In The News

ANA Responds to the Administrations Report on Reforming America's Healthcare System 

December 4, 2018 

The Department of Health and Human Services (HHS), in collaboration with the Departments of the Treasury and Labor, the Federal Trade Commission, and several offices within the White House, has released a report titled Reforming America’s Healthcare System Through Choice and Competition. The report is recommendations to improve the health care workforce and labor markets, health care provider markets, health care insurance markets and consumer-driven health care.

The American Nurses Association (ANA) is pleased that the report recommends broader scope-of-practice (SOP) statutes for all health care providers, including advanced practice registered nurses (APRNs), that allow them to practice to the top of their license and full skill set. ANA is gratified that the report advises eliminating rigid “collaborative practice” and supervision requirements which can impede consumer’s access to care and limit the ability of providers to diagnose and treat a myriad of health care conditions. Removing these barriers to optimal practice is essential for underserved populations and in rural areas where patients rely on APRNs for timely care and lifesaving treatment.

The research is vast and the evidence is clear – nurses consistently deliver high quality care with positive patient outcomes. The Institute of Medicine (now the National Academies of Sciences, Engineering, and Medicine) in its 2010 report, “The Future of Nursing: Leading Change, Advancing Health,” clearly stated that APRNs “should be allowed to practice to the full extent of their education and training.” APRNs practice advanced nursing, not medicine, in which they regularly consult, collaborate and refer as necessary to ensure that the patient receives appropriate diagnosis and treatment.

While some states have granted full practice authority to APRNs, there is still significant room for improvement. ANA will continue to advocate strategies, legislation and regulations, such as the 2016 Department of Veterans Affairs Advanced Practice Registered Nurses Rule, that support APRNs and their proven ability to care for patients. ANA supports the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education that was agreed to in 2008.  The four roles included within the APRN Consensus Model are Nurse Practitioner (NP), Certified Nurse Midwife (CNM), Certified Registered Nurse Anesthetist (CRNAs), and Clinical Nurse Specialist (CNS).

 

Join The CNA Conference Planning Committee!

The Colorado Nurses Association (CNA) is looking for volunteers to join the 2019 Conference Planning Committee.  This is your opportunity to get involved with CNA!

We are looking for volunteers to help develop the program, engage more members and ensure we are offering continuing education that the CNA membership wants and needs. The 2019 theme is: Planning For The Future of Nursing.

We are hoping to have a workforce track, topics of leading science and clinical practice, and more, but we need your help. In addition to the CNA Annual Conference, the CNA Continuing Nursing Education Advisory Council will be offering a track on Getting a Return on Investment in Continuing Nursing Education and Professional Development.

The CNA Conference Planning Committee will be holding an interest meeting on Monday, January 14 at 11:30AM for those of you interest in knowing more. Join in person or by phone to learn more about the committee and the role. The committee will meet once a month starting in February 2019; in-person and call-in options will be available.

In January, you will learn more about the time commitment and needs of the committee but are not obligated to continue if it doesn’t sound like a good fit.

Please RSVP to [email protected] by January 9. We hope you will join us to learn more and get involved with CNA!

 

Updates to Sunset Review Process December 4, 2018

 The Colorado Professional Nursing Association Coalition is a group of 30 plus representatives of Colorado based Professional Nursing Associations who have come together to align the priorities for proposed statutory language for the Colorado Nurse Practice Act.  The group has been meeting monthly since July 2018.

Colorado Nurses Association (CNA) President Donna Strickland is serving as facilitator of the Coalition group and Colleen Casper; Executive Director of CNA is serving as staff support to the process.  CNA Government Affairs & Public Policy is also involved in a simultaneous process of identifying priorities for statutory language of the Colorado Nurse Practice Act.  There is significant overlap between the two groups in terms of individuals who are members of both groups.

 There are currently 5 Work Groups consisting of close to 200 RN volunteers from the nursing community at large to assist in the statutory language review.  The Work Groups are also researching best practices and/or evidence to suggest changes to the Colorado Nurse Practice Act.  The 5 Work Groups are:
1)    APRN Sunset Review Work Group;

2)    Delegation Sunset Review Work Group;

3)    Education Related Sunset Review Work Group;

4)    LPN Scope of Practice Sunset Review Work Group; and,

5)    Peer Health Assistance Services Sunset Review Work Group.

Each Work Group has presented to the Coalition their priority recommendations for the Colorado Nurse Practice Act Sunset Review, in collaboration with the CNA GAPP Committee. Both groups next step is to finalize recommendations and action steps. Once finalized, talking points will be developed and distributed broadly to the Colorado Nursing Community as well as to all broader stakeholder groups who have interest in the practice of nursing in Colorado.  We anticipate a February 2019 deadline for finalization of priorities and recommendations to be presented to the Colorado Office of Policy Research and Regulatory Reform (COPRRR).

COPRRR conducts the audit of the State Board of Nursing and the Nurse Practice Act on behalf of the Department of Regulatory Affairs and reports their results to the Colorado Legislature.

