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| December 20, 2016 |
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Medscape (free login required)
Annual income for advanced practice registered nurses (APRNs) rose 2.8 percent on average in 2015 to hit $109,000, according to the 2016 Medscape APRN Salary Report.
That's $31,000 more than the average income for registered nurses in 2015.
The highest earners among APRNs were certified registered nurse anesthetists (CRNAs), who took home $176,000, a 3.5 percent increase over 2014. Clinical nurse specialists (CNSs) were on the low end at $95,000.
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Our Sacramento staff has been hard at work! We are reaching out to members by welcoming them to ANAC upon their registration, recognizing fellow nurses who completed their First Year membership, and also connecting with members with pending membership renewal. We are updating our database with your expressed interests in committees, focus groups or task forces. We are putting finishing touches on our Yearly Summary, establishing our own YouTube Channel and updating our website & social media platforms. We also streamlined office operations. Last but not least, we are working on RN Day 2017 and have several other exciting projects in the works that will be unveiled in the New Year so the future for ANAC is looking brighter than ever! We thank our Board of Directors and the Executive Director for their hard work & leadership. We wish you a happy and successful new year 2017. Stay healthy, happy, involved, and engaged as this is YOUR association. Thank you for making 2016 a memorable year for ANAC and for being a valuable member. We could not do this without you. Your ANAC Team looks forward to connecting with you in 2017!
Did you know that more than 5 million Californians live in rural areas and many don’t have enough doctors/providers in their communities? Did you know there are as few as 43 primary care physicians per 100,000 people? Did you know some rural residents are forced to drive hundreds of miles for specialty care?
Modern broadband communications networks and new technologies, along with an increased number of NPs/APRNs practicing to the full scope of their education & training, can and would help bridge this gap by connecting patients with providers though videoconferencing, remote patient monitoring and electronic messaging. With a tablet or smartphone, patients can virtually see doctors or specialists across the state.
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It would be shame to miss out on all the news, developments, blogs from the national healthcare front! Don’t miss a beat in 2017! It's so easy to sign up — all you need is an e-mail address and zip code. Click here to subscribe today!
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Debra Balise (Sherman Oaks) Natividad Beckner (Foster City) Susana Briseno (Oakland) Savannah Carroll (San Francisco) Susana Caytuiro (San Bruno) Renald Claudio (Walnut) Nicole Dion (Carpinteria) Casey Dixon (Elk Grove) Amelia Edwards (Orange) Lea Gerodiaz (South Pasadena) Marianne Gill (San Diego) Thessalonia Gladden (Hayward) Judy Heinemann (Livermore) Miguel Henson (Loma Linda) Celeste Inductivo (Elk Grove) Jeanlee King (Los Angeles) Amy Kalea Kuwata (Alameda) Ivy-Johanna La Salle (Moreno Valley) Angie Marin (Sacramento) Elizabeth Monaghan (Oakland) Shikiko Nagahiro (Long Beach) Yoshiari Nakamura (Fullerton) Rolan Panlilio (Glendale) Janet Ramirez (Long Beach) Varvara Robert (Vallejo) Paula Russo (Huntington Beach) Bonnie Schier (Santa Cruz) Christina Scott (Canyon Country) Denise Shaw (San Jose) Gina Valenti (Fresno)
“I view nursing as a science that requires knowledge that is distinct from other sciences. Whether at the bedside or in the boardroom, nurses within any arena bring caring to the forefront.” — Yvonne Wesley
ANA sent a letter to President Elect Trump’s Transition Team outlining ANA’s principles for health system transformation. This letter was highlighted in several national publications. Read the letter here. Review the published articles below:
The Department of Veterans Affairs (VA) released a final rule granting full practice authority to three of the four established Advance Practice Registered Nurses (APRNs) roles when they are acting within the scope of their VA employment Certified Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs) and Certified Nurse-Midwives (CNMs) will now have full practice authority within the VA Health System as a mechanism for extending veterans access to a full range of qualified health professionals.
ANA has posted a statement about the final rule, including disappointment that the VA failed to extend full practice authority to Certified Registered Nurse Anesthetist (CRNAs). This rule puts veterans’ health first, and will help improve access to the timely, effective and efficient care they have earned. ANA is concerned with the final rule’s exclusion of CRNAs, which is solely based on the VA’s belief that there is no evidence of a shortage of anesthesiologists impacting access to care. We join with our colleagues in continuing to advocate for CRNAs to be have full practice authority within the VA health care system.
Read a Copy of the Final Rule HERE.
| | NEWS FROM AROUND THE INDUSTRY |
Healthcare POV
We utilize descriptive terms nearly every day, whether during handoff or when reading through charts. "An elderly, well-nourished, white male, appearing his stated age, was admitted for a complaint of increasing shortness of breath."
Labels. Professionally, we may not think twice about their use, except for the harsh glare we give when we hear a peer or physician mention a patient by a diagnosis rather than a name. Unfortunately, after an election year that was filled with negativity and name-calling, we've grown wearier than ever using labels in our private lives.
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Advance for NPs & PAs
Practicing patient-centered care was identified by the Institute of Medicine (IOM) as one of six determinants for establishing quality healthcare within the United States. The IOM defines patient-centered care as a partnership between providers and patients to ensure medical decisions respect each patient's unique needs and desires. Additionally, the IOM contends patient-centered care makes certain each patient has the education and support needed to make personal decisions and participate in his or her plan of care. An OT interviews a PA-turned-patient about her experiences "on the other side" of healthcare provision.
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By Terry Lynam
 Long after they're over, violent movies, shows and video games can negatively affect children with anxiety disorders. But pediatricians can help prevent these ramifications. Incorporating behavioral health screenings into annual well-child visits can establish a mental health baseline and identify behavioral health concerns as they develop. For example, Massachusetts mandated in 2008 that annual well-child visits include behavioral health screenings.
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Contagion Live
Rita Olans, DNP, CPNP-PC, APRN-BC, assistant professor at MGH Institute of Health Professions, discusses how Infectious Disease (ID) specialists, pharmacists, and nurses can work together on antimicrobial stewardship.
“Physicians are highly respected by nurses, and yet, sometimes they can be intimidating. I think pharmacists sometimes are easier to talk to, that’s what my research has shown. I believe that both ID specialists and pharmacists can do a great job in bringing nurses on-board, and by including them in teaching.
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Pain Medicine News
Recent advances in neuromodulation and other innovative technologies have created viable alternatives to opioids for chronic pain, according to experts at a recent panel discussion. The panel, titled "America's Opioid Dilemma: Medical Technology is Part of the Solution," highlighted several recently approved and pending treatment systems. The event was held at the recent AdvaMed 2016 (billed as the "MedTech Conference") in Minneapolis and sponsored by St. Jude Medical.
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HealthDay News
President Barack Obama on Dec. 13 signed into law sweeping bipartisan health care legislation intended to expand medical research and speed up approval of new drugs and medical devices. The $6.3 billion bill, called the 21st Century Cures Act, is a complex grab bag of initiatives amounting to nearly 1,000 pages.
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Medscape (free login required)
Primary care providers with higher overall ambulatory volumes provided lower-quality care to patients with diabetes, whereas PCPs with higher diabetes-specific volume provided higher-quality care, a large cohort study suggests. The researchers analyzed data from provincial healthcare administrative databases to examine the relationships between overall ambulatory volume and diabetes-specific volume for PCPs and quality of care among 1,018,647 patients with diabetes in Ontario, Canada.
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By Scott E. Rupp
 As we get ready to close our 2016, it's a pretty safe bet that telehealth is going to be an even bigger headline grab in 2017 than it has been this year. Let's take a look at why. Earlier this month, the House of Representatives passed a bill called the 21st Century Cures Act. The bill — which is awaiting Senate approval — is actually intended to make the FDA drug review process more efficient, but it also includes parts dedicated to the use of telehealth services.
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Reuters
The use of alcohol, marijuana, prescription medications and illicit substances declined among U.S. teens again in 2016, continuing a long-term trend, according to a study released on Dec. 13 by the National Institutes of Health.
But the research found that high school seniors were still using cannabis at nearly the same levels as in 2015, with 22.5 percent saying that had smoked or ingested the drug at least once within the past month and 6 percent reporting daily use.
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EHR Intelligence
EHR data, alongside other sources of clinical information, can be effective in determining different drug interactions that can help improve lifespan in breast cancer patients, according to a recent study from Stanford Medicine. The study, published last week in the Journal of the American Medical Informatics Association, investigated the use of EHR and biomolecular data to detect which, if any, non-cancer drugs can produce positive outcomes for patients.
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MedPage Today
Peripheral nerve blocks for headache management in geriatric patients may provide a better-tolerated and safer treatment than standard pharmacotherapy, researchers reported. Results from a single-center, retrospective study showed that over a six-year period, 73 percent of patients reported that an average of four peripheral nerve blocks was effective for all headache disorders, Jacob Hascalovici, MD, PhD, of the Albert Einstein College of Medicine in Bronx, New York, and colleagues reported online in Headache.
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