MNA Legislative Update, April 19, 2013

Standards of Care Campaign Update
House File 588 (HF588) passed the full Minnesota House of Representatives 73-58 on Wednesday. There was bipartisan support for our bill to require the Department of Health to study the correlation between staffing and patient outcomes and hospitals to report their staffing quarterly to the public. Take a moment to thank our author and champion Representative Joe Atkins. He has gone to the mat for nurses over and over again because he believes us when we say patients are vulnerable in Minnesota’s hospitals today. His email is rep.joe.atkins@house.mn.   The bill still has to clear one more committee in the Senate. We expect that hearing to take place next week.   We need to reach out to members of the Senate who are still undecided on the bill. Even if you have already contacted your state senator, please reach out again. If you haven’t already, tell your senator why we need to address staffing in Minnesota hospitals, and ask for their support.

Contact your state senator today and ask them to support strong consumer transparency language, nurse staffing reporting and a comprehensive study that gathers real, Minnesota-specific data about the correlation between staffing and health outcomes.    Click here to use the MNA Grassroots Action Center to send an email.    Let your senator know:

  • You’re a nurse
  • Why it is important to shine a light on the correlation between staffing and health outcomes
  • Why better nurse staffing matters to you and your patients

Mayo “Destination Medical Center”
This week the Mayo Clinic returned to the legislature with a revised proposal regarding the state’s contribution to the Destination Medical Center expansion project in Rochester. The new plan in the House requires Rochester and Olmstead County to contribute more to the project, and reduces the state contribution from $585 million to under $400 million.   Last week MNA, along with SEIU Healthcare Minnesota and UNITE HERE, the hotel and restaurant workers union, submitted a letter to legislators raising questions about the project, including seeking more information about what kind of jobs would be created by the expansion, how the project would affect quality of care and Mayo’s obligation to provide charity care. After the release of the new plan, we still haven’t received answers to our questions and will continue to seek information before supporting such a major public investment in a private institution.

Out-of-state purchase of University of Minnesota Hospital
While the Sanford/Fairview merger talks are off, due to the public inquiry into the matter by Attorney General Lori Swanson, the trend of hospital consolidation and corporatization continues. Representative Joe Atkins (DFL- Inver Grove Heights) held a hearing this week on his bill to prohibit the sale of the University of Minnesota hospital to an out-of-state entity. Minnesotans have invested in the University of Minnesota hospital and medical school, and taxpayers deserve to know their investment will continue to serve the interests of Minnesotans, and not be transferred to a for-profit corporation that put profits ahead of patient care and medical education.   The bill passed the House Commerce Committee this week and will move on to the Health and Human Services Policy committee.

State Contract
The contract for over 700 MNA nurses in state facilities was passed by the House on Monday with bipartisan support. Thanks are due to Representative Leon Lillie (DFL-North St. Paul) for all his work on passing the bill in the House.   In the Senate, the contract still has to be passed by the Finance Committee before it goes for a floor vote. In an unprecedented move last session, the same contract, agreed to by both management and employees, was voted down by the Republican-controlled legislature after attacks on public employees all session long. State nurses have gone without a contract for two years, and while this contract will most likely be finalized by the legislature, they will have to start negotiating their next contract immediately, as this one will expire at the end of 2013.

Under the new contract, nurses will receive a 2% wage increase that will be in effect from January – June, 2013.   In addition, the contract calls for tuition reimbursement, bonus pay for extra weekend shifts and charge nurse pay.

Health and Human Services Omnibus Bills
The Governor, Senate and House have all released their Health and Human Services proposals. There are significant differences between the three plans, but we are pleased to see that each plan includes language to keep the state mental health facility in Willmar open. Both the House and Senate plans seek more accountability from Health Maintenance Organizations (HMOs). The House and Senate each propose increase funding for nursing homes, including a Cost of Living Adjustment for nursing home workers, whose wages have been frozen for years.   The bills are working their way through the legislative process and will go to a conference committee in coming weeks to work out differences.

