President’s Report of 2011 Highlights for the HPNA Annual Membership Meeting JoAnne Reifsnyder, PhD, ACHPN® 2012 President of HPNA Board of Directors
Our agenda includes the introduction of the 2012 HPNA Board of Directors and those staff members who are at the conference. Introductions will be followed by the President’s Report, the Financial Report, Awards Recognition, New Business followed by a Questions and Answer period and then of course, Adjournment. The 2012 HPNA Board of Directors are: Barb Cliff, President-elect Lorrie Bearrows, Secretary/Treasurer Jody Chrastek, Chair of the Planning and Resources Committee Todd Hultman, Immediate Past President Judy Bartel Susan Cox Jennifer Gentry Barb Head Bev Paukstis Maryjo Prince-Paul Barb Usher Denise Stahl, NBCHPN® President (ex-officio) National Office Staff in attendance at this conference are: Judy Lentz, CEO Deena Butcher, Chief Operating Officer Nancy Grandovic, Director of Education Services Amy Killmeyer, Administrative Assistant for HPNF and NCHPC Sharon Kretschmer, Director of Development June Lunney, Director of Research Karen Michael, Executive Administrative Assistant Chad Reilly, Director of Membership Sandra Lee Schafer, Director of Certification Dena Jean Sutermaster, Director of Education Products Dawn Zwibel, Assistant Director of Certification To continue on with the President’s Report, 2011 was a very successful year. This report highlights the major achievements of HPNA in 2011 under the leadership of Todd Hultman and the HPNA Board of Directors and in collaboration with the CEO and National Staff.
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Guided the work of the 5 Board Committees o o o o o
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Audit and Assessment Committee Board Development and Leadership Committee Executive Committee Finance Committee Planning and Resources Committee
Guided the work of the 6 Standing Association Committees o o o o o o
Chapters Committee Education Products Committee Education Services Committee Membership Committee Public Policy Committee Research Committee
Please note the chairpersons and members of these committees, as they are identified in the specific committee report found later in this document. If you are interested in being involved in any of these committees, notify the National Office or respond to the Call for Volunteers in September. Throughout 2011, HPNA celebrated its 25th anniversary. The first major event was the Anniversary Dinner at the Annual Assembly in Vancouver, BC, Canada. In tandem with this event, HPNA hosted a history room with memorabilia covering its 25-year history. At the Plenary Event to highlight HPNA, the first 16 presidents of the Board of Directors of HPNA were honored. The celebrating continued to the Leadership Development weekend, where local leaders had the opportunity to learn more about HPNA’s history and was woven into our 5th Clinical Practice Forum held in Pittsburgh, PA. And finally, the Journal of Hospice and Palliative Nursing launched a new cover to honor the anniversary and published a supplement to highlight the history of palliative nursing over the past 25 years. 2011 Award Recipients were: HPNA Leading the Way Award - Madalon O’Rawe Amenta, PhD, MN, RN HPNA Distinguished Career Achievement Award - Patricia Murphy, PhD, APN, FAAN, FPCN HPNA Distinguished Researcher - Neville E. Strumpf, PhD, RN, FAAN HPNA New Investigator Award -Terrah L. Foster, PhD, RN Ruby Jones Nursing Hero Award - Carma Erickson-Hurt MSN, APRN, ACHPN, LCDR USN (ret) Friend of HPNA Award - Representative Carolyn McCarthy The HPNA Board of Directors completed a yearlong process for creating the 2012-2015 Strategic Plan guided by our mission statement, feedback from the membership survey, focus groups at Leadership Weekend, the 6 Standing Association Committees as well as the 5 Board committees.
