TENNESSEE ORGANIZATION OF NURSE EXECUTIVES

2015 ANNUAL MEETING AND REPORT October 1, 2015; 1:00 – 2:00 p.m. CST

5201 Virginia Way Brentwood, Tennessee (615) 742-3753

Affiliate of the Tennessee Hospital Association ii

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Tennessee Organization of Nurse Executives 5201 Virginia Way

Brentwood, Tennessee 37027 615-742-3753

Agenda Topic Presenter I Welcome and Call To Order: Laurie Acred-Natelson, President

II Declaration of a Quorum John Jorgensen, Secretary

III Introductions Laurie Acred-Natelson

IV Approval of Minutes from November 6, 2014 Meeting John Jorgensen

V Treasurer’s/Membership Report Recognition of Membership Drive Winner

Carey Albright, Treasurer/Membership Chair

VI Scholarship Awards and Introductions Carey Albright

VII President’s Report Laurie Acred-Natelson

VIII Excellence in Nursing Leadership Award Susan Ferguson, Past President

IX THA Report Chris Clarke, Sr., VP, Clinical Services

X 2015 Committee Reports / Committee Chairs A Bylaws B Education C Nurse Manager Liaison D Nominating Committee E TAC Report

Laurie Acred-Natelson Carol Wilson, Education Chair To be determined by vote Susan Ferguson Sharon Adkins, TAC Liaison

XI Professional Nursing Partners Reports

A TNA B TN Board of Nursing

Sharon Adkins, Executive Director Libby Lund, Executive Director

XII Council Leadership Reports (written reports in packet) A Chattanooga B Knoxville C Memphis D Northeast E Middle F West

Council Leaders: Bernadette Deprez Sharon Monday Deborah Hall Sharron Grindstaff Nikki Stephens Sherry Graves

XIII Other Business Attendees

XIV Adjournment Laurie Acred-Natelson

Annual Membership Meeting Agenda October 1, 2015

1:00 P.M. Central Time

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Tennessee Organization of Nurse Executives 5201 Virginia Way

Brentwood, Tennessee 37027

Attendance:

Laurie Acred-Natelson John Jorgensen Sharon Adkins Carol Wilson Sharon Monday Carey Albright Leslie Vasta Petra Green Sue Mathew Crystal Gladden Teresa Brown Debbie Richardson Connie Smith Tracie Savage Kary Pickard Kristen Powell Loretta Maples Barbara Brennan Debra Brown Angie Beard Darlene Swart Chris Clarke Patria Mayo Jackie Moreland Becky Hunter Sue Long Deborah Hall Freda Russell Longer Elder Sherry Graves Deborah Lewis Sherry Scruggs Anne Peterson Laura Barnes Denise Sikes

PRESIDING: Laurie Acred-Natelson, President WELCOME and CALL TO ORDER – Laurie Acred-Natelson

Laurie Acred-Natelson, President called the meeting to order at 2:09 PM CST.

DECLARATION OF A QUORUM – John Jorgensen

The quorum of those present at the meeting was called. INTRODUCTIONS – Laurie Acred-Natelson

Board members and all in attendance were introduced.

APPROVAL OF MINUTES – Laurie Acred-Natelson

Motion made and seconded to approve the October 31, 2013 minutes for the annual meeting. All in agreement and approval of the minutes was accomplished. TREASURER/MEMBERSHIP REPORT – Carey Albright

Income and Expense Statement

Beginning Cash Balance $ 9988.67 Income $ 8203.00 Expenses $10083.14

Annual Membership Meeting Minutes November 6, 2014

1:00 P.M. Central Time

5

Ending Cash Balance $11848.04 Income was the result of dues income ($7200.00) and registration income (1003.00). Expense was the result of telephone ($152.40), postage ($196.00), supplies ($212.92), meals/coffee ($691.60), travel ($2483.73), dues ($1715.00), and scholarships ($4,900). See page 8 and 9 of annual report for income statement and revenue expense summary report 1999-2014.

Membership Report

Membership dropped from 231 in 2013 to 216 in 2014. The largest council was Knoxville with 40 members.

SCHOLARSHIP AWARD – Denise Sikes, President-elect

More than $35,000 has been contributed by T.O.N.E. in support of the Jearline Deweese nursing scholarship fund over the last 15 years since 1999 when it was established.

Steady increases in the number of applicants for the scholarship have occurred. In 2013 there were twenty-seven (27) applicants. This year there were seventy-two (72). Seven (7) scholarships were awarded to aspiring nurses entering the nursing field, those transitioning to BSN or MSN degrees and then those that were seeking DNP or DNSc degrees.

Scholarship Award winners were from all three regions (East, Middle and West) of the state and included the following:

RECIPIENT RESIDENCE SCHOOL OF NURSING DEGREE SOUGHT

Elizabeth Barr

Knoxville UT Knoxville BSN

Karen Burchfield Knoxville East TN State DnP Administration

Sarah Minton Johnson City Milligan College BSN

Sara Norton Rutledge King University RN to BSN

Bethany Pack Cookeville TN Tech MSN Administration

Natalie Seale Brentwood Belmont BSN

Jami Vaughn Chattanooga UT Knoxville BSN

$700 was provided. PRESIDENT’S REPORT – Laurie Acred-Natelson

See written report on page 13 of the annual report. Laurie emphasized the 4 primary goals associated with TONE’s mission. She acknowledged the collaborative work of the TONE Board and recognized the 6 council chairs and their work to enhance the value of the organization and increase active memberships throughout the state.

She also recognized the cooperation and collaboration occurring between key stakeholders such as Chris Clarke (THA), Sharon Adkins (TNA), Libby Lund (TN BON) and Laura Barnes (Liaison for TN Action Coalition), and Janice McKinley for her work with governmental affairs. EXCELLENCE IN NURSING LEADERSHIP AWARD – Sharon Monday for Susan Ferguson

There were four (4) candidates this year for the award. Sharon discussed the leadership award criteria.

Laura Barnes was the recipient. THA REPORT – Chris Clarke

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Thanked all for their participation to make the Leadership Summit a success for the 8th year in a row. The Leadership Conference begun with a grant from the Robert Wood foundation.

