and acuities in collaboration with an interdisciplinary team. Vision Aims 2020 AAENP is dedicated to sustained partnerships with all emergency care providers, academic and healthcare institutions. We will use our expertise in research, curricular development, nursing regulation, and clinical practice to offer patients across the life span the highest quality care at all acuity levels. Establish guidelines for quality and safety emergency health care Offer continuing clinical education of emergency nurse practitioners Support graduate and post-graduate emergency care program development Facilitate research in emergency care Collaborate with professional health organizations and academic institutions Objectives/Annual Plan (defined annually by Board of Directors) Priority Initiatives and Plan Standardize ENP education In process Provide ongoing educational opportunities for members - AAENP SE Regional Ultrasound/Procedure Conference , NE, SC, Midwest, Western Regional Meetings; AAENP Ultrasound Conference San Antonio, May 2017; AAENP Leadership Conference, DC, October, 2017 Grow membership &sponsorship Achieved - 42% increased in membership from October ; 72% increase in sponsorship income from AAENP/ACEP 2016 meeting to AAENP Leadership Meeting 2017 Strengthen infrastructure & organizational processes Policies and procedures added Represent membership nationally & internationally NCSBN Roundtable meeting, Chicago, April 2017; NONPF, DC, April; AANP, Philadelphia, June 2017; ENA, St. Louis, 2017; NONPF Special Topics, DC, Dec, 2017 Tactics (defined annually by Management/Council) Publish updated core competencies In process Establish targeted Committees for cert exam development in conjunction with AANPCP - Completed Host education & fellowship stakeholders Roundtable Finalize Board Policy & Procedures, with particular attention to Board Terms In process - 9 new policies added, Code of Conduct to complete Support Regional Director efforts as means to grow membership - Completed Establish Annual AAENP conference presence at ACOEP & ACEP meetings Completed Provide educational opportunities for members Conferences and information on website for educational resources at a discount price to members Outsource Sponsorships to Jannetti - Completed Rev. 10/19/16

11

12 AAENP Membership 675 members October 2017

13 WHAT ARE THE MOST IMPORTANT SKILLS/CONSIDERATIONS FOR AAENP & ENP PRACTICE IN THE FUTURE? Tim Porter O Grady, Quantum Leadership: Creating Sustainable Value in Health Care

14 WHAT ARE THE MOST IMPORTANT SKILLS/CONSIDERATIONS FOR AAENP & ENP PRACTICE IN THE FUTURE? Ensuring Relevance Tim Porter O Grady, Quantum Leadership: Creating Sustainable Value in Health Care

15 WHAT ARE THE MOST IMPORTANT SKILLS/CONSIDERATIONS FOR AAENP & ENP PRACTICE IN THE FUTURE? Initiating Change Despite unpredictable outcomes

16 The Butterfly Effect Chaos, complexity and change are the only constants in the universe Stephen Hawking

17 WHAT ARE THE MOST IMPORTANT SKILLS/CONSIDERATIONS FOR AAENP & ENP PRACTICE IN THE FUTURE? Willingness to deconstruct to avoid reconstructing the same thing Tim Porter O Grady, Quantum Leadership: Creating Sustainable Value in Health Care

18 The illiterate of the 21 st century will not be those who cannot read and write, but those who cannot learn, unlearn and relearn. Alvin Toffler

19

20 NEXT STEPS Unity, collaboration and innovation with partner organizations and stakeholders is key to maintaining relevance, validating best practices and improving emergency patient care, processes and new care delivery models

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