The guiding principles of NAPNAP’s 2019 health policy agenda are:
- All children and their families have the right to a safe environment absent of discrimination and in recognition of their individuality and resilience.
- Children should have access to comprehensive, continuous, coordinated, compassionate, culturally sensitive and family-centered health care, including behavioral health services in order to ensure healthy lifestyles.
- We strive to remove barriers that impede access to the care provided by pediatric advanced practice nurses in all practice settings.
- Commitment to national and grassroots advocacy by NAPNAP members is essential and should be supported by providing learning opportunities for members to support their development as advocates.
NAPNAP’s Health Policy Committee has identified the following goals for focused advocacy and strategic partnerships to support NAPNAP’s mission and respond to important health policy issues.
Goal 1: Improve child and adolescent health through support and advocacy on a wide range of health issues with emphasis on the following strategic priorities:
- Promotion of optimal nutrition and physical activity with a focus on encouragement of breastfeeding and prevention of childhood obesity.
- Advocacy for increased access to comprehensive and integrated services to address childhood developmental, behavioral, and mental health issues.
- Injury prevention and harm reduction activities focusing on the leading causes of childhood illness, injury and death, including gun safety.
- Advocacy for resources and access to care for the unique physical and emotional health care needs of vulnerable populations including children in sex and labor trafficking, children impacted by the drug epidemic, and refugee, undocumented and unaccompanied minor children.
- Development of comprehensive quality health indicators focused on the care of children and families.
Goal 2: Improve access to comprehensive primary, chronic, acute and specialty care services for all children and adolescents through support and advocacy for:
- Comprehensive funding of CHIP and Medicaid programs.
- Addressing growing disparities of costs of health care including: insurance coverage, adequacy of benefits, out of pocket expenses for durable medical equipment and pharmaceuticals.
- Behavioral and mental health services for children and families as an integral part of a comprehensive health care package.
- Elimination of policies that result in separation of immigrant children from their families and their detention in facilities that not designed or equipped to meet their health care needs.
- Removal of barriers that prevent families from obtaining affordable and comprehensive child health insurance coverage.
- Removal of barriers that prevent access to qualified pediatric providers, including those practicing in telehealth.
- Removal of barriers that prevent access to pediatric home health care, hospice and other community-based services.
Goal 3: Promote children’s access to advanced practice registered nurses through support and direct advocacy on the following issues:
- Pediatric nurse practitioners and other advanced practice registered nurses who provide primary care should be recognized as primary care providers by all entities.
- Advanced practice registered nurses should be recognized as full partners and leaders in innovative models of care such as Accountable Care Organizations (ACOs) and health care homes.
- Comprehensive, transparent, fiscally responsible reimbursement and measurement of quality care should be provided by government and commercial payers for services provided by advanced practice registered nurses.
- Advanced practice registered nurses caring for pediatric patients should be participants in any federal grant programs piloting innovative models of care, including health information technology initiatives.
- Increased funding for and maintenance of “freestanding” otherwise known as clinical and didactic education of nurses who specialize in child health care at all levels, including faculty development.
- Reauthorization and adequate funding for nursing workforce development programs under Title VIII of the Public Health Service Act.
- National standardization of APRN practice across states in alignment with the APRN Consensus Model to eliminate barriers to full practice that are arbitrary or not evidence-based.
Goal 4: Educate NAPNAP members to increase awareness and engagement on federal and state advocacy activities, including:
- Participation in federal advocacy activities – Congressional meetings, calls to action, etc.
- Ongoing training for chapter legislative chairs and SIG leaders on grassroots advocacy.
- Education and call to action opportunities for members via various technology platforms and e-communications.
- Collaboration with academic leaders to develop innovative programs of pediatric specialty and education that broaden advocacy initiatives.
- Active mentorship for members interested in learning more about child health and professional practice issues.
Goal 5: Increase external stakeholders’ awareness of NAPNAP members as champions for child health and professional practice advocacy by:
- Identification, development and deployment high-quality network of pediatric-focused APRN advocacy leaders to represent NAPNAP on national, regional and state child health or APRN-related health policy task forces, advisory panels and committees.
- Collaborative efforts with other like-minded stakeholders to advance child health and safety initiatives and APRN professional issues.
- Campaign to educate policy makers about the expertise of pediatric-focused APRNs.
Approved by the NAPNAP Executive Board on Feb. 11, 2019.