Chris spoke on the Ebola preparations that have been underway. Key information is on three websites including APIC, CDC and the TN

Medicaid advocacy – Continued support of TN Care via the hospital assessment will be important in order to draw down federal medical money.

Johnson and Johnson “Promise of Nursing“ gala event will occur March 3, 2015. This fund raiser will go directly to support nursing in Tennessee with funding of nursing schools.

TN Center for Patient Center – Partners in Safety have been working to reduce HAC in TN. They are providing webinars on topics of interest to nursing.

o Jackie Mooreland (quality improvements) – participating in a national projects to improve OB, Neonatal quality.

o Patrice Myers – (HEN director) this group has been working on patient/family engagement

TNA REPORT – Sharon Adkins

Legislatively TNA will continue to press for full practice authority for APRNs (CNS, CRNAs, midwifes) with soul regulatory authority of BON. o Grassroots efforts are underway and AARP is in support

Mentoring Program – This program produced by TNF is available to any hospital as long as the coordinator of the program is a TNA member. TENNESSEE BOARD OF NURISING REPORT – Libby Lund

Video streaming of board meetings will occur in 2015

E-Notify is a website information source from the board of nursing and if one opts in then recipient receives e-mail blasts from the board of nursing on alert topics such as new legislation.

The board is recruiting for a Nurse Practitioner and nurse consultant positions who will coordinate nurse education and practice. COMMITTEE REPORTS:

By-laws Committee – Denise Sikes, President-elect

No changes this year.

Education Committee – Anne Peterson, Education Chair

Anne requested T.O.N.E. members provide ideas for next year speakers and topics.

Nominating Committee – Laura Barnes, Past President

The following officers were elected by electronic ballot: o Treasurer – Carey Albright

Nursing Partners Collaborative and Professional Nursing Partners Report - Laurie Acred-Natelson, Nursing Collaborative Liaison

See report beginning on page 19 in packet.

Government Relations – Janice McKinley, Government Relations Representative

See report on page 28 in packet. COUNCIL LEADERSHIP REPORTS (within packet beginning on page 43):

Chattanooga – Charlynne Parsons, Council Chair

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Knoxville – Sharon Monday, Council Chair

Memphis – Deborah Hall, Council Chair

Northeast – Sharron Grindstaff, Council Chair

Middle – Denise Sikes, Council Chair

West – Sherry Graves OTHER BUSINESS:

Laura Barnes was presented with a gift and an award to recognize her for successful efforts in leadership over the past years as TONE President.

Laurie Acred-Natelson distributed gifts to the board members and council chairs

A request from TAC asking for a contribution has been received. Members agreed that this request should be forwarded to council chairs. A motion to send request to local councils was made by Laura Barnes, seconded by Charlene Parsons and all were in agreement. These funds will be matched by J and J funding. ADJOUNMENT – Laurie Acred-Natelson

The meeting was adjourned at 2:58 PM CST Respectfully submitted, John Jorgensen John Jorgensen MPA, RN TONE Secretary

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TREASURER’S REPORT

Monthly Financial Statement

August 7, 2015

Income and Expense Statement Period Ending June 30, 2015

Beginning Cash Balance $13,257.65

Income $1,800.00

Expenses $782.00

Ending Cash Balance: $14,275.65

Income was the result of dues income ($1,800.00)

Expense was the result of travel expense ($782.00).

Respectfully submitted,

Carey Albright, MBA/MSN, RN, CENP

Treasurer, T.O.N.E.

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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

BEGINNING CASH BALANCE: 11,683.33 13,785.16 18,639.07 15,255.44 16,941.63 14,523.78 19,907.61 18,378.34 $10,083.50 13,728.18 12,302.69

INCOME:

Annual Meeting 6,175.00 0.00 0.00 6,340.00 5,275.00 13,025.00 8,349.00 $7,125.00 $3,614.00 4,227.00

Contributions 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Dues 11,775.00 11,670.00 10,230.00 10,305.00 12,015.00 13,140.00 12,600.00 $10,620.00 $9,315.00 9,765.00 7,575.00

Other Income 0.00 6,525.00 4,875.00 0.00 0.00 0.00 0.00 $2,500.00 0.00

Workshop 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Scholarship Fund 0.00 100.00 0.00 0.00 0.00 0.00 0.00

TOTAL INCOME: 17950.00 18295.00 15105.00 16645.00 17290.00 26165.00 $20,949.00 $17,745.00 $15,429.00 13,992.00 7,575.00

EXPENSES:

Administrative Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Annual Meeting 8,335.00 3,426.01 5,578.52 3,877.31 3,873.58 7,405.55 8,844.07 $9,675.37 $2,048.02 786.40

Dues 500.00 500.00 500.00 500.00 500.00 500.00 530.00 $500.00 2,375.00 2,105.00

Meals/Coffee 621.04 1,169.59 412.07 582.23 959.66 592.53 665.79 $817.44 $760.17 891.56 398.40

Other Expense 51.50 329.95 1,734.14 171.44 100.00 148.78 330.01 $845.00 $326.86 1,867.61 895.00

Postage 93.32 142.57 149.20 33.26 102.49 80.94 73.55 $138.15 $92.00 294.00

Printing 0.00 910.93 0.54 0.00 0.00 0.00 500.00 $469.78

Supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $463.09 212.92

Telephone 343.83 646.87 1,368.95 305.80 242.67 221.87 168.17 $165.80 $141.07 169.70

Travel 3,613.48 4,060.17 3,090.21 4,968.77 6,389.45 4,021.50 3,381.68 $7,430.21 $2,886.20 3,885.30 3,221.64

Workshop Expense 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Scholarship Fund 1,000.00 2,000.00 1,500.00 2,000.00 4,000.00 4,000.00 5,000.00 $1,500.00 $2,000.00 4,900.00

Bank Charges 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 $0.00 35.00

District Council Dues 1,290.00 255.00 4,155.00 2,520.00 3,540.00 3,810.00 2,985.00 $4,035.00 $3,530.00

TOTAL EXPENSE: 15848.17 13441.09 18488.63 14958.81 19707.85 20781.17 22478.27 $26,039.84 $11,784.32 15,417.49 6,620.04

ENDING CASH BALANCE: 13785.16 18639.07 15255.44 16941.63 14523.78 19907.61 $18,378.34 $10,083.50 $13,728.18 12,302.69 13,257.65

7/6/2015

TENNESSEE ORGANIZATION OF NURSE EXECUTIVES

REVENUE AND EXPENSE SUMMARY REPORT

1999-2015

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MEMBERSHIP REPORT

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Jearline DeWeese Student Scholarships

More than $40,000 has been contributed by T.O.N.E. in support of the Jearline Deweese nursing scholarship fund over the last 16 years since 1999 when it was established.

