- Email: [email protected]
Academy recognizes living legends
ideas for structure, special forums, or key initiatives that should be part of the conference plan, we are interested in hearing from you. • Identify new opportunities. Many of you will be confronted with new opportunities that fit the Academy's mission and goals. Think about how we
can implement processes and structures to be more responsive in a more timely manner and share new initiatives. No doubt several other Fellows would want to be involved in these same initiatives.
I hope this message is clear; that is, in response to the strong expression of
n e e d for more i n v o l v e m e n t of all Fellows, we are looking for ways to enhance both communication and active participation among the Fellows. Opportunities exist to be inclusive. Help us figure out new ways of relating to you and capturing the talents and expertise of all our Fellows. []
A C A D E M Y RECOGNIZES LIVING LEGENDS
During the 1997 Annual meeting, the following Living Legends were honored. The Academy's intent is to recognize our most stellar Fellows, who are reminders of nursing's proud history and are role models for all of us.
Jo Eleanor Elliott In 1957, Ms. Elliott became the Director of Nursing Programs for the Western Interstate Commission on Higher Education in Boulder, Colo., where the Western Council on Higher Education (WCHEN) was started. WCHEN initiatives included developing curriculum instruction, augmenting leadership skills, increasing the numbers of ethnic people of color in nursing, and including content about cultural diversity in curricula. Ms. Elliott was always active in nursing organizations and accepted her first American Nurses Association (ANA) committee appointment to work on legislative issues~in 1958. She served on the A N A Board of Directors from 1960 to 1968 and was President of ANA from 1964 to 1968. Ms. Elliott became the Director of the Division of Nursing, Health Resources and Services Administration, DHHS, in 1980. She served in this position for 9 years, directing the agency that influenced nursing education and practice nationally and internationally. Her legacy of leadership, mentor, teacher, and national "mover and shaker" will continue to be an example to us all.
Mary Kelly Mullane Dr. Mullane, an early pioneer in nursing education, is best known for building programs in nursing administration. As Dean at the University of Iowa and the University of Illinois and Associate Dean at Wayne Stare University, she played a key NURSING OUTLOOK
role in securing a respected position for nursing education within the mainstream of higher education. Dr. Mullane is also known as a stateswoman for the profession, having served on the Expert Advisory Committee for Professional Nurse Traineeship Programs, the U.S. Public Health Service, from 1961 to 1964, and on the National Advisory Council on Nurse Training, the U.S. Public Health Service, from 1965 to 1969. Dr. Mullane was a member of the first planning meeting for deans of College and University Schools of Nursing and later served as the executive director of the newly created American Association of Colleges of Nursing from 1976 to 1978. Dr. Mullane started her career in nursing in Teaneck, N.J., graduating from the Holy Name Hospital School of Nursing in 1931. She earned her Bachelor of Science and Master of Arts degrees from Teachers College, Columbia University, in 1936 and 1942, respectively. In 1957 she obtained the degree of Doctor of Philosophy from the University of Chicago.
Doris R. Schwartz Doris R. Schwartz, a Charter Fellow of the American Academy of Nursing, is a graduate of the Brooklyn Methodist Hospital School of Nursing and received her Bachelor's and Master's degrees from the Division of Nursing, New York University. Her extraordinary contributions to community health and gerontological nursing are celebrated in her book My Fifty Years in Nursing, published by Springer in 1995. Ms. Schwartz's early career included a stint with the U.S. Army Nurse Corps., with service in the Pacific theater during World War II; she also worked as a special
JANUARY/FEBRUARY 1998
reporting and editorial assistant at the
AmericanJournal of Nursing, had a long and distinguished career as a faculty member at Cornelt University-New York Hospital School of Nursing, and was a public health nursing consultant to the Cornell Medical College. During her years at Cornell, Ms. Schwartz brought to fruition one of the earliest Geriatric Nurse Practitioner programs, a model profoundly influenced by her experiences in community health and as a Fogarty Fellow in Scotland.