In focusing on the pillars of our mission, the following activities are highlighted: Leadership Development • Continued active participation in the National Coalition for Hospice and Palliative Care • Held conjoint board meeting with the Board of Directors of ONS which will lead to future coordination of efforts on behalf of nursing • As an Affiliate member of ANA, representatives sent to provide HPNA’s voice in multiple areas • HPNA Board President chaired the Alliance for Excellence in Hospice and Palliative Nursing Board of Trustees Education Resources • Approved revisions for 9 existing position statements: “Legalization of Assisted Suicide”, “Artificial Nutrition and Hydration in Advanced Illness”, “Complementary Therapies in Palliative Care Nursing Practice”, “Palliative Sedation”, “Role of Palliative Care Nursing in Organ and Tissue Donation”, “Shortage of Registered Nurses”, “Value of the Licensed Practical/Vocational Nurse in Palliative Care”, “Value of Professional Nurse in Palliative Care”, and “Withholding and/or Withdrawing Life Sustaining Treatments” • Approved 3 new position statements: “Role of Nurse When Hastened Death is Requested”, “Reporting and Management of Medication Errors in the Home”, and “Role of Nurses When Hastened Death is Requested” • Held the 5th Clinical Practice Forum with record attendance • Board leadership participated in the Alliance Summit that focused on messaging to the Public • Provided E-Learning webinars for more than 1400 participants • Provided 50 CE requests • Approved 921 Approved Educators, which is the most ever • Teaching Sheets expanded to include sheets in English, Spanish and Mandarin Chinese which receive more than 10,000 hits on the website • Completed two new educational products and revised four others • HPNA held 6 ‘Live Chats’ in 2011. All members are welcome to participate in discussion on a variety of topics • Social media efforts have yielded great results with more than 1200 members following HPNA on Facebook and nearly 900 on Twitter • Membership levels reached an all time high with over 10,558; 4 chapters were awarded their charters (we now have 51 chapters and 23 provisional groups) • JHPN generated an increased number of manuscripts necessitating increasing the number of issues from 6 to 8 beginning in 2012. The journal year ended with a special edition focusing on our 25 year history in education, certification, research, practice, and public policy Research support • Completed the compilation and approval of the 2012-2015 Research Agenda • 4 participants were selected to participate in the Kathleen Foley Palliative Care Retreat and Research Symposium • Established the recommendations for the research strategic plan for 2012-2015
Now I would like to ask Connie Dahlin and Barbara Head to come forward to be recognized. Connie co-led the Planning Committee for this last year and will again serve as co-chair for the 2013 conference. Barb co-led the scientific committee this past year. Connie has shared how wonderful this experience has been – it is a truly collaborative relationship with AAHPM. The expertise provided by these individuals is outstanding and makes us very proud. As you can tell, it has been a busy but productive year. We look forward to continued growth in 2012 as we look forward to implementing our new strategic plan and select the successor for the CEO position. Financial Report for 2011 Revenue Shared Expense Education Membership Dues Grants Miscellaneous GRAND TOTAL:
$365,914 $817,120 $708,472 $69,648 $394,579 $2,355,733
Administrative National Board Educational Grants Journal/Newsletter Miscellaneous GRAND TOTAL:
$1,031,829 $336,967 $164,810 $250,738 $5,487 $322,677 $124,468 $2,236,976
Expenses
Awards Recognition In 2011, we recognized over 350 HPNA member individuals who volunteered their services as committee leaders and members, chapter leaders, teleconference presenters, authors, newsletter writers, reviewers, etc to do the work of HPNA. Our organization would not be as successful as we are without these individuals. We are so grateful for assistance received and urge others to offer their time, talents and energy. HPNA would like to recognize and thank every person who offers their assistance in any way, however this year we have 8 individuals that we would like to recognize for going ABOVE AND BEYOND in providing volunteer service to the mission of HPNA, and they are: Meg Campbell, Connie Dahlin, Linda Gorman, Debbie Monaghan, Pam Ortner, Sandy Chen Stokes, Sylvette Tiradocrespo and Christine Westphal. And now we would like to honor the recipients of the 2012 HPNA awards! The Friend of HPNA Award for 2012 is given to Dr. Donna Shalala for her role as chair of the Committee on the Future of Nursing Report at the Institute of Medicine of the National Academy of Sciences. This report has far reaching implications over the next decade.
