Susan C. Reinhard, RN, PhD, FAAN Senior Vice President and Director AARP Public Policy Institute Chief Strategist, Center to Champion Nursing in America.

Susan C. Reinhard, RN, PhD, FAANSenior Vice President and DirectorAARP Public Policy InstituteChief Strategist, Center to Champion Nursing in America  

Strategic Advisory Committee 

 Future of Nursing: Campaign for Action IFN Team at AARP – Providing Campaign Coordination and Technical Assistance

Strategies CommunicationsCollaborations Research

Engage partners to implement

recommendations that improve patient care quality, access

& value. 

Education

Inter-professional Teams 

Leadership 

Health Professions

Educators

Consu

mers

Philanthrop

y

Hospitals & Health Systems  Government

RWJF & 

NNFC 

Partne

rship 

Wome

n & 

Familie

s

Data/Research 

HRSA, 

CMS & DOL

Cedars Sinai

Target & 

Verizon

U  of Minn & 

AACN

ANA  and NCSBN

Monitoring

Scope of Practice 

Business

Access and Barriers to Care“Consumers deserve high quality, convenience, value and expanded choice in the providers who deliver their core primary care services” (John Rother, AARP, 2010)

Strategies

Inform, engage and motivate government, payers and business in expanding practice opportunities and payment for the full range of primary 

care providers. 

Position APRNs as a high quality choice for consumers through effective 

outreach and marketing. 

Identify federal levers to incentivize states to modernize state scope of 

practice laws. 

All states remove barriers to APRNs practicing to full extent by 

2020. 

By 2020, payers establish payment policies that recognize consumer choice across the 

range of primary care providers. 

Outcomes

Title text here

How CCNA Operates: State-Based Work•CCNA State Teams 

•Website

•Respond to AARP State Office requests (mostly scope of practice) such as providing background information on 

• Restrictive collaboration

• Duplicative oversight of APRN practice

• Controlled substances

• Reimbursement 

Title text here

How CCNA Operates: Federal-Level Work

First “phase” of federal advocacy agenda created early based on need for improved federal funding for nursing education

• Saw health reform as vehicle to win this funding - Medicare GNE

Consumer perspective - consumers such as AARP members need highly educated nurses

Next phase is to remove barriers to APRN care

• AARP Policy Book update 

• AARP convened NP Roundtable

• Federal barriers to APRN care – home health care, hospice, admission physical in SNF, hospital privileges, reimbursement 

Advocacy is done by AARP staff  – Winifred Quinn, Senior Legislative Representative and Peter Reinecke, consultant 

Updated AARP Policy Book Language re: Scope of Practice

March 2010

Current state nurse practice acts and accompanying rules should be interpreted and/or amended where necessary to allow APRNs to fully and independently practice as defined by their education and certification.

Title text hereScope of Practice Resources

are available on www.championnursing.org 

•Access to Care and Advanced Practice Nurses: A Review of Southern U.S. Practice Laws •Improving Access to Primary Care: The Growing Role of Advanced Practice Registered Nurses •Consumer Access and Barriers to Primary Care: Physician-Nurse Practitioner Restrictive Collaboration Requirements by State (MAP)