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Proposed HIPAA Privacy and Security Rules Modifications

The U.S. Department of Health and Human Services (HHS) has proposed modifications to the 1996 HIPAA privacy and security rules to incorporate changes Congress included in the 2009 federal economic stimulus package.  The draft rule would allow patients to restrict certain disclosures to health plans and prohibit personal information from being sold without their consent.

The rule also proposes treating billing companies, customer service contractors and other businesses the same as physicians, hospitals and insurers, which would subject them to fines and penalties if they violate privacy regulations. Earlier this year, HHS significantly increased the maximum penalty for HIPAA violations, to $50,000 per violation and $1.5 million annually.

The proposed rule would also:

  • Grant individuals greater access to their personal data;
  • Limit certain personal information disclosures to health plans; and
  • Strengthen the federal Office for Civil Rights’ regulatory power over HIPAA’s privacy and security provisions

The proposed changes were mandated by the HITECH Act, which was included in the economic stimulus package and designed to encourage hospitals and physicians to adopt electronic health records.  The draft rule is open for public comment for 60 days, beginning July 14.  Instructions for submitting comments are included as part of the proposed rule.

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Disaster Preparedness and Emergency Response for Nurses

Nobody knows what the next disaster in Washington State will be.  It may be Mt. Rainier becoming more active or it may be a large earthquake.  Or possibly the emergency will be a major infectious disease epidemic.  Whatever it is, Registered Nurses will be in demand to respond – not only for their own families and neighbors but for the public as a whole. 

 Resources for Nurses Responding to Disasters

Did you know that there is a good resource for dealing with emergency situations available on the Washington State Department of Health Public Health Emergency Preparedness and Response website?   This website is available at: http://www.doh.wa.gov/phepr/pheprlho.htm. Here you can find a toolkit for emergency communications and an emergency resource guide as well as fact sheets for the general public.  You can download the emergency resource guide at:  http://www.doh.wa.gov/phepr/handbook/hbk_pdf/EmerRes08.pdf.  This website also includes other resources for planners, schools, nurses, first responders, healthcare and laboratory personnel, and hospitals.  

Washington Health Volunteers in Emergencies (WHAVE) 

If you are not already registered for the Washington Health Volunteers in Emergencies (WAHVE) to assist in the case of a disaster or emergency, you may want to sign up.  WAHVE is open for licensed healthcare professionals only.  To explore this opportunity, go to the WAHVE website for information.  http://www.doh.wa.gov/phepr/wahve/nextWAHVE.htm.

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Nurse Practitioner Eligibility Expanded for NHSC Scholarship Program

The NHSC Scholarship guidance has been expanded from Family Nurse Practitioner to include Nurse Practitioners specializing in adult, family, geriatrics, pediatrics, psychiatric, or women’s health   – 

Please see the updated guidance: http://nhsc.hrsa.gov/scholarship/guidance/eligibility.htm.

Nurse Practitioners are eligible for the NHSC Scholarship if they are pursuing a master’s degree, or post-master’s certificate, accredited by the National League for Nursing Accrediting Commission or the Commission on Collegiate Nursing Education, leading to national certification as a Nurse Practitioner specializing in adult, family, geriatrics, pediatrics, psychiatric, or women’s health by either the American Nurses Credentialing Center or the American Academy of Nurse Practitioners.

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ANA Advocates for Chemical Reform During Nurses Week

In honor of National Nurses Week, the American Nurses Association (ANA), the nation’s largest nursing organization, headed to Capitol Hill. In conjunction with the Congressional Nursing Caucus, ANA sponsored a luncheon briefing on Tuesday, May 11th at 12:00 p.m. to highlight for Congressional staff the Toxic Substances Control Act (TSCA) reform that will reduce our nation’s exposure to toxic chemicals, protect nurses and other workers, improve the health of Americans, and decrease the cost of health care.

Nurses, as the largest group of health care providers, recognize the serious impact chemical exposure has on the public’s health. Studies continue to demonstrate a link between chemical exposure and serious illnesses, including cancer, reproductive and developmental disorders, neurological diseases and asthma. Exposure in the workplace puts nurses and other health care professionals at an even greater risk.

To illustrate the dangers of chemical exposure, ANA, in partnership with Physicians for Social Responsibility (PSR), took part in a first of its kind bio-monitoring study of physicians and nurses in October 2009. The findings showed each study participant had at least 24 individual chemicals present in their systems, four of which are on the recently released EPA list of priority chemicals for regulation. These chemicals are all associated with chronic illness and physical disorders.

Among the speakers at Tuesday’s event was Donna Yancey, RN, BSN, CRRN, a recently retired nurse from Seattle Children’s Hospital and a long-time member of WSNA. Donna was also one of the bio-monitoring study participants.

Other speakers included Nancy Hughes, MS, RN, and director of ANA’s Center for Occupational and Environmental Health, Andy Igrejas, campaign director for Safer Chemicals, Healthy Families, and Joyce Martin, the director of Environmental Health Policy for the American Association on Individual and Developmental Disabilities.

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Financial Assistance for Nurses in Need

“A Nurse in Need…”  In these tough economic times, there is a resource that nurses can turn to for help.

Nurses House is a nurse-managed, non-profit organization dedicated to helping registered nurses in need.  The organization offers short-term financial assistance to nurses in need as a result of illness, injury, or disability.  Funds are available to pay for basics such as food, a car payment, or health insurance.  The Washington State Nurses Association (WSNA) is one of the supporters of Nurses House.

