Annual report of WNA operational activities Gina Dennik-Champion MSN, RN, MSHA WNA executive director.
Core Issue #1--Workforce Health, Rights & Safety
WNA's Workforce Advocacy Program is designed to provide support and advocacy for our members who have workplace concerns and questions or are interested in learning about more effective ways of self-advocating for her or himself in the workplace. Part of this year's activity was to further identify and quantify the services needed and provided to members. As a result of this work, WNA was prepared to offer improved one-on-one services, website offerings and focused legislative and regulatory activities. The activities and/or accomplishments that took place this year are as follows:
* Completed the project work related to enhancing WNA's workplace advocacy section of the website.
* Completed the Peer Assistance and Impaired Nursing Practice section of the website that includes online video streaming and printable education tools.
* Provided one-on-one support, advice, counseling and/or referral to approximately 140 WNA members. The assistance provided by WNA staff related to issues that focused on legal, reimbursement, nurse practice act/scope of practice clarification, discipline/ termination by employer and addiction and impaired practice.
* Created a survey for members who received one-on-one workplace advocacy services. The purpose of the survey is to determine level of satisfaction with the services provided. The survey is accessed via a website link.
* Addressed legislative and regulatory issues related to the following:
* Creation of a legislative strategy that will assist in preventing RNs and other health care providers from being charged criminally for making a medical error.
* Submitted an affidavit as part of a brief filed by the Wisconsin Association of Nurse Anesthetist's articulating that the scope of practice of a Certified Registered Nurse Anesthetist (CRNA) is nursing. The Administrative Law Judge appointed by the Medical Examining Board ruled that CRNA practice is nursing and therefore does not require physician supervision.
* Requested the Board of Nursing to remove language from a draft position paper that would have provided discipline to a nurse who failed to effectively manage the pain status of a patient. The final position paper issued by the Board of Nursing did not include a statement regarding disciplinary action.
* Requested the Board of Nursing to clarify if a RN could accept a verbal prescription order from an APNP for the purposes of transmitting the order to the hospital pharmacist. The Board of Nursing determined that a RN or LPN was not issuing a prescriptive order from the APNP but rather was transmitting the APNP order and was allowed to do so.
WNA's Workforce Advocacy Advisory Council remained very active in reviewing and revising materials that are related to WNA's Workforce Advocacy Program. Their role will continue to be very important as we continue to provide services for our members.
Core Issue #2--Nurse Staffing & Nurse Shortage
WNA actively participated in and supported a variety of efforts related to the pending nurse shortage and issues related to nurse staffing. These efforts are as follows:
* Worked closely with the Wisconsin Center for Nursing to gain support and understanding regarding the need for data about the nursing workforce. There is some interest in data collection and having a Wisconsin Center for Nursing but not to the degree of gaining state funding.
* Served on the statewide Nurse Faculty Shortage Task Force that developed recommendations for recruitment and retention strategies for sustaining nurse faculty levels for the future.
* Developed a working draft awareness paper for RNs regarding the impact of nurse fatigue and patient safety. This was developed in cooperation with members of the Wisconsin Nursing Coalition.
* Continued to be an active participant on the Department of Workforce Development Select Committee on Health Care Workforce Shortages. One activity focused on the development of a "best practice" guidelines on effective strategies for placement of nursing students in clinical settings. The current process for most clinical settings and the educational programs creates confusion and less than an effective experience for the student.
* Continued to be an active participant on the Department of Workforce Development Select Committee on Health Care Workforce subcommittee on identification of a reliable and effective system of data collection and analysis of Wisconsin's health care workforce.
Core Issue #3--Continuing Competencies
The efforts of WNA's CEAP Committee and the Educational Council resulted in RN continued access to quality educational offerings with the awarding of contact hours approved by an ANCC provider. WNA found that the number of providers seeking approval to award contact hours was beyond expectations. These two education related efforts resulted in over $129,000 in non-dues revenue for WNA.
