Setting the tone 1974: New Haven Hospice (now Connecticut Hospice) begins hospice home care in the United States, caring for people with cancer, ALS and other lifelimiting illnesses. 1974-78: Hospices and palliative care units open across North America. 1983: Hospice care, usually emphasizing home care, expands throughout the United States. Joint Commission for Accreditation of Hospital Organizations (JCAHO) adds hospice review. 1984: Medicare adds a hospice benefit. 1985: Nursing Care of the Terminally Ill, the first comprehensive text, was published. A co-author is Madalon Amenta who becomes a member of the first Hospice Nurses Association (HNA) Board of Directors and subsequently, HNA’s first Executive Director in 1993, establishing the National Office in Pittsburgh, Pennsylvania. 1986-87: The Hospice Nurses Association; A National Organization traces its origin to the 3rd Western Hospice Nurses Conference held in San Diego, California on June 29, 1986. At this meeting a group of interested professionals met to discuss the need for a national organization for hospice nurses. Over the next six months 65 founding members donated funds to establish a financial base to plan the organization. On November 7, 1986, bylaws for the organization were approved by the general membership. Election of the first Board of Directors took place in January 1987. The board’s first meeting was held in Berkeley, California on April 26, 1987. 1989: HPNA Mission Statement The mission of the HNA shall be to promote the highest professional standards of hospice nursing, and to promote the concept that hospice care is an essential component of the health care delivery system.
Leadership Highlights 1989
• Three Regional Resource persons identified to grow/ support Regional Groups
1990 • •
Hospice Nurses Association: A National Organization (HNA) Board held first strategic planning session President Dorothy Caruso-Herman represented HNA at the National Nurses Day luncheon hosted by First Lady Barbara Bush at the White House HNA had five established active ‘regional groups’ offering local networking Board allotted $1,000 seed money for an ad hoc Certification Committee 275 Nurses from over 30 states were members of the HNA
1993 • • • • •
1st position statement approved: Do Not Resuscitate (DNR) Status in Hospice White House visit with President Clinton by HNA President M. Tubbs and Vice President M. Amenta Appointed first National Board for Certification of Hospice Nurses (NBCHN) The National Board for Certification of Hospice Nurses (NBCHN) was incorporated and offers first specialty exam for registered nurses the following year 1st Executive Director – Madalon Amenta, RN, MN, PhD Established a National Office in Pittsburgh, PA with paid staff Membership grew to over 800
1994 • • • • •
2nd position statement approved: Euthanasia and Physician-Assisted Suicide Association now covered Board members’ travel expenses for Board meetings Four Regional Resource persons identified to grow/ support Regional Groups 1st certification exam for hospice nurses offered by NBCHN with award of Certified Hospice Nurse (CRNH) credential Membership grew to over 2000
1995 • • • •
Organization name changed to Hospice Nurses Association Board terms increased from 2 to 3 yrs; student membership level added Regional Group Task Force formed to strengthen regional group system Inaugural Certified Hospice Nurse (CRNH) of the Year Award presented by HNA to Diana Peirce, RN, CRNH Membership exceeded 2400 nationally
1996
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Celebrated 10th Anniversary and chartered initial 5 chapters: o Alamo o Fort Worth o North Coast Ohio o Washington DC Area o West Central Florida Established official guidelines for chartered regional groups, HNA Guidelines for Regional Groups National office moved to commercial space
1997 • • •
Expanded mission and name to support hospice and palliative care nursing in all end of life settings: Hospice and Palliative Nurses Association New logo developed Implemented proprietary computerized management information system (HPNA MIS) for management of membership and certification database 2nd Executive Director hired – Marty Ayres Barber, PhD, MN, RN
1998 • •
Academy of Hospice Nurses dissolved and joined HPNA; their contributed funds supported the creation of the Hospice and Palliative Nurses Foundation Established the Hospice and Palliative Nurses Foundation whose goal is to provide resources to support hospice and palliative nursing education and research
1999
• Planning began with Academy of Hospice Physicians (AHP) and National Hospice Organization (NHO) for a collaborative Educational Conference in 2000
Leadership Highlights 2000
• Regional Group growth and development plan was initiated • Initiated rotational memberships • 3rd Executive Director hired – Judy Lentz, RN, MSN, NHA
2001 • • • •
Celebrated 15th Anniversary Year Inaugural Innovation in End-of-Life Nursing Care Award presented to Richard Folden, RN, CRNH Collaborated with American Nurses Association (ANA) Call to the Profession National Office expanded and relocated to Penn Center West address Established a Speakers’ Bureau
2002 • • • • •
Approved Complementary Therapies position statement Initiated Regional Group Task Force to strategize revision of Regional Groups into Integrated Chartered Chapter model Founding member of the Hospice and Palliative Care Coalition (HPCC) with American Academy of Hospice and Palliative Medicine (AAHPM) and the National Hospice and Palliative Care Organization (NHPCO); HPNA serves as the Administrative home Nursing Assistant membership level created Collaborated at the national level o John Hopkins Leadership Academy o National Consensus Project – HPNA is the Administrative home Conducted full membership survey
2003 • • • • • • •