Federal Update MNA nurses are in Washington, DC today with hundreds of NNU nurses from around the country to lobby for the Robin Hood Tax (HR 1579), a federal nurse-to-patient ratio law (S. 739), and collective bargaining rights for Veterans Administration nurses. They are also rallying in Washington, DC to urge the city council to make local hospitals safer by passing the Patient Protection Act.

HR 1579—The New Bill to Rebuild the Nation With a Tax on Wall Street

Deborah Burger, RN
By Deborah Burger, RN
Co-President, National Nurses United

This is a huge day,” Rep. Keith Ellison announced April 17 at a press conference within view of the Capitol, referring to legislation he reintroduced for a Wall Street speculation tax with huge purpose.

Take, for example, this passage from the bill’s “Findings.”

“The global crisis cost Americans $19 trillion in lost wealth…. American citizens provided the money to stabilize the financial sector…. The global financial crisis, along with wars, unabated and unaddressed climate change, unsustainable tax cuts, and a continuing unemployment crisis, if unaddressed, will deprive a generation of a meaningful role in the larger economy.” — Inclusive Prosperity Act, H.R. 1579, Sec. 2.

Inclusive Prosperity Act -- HR 1579

Rep. Ellison addresses Washington press conference April 17 surrounded by supporters of HR 1579

The next step is a big march and rally Saturday, April 20 – 12pm EST @ Rally at Farragut Square – 17th Street NW between K and I streets, Washington, DC.

Then a march follows to the U.S. Treasury Department and White House. Symbolic dollar bills to pay for a real recovery will be delivered to the White House. Anyone not able to attend can watch it via live stream here.

Ellison’s bill is attracting support from more members of Congress — Earl Blumenauer (D-OR), Judy Chu (D-CA), John Conyers (D-MI), Barbara Lee (D-CA), James McGovern (D-MA) and Delegate Eleanor Holmes Norton (D-D.C.).

Calling the legislation “remarkable” and “bold,” Rep. Barbara Lee told the press conference that HR 1579 would address “out-of-control tactics” on Wall Street and would “lead to critical investments for our future — in health and development assistance.”

Inclusive Prosperity Act -- HR 1579

Rep. Barbara Lee speaking at the press conference

H.R. 1579 would levy a small sales tax on trading of stocks, bonds, derivatives and other instruments. Brokers carrying out the trades would be charged the tax, unless carried out directly by investors. Households with adjusted gross incomes under $75,000 would be exempted.

Indeed, the tax targets the wealthiest of the wealthy, the bankers and brokers who crashed our economy and were rewarded with bailouts and bonuses while Main Street endured the pain. As to those who insist the effects of the tax will just fall on ordinary Americans, consider this: The top 1 percent own half the country’s stocks, bonds and mutual funds. The bottom 50 percent own .5 percent, half of one percent, of all stocks, bonds and mutual funds.

Supporters say the bill would bring real and enduring recovery to Main Street. It also aims to put a brake on high-speed computer trading, avoid bubbles that destabilize markets and sideline capital, and lower costs of essentials, like fuel and food, whose price spikes are linked to speculative trading.

“High-frequency trades are carried out at ‘blinding speeds,'” said Wallace Turbeville, former Goldman Sachs investment banker and a senior fellow at Demos, “to the point where 50, 60 or 70 percent are done by ‘robo-traders.’ This does not give value to the economy, it damages it.”

“Wall Street speculation has become a house of cards, a game of computer-driven bets on bets, far removed from real-world investments in real economic activity,” wrote Ralph Nader in a statement of support for Ellison’s bill.

Inclusive Prosperity Act -- HR 1579

National Nurses United Co-president Jean Ross at DC press conference

“We have all seen the enormous outpouring of support for a financial transaction tax in this country,” said Jean Ross, RN, co-president of NNU, the nation’s largest nurses’ organization. “The Ellison bill has our strongest support and the backing of millions of members in organizations that endorse Robin Hood – because it would move the country away from austerity, and all the harm that entails, and raise revenue on the scale needed to rebuild the communities still suffering from the financial collapse of 2008.”

