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Do my coursera capstone for money the meaning for capstone icann new gtld program status report in October of 2010 the Institute of Medicine released its landmark report the future of Nursing leading change advancing health the report is a blueprint for optimizing the contribution of Nursing to address a wide range of changes to the nation's health care system and it's already impacting nursing education at UC San Francisco the School of Nursing gathered a panel of healthcare experts to discuss the recommendations outlined in the report these are some of their comments so the right Wood Johnson Foundation and unusual partnership with the Institute of Medicine developed this project and the project has two very important parts the first was the usual institute of medicine report with recommendations that are vetted by the very robust very robust review process of the national academy of sciences that's really important because as you go out to try to implement this you need to understand that there is a strong evidence base for these recommendations this is not maybe and the recommendations include reconceptualizing the role of nurses within the context of the entire workforce expanding nursing faculty examining innovative solutions to health care delivery new models of care and attracting and retaining well prepared nurses in multiple settings and here are the four key messages nurses should practice to the full extent of their education and training they should achieve higher levels of education and training through an improved education system nurses should be full partners with physicians and other healthcare professionals in redesigning healthcare in the United States an effective workforce planning and policymaking require a better data collection and then approved information infrastructure as a group of you see deans and program directors we've been thinking about what what what it means to be at UC now what we have so many issues right now that are absolutely coming together in an alignment of the stars we have the IOM report we have health care reform that's underway and under discussion we have changes in demographics of California more aging greater diversity in our communities we have a tremendous momentum to build on so this is an opportunity we cannot miss but in our education and thinking about what we want what we want for the future it's about equipping nurses to be ready for the practice of today because clearly when they graduate they need to go out and be competent that's not enough we also have to prepare them to think about what should the future be and equip them with the kinds of skills and knowledge and confidence to be able to go out and say hey the system's broken these things are not working the way we want them to work so that they can hang so that they can actually use their imagination to change that system that's a really important difference besides just graduating people for today's world and that's something where you see can absolutely lead as you see faculty leadership is our hallmark and obviously the people who are attracted to be part of you see our leaders in the field and that's a capacity that we have that is to a large degree I think untapped it's time to take that leadership out out of the ivory towers and many of you are ready out of the ivory tower so don't take this as a criticism but in general I think that we don't get out enough to put our leadership into action in the community where we need to be you see is home to many talented researchers and we need data like crazy to be able to look at the future of Nursing and as often times is a simplistic view of what workforce is we say okay this is the need right now these are the people are going to retire and they're going to retire by the state so let's just get that many people into the workforce that's not the question I mean it's part of the question but that's tiny the real question is what's happening with a population where is health going what are the needs going to be in the future if we redesign the system and make it a little bit different what's the right mix one of the right kinds of people to mobilize for needs to get done thank you and mcdowell is my pleasure to be here this morning want to just take a moment here and highlight the purpose of the California action coalition first of all is to engage the diverse stakeholders in the initiative for the future of Nursing we need to engage the business community orange the purchasers and payers of healthcare consumer groups our labor partners our policy makers we need to engage the larger community of this if this effort is going to be successful we also need to ensure that the work we're moving forward is aligned with other efforts underway to address health care reform in California another purpose is a very important one we need to not only come up with statewide recommendations that we need to apply statewide but also system changes that actually support those recommendations and lastly the important pieces is to carry the message that this is not about nursing it really is about the health of our communities it is about nursing's contribution to the health of our communities but it is not about nursing per se so first I think it's important to understand the imperatives that face the provider community in the health care system today and just taking California's example there will be an estimated 4.4 million additional Californians who will have health insurance by 2014 if health reform proceeds as it is planned to be we are woefully inadequately prepared to take care of an additional 4.4 million people in the near future in addition the current cost of care the current cost of care is unsustainable let alone the perceived increases in care costs of care at a rate higher than the Consumer Price Index so we absolutely have to address this and I think many of the tenants of the IOM report our attic absolutely in line with that third is the fact that despite our improvements in quality in some areas if one looks at quality systematically it's highly variable across the state across across UCSF for that matter and even if you average it out you took the average quality it's still not even good enough so that remains an underpinning of the imperatives that faces in the future okay so those are great plans we do have some barriers and they've been alluded to before scope of practice is huge and I think needs to be addressed it's not the kind of thing that an individual institution can address but all of the UCS together along with Kaiser and Sutter and whoever else needs to be involved I think potentially can be an important force to address the scope of practice limitations in California but we also have financial limitations and and compliance limitations which are both at the state and federal level that have to be addressed to really I think optimize performance so I think the challenge for us is to use the tenant using the tenants of the IOM report in the context of the powerful powerful market forces that exist and health reform figure out which barriers we have control over and overcome them and participate with others in overcoming the barriers that are beyond the reach of an individual organization so good that all stop thank you very much you internet of things ukraine for money Finger Lakes Community College.