COPRRR closes stakeholder input in May of 2019. Our intention is to share the aligned priorities from the Coalition, Work Groups and CNA GAPP Committee in written detail to COPRRR.  COPRRR will compile their findings and provide recommendations to Legislators in October of 2019.   The 2020 Legislature will act on the recommendations of COPRRR.  CNA and the Coalition will work closely with the 2020 Legislature in any legislative effort to change the Colorado Nurse Practice Act.

 

Spread The Word About Open Enrollment

December 3, 2018

The open enrollment period for individual health insurance for 2019 – with coverage options accessible via Healthcare.gov – runs from Nov. 1 through Dec. 15, 2018.  
The open enrollment period is the only opportunity for individuals to enroll or re-enroll in an existing exchange plan for coverage for calendar year 2019. All consumers can access federal and state exchanges via Healthcare.gov

Consumers enrolled in a plan in 2018 who fail to update their information by Dec. 15 will be automatically re-enrolled in the same or similar plan for 2019 (and must pay their premium for January to maintain coverage); consumers who were not enrolled in 2018 and do not sign up for a plan for 2019 will be locked out of exchange coverage until 2020.

ANA encourages nurses and all other health care professionals to remind their patients to sign up during open enrollment by visiting HealthCare.gov.

 

Colorado Department of Healthcare Policy & Finance Notice of Rule Changes

November 29, 2018

The Department of Health Care Policy and Financing - Medical Services will be holding a rulemaking hearing on Friday, January 11th, 2019, 9:00 am on rules regarding Timely Filing. The hearing will be held at: 303 East 17th Avenue, 11th Floor, Denver CO 80203.

The purpose of this rulemaking is: 

 

The proposed Timely Filing Rule is to update the restriction placed on how quickly providers must submit health care claims to Health First Colorado. Prior to the implementation of the Colorado interChange, timely filing was set at 120 days. Some providers experienced billing difficulties during the implementation, so the Department issued a temporary extension of the time frame. Initially, the timely period was extended to 240 days, and then further increased to 365 days, which is the maximum allowed under federal regulations. The Department has reassessed the policy and decided to make this temporary extension a permanent change to assist providers in health care claims submissions and to align with federal regulations.

If you believe there will be a significant negative impact on small business, job creation or economic competitiveness, you may request that the Department of Regulatory Agencies require the rulemaking agency to prepare a cost-benefit analysis of a proposed rule or amendment. This request must be made to the Department of Regulatory Agencies by Saturday, December 15th, 2018.

You may also submit comments directly to the rulemaking agency for the agency's consideration during the upcoming rulemaking hearing.

 

The Department of Health Care Policy and Financing - Medical Services will be holding a rulemaking hearing on Friday, January 11th, 2019, 9:00 am on rules regarding School Health Services Program. The hearing will be held at: 303 East 17th Avenue, 11th Floor, Denver CO 80203.

The purpose of this rulemaking is: 

 

The proposed changes to the SHS rules are to maintain the 120 days for timely filing and not have the SHS Program go with the new update to 365 days to submit claims. Changing to 365 days would have a negative impact on the school districts because it would delay payments to the school districts. In addition if we do not update the SHS rules the SHS state plan amendment would have to be updated as the two would be contradicting each other.

If you believe there will be a significant negative impact on small business, job creation or economic competitiveness, you may request that the Department of Regulatory Agencies require the rulemaking agency to prepare a cost-benefit analysis of a proposed rule or amendment. This request must be made to the Department of Regulatory Agencies by Saturday, December 15th, 2018.

You may also submit comments directly to the rulemaking agency for the agency's consideration during the upcoming rulemaking hearing.

 

The Department of Health Care Policy and Financing - Medical Services will be holding a rulemaking hearing on Friday, January 11th, 2019, 9:00 am on rules regarding Psychiatric Residential Treatment Facili. The hearing will be held at: 303 East 17th Avenue, 11th Floor, Denver CO 80203.

The purpose of this rulemaking is: 

 

The Psychiatric Residential Treatment Facility (PRTF) and Residential Child Care Facility (RCCF) rule section at 10 C.C.R. 2505-10, Section 8.765, requires an update to reflect the most current diagnostic manual, agency names, statutory references, State Plan Amendments, assessment tools, and federal requirements concerning restraint and seclusion. To align the rule with current practice, the update also identifies the Colorado Department of Human Services' (CDHS) Office of Behavioral Health (OBH) as the agency responsible for designating and licensing RCCFs and the requirement that PRTFs be certified by CDHS has been removed. Finally, the update includes a provision concerning RCCFs' ability to enroll as a separate provider type to render medically necessary services not included in the RCCF benefit. While this has always been the case, it is not specified in the current rule.

If you believe there will be a significant negative impact on small business, job creation or economic competitiveness, you may request that the Department of Regulatory Agencies require the rulemaking agency to prepare a cost-benefit analysis of a proposed rule or amendment. This request must be made to the Department of Regulatory Agencies by Saturday, December 15th, 2018.

You may also submit comments directly to the rulemaking agency for the agency's consideration during the upcoming rulemaking hearing.

We hope this information is helpful to you. Thank you for taking the time to participate in the rulemaking process.

 

 
<< first < Prev 1 2 3 4 5 6 7 8 9 10 Next > last >>

Page 3 of 44