AB 890 (Woods) Nurse Practitioner bill will remove standardized procedure and provide a scope of practice definition for Nurse Practitioner. In addition, AB 890 will also – as written February 2020 – do the following and more:

  1. Create a NEW – Advance Practice Registered Nursing Board with 3 MDs +/- surgeons, 4 NPs and 2 members of the public. 
  2. Established a transition to practice (TTP) of 3 years or 4600 hours
  3. Require National Board Certification 
  4. Require NPs to use an identified standard Spanish phrase to describe the NP
  5. Require an addition 3 years added to the 3 year TTP for NPs practicing outside the identified settings (i.e., hospital, health facility, clinic, and-or medical corporation)

It is very important that you READ the bill for yourself before discussing it with other NPs and/or your local elected officials. The bill passed out of the Assembly this month. You should reach out to your local elected Senator when you are ready to discuss the bill. If you don’t know who your elected official is go to – http://findyourrep.legislature.ca.gov 

To read AB 890 click here – https://leginfo.legislature.ca.gov/fa…/billTextClient.xhtml…

Currently, 22 states and the District of Columbia allow NPs to diagnose, treat patients and prescribe medications without a physician’s supervision. NPs practice in a variety of health care settings, including hospitals, nursing facilities, clinics and private practices. State law determines the extent to which NPs can work independent of a physician.

Almost 80 percent of NPs in the U.S. – 204,000 out of 262,000 – practice primary care, compared to 33 percent of physicians (Health Affairs – online September 4, 2018). In 2016, the US Department of Veterans Affairs announced new regulations permitting full practice authority for the nearly 6,000 advanced practice nurses in its workforce. The VA made this change in policy due to an acute provider shortage within its system, resulting in delays in care. The regulations allow NPs working in a VA facility “to practice to the full extent of their education, training, and certification, regardless of state restrictions that limit such full practice authority.” 

Moore On Health believes in increasing #DirectAccessToCare for the people of California by allowing #NursePractitioners to gain #FullPracticeAuthority. #AB890 has several areas of concern and although there is not such thing as a perfect bill we must not set forth precedents that will negatively impact our profession and other States seeking #FPA. 


july 18 disaster prepardness

July 2018 | Disaster Preparedness – I had the opportunity to share my personal experience of surviving the Thomas Fire and Montecito Mudslide with members of the Oxnard, California community. This discussion was held on Saturday 14, 2018 at the Victoria Estates Club House in Oxnard, California.

Moore On Health recommendations to become disaster prepared are:

1. Create A Plan

  • Be connected to receive emergency announcements
  • Be aware of shelter locals
  • Know your evacuation route
  • Plan how the family will communicate with each other

2. Personal Considerations – Have a back pack ready with the following items.

  • Have a two-week supply of medications packed
  • Have a list of important telephone numbers, primary care physician contact information, dietary needs and allergies
  • Have a plan for your pet
  • Have a copy of important documents stored on zip drive, icloud and/or hard copies in zip lock bags

3. Review & Practice This Plan

oct 18 healthcare policy awareness

August 2018 | CALTCM in Los Angeles – Moore On Health had the best time networking and engaging in meaningful conversation about best practices related to geriatric medical management at the two-day CALTCM conference. Attendees encompassed healthcare providers from all disciplines such as, Social Workers, Physicians, Nurse Practitioners, Registered Nurses and Drug Company Representatives. This conference was designed to deliver an intensive and highly interactive setting for leaders in the field of geriatric medical management.

A unique feature of the conference was the opportunity for participants to work in small collaborative groups with a faculty mentor to develop and implement an action plan for a worksite-specific quality improvement management/leadership challenge.

sept 18 healthcare leadership

September 2018 | CANP Leadership –CANP Leadership Summit provides the latest research findings for advanced practice registered nurses in health policy and grassroots efforts. By CANP’s Leadership Summit you place yourself in the best position to pick up ways to improve professional growth as well.

“Each year, CANP chapter leaders from across the state gather during our Leadership Summit, which connects chapter leaders, the CANP Board of Directors and staff to foster an exchange of ideas and information while also developing leadership skills. The event is free of charge and up to two leaders (as designated by chapter president) from each chapter may attend the event.” For more information go to http://www.canpweb.org

oct 18 breast cancer awareness

 October 2018 | Breast Cancer Awareness Month –While conducting employee physicals I took the time and provided information about breast cancer screening.  

Did you know – in the U.S. about 67,400 new cancer cases in Hispanic men and 81,700 cases in Hispanic women are expected to be diagnosed? Among Hispanic women, breast cancer will be the leading cause of cancer death (16%), followed by cancers of the lung (13%) and colorectum (9%). However, among US women overall, lung cancer is the leading cause of cancer death.

 Among Hispanic women, breast cancer will be the leading cause of cancer death (16%), followed by cancers of the lung (13%) and colorectum (9%). However, among US women overall, lung cancer is the leading cause of cancer death.

oct 18 healthcare policy awareness b

Health Policy Awareness –Moore On Health had the opportunity to discuss and exchange meaningful dialogue with the senior class of registered nursing students at Cal State University Channel Islands. The title of the discussion – Best Practices Navigating & Advocating Through the Healthcare Policy Arena. My objectives were to cover the importance of supporting and advancing the nursing profession by 1) Joining a nursing organization is key, 2) Utilizing best practices when advocating for healthcare policies that increases access to evidence-based healthcare and 3) Understanding the power of your voice and brand as member of the nursing profession.

November 2018 | Moore Harvest –One of the ways to gain Moore On Health is by growing what you eat. Your garden can be as small a ceramic clay pot, raised vegetable bed or open space garden – it is not about the size but the invaluable benefits when you grow your own food. Moore On Health believe in empowering the community at large about utilizing and maintinging a nutritional intake of of fruits and vegetables promoting a reduction in disease risk and maximize good health.

December | Celebrate With Colleagues –It always important to take time out and celebrate with your colleagues. The occasional workplace celebration helps create a sense of unity, time to bond and reminisce on work accomplishments .

DSC_1710February 2018 – Moore On Health attended the 2018 AANP Health Policy Conference in Washington D.C. and looking forward to the 2019 conference. There are over 230,000 Nurse Practitioners in the United States and each one of us should be a member of a local and/or national organization that supports, advocates and strengthens our advanced practice registered nursing profession. Nurse practitioners (NPs) have the clinical expertise and the educational background to advocate for the health care community at large. NPs are on the front lines of health care and can relate personal experiences regarding how legislation can impact our patients. If you are not a member of a local and/or national organization, then allow me to encourage you to join one TODAY! 

Be Brave Be Bold but Be Kind as we stand up to eradicate the unnecessary barriers preventing full direct access to care. DSC_1907

Every NP must be involved in health policy at some level. Our job is not only in the hospital, clinic, home visit or classroom. We also have a duty to provide impactful positive change in health care that will benefit multiple generations. We are leaders in the nursing profession on the front lines delivering evidence based practice care, but together we can significantly improve the health of patients through our involvement on health care policies. Let us not struggle with who’s at the table but make the table large for all APRNs. One Voice One Profession One Mission – full direct access to care for the community at large. 

The federal policies that we urged the 115th Congress to improve patient access to less costly, more efficient health care, by taking action to address the following priorities: 

Cosponsor S. 445/H.R. 1825 to Amend Title XVIII of Social Security Act to Ensure Moe Timely Access to Home Health Services for Medicare Beneficiaries Under the Medicare Program. This Legislation Would Authorize Nurse Practitioners (NPs) to Certify Patient Eligibility for Medicare Home Health Services.

Cosponsor H.R. 1160 to improve the way beneficiaries are assigned under the Medicare shared saving program. This legislation would allow the assignment of Nurse Practitioner patients to Medicare shared saving ACOs. 

Cosponsor H.R. 1617 to Ensure Diabetic Patient’s Access to Therapeutic Shoes

We encourage Congress to craft legislation that: protects patient choice by ensuring that health care delivered by Nurse Practitioner is covered by insurance and other healthcare options. 27788870_1583461691690825_8140704533934564643_o.jpg27654609_1583418211695173_5962594335214322604_nWe have more than 50 years of peer-reviewed, independent research showing Nurse Practitioners to be safe and cost-effective clinicians, with patient outcomes that are similar and sometimes better than those of physicians.