George Goehl, executive director, National People’s Action, thanked Rep. Ellison for his “courage” and for pushing back against “awful austerity.” Goehl said that polls indicate that 62 percent of the public support an FTT. “We have a revenue crisis in America,” said Goehl, “but the good news is that we know where the money is. It’s not in grandma’s social security check, it’s not in our children’s classroom, and it’s not in the pockets of working class families. It’s on Wall Street.”

“The United States has made a commitment to invest in the end of AIDS. Yet, with our current budget crisis this will be impossible, unless we join all of the other major financial markets and implement a Robin Hood Tax. There is no reason not to do this,” said Jennifer Flynn of Health GAP. “It’s common sense legislation.”

Erich Pica, of Friends of the Earth, also spoke, expressing support for Ellison’s bill in behalf of his organization’s 150,000 members and its goal to address “uncontrolled climate change.” He asked, “Does the U.S. have the political will for adaptation that has to occur?”

“We have an FTT at the gates of Congress,” said Bobby Tolbert of VOCAL-NY. “With a tiny tax on Big Banks, we can invest in our future by creating jobs, protecting healthcare and solving crises like the HIV/AIDS epidemic and climate change. It’s the minimal endowment owed by corporate America.”

More than 140 organizations representing millions of members in labor unions, religious groups, as well as health advocates, consumers, housing activists, environmentalists, and others have endorsed the passage of the Wall Street sales tax. Among those showing their support this week were the Sierra Club and the National Organization for Women.

“It’s about time Wall Street started paying its fair share,” said NOW President Terry O’Neill. “The people of this country are still struggling to get by, six years after the economic downturn began. Women are disproportionately represented amongst the poor and those working for minimum wage with little to no benefits. We need a strong safety net, and who better to pay for it than the financial institutions that caused the economic crisis in the first place?”

Ellison noted that the idea of the tax is not outlandish or unusual, calling it, in fact, “mainstream.” Today, dozens of countries have in place a system of financial transaction taxation, including many of the world’s biggest economies. Eleven European countries, including Germany, France and Italy, have either implemented or will soon implement an FTT.

The leading Asian financial markets also charge these taxes as do other major economies with the exception of the U.S. But even the U.S. had a tax for half of the last century until the increasingly powerful financial industry lobby succeeded in having it repealed in the 1960s.

“The Inclusive Prosperity Act, which establishes a modest tax on virtually all financial transactions in the United States, is a hugely important policy initiative that addresses three of our most important economic problems today–austerity, financial instability, and inequality,” said University of Massachusetts-Amherst economist Robert Pollin.

“This measure is capable of generating in the range of $300 billion per year in tax revenues. These funds would enable us to fight against the austerity-agenda cuts to Social Security, Medicare, public education and other vital social programs. The Act will also discourage excessive speculation in financial markets, by increasing the costs of Wall Street gambling. Everyone shopping on Main Street today pays sales taxes when they buy things. It’s time for Wall Street traders to face up to similar obligations.”

Follow Deborah Burger on Twitter: www.twitter.com/NationalNurses


NCLEX REVIEW FOR GRADUATING NURSES

The Pennsylvania State Nurses Association (PSNA), the professional association representing 211,000 professional nurses in Pennsylvania, and the PSNA New to Practice Task Force announced that it has added an NCLEX review session to its May 21, 2013 Summit at DeSales University, Center Valley. The two-hour NCLEX review session, in addition to a full-day of continuing education sessions and lunch, is available at a discounted undergraduate rate of $35.

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CDC: Bombing Events

Boston health officials are dealing with the immediate aftermath of two bombs that exploded near the finish line of the Boston Marathon on the afternoon of April 15, 2013. CDC offers resources that may help local or state health officials prepare for, respond to, and mitigate the health effects of bombings, and other mass casualty events.

