Category Archives: New Mexico (NM) M
Janice “Nisa” Bruce is the director of San Juan College Department of Nursing in Farmington, NM. She has a BA from San Francisco State University, a BSN from East Central University Oklahoma, and an MS from the University of Oklahoma, College of Nursing. She has been in nursing higher education since 1988, and is completing her 20th year at San Juan College.
We began our New Mexico community college-university collaboration in late 2009 with the publication of a university-generated white paper articulating the Institute of Medicine (IOM) recommendations citing the need for more baccalaureate nurses to meet the health care needs of the 21st century. Of course to community college associate degree educators, that proposal smacked of the old entry level into practice argument that has divided nursing educators for decades. We gnashed our teeth, we complained to each other, we argued that the literature was flawed. Then we got busy. And the New Mexico Nursing Education Consortium (NMNEC) was born.
Little by little, over time, the pieces have fallen into place.
What the Election Means for Health and Health Care… The Country Needs More Providers, Better Mental Health and Elder Care, and an End to Poverty
Carolyn Montoya, RN, MSN, CPNP, is a fellow with the Robert Wood Johnson Foundation (RWJF) Nursing and Health Policy Collaborative at the University of New Mexico. A PhD Candidate, Montoya serves on the New Mexico Medicaid Advisory Committee, an advisory body to the Secretary of the state’s Human Services Department and the Director of the Medical Assistance Division Director. The RWJF Human Capital Blog asked scholars and fellows from a few of its programs to consider what the election results will mean for health and health care in the United States.
Human Capital Blog: Do you think there will be fewer challenges to the Affordable Care Act and more attention to how to implement it?
Montoya: Now that the election is over, the reality is that the Affordable Care Act (ACA) will not be repealed. As we go forward with the ACA in place, a strong emphasis should be placed on evaluation. Outcome measures, such low rates of diabetes complications or increased immunization rates, will be essential in terms of being able to establish what aspects of the ACA are working and which ones need to be revised.
This is part of a series introducing programs in the Robert Wood Johnson Foundation (RWJF) Human Capital Portfolio.
New Mexico is widely known for its scenic vistas and its rich cultural heritage. Thanks to the Robert Wood Johnson Foundation (RWJF), it may soon add its health policy experts to the list of notables. The RWJF Nursing and Health Policy Collaborative at the University of New Mexico is preparing a new generation of diverse, PhD-prepared nurses to meet the nation’s health policy challenges.
Fellows are exploring a vast array of health care challenges with a specific focus on public policy solutions. Their research ranges from childhood obesity prevention policies, to cost analyses of obstetrical care, to enhanced access to mental and behavioral health, and more.
Through the program, fellows develop a unique understanding of the factors influencing public policy, and learn how they can become a powerful voice in that process.
Earlier this year, two of the program’s fellows, Laura Brennaman, MSN, RN,CEN, and Lauri Lineweaver, MSN, RN, CCRN-CSC, attended the historic Supreme Court oral arguments on the Affordable Care Act. Brennaman was also present in the chamber when the final decision was announced on June 28. The program strives to bring its fellows into events like these, which impart a profound lesson about the interconnectedness of the health care and policy worlds.
This is part of a series introducing programs in the Robert Wood Johnson Foundation (RWJF) Human Capital Portfolio. The RWJF Center for Health Policy at the University of New Mexico is working to increase the diversity of those with formal training in the fields of economics, political science and sociology who engage in health services and health policy research, and to become a nationally recognized locus for health policy research that will support work to inform health policy debates at multiple levels.
The Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico is poised to have a far-reaching impact on the nation. The Center is the only institution dedicated to increasing the number of leaders from Latino and American Indian communities who will help shape the future of our nation’s health and health care.
At the heart of this work is the academic and professional development of its doctoral and post-doctoral fellows, a diverse group who are on their way to careers in health policy, academia, philanthropy, and health care financing and delivery systems.
The Center is dedicated to preparing these future leaders through on-the-job research, policy analysis training, leadership development, and community capacity building. Through interdisciplinary research with health care professionals, and by partnering with other researchers and professional organizations, fellows pursue resolutions for complex policy issues affecting our nation’s health, especially in Latino and American Indian communities.