The Nurses Foundation of Wisconsin continued to support ongoing RN education by awarding three educational scholarships to Wisconsin RNs seeking a Bachelor's Degree in Nursing. In addition, the Nurses Foundation Awarded a $1,000 educational scholarship to a RN enrolled in an APN program. This was supported through the contributions made to the Mary Barker Scholarship Fund by WNA's APN Forum. The Nurses Foundation also provided a $1,000 Research Award.
The WNA Education Council developed an on-line Speaker's Bureau consisting of WNA members. The directory can be accessed by anyone.
The Research Council developed an on-line directory of research and/or clinical projects that have been conducted by WNA members. Any person interested in viewing the posted research abstracts can do so.
WNA staff lobbyist met with two state representatives who are interested in mandating continuing education as part of RN and LPN license renewal. WNA has agreed to provide both legislators information on the latest research on the pros and cons to mandatory continuing education for the nursing workforce.
Core Issue #4--Patient Advocacy & Safety
WNA continued supporting activities and efforts related to patient advocacy and safety. These efforts are as follows:
* Advanced The Community of Nursing's Agenda for Health Care Reform (NAHCR) through educational offerings and the development of a webcast that can be accessed on the Division of Public Health website.
* Analyzed and provided a comparison of the differences between NAHCR and the other legislative health care reform proposals.
* Actively supported the legislative health care reform proposal Healthy Wisconsin.
* WNA's Governmental Affairs Program continued to lobby, monitor and communicate activities related to proposed legislation and rules that focused on patient rights, choice of provider, access to health care, consumer health literacy, prevention and health promotion, chronic disease management and patient safety.
* Continued participation on statewide organizations focused on patient safety efforts.
* Participated on a variety of statewide organizations focused on prevention, health promotion and consumer health literacy.
Annual Report of Activities Related to WNA Core Functions
WNA Membership Program
The leadership and staff of WNA supported strategies that focused on increasing WNA's visibility and viability. One of the efforts that took place this year was the formal development of WNA's Membership Program. This program includes all of the activities and resources that comprise WNA's membership related strategies and work outputs. This approach clarified measures of success with member retention and recruitment.
Membership Data Base
WNA staff continued to identify better uses of the data base system. The system has created efficiencies in collecting and reporting data related to the status of the membership. This system is used to generate member renewal notices, scheduled contacts with new and existing members.
The good news for this year is that we had a net gain of 68 members. A number of strategies were activated this year as a means of trying to minimize the number of members choosing not to renew their membership. This was in response to the trend of the number of members canceling equaled the number of new members. This was an average of 300 members per year. Strategies implemented this year include better automation and therefore an increase in the number of members receiving the member satisfaction survey. The desired goal is to have feedback from the member at least annually through member participation in the on-line Member Satisfaction Survey. WNA Board members contacted one long-term and one new member prior to each board meeting to determine if WNA is meeting their needs. WNA also entered into a joint project with the WNA Districts whereby WNA staff is sending to the district presidents a list of members who recently cancelled their WNA membership. The District Presidents are contacting these recently nonrenewing members to determine the reason for canceling. Data analysis is pending. The other member retention activities that continue include publication and dissemination of STAT and the weekly WNA Monitor. These two efforts are an attempt to keep members informed on the issues that impact nursing practice, education and research.
Efforts continued to occur in the area of member recruitment. WNA staff provided 41 presentations to RN's and nursing students. In addition, WNA staff provided job shadowing opportunities and internships (4), media interviews (17), exhibiting and submission of articles in nursing-related publications including Nursing Matters (15). This was a total of 75 opportunities for hundreds of individuals to learn about the benefits of belonging to WNA.
There were two very specific member recruitment projects that were developed by the WNA Communication and Membership Council. The first is the recruitment of nursing faculty. The Communication and Membership Council developed a specific process for reaching out to faculty with the hope of joining WNA. Data analysis for the first three months of the project indicate that 14 faculty members joined WNA.
The other project involved a partnership between WNA Communication and Membership Council, Madison District Nurses Association and Madison Area Technical College. The project focused on providing written and verbal information regarding WNA three times to the graduating class of Spring 2007. Data analysis yields two graduates of the class have joined WNA.