At the closing session of the conference, we will recognize 5 deserving members as Fellows in Palliative Care Nursing as they are inducted as the class of 2012: • • • • •
Patricia Berry, PhD APRN ACHPN® FAAN FPCN Karen Kehl, RN PhD ACHPN® FPCN Virginia Marshall, MSN ACNP-BC ACHPN® FPCN Kerstin McSteen, RN MS ACNS-BC ACHPN® FPCN Sandra Muchka, RN MSN ACNS-BC ACHPN® FPCN
The HPNA Outstanding Research Abstract at the Annual Assembly award goes to Joy Buck, PhD, RN. This award recognizes an outstanding research abstract chosen from the presentations and posters selected during the research call. The HPNA New Investigator award recipient is Karen Kehl, PhD, RN. This award recognizes an HPNA nurse at the beginning of his or her research career who has performed superior research focused on clinical care, professional development or the advancement of hospice and palliative nursing. Kathleen Puntillo RN, DNSc, FAAN is the 2012 Distinguished Researcher. Dr. Puntillo is Professor Emeritus and Research Scientist at the University of California, San Francisco. She has an active and long-standing program of research on pain in critically ill and injured patients and procedural pain. Dr. Puntillo has expanded her research to include investigations of symptom assessment and management in intensive care unit (ICU) patients at high risk of dying. The 2012 Distinguished Career Achievement Award recipient is our own Judy Lentz, RN, MSN, NHA. As you are well aware, Judy will soon be retiring. We are so pleased to honor her at this time with the 2012 Distinguished Career Achievement Award and know how deserving she is having been such a strong leader for our organization for the past 12 years. Throughout her tenure, HPNA has increased membership 500%, grown the chapter structure by 500%, grown products by 600% and services well beyond our wildest dreams. HPNA is now highly recognized nationally as an educational and research leader, as a public advocate, and is frequently sought for expertise and collaboration by numerous external organizations and entities. What a legacy to attest to the strength of Judy’s leadership. And finally, HPNA’s most prestigious award, the 2012 Leading the Way Award recipient is Dr. Virginia Tilden. Of particular note is that Dr. Tilden has received continuous National Institutes of Health funding over the past 20 years for research on improving care at the end of life, focused especially in three areas: advance care planning; the impact on families of making decisions to withhold or withdraw life-sustaining treatment; and palliative end-oflife care in nursing homes. We extend our gratitude to Dr. Tilden for the long-standing work she has done in our field and look forward to a lasting relationship with her in the future. This completes the 2012 HPNA Business Meeting. The 2011 Standing Association Committee Reports, noted below, are also posted on the HPNA website. Chapter Committee Report The following Chapters have chartered in 2011: • Phoenix, Arizona • Hawaiian Islands
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Los Angeles Regional Lake City/Gainesville, Florida Greater Palm Beaches/Treasure Coast, Florida River City HOPE (Columbus, Georgia) Middle Tennessee Chapter (Nashville Area) North Alabama Southeast Atlantic (Savannah, Georgia) Florence, South Carolina
Committee Members Linda Freda, FL (completed term in July 2011) Kelli Gershon, TX (completed term in July 2011) Patra Holland, NC (completed term in July 2011) Andrea Holtzer, NY (completed term in July 2011) Susan Zorb, MA (completed term in November 2011) Lori Hedges, IL, Chair Nancy Auster, FL Denise Bauer, OH Linda Gorman, CA Belinda Ladner, TX Deborah Medakovich, NY Marsha Opalach, NJ Susan Sovine, NC Jody Chrastek, MN, Board Liaison Jennifer Gentry, NC, Board Member Chad Reilly, National Office Staff Nancy Tropeck, National Office Staff The Chapters Committee supports the mission and growth of HPNA through the development and growth of integrated chapters. During the period July, 2010 through July, 2011 the Chapters Committee: • Recommended renewal of charter for 39 chartered Chapters • Recommended award of charter to 11 Provisional Groups • Coordinated and conducted HPNA’s 9th Annual Leadership Weekend for 76 Chapter and Provisional Group leaders in Pittsburgh, PA • Provided support and mentoring to 23 Provisional Groups and numerous HPNA members, who inquired about forming a new Group in their local area • Worked collaboratively with the Oncology Nursing Society (ONS) to hold inaugural joint networking session for Chapter and Group leaders during the Annual Leadership Weekend event. • Created an HPNA 25th Anniversary Video and Memory Book, which launched at the 2011 AAHPM/HPNA Annual Assembly in Vancouver, BC, Canada and contained testimonials from local Chapter leaders • Reviewed and updated the Chapter Manual and Chapter Treasurer’s Manual • Designed and launched an HPNA Chapter Awards Program, which includes the following awards: Chapter Excellence, Communication Award, and Recruitment and Retention Award. • Created HPNA’s 8th Chapter District and reorganized its current District boundaries, enabling Chapters and Groups to develop a close relationship with an experienced District Leader in its dedicated geographic area • Created a “Chapter Template Library” online, which includes customizable Chapter/Provisional Group related documents and materials
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Created a FREE online course for Chapter members related to the new online election process Conducted 3 Chapter specific meetings during the 2011 AAHPM/HPNA Annual Assembly in Vancouver, BC, Canada Further developed the “Critical Analysis of Chapters” tool to help District Leaders identify potential areas of improvement for local Chapters
Education Products Committee Report Committee Members Christine Westphal, MI, Chair Pam Fordham, AL Sharon Groschwitz, OR Barbara Head, KY Mary Hersh, CA Caroline Schauer, ND Deanna Tansey, OH Jody Chrastek, MN, Board Member Barbara Cliff, PA, Board Liaison Jennifer Gentry, NC, Board Member Dane Semonian, National Office Staff Dena Jean Sutermaster, National Office Staff The Education Products Committee is responsible for the development of education products that improve clinical practice through education and fostering sensitivity to all levels of practice for the membership. In 2011, the Education Products Department and Committee: • • •
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Presented the VA National Palliative Care Nursing Assistant (PCNA) Leadership Conference in Orlando, FL Developed 4 Leadership Modules presentation for VA nurses Finalized new and revised products o 5 Books: Core Curriculum for the Pediatric Hospice and Palliative Nurse Conversations in Palliative Care (3rd edition) Compendium of Treatment of End Stage Non-Cancer Diagnoses: Heart Failure (2nd edition) in hard copy and e-books formats Compendium of Treatment of End Stage Non-Cancer Diagnoses: Renal (2nd edition) Compendium of Treatment of End Stage Non-Cancer Diagnoses: Pulmonary (2nd edition) o 7 2-part Web Courses Veterans Clinical Review for the Hospice and Palliative Nursing Assistant Developed and Revised Position Statements o 3 New The Nurses Role in Advance Care Planning Reporting and Management of Medication Errors in the Home Role of Nurses When Hastened Death is Requested o 9 Revised Artificial Nutrition and Hydration in Advanced Illness Complementary Therapies in Palliative Care Nursing Practice Legalization of Assisted Suicide Palliative Sedation Role of Palliative Care Nursing in Organ and Tissue Donation
Shortage of Registered Nurses Value of the Licensed Practical/Vocational Nurse in Palliative Care Value of Professional Nurse in Palliative Care Withholding and/or Withdrawing Life Sustaining Treatments
Education Services Committee Report Committee Members Debbie Monaghan, CA, Chair Jocelyn D’Antonio, NY Carma Erickson-Hurt, OR Marilyn Graves, MD Ju-Lu Kuo, CA Bronwyn Long, CO Rhonda Oakes-Perrin, TN Don Payette, PA Sharon Tulloch, FL Judy Bartel, OH, Board Member Lorraine Bearrows, IL, Board Liaison Nancy Lynn Benninger, National Office Staff Nancy Grandovic, National Office Staff The Education Services Committee is a standing committee of HPNA that’s supports the education focus (education programs and education resources) of the organization supporting and fostering sensitivity to all levels of practice for the membership. The committee meets monthly via conference calls and also communicates via email as needed to report on the progress of projects. Overview of the Education Services Department and Committee HPNA Approved Educators • HPNA Approved Educators – 921 • January 2011 – launched online Approved Educator course E-Learning • 33 online courses– CE’s offered (30 – nurse focused & 3– administrator focused) • 6 free courses Nursing Assistant Teleconferences offered monthly • Over 550 Nursing assistants participated Teaching Sheets • 3 types offered – English, Spanish, Chinese o Patient/Family – 34 posted on website - free o TIPS – focused to the Nursing Assistant – 20 posted on website - free o Quick Information – brief concise information – 13 posted on website – free • Fulfilled 85 orders (5,757 sheets) from facilities requesting their logo added to HPNA teaching sheets AAHPM/HPNA Annual Assembly • Offered 8 HPNA preconferences 5th Annual Clinical Practice Forum - September 16-17, 2011, Pittsburgh, PA • Over 300 in attendance ELNEC-Core Train-the-Trainer Courses • Sponsored 3 courses • Over 360 attended Request for CE’s • Awards ANCC CE’s and CA Board of Nursing CE’s
• Awarded CEs for over 60 programs HPNA Page Hits • Teaching Sheets – 143,528 • E-Learning – 19,926 • Approved Educator – 19,151 Created QR code for easy access to Education Services
Membership Committee Report Committee Members Jessica Weinberger, TN, Chair Maureen Asper, PA Nicole Curran, FL Debbie Gunter, GA Andrew Martin, MA Cyndi Rohret, IA Nanci Tansey, SC Judy Bartel, Board Member Gina Wieger, Board Liaison Deena Butcher, National Office Staff Chad Reilly, National Office Staff Nancy Tropeck, National Office Staff The Membership Committee is responsible for the overall promotion of membership and membership activities (recruitment and retention) and reports to the Planning and Resources Committee of the HPNA Board of Directors. In 2011 the Membership Committee: •
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Reviewed/discussed 2011 membership retention goal and membership growth goal on a monthly basis. Strategies implemented include revision of Welcome email and increased electronic contact with new members. Reviewed current HPNA membership fees in comparison to those of other nursing associations of similar size. Forwarded recommendations regarding 2012 membership dues increase to the Planning and Resources Committee. Developed and implemented the full HPNA Membership Survey which is completed every three years. Reviewed the results of the full HPNA Membership Survey including all comments related specifically to membership satisfaction and renewal. Reviewed counts of those accessing Members Only area of HPNA website and discussed Members Only content. Committee Chair participated in the 2011 Leadership Weekend. Committee provided input to the HPNA Board of Directors Strategic Planning.
