CMSA Today - Issue 4, 2012 - (Page 24)

CMSA View from Capitol Hill Legislation Directly Impacts Workforce Issues BY MARGARET LEONARD, MS, RN-BC, FNP W elcome back to your seat at the CMSA Today Legislative Table. As you have tive e seen, the theme for this edition of our journal is case management workforce and professional development. You may ask yourself what do workforce issues have to do with legislation or politics. Well the short answer is … everything. As CMSA and the Public Policy Committee continue to work to have our collective voices heard, it is vitally important that our numbers reflect both the power and the needs of case managers. Legislatively, CMSA through its government affairs department examines existing legislation and explores pending legislation for potential opportunities and challenges for our practice. On the political side, CMSA encourages case managers to use their advocacy standard to identify arenas in which they can lobby, and avenues through which case managers can mentor licensed health care professionals who are considering a case management career track. To better understand how legislation can impact our workforce consider the following: Nationally, the Patient Protection and Affordable Care Act (PPACA) contains many sections that deal with care coordination services, patient navigator services, patient centered medical homes, and health home initiatives. While it is apparent that this Act will increase the demand for workers to fill these positions, it does not spell out who is qualified to serve in these roles or what the roles and functions are. Our Case Management Model Act was developed to assist legislators in their initiatives, define case management, and identify standards and qualifications that are necessary to meet before one can call herself a case manager. Our lobbying efforts with regulators have also been used to educate regulators as they look to write the regulations under which these PPACA amendments will be enacted and regulated. Two other areas where legislation impacts the case management work force are on the state level: (1) is the Multi-State Licensure and (2) the BSN in 10 legislation in New York. Case managers’ ability to work across state lines is definitely seen as an advantage to people already in the case management field and those considering specializing in case management. CMSA continues it work with the National Council of the State Boards of Nursing (NCSBN) to lobby local state legislators to pass legislation which will allow that state to become part of the Compact – a group of 24 states that have joined forces and offer reciprocity to licensed nurses who work in those states. Allowing nurses to be licensed in one state and case manage a patient who resides in another state (as long as it is one of compact states) is viewed as a very positive thing. It is also a plus if the nurse can move from one state to another within the compact and begin work without going through any red tape or retaking of the licensing exam. In New York, there is pending legislation commonly referred to as the BSN in 10 Act, formally known as the Educational Advancement for RNs (A1977/S2553-A). This legislation, which would require registered professional nurses (RNs) to attain bachelor’s degrees in nursing within 10 years of their initial licensure, while “grandfathering” nurses already in practice and nursing students already enrolled is viewed by many as a “must have” piece of legislation. This legislation was cited in the latest IOM (Institute of Medicine) report as one of the essential steps needed to be taken by the nursing profession. Passage of this bill will elevate the status of nurses in the professional arena and among colleagues in other licensed disciplines who presently a are prepared, are prepare either with master’s or doctore de ate degrees. This BSN in 10 will also elevate the nursing profession in the eyes of potential students and the public. As I mentioned earlier, lobbying efforts include advocacy strategies such as education and mentoring. It is incumbent on all case managers to advocate for their individual professions and for the practice of case management. It is important that we encourage potential candidates to enter the field of case management and once they have entered the practice, to mentor them along their career path. There are many ways to encourage people already in the field to consider case management as their specialty – by example, by sharing our stories, by speaking to nurses, social workers, doctors, pharmacists, etc. about the joys and rewards of the practice, and visiting high schools on career day. Encouraging students to choose a career in the health care arena and working with colleges, universities, and organizations and encouraging them to include case management courses in their curriculum are important steps, too. We need more case managers to fill the needs our nation has now and will have in the future. So become active in these efforts in CMSA’s legislative arena through our liaison network, our MSL task force, and through your local chapter. Help make a robust case manager workforce a reality. We learned more about current legislation and lobbied for the advancement of case managers at our Public Policy Summit (PPS), April 23-24. If you want to hear about the experience or if you have questions and would like to learn more about the PPS or any of the CMSA legislative initiatives, visit www. cmsa.com or contact “our man on the Hill” Ashton-Theodore Randle at arandle@cminnovators.com. Remember to be a partner in your own health care it is the only way we are going to make a difference. And together we can make a difference. ■ 24 CMSA TODAY ISSUE 4 • 2012 • DIGITAL http://www.cmsa.com http://www.innovators.com http://www.naylornetwork.com/cms-nxt/

Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2012

CMSA CORPORATE PARTNERS
EMBRACING THE GOLDEN AGE OF CASE MANAGEMENT
INCOMING PRESIDENT’S MESSAGE
CAREER AND KNOWLEDGE PATHWAYS: THE JOURNEY BEGINS
SERVANT LEADERSHIP: INSPIRATIONAL VALUES
WORKFORCE STRATEGY SIMPLIFIED
DIGITAL, MOBILE, GLOBAL: EFFICIENCIES AND HINDRANCES IN THE MODERN CASE MANAGER'S ENVIRONMENT
ASSOCIATION NEWS
VIEW FROM CAPITOL HILL
CASE MANAGEMENT AND THE LAW
ETHICS CASEBOOK
MENTORING MATTERS
INDEX OF ADVERTISERS

CMSA Today - Issue 4, 2012

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