WNA Financial Operations
Fiscal Year End 6/30/07 Summary of Income and Expenses
The WNA year-end operations budget resulted in income over expenses of $46,834.61 or $46,773.01 better than budget. Budget variances worth noting include dues (68 more members than budgeted) and other income better than budget including annual meeting income, CEAP and website advertising. On the expense side variances are found in the staff salary and benefits line items which was due to the implementation of the staff restructuring plan. Other savings are found in the use of the outsourced technology support. Overages are found in some line items which are the result of reallocation of other expenses. These shifts occurred to better reflect the expenses related to WNA's established programs. The goal for next year is to have two budget reports, one that reflects the current operations style and one to better reflect actual dollars expensed for goals, government affairs, education, workforce advocacy and membership.
WNA Audit Committee
The WNA Board of Directors appointed interested members to the Audit Committee. The Audit Committee successfully accomplished their first formal audit of the year ending June 30, 2006 accounting process and reports. A formal report of the summary and recommendations from the Audit Committee to the WNA Board of Directors is pending.
New Accounting Firm
WNA is receiving accounting services from Sorge CPA accounting firm. The transition from Baker Launder occurred from October of last year to June of this year.
As stated earlier a restructured WNA staffing plan was fully implemented on January 1, 2007. The restructuring plan was the result of the full-time Assistant Director requesting part-time work due to retirement. The new staffing structure consists of the full-time Executive Director, full-time Director of Educational Programs, full-time Executive Assistant, full-time Office Assistant and part-time Member Services Assistant.
Support to WNA Board and Structural Units
WNA continued to assure that at least one staff member serve on all of the established councils (5) and committees/advisory councils (10). A restricted "leader-only" section of the WNA website was implemented for the purposes of posting agendas, meeting minutes and other related materials that can be accessed at any time by the committee or council member. This section assisted WNA in being a more environmentally friendly organization.
WNA Building and Grounds
The building remains 100% occupied. An automatic lease escalator clause was added to all of the lease agreements so as to keep up with costs related to utilities, janitorial services and tax increases.
Mutually Beneficial Relations With Key Stakeholders
American Nurses Association
ANA continued to implement their ANA/CMA Partnership Plan with the goal of improving effective communication and support to the CMAs. Key accomplishments include educational offerings for CMA leaders via conference call, improvements to the "CMA President and Executive Director only" section of the ANA website, on-going meetings of the Constituent Assembly, onsite Executive Director--President Leadership workshops, ANA/CMA Lobbyist meetings and the annual ANA Executive Director Enterprise meeting.
Center for American Nurses
The "Center" continued to provide services to the CMAs through the promotion of quality workforce advocacy programs and services, dissemination of the conceptual model for addressing nursing workforce issues and regular publication of tools related to a workplace advocacy issue. The most significant accomplishment for the Center was their LEAD Summit.
District Presidents were kept apprised of WNA Board of Director's actions and other efforts through conference calls and face-to-face meetings. Contacts with the Districts took place at WNA Convention, Leadership Day and Board/District Leadership Summit.
Other contacts occurred through WNA staff visits to regional and district sponsored events. Other services provided included WNA serving as the host for District websites.
Special Interest Groups
WNA continued to support WNA's Special Interest Groups based on the amount of support requested. The services provided included: administering and staffing educational program offerings, monitoring legislation and regulations, lobbying and clarification of policies that impact practice, competencies and reimbursement. There was the successful launch of WNA's newest Special Interest Group, the Wisconsin Environmental Health Nursing Coalition.
Nurses Foundation of Wisconsin
The Nurses Foundation of Wisconsin held a strategic planning day last year with the end result of Bylaw revisions, operational strategies and budget development.
Wisconsin Political Action Committee (WINPAC)
WINPAC published the listing of legislators they endorsed for the 2006 election. The dollars collected were used to purchase advertising in six state-wide and local newspapers.
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|Title Annotation:||Wisconsin Nurses Association; registered nurses; Master of Science in Nursing|
|Date:||Dec 1, 2007|
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