Six (6) scholarships were awarded to aspiring nurses entering the nursing field, those transitioning to BSN or MSN degrees and then those that were seeking DNP degrees.

Scholarship Award winners were from all many Tennessee regions (East & Middle) of the state and included the following:

RECIPIENT RESIDENCE SCHOOL OF

NURSING DEGREE SOUGHT

Holly Barnes Knoxville UT Knoxville BSN

Natalie Grossman Brentwood UT Knoxville BSN

Murielle Holtzclaw Kingsport UT Knoxville BSN

Rachel Ogier Knoxville UT Knoxville BSN

Elizabeth Vernon Nashville UT Knoxville MSN/FNP

Erin Bailey Johnson City ETSU DNP

$800 was provided to each of the above scholarship winners.

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PRESIDENT’S

ANNUAL REPORT 2015

It is difficult to believe that another year has passed since we convened in Nashville for time away from the challenges of our workplace for this opportunity to network, learn and contribute to the nursing profession. I greet you and welcome each of you to the 2015 Tennessee Organization of Nurse Executives (TONE) Annual Meeting, an affiliate of the Tennessee Hospital Association (THA). I hope that everyone takes this short time to become renewed, deep breathe, learn something that can positively impact your personal or professional life and make new acquaintances. If this is your first annual meeting or you are new to TONE, this special welcome becomes a life-long invitation to be an active member as an advocate for nurse leaders directing the care of our patients or teaching the next generation how to be successful nurses in our dynamic and demanding world. Just as 20% of our nursing workforce looks to retire relatively soon, our country will need 1.1 million more registered nurses by 2022. Nearly half of this number will be new and perhaps non-traditional positions in healthcare, not simply replacement jobs. Another dimension of this projected deficit is due to the shortage of nursing professors and other critical resources including; yet not limited to, clinical placements for “ready to work” experiences. In general, the public is aware that nurses have ranked #1 as the most trusted profession for the past 12 years straight. This fact seems to have drawn people to the profession; however, 69,938 applicants to bachelor and graduate programs have been turned away in the year 2014 according to the American Association of Colleges of Nursing (AACN). These critical issues are timely topics as the American Nurses Association (ANA) asks “who will fill their scrubs?” Not only will there be a critical need for nurses at the bedside and beyond; it is inevitable that more nurses must be poised to take on leadership opportunities requiring a unique set of skills for the existing multigenerational workforce. We need to be able to attract, connect and engage enthusiastic, young nurse leaders knowing the majority of nurses are currently over 40 years of age. Nursing is truly a “palpable profession” – a powerful descriptor for deliverables that are capable of being touched or felt, noticed, discerned, tangible; although subtle at times. I am truly honored to work with an exceptional Board of Directors who meets on a monthly basis to conduct the valuable work of our organization. These individuals bring a wealth and variety of experience and knowledge to the table with each decision made. Six of these board members chair councils throughout our state and engage in leadership development and best practice opportunities for regional members. I applaud these efforts to provide valuable and timely topics of interest to our current membership of 225. Council chairs are Bernadette Deprez, Chattanooga; Sharon

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Monday, Knoxville; Nikki Stephens, Middle Tennessee; Sherry Graves, West Tennessee; Deborah Hall, Memphis; and Sharron Grindstaff, Northeast. We actively make concerted efforts to stay focused on accomplishing the goals and objectives associated with our strategic plan by enhancing communication and collaboration between partners and other stakeholders, promoting leadership excellence and influencing legislative and public policy related to nursing and patient care issues. Sharon Adkins is currently serving as our liaison with the Tennessee Action Coalition (TAC) targeting leadership efforts toward the advancement of the key messages in the Institute of Medicine report. We are actively having conversations with Carole Myers, the nursing lead for the TAC, to entertain innovative ways that we may partner through support for leadership offerings. Our THA liaison, Chris Clarke and our Tennessee Nurses Association (TNA) colleague, Sharon Adkins keep the board informed on current issues facing the nursing profession while working collaboratively to impact quality patient care. We are grateful to have these exceptional nurse leaders contribute through service as we depend heavily on each of them to help us achieve meaningful work as a state-wide professional organization. A tradition since mid-2000 continues this year with Jearline DeWeese Student Scholarships being awarded, now having contributed over $36,000 to support nursing education. This year a total of 26 applicants sought funding and 7 telephone interviews were scheduled. Recipients of these scholarships will be acknowledged during our annual meeting. We are proud to recognize a nurse leader with the Excellence in Nursing Leadership Award. This individual has set themselves apart through outstanding commitments and contributions to the profession of nursing. Once again, Tennessee was the site of the Promise of Nursing Gala sponsored by Johnson and Johnson on August 11 - raising a total of $285,000 for nursing scholarships in Tennessee. This event is always a memorable celebration of nurses in our state and beyond and solidifies the key role that nurses play in the lives of many during the most vulnerable times. We are especially proud of our strong affiliations with THA, the Tennessee Center for Patient Safety (TCPS), TNA and the Tennessee Association for Healthcare Quality (TAHQ) that provide amazing support so that we have been an integral part of the now Tenth Annual Leadership Summit. This summit showcases proven strategies and best practices in a quality and safety forum. This year we received 64 abstracts (6 more than in 2014) and we look forward to hearing from 9 oral presenters from diverse regions throughout our state including a substantial number of poster presentations. A special thank you goes to Chris Clarke and her able team at THA for making the Leadership Summit an on-going reality and to Carol Wilson who serves as our local resource as Education Chair. The ANA has proclaimed 2015 as the Year of Ethics and we are privileged to learn from Kate Payne JD, RN as our annual meeting speaker. Kate’s professional expertise over the past 30 years encompasses many roles in progressive leadership including consultant and advisor roles focusing on ethics and associated implications in healthcare. We eagerly anticipate Kate’s message as we aspire to replace any moral