Five new position statements approved: o Artificial Nutrition and Hydration in End-of-Life Care o Pain o Palliative Sedation at End of Life o Shortage of Registered Nurses o Value of Professional Nurse in End-of-Life Care Inaugural Annual HPNA Leadership Weekend for Chapter Leadership conducted in Pittsburgh, PA Integrated Chapter Model launched Established role of District Leaders as Chapters Committee Established the Alliance for Excellence in Hospice and Palliative Nursing with National Board for Certification of Hospice and Palliative Nurses (NBCHPN®) and the Hospice and Palliative Nurses Foundation (HPNF) Distinct Licensed Practical/Vocational Nurse (LP/VN) membership level created Board of Directors implemented use of Consent Agenda Volunteer Appreciation Process developed for HPNA member recognition
2004 • • • •
Three new position statements approved: o Evidence-Based Practice o Providing Opioids at the End of Life o Value of Nursing Certification Inaugural Leading the Way Award presented to Florence Wald, BA, MN, MS, PhD Inaugural Distinguished Career Achievement Award presented to Betty Ferrell, PhD, FAAN Inaugural Nurse Competence in Aging Award presented to Judy Orth, RN, C, BSN, MA, CHPN® The Alliance for Excellence in Hospice and Palliative Nursing was incorporated Implemented a Diversity Task Force Formally recognized 120 member volunteers
2005 • • • • • •
One new position statement approved: Value of the Nursing Assistant in End-of-Life Care Inaugural Marion Ryan Artistry in End-of-Life Nursing Care Award presented to Kate Parker, RN Triennial full membership survey completed via webbased service National Office phone line now included promotional messages Journal of Hospice and Palliative Nursing publication increased from 4 to 6 times per year HPNA Nursing Assistant Newsletter publication increased from 4 to 6 times per year Formally recognized 188 member volunteers Newly structured five Standing Association Committees utilizing HPNA member volunteers implemented
2006 • • • •
Two new position statements approved: o Spiritual Care o Value of Advanced Practice Nurse in Palliative Care 20th Anniversary (1986-2006) celebrated Honored 11 past presidents with the Leading the Way Award presentation at the AAHPM/HPNA Annual Assembly in Nashville, TN Recognized 180 member volunteers
2007
• Executive Director title changed to Chief Executive Officer • Recognized 199 member volunteers
Leadership Highlights Highlights Leadership 2008 • • • •
Three new position statements approved: o Role of Palliative Care Nursing in Organ and Tissue Donation o Value of the Licensed Practical/Vocational Nurse in Palliative Care o Withholding and/or Withdrawing Life Sustaining Treatments Inaugural Ruby Jones Nursing Hero Award presented to LuJan Meketi, RN Development of Advanced Practice Mentoring Program approved Public Policy State Ambassadors Program development approved Recognized 199 HPNA member volunteers for their work to advance our organization
2009 • • • • • • •
Revised Mission Statement developed and adopted Approved Assuring High Quality in Hospice and Palliative Nursing position statement 1st cohort of 12 Fellows in Palliative Care Nursing (FPCN) inducted at the AAHPM/HPNA Annual Assembly Board of Director elections were conducted by electronic voting for the first time with an increase in member participation The Advanced Practice Nurse (APN) Mentoring Program initiated with 10 mentor/mentee dyads formed The State Ambassador Program increased from 4 to 14 active HPNA members HPNA President served as Chair of the Hospice and Palliative Care Coalition (HPCC) The HPNA President presented at the National Quality Forum/American Nurses Association Summit focusing on the NQF National Priorities Partnership The HPNA CEO testified at the Robert Wood Johnson Foundation/Institute of Medicine “Future of Nursing” panel The HPNA President-Elect and CEO attended the Oncology Nursing Society Summit on Palliative Care Collaboration Initiated social networking activities: o Facebook o Twitter o ‘Just a Minute’ videos via YouTube An HPNA message for recruitment and retention was created through a “messaging” exercise at the 7th Annual HPNA Leadership Weekend
2010 • • • • • • • • • • • •
Supported a Presence in Washington, DC through Bryan Cave, LLP o Twice invited by Congressman Blumenauer for brainstorming sessions HPNA President and CEO participate in National Priorities Partnership Palliative/End-of-Life Convening Workshop HPNA President appointed as Hospice and Palliative Care Coalition (HPCC) representative to the National Priorities Partnership Drug Disposal Guidelines and Social Media Guidelines developed 2nd cohort of Fellows in Palliative Care Nursing brought the total Fellows to 27 The State Ambassador program increased to 20 active HPNA members Inaugural Friend of HPNA Award presented to Congresswoman Lois Capps of California Joined the Palliative Care Pediatric Collaborative HPNA President served as Chair of the HPCC 8th Annual Leadership Weekend conducted in Pittsburgh, PA with 83 attendees National Office workspace expanded Social Media activities expand to include: o 2010 International Year of the Nurse HPNA Memorial Photo Tribute using Flickr PhotoStream o ‘Live Chats’ via email with website archiving o ‘You Tell Us’ quick surveys 292 HPNA members are recognized for their service to the organization
2011 • •
25th Anniversary celebration recognizes our 16 Past Presidents during the 8th AAHPM/HPNA Annual Assembly in Vancouver, BC, Canada: o Dorothy Caruso- Herman (1987-1989) o Brenda Yeadon Clarkson (1990-1991) o Virginia Shubert (1992) o Michele Tubbs (1993-1995) o Ken Zeri (1996) o Susan Mann (1997-1998) o Elizabeth Pitorak (1999) o Molly Poleto (2000-2001) o Jane Kirschling (2002-2003) o Connie Dahlin (2004) o Linda Gorman (2005) o Bridget Montana (2006) o Janet Snapp (2007) o Jane Sidwell (2008) o Meg Campbell (2009) o Susan Cox (2010) A third cohort of 5 Fellows in Palliative Care Nursing brings the total Fellows to 32