For information about applying for help, go to: http://nurseshouse.org/apply_for_help.html or contact WSNA at 206-575-7979 if you need assistance in obtaining the application information.

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Continuing Competency

The Washington State Department of Health Nursing Care Quality Commission adopted a model for continuing competency for nurses in September of 2009 and held a workshop on November 5, 2009 to get input from the public about rule language for this and two other topics related to competency (Temporary Nursing Permits and Early Remediation).   The commission is required by statute to develop continuing competency mechanisms. Having a continuing competency program for nurses promotes patient safety, public protection and enhances nursing practice.  The model recently adopted by the commission requires 576 hours of active practice in the most recent 36 months or the nurse will either need to take a “refresher course” or apply for “inactive status” for their license.  Nurses must also have at least one of the following within the previous 36 months:

  1. 45 hours of Continuing Education
  2. National Certification
  3. 45 Hours of Nursing Education (could be completion of a Commission-approved Nurse Refresher Course, or a facility-based Preceptorship, Residency program, or education inservice)
  4. At least 45 hours of Active participation including meeting attendance in professional nursing or employer-sponsored organizations or committees.
  5. Minimum of 3 credits of advanced education toward an advanced degree in any field. At an accredited college or university.
  6. Completion of a nursing research project as principal investigator, co-investigator, or project director.
  7. Submitting or publishing a healthcare article, book chapter or other scholarly work.
  8. Minimum of one hour of presentation time on a healthcare or system-related topic.

A copy of supporting documents for these requirements must be stored in a safe place and readily accessible to you.  You may be directed by NCQAC to submit these documents.

This model can be reviewed at: http://www.doh.wa.gov/hsqa/Professions/Nursing/Rules.htm.   The minutes of the workshop are also available on the website.   Additional rules writing workshops will be held on:  April 20-23, 2010; May 13, 2010; and June 3-4, 2010 with the final hearing to be scheduled later in the summer of 2010.  If you are unable to attend the workshop you are still able to provide comments in writing.  You can submit draft language or suggestions to terry.west@doh.wa.gov.

As part of this continuing competency effort, the Washington State Nurses Association (WSNA)  is developing online Continuing Nursing Education.  The Washington State Nurses Association Continuing Education Provider Program (OH-231, 9-1-2012) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. A record of courses taken online as well as those taken in classroom or other settings will be maintained by WSNA and available as part of the documentation required by NCQAC.

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Bringing Immunity to Every Community Project Aims to Increase Immunization: New Web Site Launched to Position Nurses as Leading Advocates

The American Nurses Association (ANA), the largest nursing organization in the U.S., is contributing to national e efforts to eliminate the scourge of vaccine-preventable diseases through its new Bringing Immunity to Every Community project, which focuses on maximizing registered nurses’ key role in increasing vaccination rates. Under a partnership arrangement with the Centers for Disease Control and Prevention (CDC) National Center for Immunization and Respiratory Diseases, Bringing Immunity to Every Community aims to increase the knowledge and competency of the nation’s 3.1 million registered nurses in immunization; encourage nurses to be vaccinated; and position nurses as leading advocates for immunization among health care professionals, patients and the public.

A major component of the two-year initiative is a new Web site, www.ANAimmunize.org, launched today that will be a one-stop shop for resources nurses need to be competent, educated advocates for immunizations. The site is designed as a gallery of nurse-specific resources, categorized out by nursing specialties, settings, and roles in immunization. It will also be a place for ANA to connect with nurses through interactive elements, such as an RSS news feed, link to social media sites, a personal vaccine assessment tool, and an online survey.

Contacts:

Adam Sachs, 301-628-5034

adam.sachs@ana.org

Mary McNamara, 301-628-5198

mary.mcnamara@ana.org

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New RWJF/Gallup Survey Finds that Opinion Leaders Believe Nurses Should Have More Influence on Health Systems and Services

Today, the Robert Wood Johnson Foundation released results of a groundbreaking new opinion leader survey on nurses’ influence on health systems and services. Entitled “Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions,” the survey was conducted by Gallup on behalf of the Robert Wood Johnson Foundation. Gallup interviewed 1,504 opinion leaders across key roles and industries for the survey, which was conducted Aug 18-Oct 30, 2009.

The key findings indicate that an overwhelming majority of opinion leaders say nurses should have more influence. However, the survey finds that opinion leaders also view nurses as one of the most trusted sources of health information, but see nurses as having less influence on health care reform than government, insurance and pharmaceutical executives and others.

Other key findings from the new Gallup survey:

Opinion leaders identified the top barriers to nurses’ increased influence and leadership as not being perceived as important decision makers (69%) or revenue generators (68%) compared with doctors; nurses’ focus on primary rather than preventive care (62%); and nursing not having a single voice in speaking on national issues (56%). 

Attached please find a summary of survey results in their entirety.

rwjf-gallup-poll-january_2010

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New Tamper Resistant Prescription Pad Law

The following message from the Board of Pharmacy is intended for nurses who have prescribing authority.  However, it is also important information for non prescribing nurses to know the new prescription pad law so they know how to recognize an appropriate Rx pad and hand the prescriber what appears to be the appropriate pad.

  Read More »

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Decreasing Disruptions Reduces Medication Errors

Reducing distractions during medication administration cut errors in half at one California hospital, and now nurses are spreading the concept, sharing with other facilities safer medication-pass processes.

To read full article, go to:
http://www.nursezone.com/Nursing-News-Events/more-news.aspx?ID=18693

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