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distress in our environment with moral courage. As Martin Luther King once said “our lives begin to end the day we become silent about things that matter.” We all want our work to be relevant and valued and working with the TONE leaders is very motivating and rewarding. We want to be available to you for this purpose as we provide a medium for the exchange of ideas and dissemination of ideas, provide a voice to address current issues and trends, promote educational programs and learning activities and act as a catalyst for promoting standards of care and nursing practice. The business case for the economic value of nursing has never been greater and sharing stories of success and challenge proves to be very powerful. As nurse leaders we are prone to mentor others toward a life-long career of learning and doing. Only through doing can we learn better approaches to achieve an improved result. In becoming reflective in our work environment, we can create meaning from past and current experiences that will guide our decisions in the future. Thank you for participating in the TONE Annual meeting here today. I am privileged to have served as your President over the past two years and look forward to sustaining my involvement as a member of the TONE Board. I congratulate our new President and other newly-elected officers who will lead our organization with innovative approaches to connect with our membership. Acknowledging and recognizing the power of the people in our institutions and organizations is the most important work that we do. The diverse nurse leaders that I have become acquainted with through this organization are truly amazing role models and mentors and it all began by simply making the connection. Enjoy your time, introduce yourself to someone you have never met and take away at least one new piece of information that you can apply in your role as a valued nurse leader. Each of you makes a difference for someone everyday – some you may never know or come to realize. So subtle that it is palpable! Respectfully submitted, Laurie Acred-Natelson, MSN, RN, NEA, BC TONE President 2013-2015 lacredna@utk.edu

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BYLAW CHANGES REPORT

There were no bylaws changes in 2015.

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THA, PAC & Governmental Affairs Report

20

TONE Annual Report Governmental Affairs

August 20, 2015 Janice McKinley, RN, FACHE, NEA – BC

THA’s Political Action Committee (PAC) raises money each year to support legislative advocacy efforts for the association. The 2015 THA goals was to raise $125,000. As of August 20, 2015 the PAC goal has not been met although the campaign continues. To help assure the THA Legislative Staff have a voice on Capitol Hill, TONE members were encouraged to give to PAC. 60 members of TONE contributed to the 2015 THA PAC, raising $21,303.12 to support the THA PAC goals. Please see below for your TONE district’s specific results. We need to make every effort to increase our donations for next year. Please go to tha.com to review a summary of all the legislative activity for this session. A goal for 2015 is to increase the number of TONE members who participate in Capital Hill visits on Legislative Day. Please talk to your local legislators on a regular basis to help educate them on the healthcare issues both locally and at the State level.

Source 2015 Funds Raised

Chattanooga District $100.00

Knoxville District $7,147.44

Memphis District $3,225.00

Mid-East District $2,735.00

Middle District $2,655.68

Northeast District $670.00

South Middle District $170.00

West District $4,600.00

Statewide Total $21,303.12

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TNA/TNF Update

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TNA/TNF UPDATE TONE Annual Meeting

September 2015 Legislative

This was a very challenging legislative session with partisan discord setting the tone and Insure Tennessee as a major focus.

TNA actively monitored 98 bills that dealt with nursing and health care.

TNA introduced SB680/HB456 which would remove barriers to APRN practice. The bill is currently in both the Hose & Senate health committees. Advocacy for this legislation continues.

Actively supported Insure Tennessee in all areas of the state.

Other

Participated in Board appointed task force to develop guidelines and education for community paramedics.

Approved programs and providers as an Accredited Approver and Provider of continuing nursing education.

Monitored CSMD committee, Board of Nursing, Board of Medical Examiners.

Member of the Workforce Advisory Council, TN Health Care Innovation Initiative: Provider Stakeholder Group, Health Science Career Cluster Industry Advisory Council, & Tennessee Action Coalition Board.

Events

TNA/TASN Conference & Membership Assembly, Nursing Ethics: Commitment, Compassion, Quality Care, October 23-15, Franklin Marriot Cool Springs.

Legislative Summit, April 6, 2016, War Memorial Auditorium

TNF

Tennessee Professional Assistance Program (TnPAP), a program of the Foundation, continues to grow and has contracts with the Board of Nursing and other health related boards including PT, OT, PA, EMS, and most recently Massage Therapists.

Offered a comprehensive mentoring program to qualified hospitals and schools of nursing free of charge.

Established the Maureen Nalle Memorial Scholarship for Graduate Nursing Education and the Edna Mason Scholarship for Conference attendance.

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Opened the Scholarly Writing contest to all nurses.

Provided the “American Nurse” DVD to hospitals & schools for Nurses Week.

Increase number and amounts of scholarships offered.

Provided funding to the Tennessee Action Coalition for the APRN Financial Impact study.

Tennessee Board of Nursing Report

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Tennessee Board of Nursing Report to

Tennessee Organization of Nurse Executives October 2015

BOARD OF NURSING UPDATE

1. Future Board Meeting Dates:

a. November 18-19, 2015

b. February 17-18, 2016

c. May 19-20, 2016

d. August 3-4, 2016

e. November 29-30, 2016

2. Board Officers: Brent Earwood, APN, Chair elected for a second term; Juanita

Turnipseed, APN, elected Vice-Chair.

3. The Board voted to support the enhanced nurse licensure compact and is seeking a

sponsor to carry the bill.

4. Live streaming of BON meeting began this year. The meetings will be archived for one

month only. Find the link on the meeting agenda posted on the board website under

“meeting schedule”.

5. Voted to hold a rulemaking hearing in the future for a comprehensive rule revision.

6. New and amended rules for RN first assistants (title, licensing and fees), continuing

competency for APNs (two hours continuing education to include prescribing guidelines

for holders of a certificate of fitness) and 90-day rule (time period for nurse holding a

PTP to work in TN increased from 30 days to 90 days to allow for obtaining a TN license

by endorsement) went into effect June 22, 2015.