Mabel A. Wandelt Mabel A. Wandelt is best known for her work on quality of care, particularly in the development of the Slater Nursing Competencies Rating Scale. These instruments for measuring nursing practice, known to many as the "Qualpac," are used to measure effectiveness of nursing care today. She also participated in the classic study that resulted in The Magnet Hospitals: Attraction and Retention of ProfessionalNurses and is currently being replicated in several other countries. The work she ted on employment conditions for nurses in Texas was used nationally to document the cyclical nature of nursing workforce shortages. Her two NLN-sponsored works--Profiles of Top Ranked Schools of Nursing and Innovations in Nursing Education Administrat i o n - a r e important contributions to the advancement of schools of nursing.
Mary Florence Woody Mary Florence Woody, a charter member of the American Academy of Nursing, is a distinguished patient care innovator and nursing administrator. She was at the frontier of advanced practice as well as collaborative practice for all nurses. AAN News
39
Innovations at Emory University Hospital in Atlanta spanned a wide range of patient care improvements, including educating patients about their medicines; launching one of the first coronary care units with clinical specialists; the invention, with colleagues, of the individually packaged alcohol wipe; and the explication of the principle, in the 1960s, that "every patient admitted will have an RN responsible for their care." She modeled the role of administrator as problem solver, coach, and facilitator. After 23 years in nursing administration at Emory and Grady, Mary Woody became Founding Dean at Auburn University's School of Nursing in Alabama.
Anne Zimmerman Anne Zimmerman, a graduate of St. John's Hospital in Helena, Montana, was a pioneer in the movement to improve nurses' economic status and nurses' control of practice. In 1980 she received the Shirley Titus Award from the American Nurses Association (ANA) in recognition of her contributions as director of the Economic and General Welfare Program of the A N A ( 1951-52) and as member and chair of the Committee, and later the A N A Commission, on Economic & General Welfare. She continues to be one of the foremost authorities in this area.
1997 Living Legends Doris Schwartz, Anne Zimmerman, and Mabel Wandelt.
iii!~i~~
2 1997 Living Legends Mary Woody, Mary Kelly Mullane, and Jo Eleanor Elliott. Anne Zimmerman has been a nationally recognized leader for decades, demonstrating exceptional leadership. She served with distinction as executive administrator of the Illinois Nurses Association for 27 years, Assistant and Associate Director at the California Nurses Association, the executive secretary of the Montana Nurses' Association, president of the A N A (1976-78), member and
chair of the Board of Directors of the American Journal of Nursing Co., and member and vice chair of the Commission on Graduates of Foreign Nursing Schools. Her continuing influence on professional nurses is demonstrated by the e s t a b l i s h m e n t of the A m e r i c a n Nurses Foundation Research Endowment Fund in her honor in 1994. •
Op-Ed Medicare R e i m b u r s e m e n t f o r A d v a n c e d Practice Nurses: In t h e Front Door!
Eileen M. Sullivan-Marx, PhD, RN, FAAN January l, /998, may mark a turning point for advanced practice nursing. This OpEd uses the metaphor of the open door. What are the issues once we are inside? -Lorraine Tulman, DNSc, FAAN Op-Ed Editor
Ringing in this New Year is especially exciting for nursing! As of January 1, 1998, nurse practitioners (NPs) and clinical nurse specialists (CNSs) are able to bill Medicare and receive reimbursement for their services in all settings. The Primary Care Health
40 AAN News
Practitioner Incentive Act, part of the Balanced Budget Act of 1997, which was passed with strong bipartisan support and signed by President Clinton on August 5, 1997, represents more than 25 years of effort by nurses to break into mainstream health care payment. Before this new law was enacted, Medicare reimbursement for NPs was piecemeal and cumbersome, and payment for CNSs was nonexistent. Advanced practice nurses (APNs) were relegated to seeking payment through "back door" strategies, such as linking services to physician services. With di-
rect Medicare reimbursement, society has "opened the front door," paying APNs directly for care rendered. As the excitement subsides, however, the question arises, '~xlowwhat?" In my view, five areas of opportunity and challenge are immediately evident as a result of this legislation: (1) access, (2) visibility, (3) recognition, (4) business, and (5) policy.