Mass Casualty Event Preparedness and Response: CDC’s “Mass Casualty Event Preparedness and Response” website, available at http://emergency.cdc.gov/masscasualties/index.asp, is the primary location for resources for the general public and for health professionals. Public health officials can assist in disseminating the following resources to the audiences who need them.

Information for the General Public: The following resources on the “Mass Casualty Event Preparedness and Response” website offer information for the general public about bombings, and injuries and stress associated with mass casualty events:

Information for Health Professionals: The following resources on the “Mass Casualty Event Preparedness and Response” website offer information for health professionals about treating injuries and stress in patients affected by mass casualty events, as well as other resources for professionals:

Fact Sheets

 

Guidance and Planning Documents

 

Data Collection and Planning Tools

 

Training

Coping with Trauma: The effects of a disaster, terrorist attack, or other public health emergency can be long-lasting, and the resulting trauma can affect those not directly impacted by the disaster. CDC’s “Coping with a Disaster or Traumatic Event” web page, available at http://emergency.cdc.gov/mentalhealth/, lists resources that provide general strategies for promoting mental health and resilience. These materials were developed by various organizations on the basis of experiences in prior emergencies.

 

Substance Abuse and Mental Health Services Administration (SAMHSA) Disaster Distress Resources: The SAMHSA Disaster Distress Helpline, available at http://disasterdistress.samhsa.gov/, provides 24/7, year-round crisis counseling and support for persons experiencing signs of distress as a result of disaster:

  • Call 1-800-985-5990
  • Call TTY for deaf/hearing impaired 1-800-846-8517
  • Text TalkWithUs to 66746

 

SAMHSA has additional resources on dealing with disaster at the SAMHSA website, http://disasterdistress.samhsa.gov/.

For More Information

 

The Centers for Disease Control and Prevention (CDC) protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations.

MNA’s Ethics Committee Hosts Successful Education Day on Substance Use Disorder

 program  Over 70 registrants braved a host of weather-related forces on Thursday to attend the spring education program sponsored by MNA’s Ethics Committee.  Substance Use Disorder:  Implications for Nurses proved to be a compelling subject.   “I supervised nurses with substance abuse issues and watched them disappear and lose their livelihood,” said attendee Barbara Davis. Participants had the opportunity to delve deeply into the issue from many perspectives; all with an underlying ethical theme.

audience
Nurses are exposed to the challenges of Substance Use Disorder more frequently than the general population.  Whether it impacts a colleague, a patient, or even a personal situation, RNs benefit from gaining a wider knowledge base of the problem.  Like any addiction, Substance Use Disorder is a disease and deserves to be treated as such. The program, designed for the unique circumstances posed to health care professionals, offered a path of awareness, admission and action.

Beth Benda praised the program for its comprehensive approach.  “I think it was excellent for the judicial review and legal aspects, and the bio-medical overview was phenomenal,” said Benda.  “I also love the networking with other nurses.  I’ve been able to connect with people I would never run into in any other area.”

The program was also valued for its respectful nature.  “MNA has put together a great panel of speakers, and you are increasing awareness in a very informative, non-judgmental way,” said another attendee.
brain slide

MNA’s Ethics Committee designed the education day to help nurses support other nurses, and by all accounts the group exceeded its goal.  Aillen Sabaricos is a fairly new employee at HealthEast and a graduate of a foreign nursing program.  “I appreciated learning about the difference in the need for documentation and how it is addressed in the United States.  It’s good to know Health Professionals Service Program is there.  I may not need it, but if a co-worker or somebody I know needs it, I can help.”

Members of the MNA Ethics Committee who helped plan the program are Pamela Wolters, Sandie Anderson, Susan Kreitz, Sarah Simons and Mischelle Knipe, assisted by MNA Staff Linda Mash and Linda Owens.