The Robert Wood Johnson Foundation’s Academic Progression in Nursing (APIN) program this week announced that California, Hawaii, Massachusetts, Montana, New Mexico, New York, North Carolina, Texas and Washington state have been chosen to receive grants to advance state and regional strategies aimed at creating a more highly educated, diverse nursing workforce. Each state will receive a two-year, $300,000 grant.
The states will now work with academic institutions and employers on implementing sophisticated strategies to help nurses get higher degrees in order to improve patient care and help fill faculty and advanced practice nursing roles. In particular, the states will encourage strong partnerships between community colleges and universities to make it easier for nurses to transition to higher degrees.
In its groundbreaking report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) recommended that 80 percent of the nursing workforce be prepared at the baccalaureate level or higher by the year 2020. At present, about half of nurses in the United States have baccalaureate or higher degrees.
This is part of a series in which Robert Wood Johnson Foundation (RWJF) leaders, scholars, grantees and alumni offer perspectives on the U.S. Supreme Court rulings on the Affordable Care Act. Gabriel R. Sanchez, PhD, is an associate professor of political science at the University of New Mexico, assistant director of the RWJF Center for Health Policy at the University of New Mexico, and director of Research for Latino Decisions.
The Supreme Court decision regarding the constitutionally of the signature policy victory of the Obama administration has been the most anticipated and hotly debated decision of the Court in recent memory. In the spirit of a prior Human Capital blog post I wrote back in November, I wanted to take advantage of the opportunity to participate in this series by providing a perspective on how this decision will likely impact the Latino population. I have been analyzing public opinion toward health care reform for some time now, and draw on some of this data to provide a few examples. I focus my attention here on some of the more intriguing relationships to emphasize the complexity of Latino’s views of this historic policy.
Latinos had a lot at stake in this decision, as the Affordable Care Act (ACA) is projected to expand insurance to 9 million Latinos. It is therefore not surprising that support for health care reform, and the ACA in particular, has been higher among Latinos when compared to non-Latinos. In fact, since Latino Decisions started collecting data in October 2011, on average 51 percent of Latinos have supported the ACA. Conversely, as reflected in the figure below, the percentage of Latino voters who want to repeal the law has been lower than what other polls have shown for the non-Latino population over this time period.
The U.S. Department of Health and Human Services, Office on Women’s Health has designated May 13 to May 19 as National Women’s Health Week. It is designed to bring together communities, businesses, government, health organizations and others to promote women’s health. The goal in 2012 is to empower women to make their health a top priority. The Robert Wood Johnson Foundation (RWJF) Human Capital Blog is launching an occasional series on women’s health in conjunction with the week. This post is by Elisa L. Patterson, MS, CNM, a fellow with the Robert Wood Johnson Foundation (RWJF) Nursing and Health Policy Collaborative at the University of New Mexico.
I have been a certified nurse-midwife for almost 19 years. It is an ingrained part of who I am. I have served women of many different ethnic, socioeconomic, and cultural backgrounds. Being a nurse-midwife embraces my duality of being a nurse and a midwife. I am very proud of these credentials.
As I add to my education in a PhD program – through the RWJF Nursing and Health Policy Collaborative at the University of New Mexico College of Nursing – I have found it a challenge to express in my “elevator speech” how these two credentials enhance my abilities to do policy work. I tried starting with what I am doing as a PhD student at the University of New Mexico. But when I say, “I’m also a nurse–midwife,” listeners seem to tag onto that singular piece of information and forget the rest of the conversation. Then, they might share their personal birth story or one that is a fond memory from a close friend. Or, they might ask me if I deliver babies at home.
I have not been able to figure out how to combine the important and, to me, impressive fact that while, yes, I am a nurse-midwife, I am also very capable of conversing about, researching and representing many other issues.
