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At the Core of Care

At the Core of Care

Pennsylvania nurses innovating for their communities

Latest From Series

Why a Red State and a Blue State Made the Same Change to their Nursing Law

Currently, 26 states across the United States grant full practice authority for NPs, with Kansas and New York modernizing their laws most recently. In this episode, we hear more about how these two states moved towards full practice authority and what this could mean for other states, such as Pennsylvania, where reduced practice regulations exist. Joining us for this conversation are Pennsylvania State Senator Camera Bartolotta and Dr. Tay Kopanos. Topics covered include current obstacles to full practice authority and the future of primary care needs. Senator Camera Bartolotta is a Republican State Senator representing southwestern Pennsylvania’s 46th District. Dr. Tay Kopanos is a nurse practitioner and the Vice President of State Government Affairs for the American Association of Nurse Practitioners.  In case you missed it, listen to Part 1 of our special coverage with Dr. Lynn Heard, a longtime nurse practitioner who has been unable to find new collaborative agreements with a physician for two years now. Two of her patients also share their perspective with us about the change in their primary care.   To learn more about full practice authority, listen to our previous episode, The Fight for Full Practice Authority in Pennsylvania, which features various NPs who are advocating for themselves and their patients. 
June 13, 2022

Award-Winning Pennsylvania Nurse Stymied by Antiquated Law

Full practice authority permits nurse practitioners, who are nurses with advanced degrees, to deliver healthcare without unnecessary barriers or restrictions. Currently, 26 states across the United States grant full practice authority for NPs. In this episode, we hear from Lynn Heard, a family nurse practitioner and longtime school nurse. She’s based in Pennsylvania, a reduced practice state, meaning NPs must have a collaborative agreement with two physicians in order to prescribe medicine and provide their full spectrum of care. At the start of the pandemic, Heard lost her collaborative agreement after the physician she worked with closed down their practice. Since then, she’s had trouble finding new physicians to collaborate with and has scaled back her family practice considerably. We also hear from Bonnie McFarland and Susan Donces, two of Heard’s longtime patients. Since Lynn does not have a collaborating physician, McFarland can no longer see her and refuses to choose a new primary care provider. Donces continues to see Heard as her primary healthcare provider, but she cannot receive prescribed medication. Part 2 of our special coverage will discuss the broader scope of practice trends across the country. Joining us for that conversation are Pennsylvania State Senator Camera Bartolotta to talk about removing barriers to care here in Pennsylvania, along with nurse practitioner and state policy expert Tay Kopanos from the American Association of Nurse Practitioners.  To learn more about full practice authority, listen to our previous episode, The Fight for Full Practice Authority in Pennsylvania, which features various NPs who are advocating for themselves and their patients.
June 6, 2022

Leveraging Nurse Volunteers to Combat Vaccine Misinformation

In this episode, we speak with Garrett Chan. He’s the nurse leader behind HealthImpact, which is a California-based organization that has driven workforce development innovations within nursing. Over the course of the pandemic, HealthImpact has been behind two major initiatives to help promote vaccine confidence: VaxForce and Trust a Nurse, Ask a Nurse. VaxForce was launched to recruit skilled volunteers who could perform vaccinations, while the Trust a Nurse, Ask a Nurse program relies on volunteer nurses to field vaccination questions from community members. Garrett Chan is the president and CEO of HealthImpact, and also an associate adjunct professor at the University of California San Francisco. Previously, he served as Director for the Center for Education and Professional Development, and Director of Advanced Practice at Stanford Healthcare. And check out our previous related episode with Lizett Leandro. She’s worked as a consultant for the Trust a Nurse, Ask a Nurse program.
April 11, 2022

Trust a Nurse, Ask a Nurse: Building Vaccine Confidence Through Telehealth

As part of our Special Report series, we shift our focus from nursing burnout to an innovative nurse-based initiative to build vaccine confidence in California. In this episode, we speak to Lizett Leandro about her work as a consultant for the Trust A Nurse, Ask A Nurse program, a telehealth platform created by HealthImpact. The program relies on volunteer nurses to field vaccination questions from community members. Lizett helped create the initiative’s informational template and shares her experience with this type of public health outreach. Lizett Leandro is the Director of Clinical Services and Quality for a senior living non-profit in Southern California and a Gerontology Nurse Practitioner and Nurse Consultant at HealthImpact. She oversees nursing education policy and procedures and quality improvement for skilled nursing facilities and assisted living communities.
March 28, 2022

Burnout at a Systems-Level

As part of our Special Report series, we continue with our coverage of different nursing views on the impact of burnout and how to address it.  In this episode, we hear from Dr. Dewi Brown-DeVeaux about burnout at a systems-level and how it influences vaccine confidence at this point in the pandemic. Dr. Brown-DeVeaux shares her perspective on what she thinks are the major causes of burnout in the healthcare space and what we can do to address it.  Dr. Dewi Brown-DeVeaux is the Director of Nursing Services for Interventional Radiology/Infusion/Family Group Practice at a major academic Medical Center in New York City. 
March 14, 2022

Burnout or Burndown? How to Support Health Professionals

In this episode, we hear from Dr. Ali Tayyeb, a registered nurse and Assistant Professor at California State University, Los Angeles. Dr. Tayyeb is also a United States Navy veteran who specialized in combat trauma and is host of the podcast, RN Mentor.  When discussing his views on the impact of burnout, Dr. Tayyeb uses the word “burndown” instead. Dr. Tayyeb explains that the term "burnout" implies that healthcare professionals instigate through their personal actions, whereas the term “burndown” focuses on systemic issues embedded in the healthcare field.
February 28, 2022

At the Core of Care

At the Core of Care highlights the consumer experience of patients, families, and communities and the creative efforts of nurses and other partners to better meet their health and healthcare needs through diversity, leadership, and practice innovation.
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Host

Sarah Hexem Hubbard

Sarah Hexem Hubbard

Sarah Hexem Hubbard, Esq. is the Executive Director of the National Nurse-Led Care Consortium and the Pennsylvania Action Coalition. She regularly speaks on topics related to the role of nursing in building a Culture of Health. She has published in the areas of public health law research, nurse practitioner scope of practice, and medical-legal partnership. Sarah teaches health policy at the University of Pennsylvania, School of Nursing, and she graduated magna cum laude from Temple Law.

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