Access A key impetus forging passage of this legislation was to increase access of primary
VOLUME 46 ° NUMBER 1
NURSINGOUTLOOK
can implement processes and structures to be more responsive in a more timely manner and share new initiatives. No doubt several other Fellows would want to be involved in these same initiatives.
I hope this message is clear; that is, in response to the strong expression of
n e e d for more i n v o l v e m e n t of all Fellows, we are looking for ways to enhance both communication and active participation among the Fellows. Opportunities exist to be inclusive. Help us figure out new ways of relating to you and capturing the talents and expertise of all our Fellows. []
A C A D E M Y RECOGNIZES LIVING LEGENDS
During the 1997 Annual meeting, the following Living Legends were honored. The Academy's intent is to recognize our most stellar Fellows, who are reminders of nursing's proud history and are role models for all of us.
Jo Eleanor Elliott In 1957, Ms. Elliott became the Director of Nursing Programs for the Western Interstate Commission on Higher Education in Boulder, Colo., where the Western Council on Higher Education (WCHEN) was started. WCHEN initiatives included developing curriculum instruction, augmenting leadership skills, increasing the numbers of ethnic people of color in nursing, and including content about cultural diversity in curricula. Ms. Elliott was always active in nursing organizations and accepted her first American Nurses Association (ANA) committee appointment to work on legislative issues~in 1958. She served on the A N A Board of Directors from 1960 to 1968 and was President of ANA from 1964 to 1968. Ms. Elliott became the Director of the Division of Nursing, Health Resources and Services Administration, DHHS, in 1980. She served in this position for 9 years, directing the agency that influenced nursing education and practice nationally and internationally. Her legacy of leadership, mentor, teacher, and national "mover and shaker" will continue to be an example to us all.
Mary Kelly Mullane Dr. Mullane, an early pioneer in nursing education, is best known for building programs in nursing administration. As Dean at the University of Iowa and the University of Illinois and Associate Dean at Wayne Stare University, she played a key NURSING OUTLOOK
role in securing a respected position for nursing education within the mainstream of higher education. Dr. Mullane is also known as a stateswoman for the profession, having served on the Expert Advisory Committee for Professional Nurse Traineeship Programs, the U.S. Public Health Service, from 1961 to 1964, and on the National Advisory Council on Nurse Training, the U.S. Public Health Service, from 1965 to 1969. Dr. Mullane was a member of the first planning meeting for deans of College and University Schools of Nursing and later served as the executive director of the newly created American Association of Colleges of Nursing from 1976 to 1978. Dr. Mullane started her career in nursing in Teaneck, N.J., graduating from the Holy Name Hospital School of Nursing in 1931. She earned her Bachelor of Science and Master of Arts degrees from Teachers College, Columbia University, in 1936 and 1942, respectively. In 1957 she obtained the degree of Doctor of Philosophy from the University of Chicago.
Doris R. Schwartz Doris R. Schwartz, a Charter Fellow of the American Academy of Nursing, is a graduate of the Brooklyn Methodist Hospital School of Nursing and received her Bachelor's and Master's degrees from the Division of Nursing, New York University. Her extraordinary contributions to community health and gerontological nursing are celebrated in her book My Fifty Years in Nursing, published by Springer in 1995. Ms. Schwartz's early career included a stint with the U.S. Army Nurse Corps., with service in the Pacific theater during World War II; she also worked as a special
JANUARY/FEBRUARY 1998
reporting and editorial assistant at the
AmericanJournal of Nursing, had a long and distinguished career as a faculty member at Cornelt University-New York Hospital School of Nursing, and was a public health nursing consultant to the Cornell Medical College. During her years at Cornell, Ms. Schwartz brought to fruition one of the earliest Geriatric Nurse Practitioner programs, a model profoundly influenced by her experiences in community health and as a Fogarty Fellow in Scotland.
