Where We Stand on Issues

The following resolutions and position statements have been adopted by the members of KCNPNM

 

A Resolution Declaring KCNPNM A Compassionate Organization of Health Care Providers

A Resolution Declaring KCNPNM in Support of SMOKEFREE KENTUCKY

 

 

Health Care to the Poor and Uninsured

The Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) is committed to supporting the highest quality of health care for all. Therefore, the KCNPNM recognizes the vast need for provisions of health care for the indigent and uninsured, thereby supporting improvement of access to quality care for those mentioned.

WHEREAS, a person is defined as uninsured if he/she does not have any private heath insurance, Medicare, Medicaid, State Children‘s Health Insurance Program (SCHIP), state-sponsored or other government-sponsored health plan, or military plan. A person is uninsured if he /she has only Indian Health Service coverage or a plan that that pays for one type of service such as accidents or dental care.

WHEREAS, the Census Bureau reported in 2007 that over 47 million people from working families lacked health care insurance (9 million were children).

WHEREAS, in Kentucky 20% of population were at or below 100% poverty in 2007 and 41% under 200% poverty. (Hispanic/Latino 2%, African American 8%, Asian 1%, American Indian/Alaska Native 0%, White 90%).

WHEREAS, America spends nearly $100 billion per year to provide health services for uninsured residents. Most often treated are preventable diseases or diseases that could be treated more efficiently is diagnosed earlier. Those who lack insurance are 40% more likely to be hospitalized for avoidable conditions incurring an average cost of $3,300 per stay. People without health insurance average paying 35% of health care out-of-pocket, creating burdensome debts since most have no assets.

The uninsured suffer negative healthcare consequences due to the lack of consistent necessary medical care including premature death.

 

WHEREAS, hospitals donate approximately $37 billion worth of uncompensated care annually. Private and public payers provide another $37 billion . Those who lack coverage pay approximately $26 billion out-of-pocket.

THEREFORE, The KCNPNM is committed to promotion of public awareness of programs available for the underserved and uninsured. The KCNPNM resolves to enlighten legislators regarding the current status of health care for the uninsured and encourage legislation that will aide those without health insurance.

Sources:

DeNavas-Walt, CB Proctor, and J. Smith. Income , Poverty, and Health Insurance Coverage in the United States :2006 US Census Beaureau., August 2207. http//www.census.gov/prod/2007pubs/p60-233.PDF

The Henry J. Kaiser Family foundation. The Uninsured: A Primer, Key Facts About Americans without Health Insurance. October 2006. http//www.kff.org/uninsured

Consumer Reports. Are you really covered? September,2007

Clinton's Mandatory Health Care Insurance Plans. http//www.cnn.com/2007/POLITICS/09/17/health.care/index/html

Obama'08 Healthcare. http//www.barackobama.com/issues/heathcare

(CDC Data & Statistics/People without Health Insurance Coverage. http//www.cdc.gov/Feature/dsHealthInsurance)
 

Physical Activity for Children and Adult Health

WHEREAS:

The American Heart Association, the Centers for Disease Control and Prevention, Healthy People 2010 and the Kentucky Nutrition & Physical Activity State Action Plan 2005 name Physical Activity as a leading health indicator, and

WHEREAS:

Regular physical activity reduces the risk for heart attack, helps control weight, reduces chronic disease such as colon cancer, diabetes and high blood pressure, reduces falls in older adults, reduces symptoms of anxiety and depression, and can help people avoid developing functional limitations, and

WHEREAS, Obesity among adults in Kentucky has more than doubled since 1990 and has stayed steadily above the national level for each year, and:

· Only 33.8% of adults in Kentucky meet CDC recommendations for 30 minutes of moderate physical activity five or more days per week or vigorous physical activity for 20+ minutes three or more days per week

· 35% of Kentucky adults are physically inactive compared to 27% of adults nationwide,

· About 8% of Kentucky boys and 13% of girls are physically inactive

· Only 35% of Kentucky High School students report being in a physical education class compared to over 51% nationwide

· 31% of high school students watch three or more hours of TV each day---an indicator of physical inactivity; and

WHEREAS: Nurses and their nursing societies have the ability and opportunity to positively influence nutritional and physical activity behaviors of their patients, families and communities, now therefore, be it

 

RESOLVED, that the Kentucky Coalition of Nurse Practitioners and Nurse Midwives encourage members to regularly assess and counsel their patients and families about the importance of physical activity and nutritional behaviors that improve health, and be it further

RESOLVED, that the Kentucky Coalition of Nurse Practitioner and Nurse Midwives work with schools and other organizations to create environments that facilitate healthy nutritional and physical activity behaviors among children and adults

references:

http://www.cdc.gov/nccdphp/publications/aag/dnpa.htm

http://www.americanheart.org/

http://www.healthypeople.gov/

Kentucky Department for Public Health Division of Adult and Child Health Improvement (2005). The Kentucky Nutrition & Physical Activity State Action Plan 2005. http://www.fitky.org/

November 14, 2006

 
 

The Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM), recognizes that all citizens of the Commonwealth are equally entitled to timely and effective access to trauma care.

Supporting Statements:

WHEREAS, trauma is one of the most expensive diseases in America, with the National Safety Council reporting the total cost of unintentional injuries in 2004 was $574.8 billion; and

WHEREAS, traumatic injury is the leading cause of death in patients under the age of 441; and

WHEREAS, Kentucky experienced more than 4,000 trauma cases in 2006 and is one of 14 states without an organized trauma system1; and

WHEREAS, nearly 60 percent of all trauma deaths occur in rural areas and approximately 46.7 million people do not have access to a trauma center within the “Golden Hour”2; and

WHEREAS, HB 371, which addresses the development of a coordinated statewide trauma network, was one of only four bills passed by the Kentucky General Assembly in April, 20083;

THEREFORE, The KCNPNM resolves to endorse the formation of a statewide trauma system and urges the medical community to unite in vigilant monitoring of its development.

As a patient advocate, the KCNPNM will seek to encourage government leaders to recognize the vision of advancing Kentucky’s healthcare, particularly with regard to traumatic injury.

1Gray MidAmerica TV Interactive Media.  Gray.printthis.clickability.com, May 2008

2The Rural Monitor.  www.raconline.org, November 2008

3Gray MidAmerica TV Interactive Media.  Gray.printthis.clickablilty.com, May 2008

 

A Resolution Declaring KCNPNM A Compassionate Organization of Health Care Providers

WHEREAS, KCNPNM was founded with mission of providing quality, accessible and compassionate healthcare through education, leadership and advocacy; and,

WHEREAS, advanced practice nursing is grounded in science and the best state of present knowledge; KCNPNM is committed to educational preparedness and evidence-based practice thus ensuring communities receiving our services get competent care and compassionate dedication; and,

WHEREAS, KCNPNM members empower patients, in the context of their communities, to become knowledgeable consumers of health care and to value wellness and wellbeing.

WHEREAS, on November 11, 2011 Mayor Greg Fischer signed a Resolution adopted by the Louisville Metro Council declaring Louisville a Compassionate City and committed to a 10 year campaign to enable Louisville to become the “compassionate heart of America” so the successive generations inherit a better world; and

 

NOW THEREFORE, be it resolved:

 

SECTION I: That KCNPNM hereby affirms and pledges support of Louisville Mayor Greg Fischer’s resolution to make Louisville the most compassionate of cities, and will work with the Partnership for a Compassionate Louisville, its Healthcare Constellation, and other groups in meeting this common mission. 

SECTION II: That the members of KCNPNM do hereby formally commit to being people of compassion, and extending those principles to all of the Commonwealth;

SECTION III: That KCNPNM will integrate the values of The Charter for Compassion by:

 

a)      Continuing to work toward an inclusive healthcare system, one in which advanced practice registered nurses practice  to the full extent of their education in providing health care in the commonwealth.

b)      Fostering greater personal accountability, self-advocacy for health care experiences, recognizing that empowered health consumers can positively impact their own outcomes and those of their community.

c)       Operating transparently and modeling this value through Kentucky’s healthcare system, which in turn, will enable more citizens of the Commonwealth to reap the benefits that come from living a compassionate healthy life.

d)      Remaining universally positive and serving as a model of persistence in addressing the needs of our communities;

e)      Tapping into the social innovation that exists in every committed member of the KCNPNM, its communities, and individual health care practices through active engagement and other organizations;

f)        Believing courageously in and remaining grateful for the abundance that exists in our creative collective minds and compassionate hearts.

g)      Maintain open awareness and understanding as we strive to model compassion in our daily thoughts, practices, and interactions with others.

h)      Remaining intentionally focused so that KCNPNM may inspire others in our profession and the commonwealth to adopt these same values.

 

Section IV: That on this 24th day of April, 2015 in the city of Covington, Kentucky the members of KCNPNM hereby affirm and commit to extend this compassion initiative to the entire commonwealth.

 

A Resolution Declaring KCNPNM in Support of SMOKEFREE KENTUCKY

WHEREAS, KCNPNM was founded with mission of providing quality, accessible and compassionate healthcare through education, leadership and advocacy; and,

WHEREAS, Advanced practice nursing is grounded in science and the best state of present knowledge;

WHEREAS, Secondhand smoke contains more than 250 chemicals, gases, and poisons known to be toxic or cause cancer, stroke, heart disease, sudden infant death syndrome, respiratory ailments and inner ear infections in children; and,

WHEREAS, Secondhand smoke has been classified as a Group A carcinogen by the EPA; and,

WHEREAS, Workers exposed to secondhand smoke are 20-30 percent more likely to develop cancer; and,

WHEREAS, It is estimated that one non-smoker dies from exposure to secondhand smoke for every eight smokers who die from their tobacco use; and,

WHEREAS, Ordinances prohibiting indoor smoking are highly effective in reducing exposure to secondhand smoke, reducing consumption of cigarettes, and reducing youth smoking; and,

WHEREAS, Ordinances prohibiting indoor smoking in thousands of communities across the country have been shown to have no negative economic effect.

 

NOW THEREFORE, be it resolved

SECTION I: That the undersigned organization endorses the initiative to:

a)      Pass a non-preemptive statewide comprehensive smoke free law prohibiting smoking inside all worksites, including bars and restaurants, for the protection of public health.

b)      Promote and maintain the momentum for local comprehensive smoke free workplace campaigns.

 

BE IT FURTHER RESOLVED that the undersigned organization will:

a)      Inform its members and, whenever possible, the general public of its endorsement of this Resolution; and,

b)      Allow SMOKEFREE KENTUCKY to forward a copy of this resolution to government officials; and

 That on this 24th day of April, 2015 in the city of Covington, Kentucky the members of KCNPNM hereby affirm and commit to extend this compassion initiative to the entire commonwealth.

 
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