Public Policy Committee Report Committee Members Pamela Ortner, MI, Chair Deborah Thorpe, UT Christine Harlander, IA Sheila Grant, DE Kate Dougherty, CA Susan Cox, NC, Board Liaison Beverly Paukstis, MD, Board Member Chad Reilly, National Office Staff Nancy Tropeck, National Office Staff The Public Policy Committee assesses the significance of Federal legislative proposals and actions relevant to hospice and palliative care, provides feedback, and makes recommendations regarding actions plans to the Planning and Resource Committee. In 2011, the Public Policy Committee: • • • • • •
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Followed federal legislation based on the guiding principles approved by the HPNA Board of Directors Collaborated with multiple healthcare organizations, including NHPCO, AAHPM, CAPC, and ANA, in the dissemination of policy advocacy efforts and successes Secured Congressional testimony on behalf of Congresswoman Carolyn McCarthy celebrating HPNA’s 25th Anniversary Supported 2 HPNA members to attend the Nurse in Washington Internship (NIWI) training held in Washington D.C. Reviewed and further developed the HPNA Legislative Assistant, a monthly e-newsletter dedicated to informing members of current legislative and policy priorities Organized a Preconference Workshop for the 2011 AAHPM/HPNA Annual Assembly, titled “Climbing Up Capitol Hill and Loving It: Influencing Health Care through Legislation and Advocacy”. Reviewed and updated the ‘Get Involved in Advocacy‘ pages of the HPNA website. Provided oversight and guidance to the HPNA State Ambassador Program, which allows HPNA members to assist with policy/advocacy efforts as directed by the Board of Directors and Public Policy Committee on the national and state levels. This program grew to 35 actives members in 2011. Developed ‘1 Pager’ template to be used by Bryan Cave, LLP, during its legislative visits on behalf of HPNA. This ‘1 Pager’ provides topic points, vital statistics, and ‘An Ask’ from HPNA related to a specific topics. Presented free online chat events, including guest presenters from the Public Policy Committee Recommended nominations for the 2011 “Friend of HPNA Award” Initiated the development of a free Advocacy Training online course for the members of HPNA, which is to be released in early 2012 Planned an advocacy training event for local Chapter/Group leaders, which was held during the 2011 HPNA Leadership Weekend. Conducted and published a formal interview series with Congressional leaders, which will be posted in 2012 HPNA members publications. Further developed relationships with Congressional leaders by numerous member-level meetings on Capitol Hill. Communicated legislative and advocacy information, updates, and alerts through the HPNA e-newsletter, Public Policy Special Interest Group, State Ambassador Program, HPNA Website, and HPNA LISTSERV
Research Committee Report Committee Members Ruth Remington, MA, Chair Suzanne Prevost. KY Keela Herr, IA Maryjo Prince-Paul, OH Mi-Kyung Song, NC Barbara Head, Board Member Joy Buck, Board Liaison June Lunney, HPNA National Office Staff The Research Committee is responsible for guiding HPNA's support of palliative care research as defined by the Strategic Plan. During 2011, the Committee accomplished the following • •
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Developed the 2012-2015 HPNA Research Agenda with input from a survey of HPNA members. Augmented the Research Scholars Program with an opportunity for past Scholars to apply to return to the Kathleen Foley Research Retreat if space is available after accepting well-qualified new applicants. Four HPNA members (including one repeat scholar) attended the 2011 Retreat and reported enthusiastically about the benefit of the networking experience. Collaborated with AAHPM to offer research consultations at the 2011 Annual Assembly, an opportunity for members to meet with a senior research to discuss issues regarding the submission of competitive abstracts, manuscripts and grant applications. Made recommendations to the Board regarding the HPNA New Investigator and Distinguished Investigator Awards. Worked with the HPNA Policy Committee to issue a Call to Action soliciting comments for the proposed strategic plan for the National Institute of Nursing Research. Evaluated the review results for abstracts submitted by HPNA members for the 2012 Annual Assembly and made recommendations for a top abstract award. Judged posters presented at the 2011 Annual Assembly and recommended two top poster awards. Collaborated with the AAHPM Research SIG to develop a symposium for the 2012 Annual Assembly Developed recommendations related to research for the HPNA Board’s strategic planning process