The American College of Nurse-Midwives (ACNM) has a way to help me and other nurse-midwives who face this dilemma. Next month at their annual gathering, a public relations campaign will be presented to the membership. It will include a vision, mission statement, and core values. The ultimate goal is to describe the value of nurse-midwives and, in general, support the provision of high-quality maternity care and women’s health services by Certified Nurse-Midwives.
Robert Otto Valdez, PhD, is the Robert Wood Johnson Foundation (RWJF) professor of family & community medicine and economics at the University of New Mexico. He serves as executive director of the RWJF Center for Health Policy at the University of New Mexico, a national program office for increasing diversity in health and health care leadership.
I have come to learn that mentoring is tricky business. Luckily, my own mentors often played the traditional role that Homer described of Telemachus’ mentor, a fellow named (logically enough) Mentor. They nurtured, protected, and educated me on the ways of the academy and have guided me in my professional career decisions. For some reason unbeknownst to me, they assumed I should take my “rightful” place in the academy and as a leader.
Through their wise example, I learned that mentors help their protégés set goals and develop standards and skills. They protect their protégés from others, so that they can take risks and potentially fail in a safe environment. They facilitate their protégés’ entrance into professional circles. But, so much of my mentoring depended on luck, on developing relationships that had the “right chemistry,” or on already being in the “right circles.”
What about young scholars who were not alumni of particular institutions that facilitate entry into powerful social networks, or who are without family connections that facilitate entry into academic or professional circles? How are they to be mentored? If Lady Luck fails them and they find no mentor, unfortunately they remain abandoned outside our professional circles. I find this to be the case for many young scholars from under-represented minority communities. Role models and faculty from their communities remain rare in our nation’s institutions of higher education. Thus, in many institutions the need persists for a more systematic approach to preparing young scholars.
At the RWJF Center for Health Policy, we’re trying to do just that, providing seminars and workshops that transmit to all our affiliated young scholars the formal and informal knowledge and skills they need to become successful scholars and policy analysts. But, we also focus on leadership development, so that our graduates are ready to take on their rightful leadership roles in our society. Our first cohort—doctoral graduates and post-doctoral scholars—have successfully started tenure track positions for which they are well prepared to succeed.
As we head into 2012, the Human Capital Blog asked Robert Wood Johnson Foundation (RWJF) staff, program directors, scholars and grantees to share their New Year’s resolutions for our health care system, and what they think should be the priorities for action in the New Year. This post is by Suzanne Gagnon, CFNP, RWJF Nursing and Health Policy Fellow, RWJF Nursing and Health Policy Collaborative at the University of New Mexico.
I live, work and study in a state that has one of the highest poverty rates in the nation. It is difficult for me as a nurse practitioner to focus my New Year’s resolution on the health care system. Yes there are health care system problems and complicated ones, but I cannot remove my gaze from the impact of abject poverty and its effects on health. Until New Mexico addresses its poverty, health care will continue to be a trailer indicator, not a primary factor for the state’s overall impact on quality of life.
I work at a School-Based Health Center in a low-income area high school in Albuquerque. I have many patients who have no other means of receiving health care due to immigration status or income-related constraints. I had a student last year who had just moved to New Mexico from another state and wondered why the amount of food stamp assistance he and his mother received was so little in comparison to his previous state. He says: “I’m so hungry all the time, I can never get enough to eat, we don’t have enough to last all month. Why is it like that here?”
We are failing our children and families in fundamental ways. I cannot supply that child with enough food by making changes in the health care system, but eventually the effects of his hunger and poverty will affect the health care system. Currently his poverty and hunger are making a huge impact on his ability to succeed as a student. Elizabeth Bradley and Lauren Taylor nailed this topic in their December 8, 2011 New York Times article, ‘To Fix Health, Help the Poor.’ They pointed out the differences between our country’s investment in health care versus social support. While we spend one dollar on health care and 90 cents on social services, other countries spend the same for health care but double that for social services. Investing in social services can do more to improve health than additional health care reforms.
A December 29, 2011 op-ed in the Albuquerque Journal by Angela Merkert and Wendy Wintermute, respectively the executive director and advocacy program director of Cuidando Los Ninos and A Home for Every Child, lists the staggering statistics that impact our state’s homeless population: