Nurse-Physician Advisory Task Force for Colorado Healthcare ...

NPATCH PurposeTo promote public safety and improve health care inColorado by supporting collaboration and communicationbetween the practices of nursing and medicine.

NPATCH goals Promote patient safety and quality care Address issues of mutual concern at the interface of nursingand medicine Inform public policy making Make consensus recommendations to policy and rulemakingentities

Successes Created an Articulated Plan template for Advance PracticeNurses Created templates for Preceptorship and Mentorships toaid ease of use Researched healthcare telephone triage issues for theColorado Medical Board

NPATCH Project Criteria Does it impact consumer Healthcare? Projects will focus on being relevant by addressingcontroversial issues in creative, innovate and effectiveways. Priority for DORA and/or other state government entities,especially the Colorado Medical Board and ColoradoBoard of Nursing. Focus on projects that involve the interaction of nursingand medicine

Collaborative Relationships:How it Works in PracticeCertified Nurse-Midwives & OB/GYN Physicians Local, State & National Successes Various Models of Practice Faculty Practice FQHC Practice Hospital Based Practice Physician or Midwife Owned Private Practice

JOINT STATEMENT OF PRACTICE RELATIONS BETWEENOBSTETRICIANGYNECOLOGISTSAND CERTIFIED NURSE-MIDWIVES… (2011)“The American College of Obstetricians and Gynecologists(the College) and the American College of Nurse-Midwives(ACNM) affirm our shared goal of safe women’s health carein the United States through the promotion of evidencebasedmodels provided by obstetrician–gynecologists(ob-gyns), certified nurse-midwives (CNMs)…”

“The College and ACNM believe health care is mosteffective when it occurs in a system that facilitatescommunication across care settings and among providers.”“Ob-gyns and CNMs are experts in their respective fields ofpractice and are educated, trained, and licensed, independentproviders who may collaborate with each other based on theneeds of their patients.”

“Quality of care is enhanced by collegial relationshipscharacterized by mutual respect and trust, as well asprofessional responsibility and accountability.”“To provide highest quality and seamless care, ob-gyn’s andCNMs should have access to a system of care that fosterscollaboration among licensed, independent providers.”

OBSTETRICS & GYNECOLOGYSeptember 2011Editorial:Collaborative Practice Between Obstetricians and MidwivesRichard N. Waldman, MD & Holly Powell Kennedy, CNM, PhD“In our estimation, collaborative practice will be veryimportant to the future of maternity care. Integratedpractice models can reflect many forms and financialintricacies… Collaborative practice is a deep andthoughtful process and when it works well it is veryrewarding.”

NPATCH Collaboration“Interpersonal collaboration is both very simple and verycomplex. It involves active listening, being open to howour colleagues think and process information and beingwilling to be a risk taker. We have to know when the bigpicture will be better served by negotiation and cooperation.It also involves needing to have clearboundaries when important policy issues are beingdiscussed so the autonomy of the professions aremaintained without restricting or demeaning the practiceof others.”Mary Ciambelli, PMHCNS-BC, RXN, Ph.D.

NPATCH Other projects Assist in removing the barriers to appropriate APN panelingand credentialing. Assist with health care reform in Colorado where we can Research medical home models to best utilize the skill sets andscopes of both physicians and APNs working together as teams Research the education of nurses and physicians. Learn fromthought leaders in education to enhance understanding andcommunication and learn together. Look at barriers to thisprocess. Assist in getting the workforce data needed to plan for qualitypatient care in Colorado.

CAIRN Event C A IColoradoAdvancingInter-professional R Relationships NNetwork

CAIRN A convening of 30 policy makers and educators inFebruary Highlight examples of successful collaboration betweenthe professions Share best practices, give a recognition award, and tocreate a plan for the future of Colorado