Minnesota Board of Nursing

[Pages:13]Minnesota Board of Nursing

For Your Information

Inside this Issue

Presidents Message

1

Health Professionals 2-4

Services Program

National Council of

5

State Boards of Nurs-

ing Publishes Findings

From Survey of

APRNs with Collabora-

tive Practice Agree-

New Diagnostic Codes for 5

Human Trafficking and Exploitation

Simulation Use in MN 6-7

Practical and Professional Nursing Programs

Flip the Script Campaign 7

for Opioid Prescribing

MN Board of Nursing 7

Account Log In Tips

2018 Annual Discipline 8-11

Report

Revised Complaint Forms 12

Nurses Peer Support

12

Program

For Your Information is published quarterly by the Minnesota Board of Nursing

Phone number:

612-317-3000

Fax number: 612-617-2190

Web site nursingboard.state.mn.us

Spring 2019

Volume , Issue

President's Message: Michelle Harker

Having just returned from the National Council of State Boards of Nursing (NCSBN) Midyear Meeting, I am again struck by the depth and breadth of the offerings and services made available to its member boards. The NCSBN is a "bottom ? up" organization, developing its programs and service offerings by responding to the needs and desires of its member boards. I could go on at length about the support available and offered to member boards by NCSBN. However, I will focus on an initiative for leadership development.

The theme of the 2019 midyear meeting, "Formulating Strategy & Aligning Influence" truly embraced its focus on not only where we are today ? but where do we want to be in the next 10 years. We must, as regulatory boards, avoid stagnation and embrace innovation. The presenters at the meeting did a masterful job of demonstrating how it strives to grow as it encourages and supports the growth of its member boards.

The meeting opened with the presentation of the results of a Leadership Assessment Survey. NCSBN used focus groups, literature review and input from its member boards to assess the current state of boards, as well as future focus ? in person,

online and via teleconference to evaluate competencies (and attitudes), and succession needs. The emergent themes of the survey revealed boards wanting access to more formal leadership training for its members, as well as mentoring/coaching, while still recognizing the value of "on the job" learning.

In response, NCSBN is developing a Global Leadership Academy of Regulatory Education (GLARE); which will launch its first course, "Learn and Lead Differently", in October of this year. GLARE is intended to foster the development of strong board member leadership and management. Glare is structured to take how we as regulators lead and manage right now and look at what knowledge do each of us need, to move forward. Course offerings will include regulation, governance, public policy, research, measurement and performance. Each path will be structured to each individual regulator's current areas of strength and areas in which there is a need to grow, and develop a path to completion of this leadership education. As regulators, it is imperative that we be well informed and forward thinking. Industry trends grow and change ? we must be prepared to regulate effectively."

The 2019 NCSBN Midyear meeting provided robust information and education. Fortunately, four other board members were able to attend this meeting. Each has remarked how much they learned and will bring to their roles as board members. I urge everyone to access the NCSBN website and look at every resource they make available to its members.

Page 2

Volume 27 Issue 2

The Health Professionals Services Program

The Health Professionals Services Program (HPSP) presented its annual report to the Board of Nursing on February 7, 2019. This article will highlight aspects of that report. For more information on HPSP view the HPSP website. HPSP was created in 1994 through efforts of the Boards of Nursing, Pharmacy and Medical Practice and their professional associations due to concern that health professionals were not seeking help for their illnesses because of fear of board discipline. HPSP provides monitoring services to health professionals with illnesses that may impact their ability to practice and allows illness and illness related behaviors to be monitored outside of or in collaboration with a disciplinary process. The mission of HPSP is to protect the public by providing monitoring services to regulated health professionals whose illnesses may impact their ability to practice safely. The goals of HPSP are to promote early intervention, diagnosis and treatment for health professionals with illnesses, and to provide monitoring services as an alternative to board discipline. Early intervention enhances the likelihood of successful treatment, before clinical skills or public safety are compromised.

Boards and agencies that participate in HPSP are:

Behavioral Health and Therapy Occupational Therapy Dietetics and Nutritionists Marriage and Family Therapy Nursing Podiatric Medicine

Nursing Home Administration Optometry Emergency Medical Services Psychology Veterinary Medicine Health Department

Chiropractic Pharmacy Physical Therapy Medical Practice Social Work Dentistry

HPSP promotes public safety in health care by implementing Participation Agreements that oversee the participants' illness management and professional practice. A Participation Agreement may include the participant's agreement to comply with continuing care recommendations, practice restrictions, random drug screening, work site monitoring, and support group participation. HPSP may request that practitioners refrain from practice if their illness is active (i.e.: not sober, hasn't been assessed or treated). HPSP requests that practitioners obtain assessments (substance, psychiatric and/or medical) to determine the appropriate level of care needed and whether they are safe to return to practice. After the assessments are completed and when it is determined that the practitioner has an illness that warrants monitoring, HPSP implements Participation Agreements (monitoring contracts) and reviews the practitioners' compliance with the terms of the Participation Agreement, over all illness management and work performance. When exacerbations of symptoms occur, HPSP intervenes as appropriate to protect the public. Certain instances will disqualify an individual from participating in HPSP and they are: Diverted controlled substances for other than self-administration Terminated from HPSP or any other state professional services program for noncompliance Currently under a board disciplinary order or corrective action agreement, unless referred by a board Regulated under Minnesota Statutes section 214.17 to 214.25, unless referred by a board or the commissioner of

health Accused of sexual misconduct Continued practice would create a serious risk of harm to the public

(cont. on pg. 3)

Page 3

Volume 27 Issue 2

(cont. from page 2) HPSP is funded almost entirely by the health-licensing boards, whose income is generated through licensing fees. Each board pays an annual participation fee of $1,000 and a pro rata share of program expenses based upon number of licensees enrolled. Nurses represent approximately 56% of HPSP participants and budget. For the 2018 fiscal year the cost to the Board of Nursing was $434,560.90, an average cost/nurse/year of $1,375.19, or an average cost/nurse/ month of $115. The next largest participating board is the Board of Medical Practice with a 2018 fiscal year cost of $119,326.35. If not covered by insurance, participants pay for assessments, treatments, and toxicology screening. On average, collection fees range from $10-$35. Toxicology costs range from $15-$40, with most panels costing $15 and $20.

Referrals to HPSP come from a variety of sources. Table 1 displays the referral source for nurses for 2014 to first half of 2019. An individual is discharged from HPSP at completion of the participation agreement, non-compliance, selfwithdrawal, or becoming illegible due to a reason noted above. Discharge data for 2014 to date are displayed in Table 2.

Table 1. Five Year

Nurse Referral Trends

Table 2: Five Trends ? for

Year Nurse Discharge those monitored

Page 4

Volume 27 Issue 2

(cont. from pg. 3) The type of illnesses of nurses who are participating in HPSP with a signed participating agreement on January 16, 2019 are displayed in Table 3, and a breakdown of the types of disorders in in Table 4.

Table 3: Types of illnesses for nurses with a signed participation agreement January 16, 2019.

Nurses with Signed Participation Agreements Substance Use Disorders (SUD) Psychiatric Disorders Medical Disorders

Number of Nurses 252 206 50

Percent of Nurses 83% 68% 16%

Table 4: Types of disorders for nurses participating in HPSP

Substance Use Disorders Number with SUD: 252 Percent of 252 with SUD (SUD)

Alcohol Amphetamines Barbiturates Benzodiazepine Cannabis Cocaine Heroin Methamphetamine Opiate Sedatives / Hypnotics Psychiatric Disorders

203 9 2 19 18 11 2 8 62 9

Number with a Psychiatric Disorder: 206

81% 4% ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download