Mabel A. Wandelt Mabel A. Wandelt is best known for her work on quality of care, particularly in the development of the Slater Nursing Competencies Rating Scale. These instruments for measuring nursing practice, known to many as the "Qualpac," are used to measure effectiveness of nursing care today. She also participated in the classic study that resulted in The Magnet Hospitals: Attraction and Retention of ProfessionalNurses and is currently being replicated in several other countries. The work she ted on employment conditions for nurses in Texas was used nationally to document the cyclical nature of nursing workforce shortages. Her two NLN-sponsored works--Profiles of Top Ranked Schools of Nursing and Innovations in Nursing Education Administrat i o n - a r e important contributions to the advancement of schools of nursing.
Mary Florence Woody Mary Florence Woody, a charter member of the American Academy of Nursing, is a distinguished patient care innovator and nursing administrator. She was at the frontier of advanced practice as well as collaborative practice for all nurses. AAN News
39
Innovations at Emory University Hospital in Atlanta spanned a wide range of patient care improvements, including educating patients about their medicines; launching one of the first coronary care units with clinical specialists; the invention, with colleagues, of the individually packaged alcohol wipe; and the explication of the principle, in the 1960s, that "every patient admitted will have an RN responsible for their care." She modeled the role of administrator as problem solver, coach, and facilitator. After 23 years in nursing administration at Emory and Grady, Mary Woody became Founding Dean at Auburn University's School of Nursing in Alabama.
Anne Zimmerman Anne Zimmerman, a graduate of St. John's Hospital in Helena, Montana, was a pioneer in the movement to improve nurses' economic status and nurses' control of practice. In 1980 she received the Shirley Titus Award from the American Nurses Association (ANA) in recognition of her contributions as director of the Economic and General Welfare Program of the A N A ( 1951-52) and as member and chair of the Committee, and later the A N A Commission, on Economic & General Welfare. She continues to be one of the foremost authorities in this area.
1997 Living Legends Doris Schwartz, Anne Zimmerman, and Mabel Wandelt.
iii!~i~~
2 1997 Living Legends Mary Woody, Mary Kelly Mullane, and Jo Eleanor Elliott. Anne Zimmerman has been a nationally recognized leader for decades, demonstrating exceptional leadership. She served with distinction as executive administrator of the Illinois Nurses Association for 27 years, Assistant and Associate Director at the California Nurses Association, the executive secretary of the Montana Nurses' Association, president of the A N A (1976-78), member and
chair of the Board of Directors of the American Journal of Nursing Co., and member and vice chair of the Commission on Graduates of Foreign Nursing Schools. Her continuing influence on professional nurses is demonstrated by the e s t a b l i s h m e n t of the A m e r i c a n Nurses Foundation Research Endowment Fund in her honor in 1994. •
Op-Ed Medicare R e i m b u r s e m e n t f o r A d v a n c e d Practice Nurses: In t h e Front Door!
Eileen M. Sullivan-Marx, PhD, RN, FAAN January l, /998, may mark a turning point for advanced practice nursing. This OpEd uses the metaphor of the open door. What are the issues once we are inside? -Lorraine Tulman, DNSc, FAAN Op-Ed Editor
Ringing in this New Year is especially exciting for nursing! As of January 1, 1998, nurse practitioners (NPs) and clinical nurse specialists (CNSs) are able to bill Medicare and receive reimbursement for their services in all settings. The Primary Care Health
40 AAN News
Practitioner Incentive Act, part of the Balanced Budget Act of 1997, which was passed with strong bipartisan support and signed by President Clinton on August 5, 1997, represents more than 25 years of effort by nurses to break into mainstream health care payment. Before this new law was enacted, Medicare reimbursement for NPs was piecemeal and cumbersome, and payment for CNSs was nonexistent. Advanced practice nurses (APNs) were relegated to seeking payment through "back door" strategies, such as linking services to physician services. With di-
rect Medicare reimbursement, society has "opened the front door," paying APNs directly for care rendered. As the excitement subsides, however, the question arises, '~xlowwhat?" In my view, five areas of opportunity and challenge are immediately evident as a result of this legislation: (1) access, (2) visibility, (3) recognition, (4) business, and (5) policy.
Access A key impetus forging passage of this legislation was to increase access of primary
VOLUME 46 ° NUMBER 1
NURSINGOUTLOOK