BOARD OFFICE/STAFF UPDATE

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1. Receive automated license and discipline notification of enrolled RNs and LPNs from

state boards of nursing. E-notify is available free. Go to https://www.nursys.com/.

2. New computer system (LARS) replaced the old system April 2015.

3. New state logo adopted in June. All letters, memos, emails will include the updated

logo. Additionally, the TN Department of Health and Board of Nursing website has

changed. Same information with a different look.

4. New Board staff: Linda Johnson, APN Consultant, will support nursing and work with the

excessive prescribing team. Sherry Richardson, Public Health Nurse Consultant began

September 1st. Sherry will work with nursing education and continued competency.

5. The Board of Nursing now offers a Geographic Information System (GIS) application to

analyze workforce data obtained from nursing licensure.

LICENSURE DATA: RN, LPN, APN Active Licenses — June 2015

Registered Nurse Licensed Practical Nurse

Advanced Practice Nurse

Total Licenses

Active 93,446 29,979 11,195 134,621

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ADVANCED PRACTICE NURSES Active Licenses —June 2015

CNS CRNA NM NP Total

Authority to Prescribe

121

1,132

170

8,419

9,842

No authority to Prescribe

19

1,369

7

52

1,447

Total

140

2,501

177

8,471

11,289

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Discipline for 2015

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Disciplinary Action by Type-Totals for 2015

Profe

ssio

n

Reprim

and

Revok

e

Stayed

revo

catio

n

Probat

ion

Revok

e PTP

Vol

untar

y

Surrend

er

Civil

Penal

ty

Den

y

Suspen

d

Cease

& d

esist

Totals

RN 7 12 31 12 1 15 2 4 1 0 85

LPN 6 5 12 4 0 3 0 2 2 0 34

APN 5 2 3 3 0 1 3 1 1 0 19

Total 18 19 46 19 1 19 5 7 4 0 138

RN 7 0 16 9 1 6 1 0 0 0 40

LPN 3 0 6 3 0 1 0 0 1 0 14

APN 3 0 0 2 0 1 1 0 1 0 8

Total 13 0 22 14 1 8 2 0 2 0 62

RN 0 12 15 3 0 9 1 4 1 0 45

LPN 3 5 6 1 0 2 0 2 1 0 20

APN 2 2 3 1 0 0 2 1 0 0 11

Total 5 19 24 5 0 11 3 7 2 0 76

RN 0 0 0 0 0 0 0 0 0 0 0

LPN 0 0 0 0 0 0 0 0 0 0 0

APN 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0

RN 0 0 0 0 0 0 0 0 0 0 0

LPN 0 0 0 0 0 0 0 0 0 0 0

APN 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 0 0 0 0 0 0 0

Disciplinary Action by Type February 2015

Disciplinary Action by Type May 2015

Disciplinary Action by Type August 2015

Disciplinary Action by Type December 2015

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Discipline for 2015

30

Tennessee Action Coalition Report

31

Report to Tennessee Organization of Nurse Executives October 2015

The Tennessee Action Coalition is the driving force transforming health care through nursing in our state. Understanding that Tennessee has specific health care challenges & needs, we are working with diverse stakeholders to create & model innovative solutions with nurses leading the way. Tennessee Action Coalition Report to the Tennessee Organization of Nurse Executives-September 12, 2015 Tennessee Action Coalition Awarded Second Robert Wood Johnson Foundation Grant The Tennessee Action Coalition (TAC) received a second two-year State Implementation Program (SIP) grant from the Robert Wood Johnson Foundation (RWJF) effective February 1, 2015. The grant provided a two-to-one match for funds raised from a variety of Tennessee foundations and organizations, including the Tennessee Organization of Nurse Executives (TONE). For the past year the TAC board of directors has focused on renewing the strategic plan, reconfiguration of the board, and structural reorganization. The TAC board has elected to focus on nurse leadership and support other organizations in the advancement of Future of Nursing recommendations related to nursing education and practice. Six new members have been added to the board to better position the board for current and expected opportunities and challenges. In an effort to streamline operations and strengthen recognition of the TAC, the TAC board of directors decided to cease using the separate brand of the Tennessee Nursing Institute for Leadership and Policy (called TNILP) and disband the separate TNILP board. Select TNILP board members joined the TAC board. The TAC board also decided to maintain only two operational committees, Communications and Fundraising. Other committees were closed. Going forward significant TAC work related to primarily to nursing leadership will be conducted by tasks forces of limited duration and specific focus. The TAC board of directors is making a concerted effort to collaborate with other organizations with similar aims to create synergies and enhance outcomes. Tennessee Action Coalition Initiatives; Opportunities for Collaboration The next page includes a description of TAC current initiatives and task forces; opportunities for TONE members and Councils to support and get involved with TAC are highlighted.

Tennessee Action Coalition (TAC) is part of the Future of Nursing: Campaign for Action, a nationwide movement to improve health and health care through nursing. An initiative of AARP and the Robert Wood Johnson Foundation, the Campaign includes Action Coalitions in 50 states and the District of Columbia working to implement the Institute of Medicine’s Future of Nursing recommendations.

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Tennessee Action Coalition Initiatives & Opportunities for Involvement Economic Impact Analysis-To assist in advocacy efforts in Tennessee, the TAC has commissioned a study to look at the economic impact of Tennessee APRNs having full practice authority. Opportunities include: Providing funds for the analysis. Enhancing the Cultural Competency of Tennessee Nurses-Tennessee’s population is increasingly multi-cultural and diverse. Nurses must have the knowledge, skills, and attitudes necessary to create a culture of health and deliver high-quality, patient-responsive care. TAC’s planned webinar series, Enhancing Health and Health Care through Cultural Competency (scheduled for 2016), will hasten the improvement of care. Opportunities include: Serving on the webinar task force coordinating the series. Legislative Boot Camp Task Force-The Second Boot Camp will be held November 5, 2015 in Nashville. The annual one-day workshop in Nashville acquaints participants with policymaking, major legislative initiatives, effective communications, and grassroots advocacy techniques. Opportunities include: Promoting the event and securing event sponsors asap. Nurses on Boards Task Force-Nurses have a unique perspective that aids them in effectively addressing two major healthcare challenges: improving the quality of healthcare while reducing its costs. TAC is conducting a statewide survey of nurses and a multi-faceted promotional campaign on the value of nurses serving on boards, so that their unique perspective will be more available to the highest levels of healthcare leadership. The campaign will target hospital CEOs and key nurse leaders and organizations. At the same time, we will identify and promote individual board-ready nurses as potential candidates. Opportunities include: Helping with broad distribution of the survey; serving on the Nurses on Boards task force to analyze survey results; and assisting to create a database and implementing a promotional campaign. Regional Executive Nurse Leadership Programs- Nurses can be instrumental in reducing medical errors, hospital readmission rates, falls and fatalities, thereby improving both care and financial performance metrics. Just as important, nurses have the knowledge and skills to track measures of quality, safety, and customer satisfaction. Nurse leaders can also facilitate such important initiatives as: community orientation; collaboration among inter-professional healthcare team members and community leaders; relationship building; and organizational awareness. Opportunities include: Serving as host for the regional meetings or the task force planning for core meeting content, etc. The TAC continues the tradition of engaging students in a variety of activities as we prepare nursing leaders for the future. We were fortunate in having a Jonas Scholar work with us the past year. A DNP student has played a significant role in the survey for the Nurses on Boards initiative. In addition, one PhD and two MSN students were instrumental in helping the TAC conduct an environmental scan that looks at the demographics and health status of the Tennessee population, the nursing workforce and access to primary care services. Two infographics have been developed for broad-based distribution. A BSN student completed an internship with the TAC. Three MSN students have contributed to the economic impact study. Our collaborations with the TONE state board of directors and the regional Councils are invaluable. TONE has an institutional board seat on the TAC board of directors and you are well-represented by Beverly Jordan. We appreciate your ongoing support and hope that many of you will find ways to be involved with various TAC initiatives. Thank-you.

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Respectfully submitted, Carole R, Myers, PhD, RN Nursing Lead Victoria Niederhauser, DrPH, RN Chairman Board of Directors September 12, 2015

Please visit the TAC webpage at: https://tac.tennessee.edu/Pages/default.aspx Registration now available at http://goo.gl/forms/eCWRoZbwMc. Questions? Comments? Want to get involved? Interested in making a donation? Contact Carole R. Myers, PhD, RN at cmyers9@utk.edu

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TENNESSEE ORGANIZATION OF NURSE EXECUTIVES

COUNCIL REPORTS

CHATTANOOGA KNOXVILLE MIDDLE TENNESSEE MEMPHIS NORTHEAST WEST

Affiliate of the Tennessee Hospital Association 35

Chattanooga Council Annual Report

2015 Submitted by Bernadette DePrez, DNP, MBA, MSN, Chair, Chattanooga

Council The Chattanooga Council continues to meet over breakfast on the third Friday of the month at 9:00 A.M. The meeting sites are rotated to different facilities in and around the Chattanooga area. This enables us to showcase the talents in each of our locations - including Cleveland and on occasion even a close-by bordering hospital in Georgia. Our membership has grown to twenty-one (21) members this year. Topics presented and discussed this year included: January 16 –“Geriatric Exercise: Myths, Stereotypes, and Barriers Associated with Aging” Speaker: Jeannette Beach, PT, DPT, NCS, GCS Host Facility: Kindred Hospital, Chattanooga, TN – Gigi Johnson February 20 – “Stress Reduction: Interactive Assessment” Presenter: Tim Tatum, LPC, NCC Host Facility: Sky Ridge Medical Center, Cleveland, TN – Bernadette DePrez March 20 – “THA Moving the Needle on Quality” Presenter: Ms. Chris Clarke from TN Hospital Association Host Facility: Erlanger, Chattanooga, TN – Jan Keys April 17 – “immobile and Computer Physician Order Entry” Presenter: Craig Derogatis and Matt Adams Host Facility: Park Ridge Medical Center – Chattanooga, TN – Jerry Underwood May 15 – “TN Zero Suicide Program” Presenter: Ms. Melissa Sparks from TN State Mental Health Program Host Facility: Charlynne Parson hosted the meeting at Life Care Assisted Living in Chattanooga June and July 2015 – No Meetings Scheduled August 21 – “Transdisciplinary Care within Neuro Recovery”

500 Interstate Boulevard, South Nashville, Tennessee 37210 (615) 256-8240

Affiliate of the Tennessee Hospital Association 36

Presenter: J. Christopher Young, Clinical Neuropsychologist Host Facility: Siskin Rehabilitation Hospital, Chattanooga TN September 18 – Host Facility: CHI Memorial Hospital – Judy Foster October – THA Annual TONE Meeting – Nashville November 20: – Host Facility: University of Tennessee at Chattanooga – Dr. Chris Smith December 2015 – No Meetings Scheduled

Affiliate of the Tennessee Hospital Association 37

TONE Annual Report Knoxville Council

October 2015 Purpose

1. Providing a medium for the interchange of ideas and dissemination of information.

2. Providing a voice to address current issues and trends that impact on nursing and healthcare.

3. Promoting educational programs and learning activities. 4. Acting as vehicle for promoting standards of care and standards of nursing

practice.

Structure

1. Knoxville TONE Council meets monthly on the 4th Friday of each month for lunch,

rotating meeting sites among member facilities. 2. Educational presentations at each meeting determined by Education

Subcommittee from input received from members. 3. CEU’s for meetings is available as option for $10 through The University of

Tennessee College of Nursing.

Educational Topics

1. January: “Magnet Journey” Janell Cecil, Sr. VP/CNO, The University of Tennessee

Medical Center; Cathy Kerby, Magnet Coordinator, The University of Tennessee

Medical Center; and Laura Barnes, VP/CNO East Tennessee Children’s Hospital.

2. February: “Tennessee Action Coalition: An Update” Carole Myers, PhD, RN,

Associate Professor, University of Tennessee, College of Nursing.

3. March: “Politics & the Profession: How 17 Senators & 50 Representatives can Change Your

Practice” Sharon Adkins, MSN, RN, Executive Director, Tennessee Nurses Association.

4. April: “Moral Distress, Moral Resources: Ethics Services at UT Medical Center”

Annette Mendola, PhD, Director of Clinical Ethics, Associate Professor, Department of

Medicine, The University of Tennessee Medical Center.

5. May: No meeting due to Memorial Day Holiday

6. June: “Tennessee Center for Patient Safety Update” Darlene Swart RN, MS, Vice

President and Clinical Director, Tennessee Center for Patient Safety.

7. July: “Revised Life Planning Forms and Law Changes” Judy Eads, President,

Tennessee End of Life Partnership.

Affiliate of the Tennessee Hospital Association 38

8. August: “Nurse Leader Role in Navigating Diversity” Rickey Hall, Vice Chancellor

of Diversity and Inclusion, University of Tennessee, Knoxville.

9. September: planned program “AONE Conference Updates” AONE Conference

Attendees from Covenant Health and The University of Tennessee Medical Center.

10. October: planned program “THA Updates” Chris Clarke, Sr. VP

Clinical/Professional Practice, Tennessee Hospital Association.

11. November: No Meeting due to Thanksgiving Holiday

12. December: planned program on security issues.

Membership Update

As of August 10, the Knoxville Council has 70 members.

Finance Report Deposits (TONE checks) Nov-Dec 2014: $270.00

Withdrawals Nov-Dec 2014:

Retirement/appreciation gift for Laura Barnes $214.00

UT College of Nursing, CE Agreement $250.00

Balance 12/31/15: $3076.84

Deposits (TONE checks): 2015 YTD $720.00

Withdrawals 2015 YTD:

-Check order $16.65

Current Balance (9/4/15) $3,780.22

Respectively submitted,

Sharon Monday Knoxville Council Chair

Affiliate of the Tennessee Hospital Association 39

TONE ANNUAL REPORT MEMPHIS COUNCIL

OCTOBER 2015

PURPOSE The purpose of TONE is to advance and further develop effective nursing leadership and to facilitate quality nursing care by:

Providing a medium for the interchange of ideas and dissemination of information.

Providing a voice to address current issues and trends that impact nursing and healthcare.

Promoting educational programs and learning opportunities.

Acting as a catalyst or vehicle for promoting standards of care and standards of nursing practice.

The Memphis Council of TONE has embraced these goals as set forth by the TONE State Board.

COUNCIL STRUCTURE The Memphis Council of TONE is comprised of Deborah Hall, Chair. This position began January 2014. Joshua Roberts will begin 2 year term as Chair on January 2016. Pam Dotson serves as Treasurer and Paula Dycus as Secretary. Following elections, Pam Dotson and Paula Dycus will continue current positions beginning January 2016. Judy Bedard is the immediate past Chair of the Memphis Chapter. We continue to honor a survey of the Memphis TONE membership that was conducted in the second quarter of 2014. The meeting day will continue to take place on the first Friday of each month excluding the summer months of June and July. Topics have been based on healthcare challenges, opportunities and best practices... The monthly meetings of the Memphis Council were held at several locations including Baptist Memorial Hospital, 1500 West Poplar and Health Choice located at 1661 International Place. The meetings are at noon on the first Friday of each month. The format of each meeting was as follows.

One hour for speaker presentation including questions

TONE Update

Lunch provided by a local vendor

Education table set up for vendor

Affiliate of the Tennessee Hospital Association 40

GUEST SPEAKERS AND TOPICS FOR 2015

January No meeting/Holiday

February Judy Bookman, L Powerful Ideas for Powerful Leaders

Joshua Clincy & Austin Crain, Smiths-Medical

March Meeting Cancelled due to inclement weather

April No meeting/Good Friday

May Emily Landry, JD Joshua Clincy, PIVC Account Manager, Smiths-Medical

Nursing Issues in Healthcare-Liability Lawsuits Best Practice-Gripper Micro Huber Needle, Continuum of Care for pts with implanted Infusion Ports

Smiths-Medical

June No meeting/Summer Break

August No meeting/Summer Break

September Jackie Barton, RN Training Within Industry (TWI) Training

Joshua Clincy

October Michael Oleksyk, MD, VP Medical Affairs & CMO Baptist Health Care

Transitions of Care Dawn Meek, Janssen Pharmaceutical

November TBA TBA Michael Blaylock, Sage Medical

December Judy Bookman, LCSW, Asst. Director Concern

Leading a Stress-Less Life TBA

MEMBERSHIP UPDATE Membership in the Memphis Council of TONE currently sits at 31 members as of September 2014. We are encouraging members to invite at least one colleague to attend a TONE meeting and consider joining. FINANCE REPORT The balance of the TONE account is $2624.86. Respectfully submitted, Deborah Hall, MSN, RN, CNML

Affiliate of the Tennessee Hospital Association 41

MTONE Annual Report Middle TN Council

October 2015 Purpose

Provide educational resources to develop and promote excellent nursing leadership in the Middle Tennessee area.

Active involvement and advocacy of legislation related to and affecting patient care issues.

To provide networking opportunities for nursing professionals. Topics Presented

Facebook and other social media

TONE membership and MTONE membership

2015 Leadership Summit September 30-October 2

TONE strategic plan with recommendations

Election of MTONE officers

Change of day of week and time for meetings to enhance participation

Scholarships for nursing students offered by TONE Structure of meetings

Lunch/networking

Review/approval of minutes

Treasurer’s Report

Organization updates: THA, TNA

Guest speakers/education

Hot topics/brainstorming

Meetings held at THA building unless otherwise specified

2015 Goals

Increase membership by 10%

Enhance opportunities for members to host meetings in the respective facilities

Phone conference available for meeting attendance

Improve participation through open forum discussion topics

Participate in community event(s)

Affiliate of the Tennessee Hospital Association 42

NORTHEAST COUNCIL REPORT Annual Report 2015

COUNCIL MEETING DATE

LOCATIONS:

Indian Path Medical Center o I was onsite at this location and connected the other two locations via web

conference:

Bristol Regional Medical Center

Holston Valley Medical Center

ATTENDANCE:

17 TOPICS:

NETONE Revitalization: of the council and the purpose of TONE reviewed.

Fall officer elections: as part of the revitalization we need to reorganize and determine a ballot of candidates and formally elect officers. We need to begin the rotation of officers every other year so there is always at least one officer familiar with the activities, etc. Due to her prior experience, I asked Sheri McRae to serve as Secretary until we can conduct the elections.

Surveys to current members and potential eligible members: o I distributed a short survey using Survey Monkey to obtain ideas and

recommendations for speakers, educational opportunities and what they perceive as the top five issues for nursing and healthcare.

o The survey for potential eligible members included the question are they interested in joining TONE.

o Though I only received six responses, I received excellent feedback. I have attached a summary of the survey results at the end of this report.

o I asked the group to consider for the near future an educational session for area nurse leaders. We did this several years ago. It was an all-day session with approximately 125 in attendance.

Legislation: o I reviewed the legislative activity from the TONE Board meeting.

o One member mentioned the South Carolina legislation that was mentioned

during a recent THA meeting that is very troublesome. We discussed the issue and concerns if someone tries to introduce this in Tennessee. It specifically targets nurses. A brief summary is as follows including a link to an article.

S.371 Medication Errors - “Samuel’s Law” by Senator Kevin Bryant

Affiliate of the Tennessee Hospital Association 43

“Response to the death of a mitochondrial child that died from complications initiated by a morphine overdose” to be amended to include language “causing the death of a patient” apply to extreme cases.

The law is directed towards “A nurse whose mistakenly causes a patient or client to fatally overdose on medication could face automatic revoking of their license…”

If passed it “would require the state Board of Nursing to permanently revoke an individual’s license if that individual’s gross negligence in overmedicating or under medicating a patient caused the patient’s death. The law would require the nurse to have misread a doctor’s order to be viewed as negligent.

http://www.southcarolinaradionetwork.com/2015/03/25/panel-oks-bill-to-revoke-nurses-license-for-fatal-errors/

TONE and THA Report: I provided an update of the THA activities including the annual meeting

dates, nursing leadership award, J&J Gala, etc. as reported at the last board meeting.

RECRUITMENT ACTIVITIES:

Membership Drive:

Two new members for April 2015!

I contacted area hospitals and other healthcare facilities, e.g. rehabilitation hospitals, etc. to obtain updated lists of nurse leader names and email addresses. I’m still trying to obtain information from facilities such as the Veteran’s Administration Hospital, etc.

I sent communication and information regarding TONE, an application, purpose of TONE, etc. to potential eligible members.

Survey sent to potential eligible TONE members as new contact info identified. FUTURE MEETINGS:

June 26, 2015 1:00 pm – 2:00pm EST

August 28, 2015 1:00pm – 2:00pm EST Speaker – Chris Clarke

October 23, 2015 1:00pm – 2:00pm EST NETONE survey summary as follows:

Tennessee Organization of Nurse Executives Northeast Council Survey Results April 24, 2015

TOPICS - Recommendations for Speakers

Affordable Care Act Information

Balancing Technology and Spending Time At The Bedside

Creative Ideas of Working With Nursing Students

Affiliate of the Tennessee Hospital Association 44

Critical Thinking Skills - Can It Be Taught?

Discussion of Important Nursing Issues

How Can We Be a Strong Body to Promote Legislation for Nursing Practice?

Institute of Medicine (IOM) Future of Nursing

Nursing Leadership

Nursing Opportunities for Growth e.g. seminars on leadership, government issues related to nursing and how to be more involved in health care on a legislative level.

TOP 5 ISSUES in Healthcare/Nursing for Nurse Leaders

Budget/Finance

Clinical Placements

Cost Efficiency Versus Quality

Cultures of Safety

Current Policy

Documentation

Education of Employees

Hiring the Right People

Increasing the Number of Staff Nurses with BSN's

Leadership Skills

Motivating Teams

Need for More Nursing Leaders at Highest Levels

Nursing Engagement/Accountability

Orthopedic Nursing Plans for Today Patients: Dealing With Difficult Patients in Healthcare and Patient Complaints

Pay Differentials for BSN's

Physician Engagement/Accountability

Restraints

Simulation Staffing - Balancing Safe Practice and Staffing Ratios

Verbal Abuse and Unprofessional Behavior Towards Nurses Respectively submitted by: Sharron Grindstaff, RN, MSN, NEA-BC Chair – Northeast Council TONE

Affiliate of the Tennessee Hospital Association 45

TONE ANNUAL REPORT WEST TENNESSEE COUNCIL

SEPTEMBER 2015

Purpose The purpose of TONE is to advance and further develop effective nursing leadership and to facilitate quality nursing care by:

Providing a medium for the interchange of ideas and dissemination of

information.

Providing a voice to address current issues and trends that impact nursing and

healthcare.

Promoting education programs and learning opportunities.

Acting as a catalyst or vehicle for promoting standards of care and standards

of nursing practice.

The West Tennessee Council of TONE has embraced these goals as set forth by the TONE State Board.

Council Structure

Sherry Graves is the West Tennessee Chair, Co-Chair is Ginger Elder, Susan Twilla serves as Treasurer and Connie Thornburg serves as Secretary. The monthly meeting of the West Council are held at Jackson Madison County General Hospital located at 620 Skyline Drive, Jackson TN, on the third Wednesday of each month at 2PM. The format of each meeting was as follows:

One hour for speaker presentation/questions

Thirty minutes for Best Practice Presentation/questions

TONE updates

GUEST SPEAKERS AND TOPICS FOR 2015

January – Open February – CAUTI Reduction March – Violence in Hospitals April – TnPAP Program

May - Daryl Chansuthus Executive Director – WRAP Speaking on Domestic Violence in the Workplace June – Dr. Teresa Richardson - Executive Masters in Nursing. July –Bedside Reporting

Affiliate of the Tennessee Hospital Association 46

August – Save the Skin! September – Membership Drive Raffertys October – Open November –December – Open

MEMBERSHIP UPDATE Membership in the West council of TONE sits at currently 22 members as of September 2014.

FINANCE REPORT BALANCE AS OF 8/31/2015

SAVINGS $26.17 CHECKING $1143.61

Respectfully Submitted, Sherry Graves West Tennessee Chair