If you are anything like me, everywhere you turn you are hearing about the opioid epidemic. Michigan statistics from multiple sources report unintentional drug poisoning deaths on the rise, and the majori- ty being opioid and heroin related. In 2015, Michigan saw its third con- secutive year of record drug overdose deaths. That year, 1,981 people died from drug overdoses, up 13.5% from 2014, ranking us 18 th nation- ally. Also, if you are like me, you may find yourself overwhelmed by this war, or wondering what possible impact you personally can have in what may feel like a “David and Goliath” conflict? Like me, you may also have updated your DEA, and you committed to following chronic pain patients closer? Maybe you are working hard to assure you are integrating the CDC guidelines for prescribing opioids for chronic pain? In recent months, I have been driven to deeper contemplation about who I am as a nurse and what that means in this health-related epidemic. A muddy epidemic storm catalyzed by mental health issues, social norms and expectations, physiologic and biochemical dependency and reactions, ultimately mixed with management of pain, a completely subjective experience. I learn more and more “how to’s” but find myself more often asking what is the essence of me, and my colleagues, as nurses in this fight? Despite all my education and practice, never in my career, have I seen a greater need to revisit and energize the actualization of my foundation - a foundation of caring. The value for the theoretical foundations for what we do as nurses is visible and valid in our war on addiction. Caring and nursing are so interwoven that nursing would not be nursing without the act of caring. But what does this mean in caring for an addict? Or in caring for the family of an addict? Earlier this year at a public town gathering in a rural Michigan community, I heard the un- censored testimonies of several addicts who are currently using, addicts in recovery, and par- ents whose children lost the battle of addiction. Their testimonies carried one theme, simple but profound; each spoke of the need for “someone to care” and take interest in their strug- gle. They spoke of addiction already being so isolating and stigmatizing that it was unanimously the intentional “moving toward them” by someone else (often a stranger) to begin the first step of the recovery journey. As nurses, we are everywhere! We hold posts in families, community organizations, and professional settings. The essence of what we do, and who we are, can provide an unwritten network of caring for those around us struggling in the darkness of addiction. We are in posi- tions to move toward addicts, those recovering and families affected. As we wage war against the power of the opioid crisis, where do you see your own personal impact? Ideas/resources for involvement : -Know and implement the CDC guidelines for prescribing opioids in your practice -Help families and at-risk communities to obtain Narcan Training -Participate in community gatherings that are talking openly about the epidemic and working on local actions -Familiarize yourself with treatment options in your area especially Hope Not Handcuffs. -Consider moving into addiction treatment in your practice with medication assisted treatment (MAT) and actualizing of the Education Waiver. LETTER FROM THE PRESIDENT Gretchen Schumacher PhD, GNP-BC, FNP, NP-C Summer Newsletter 2017 Inside this issue: Letter from the President 1 Legislative Update 2 MICNP Members In The News 3 MICNP Partner featured: NSO 4 MICNP PAC 5 MICNP Chapter Corner 6 Upcoming Events 7
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If you are anything like me, everywhere you turn you are hearing about the opioid epidemic. Michigan statistics from multiple sources report unintentional drug poisoning deaths on the rise, and the majori-ty being opioid and heroin related. In 2015, Michigan saw its third con-secutive year of record drug overdose deaths. That year, 1,981 people died from drug overdoses, up 13.5% from 2014, ranking us 18th nation-ally. Also, if you are like me, you may find yourself overwhelmed by this war, or wondering what possible impact you personally can have in what may feel like a “David and Goliath” conflict? Like me, you may also have updated your DEA, and you committed to following chronic pain patients closer? Maybe you are working hard to assure you are
integrating the CDC guidelines for prescribing opioids for chronic pain? In recent months, I have been driven to deeper contemplation about who I am as a nurse and what that means in this health-related epidemic. A muddy epidemic storm catalyzed by mental health issues, social norms and expectations, physiologic and biochemical dependency and reactions, ultimately mixed with management of pain, a completely subjective experience. I learn more and more “how to’s” but find myself more often asking what is the essence of me, and my colleagues, as nurses in this fight? Despite all my education and practice, never in my career, have I seen a greater need to revisit and energize the actualization of my foundation - a foundation of caring. The value for the theoretical foundations for what we do as nurses is visible and valid in our war on addiction. Caring and nursing are so interwoven that nursing would not be nursing
without the act of caring. But what does this mean in caring for an addict? Or in caring for the family of an addict?
Earlier this year at a public town gathering in a rural Michigan community, I heard the un-censored testimonies of several addicts who are currently using, addicts in recovery, and par-ents whose children lost the battle of addiction. Their testimonies carried one theme, simple
but profound; each spoke of the need for “someone to care” and take interest in their strug-gle. They spoke of addiction already being so isolating and stigmatizing that it was unanimously the intentional “moving toward them” by someone else (often a stranger) to begin the first
step of the recovery journey. As nurses, we are everywhere! We hold posts in families, community organizations, and professional settings. The essence of what we do, and who we are, can provide an unwritten network of caring for those around us struggling in the darkness of addiction. We are in posi-tions to move toward addicts, those recovering and families affected. As we wage war against the power of the opioid crisis, where do you see your own personal impact?
Ideas/resources for involvement : -Know and implement the CDC guidelines for prescribing opioids in your practice -Help families and at-risk communities to obtain Narcan Training
-Participate in community gatherings that are talking openly about the epidemic and working on local actions
-Familiarize yourself with treatment options in your area especially Hope Not Handcuffs. -Consider moving into addiction treatment in your practice with medication assisted treatment
HB 5400 was signed by MI Governor Snyder on January 9, 2017! It was introduced in February 2016 by State
Representative Ken Yonker to:
• Add Clinical Nurse Specialists (CNSs) to the Michigan Public Health Code, allowing for specialty certification
for their profession and adding them to the MI Board of Nursing
• Allow NPs, CNMs and CNSs to prescribe physical therapy, speech therapy and order restraints
• Allow NPs, CNMs and CNSs to prescribe Schedule II-V drugs under delegation and non-scheduled drugs autonomously
It is now Public Act 499 of 2016, and went into effect on April 9, 2017. Click HERE to read details on HB 5400
passage implications for your NP practice. We view the passage of HB 5400 as an important step in the
continued journey towards achieving full practice authority for Michigan NPs.
We encourage you and your colleagues to schedule a meeting with your legislator in Lansing, your local district,
or invite them to your workplace to see APRNs in action! (click HERE to find your House legislator) Please
email MICNP Executive Director Olivia McLaughlin at [email protected] with any feedback you get from
legislators or staff.
[Front row l to r: Former State Representative
Ken Yonker, Governor Rick Snyder (seated),
Linda Taft, President ANA-MI, Cathy Lewis, MI-
CNS Board Member, Katie Lavery, Michigan
Affiliate of American College of Nurse-Midwives,
Ann Sheehan, MICNP Immediate Past President.
Back row l to r: Former State Senator Mark
Jansen (had previously sponsored Senate Bill 2),
Monika Miner, WSU College of Nursing, Teresa
Wehrwein, Special Assistant to the Dean, MSU
College of Nursing, Brian Sapita & Jeff Snyder
(former staffers to Rep. Yonker), State Senator
Mike Shirkey, Heather Nicholoff (MICNP
lobbyist), Kheder Davis & Associates. ]
ARTICLE FROM MICNP ATTORNEY DONNA J. CRAIG, RN, JD. Medicare Reimburses for Cognitive Care Planning Services More than 5 million individuals in the United States are currently affected by Alzheimer’s disease or other related de-
mentias, with more than 510,000 of those patients living in Michigan.[1] Across this country the care and support for
these 5 million individuals are borne by more than 15 million family caregivers who, it is estimated, provide unpaid care
equivalent to 18.2 billion hours of care at a value of more than 230 billion dollars per year.[2] To ensure coordination of
care for patients diagnosed with various dementias and to limit caregiver burnout, it is imperative that clinicians, patients,
and caregivers discuss the needs of patients and caregivers, including all available resources to support care objectives.
When clinicians provide services aimed at improving the detection, diagnosis, care planning and coordination of care for
individuals with Alzheimer’s disease and related dementias, patient care is improved and valuable resources are provided
to the patients and their caregivers. In support of these goals, Medicare now provides reimbursement to healthcare pro-
viders who are eligible to report and submit claims for evaluation and management services (e.g. physicians, nurse practi-
tioners, clinical nurse specialists, and physician assistants). Click HERE to read the full article and find out who could
How to Protect Your License By David Griffiths, Nurses Service
Organization As a nurse practitioner, you likely understand the need for profes-sional liability insurance to protect yourself against malpractice claims related to patient care. But did you know you also need insurance to
protect your license against action taken by a Board of Nursing
(BON)? In this situation, the event might not even be related to pa-tient care. For example, a state’s nurse practice act may include a “moral character” component, which means a BON can take ac-tion in cases such as driving under
the influence, use of illicit drugs
[Pictured l to r: Dane Stahl, Lynda Lauer, Margaret Gressle,
18 MICNP members were awarded scholarships for the
2016-2017 MICNP Scholarship program. The total
amount for the awards given this year was increased to
over $15,000 thanks to the MICNP board! Winners were recognized at the annual business meeting taking
place on March 18th during the MICNP annual confer-
ence in Detroit, MI.
$650 awards:
• Audrie Bedenis, Ann Arbor & UM Ann Arbor Chapters
• Leyla Berry, Ann Arbor Chapter
• Kendall Dorie, Metro Chapter
• Tara Evans, Flint Chapter
• Mallory Fox, Ann Arbor Chapter
• Sarah Frye, Metro Chapter
• Margaret Gressle, Metro Chapter
• Lynda Lauer, Metro & WSU Chapters
• Jessica Peacock, Greater Grand Rapids Chapter
• Rachel Rang, Ann Arbor Chapter
• Jessica Schultz, Ann Arbor & UM Ann Arbor Chapters
(both on and off the job), or failure to
pay child support.
The BON’s view is that licensure is a privilege, not a right. What many nurse practitioners fail to under-stand is that the BON is tasked to protect the public, not the NP.
While many articles have been writ-ten on how nurse practitioners can protect themselves from malprac-tice, far fewer have focused on how
they can protect their license. Yet without a license, nurse practition-ers can’t provide patient care, signif-icantly affecting their livelihood. Click HERE to read the rest of the article How to Protect Your License.
MICNP/MDHHS GRANT-ADULT IMMUNIZATIONS The Michigan Council of Nurse Practitioners (MICNP) has been a 2016-2017 two-year grant partner of the MI Dept of Health & Human Services (MDHHS) on adult immunizations. As part of the grant, MICNP co-hosted a free educational program on adult immunization on April 1, 2017 in East Lansing, MI along with the Michigan Association of Osteopathic Family Physicians (MAOFP), Michigan Association of Family Physicians (MAFP), Michigan Pharmacists Association (MPA), Michigan Association of Physician Assistants (MAPA) and Michigan Medical Group Management Association (MiMGMA). The goal was to provide attendees with current information on adult immunization, and promote the expansion of immunization activities in practices, systems and communities. To view & listen to record-ings of the program (approx. 4.5 hours total) - click HERE for part 1 and click HERE for part 2. To download other resources to help promote adult immunizations in your practice, visit the Alliance for Immunization in Michigan (AIM)
website at www.aimtoolkit.org.
MICNP REPRESENTED AT NATIONAL AANP 2017 CONFERENCES [Below left: MICNP President/AANP Region 5 Director Gretchen Schumacher, MICNP PAC Chair/2014 AANP fellow
Nancy George and MICNP member/AANP State Rep Beth Kuzma at AANP’s Region 5 leadership meeting in Chicago.
Below right, pictured l to r: MSU CON Dean Randolph Rasch, MICNP President Gretchen Schumacher, MICNP Treasurer
Denise Hershey, former State Rep. Ken Yonker, MICNP member/AANP MI NP Excellence award winner Patrick Hawkins,
MICNP member/AANP State Rep Beth Kuzma, MICNP President-Elect Catherine Worden & MICNP Secretary Mary
Serowoky at AANP’s 2017 Annual Conference in
Philadelphia]
Page 6
Summer Newsletter 2017
Ann Arbor Chapter hosted a legis-lative meet & greet event on June 1st at Weber Inn where local legislators were invited to attend and meet MICNP members. [Pictured below: