Advance Practice Nurses

m Bookmark and Share

ANAMaineCongratulations to all nurses who have elected to pursue an advanced career in nursing. ANA-MAINE supports your commitment and dedication to the profession.
Please let us know how this page can be used to assist you.

New Medicare Rules for NPs on E-Prescribing (posted 4/21/2011)

CMS is starting a new phase of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) to increase electronic prescribing (e-prescribing). Nurse practitioners who don’t either e-prescribe or properly document e-prescriptions can be penalized with Medicare fee cuts in 2012. To avoid pay cuts, NPs who are enrolled as Medicare providers and directly bill Medicare Part B for at least 100 visits between January and June 2011 must show on Part B claims that e-prescribing was used at least 10 different times. Click here for details from ANA.

Sent on behalf of ANA Nursing Practice and Policy (8/11)

The American College of Nurse-Midwives (an organizational affiliate of ANA) has recently published a white paper, Midwifery in the United States and the Consensus Model for APRN Regulation. ACNM produced the paper in cooperation with the Accreditation Commission for Midwifery Education (ACME) and the American Midwifery Certification Board (AMCB). It describes the evolution of midwifery within the ACNM, including the development of the certified midwife (CM) credential).

The document also includes an Appendix with a comparison of CNMs, CMs and CPMs (certified professional midwives). Some of you have used this document to answer questions that arise when CPMs seek licensure in your state.

If you have questions about the document, contact Lisa Summers in Nursing Practice and Policy, or feel free to reach out directly to Elaine Germano, CNM, DrPH, FACNM, Senior Education Policy Advisor at ACNM at

The document has been added to ANA’s Consensus Model toolkit, and can also be found on the ACNM web site at: For a shorter version, use

Janet Haebler MSN RN
Associate Director,
State Government Affairs
American Nurses Association

Promoting Nursing - Resources

The National Conference of State Legislatures (NCSL) held a webinar to address state implementation of health reform, advancing health through nursing on November 18th. Speakers included members of the IOM Future of Nursing committee, Former Secretary of HHS, Donna Shalala and Dr. John Rowe, Professor at Columbia University as well as David Swankin, President and CEO for the Citizens Advocacy Center (CAC), who is also an attorney specializing in regulatory and administrative law.

The webinar highlighted the evidenced-based recommendations of the IOM Future of Nursing report, stressing the need to expand the primary care workforce resulting from health care reform and the roles nurses can play. The message to legislators / legislative staff is they should work to reduce barriers to APRN practice to ensure there are sufficient numbers of primary care providers. NCSBN’s APRN consensus model was promoted as a solution. Dr. Shalala questioned why states put money into education and training of APRNs, only to limit their ability to practice to the full extent of their preparation. And in some cases, this results in APRNs relocating to states in which they are able to practice fully.

In the past year, CAC has become very interested in scope of practice issues and reached out to learn more about ANA and our work with the Coalition for Patients Rights. They have launched an initiative devoted to providing “independent, third party, economically disinterested input into processes and criteria for removing unjustified scope of practice restrictions.” As part of that initiative, they have developed a series of excellent resources on scope of practice: a white paper, a toolkit, and a series of FAQs for consumers on the professions targeted by the AMA Scope of Practice Partnership (SOPP), including APRNs, all available on their website

As part of the Initiative on the Future of Nursing, the Robert Wood Johnson Foundation (RWJF) has launched a new web site to include: details on the research and data behind the recommendations from the Institute of Medicine (IOM) Future of Nursing report; ideas, action steps and resources for organizations to become involved; toolkits and template materials for leaders to advance the recommendations in their communities.

Janet Haebler MSN RN
Associate Director,
State Government Affairs
American Nurses Association

Specialty links

MNPA – Maine Nurse Practitioners Association

National Association of Clinical Nurse Specialists:
The National Association of Clinical Nurse Specialists (NACNS), founded in 1995, exists to enhance and promote the unique, high value contribution of the clinical nurse specialist to the health and well-being of individuals, families, groups, and communities, and to promote and advance the practice of nursing.

ANA Info re: APRNs:

11/2/11: The New Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (APRN Consensus Model)

Consensus Model for APRN Regulation: L.A.C.E.:

The APRN Consensus Model document: For more information about the APRN Consensus Model visit NCBSN's website at

Nurse Practitioner Continuing Education & Certification Exam Preparation

Advance Practice Education Associates


Barkley & Associates

Fitzgerald Health Education Associates

Jones & Bartlett Learning

Necessary Workshop and Nursing Education

Test Prep Review

CNE/CME Links for Advance Practice Nurses

More Links of Interest to Advance Practice Nurses:

Click the following link for a more comprehensive listing of State, National, and International Organizations A Diabetes Core Curriculum Workshop in Queens, NY April 12-15: Contact Carol Molfetta at 631-754-3663 The National Organization of Nurse Practitioner Faculties: 136th Annual Meeting in Washington DC April 15-18 The National Association of Pediatric Nurse Practitioners: 31st Annual Conference Pediatric Healthcare in Chicago April 15-18 The American Association of Critical-Care Nurses (AACN): Exposition in Washington DC May 15-20 The American College of Nurse-Midwives: 55th Annual Meeting in Washington DC June 11-17 The Gerontological Advanced Practice Nurses Association: Annual Conference in Albuquerque NM Sept. 22-25 The National Association of Nurse Practitioners in Women's Health: 13th Annual Conference in Palm Desert, Ca October 13-16

Other State Association Links: The Virginia Council of Nurse Practitioners California Association for Nurse Practitioners Vermont Nurse Practitioners Association North Carolina Council of Nurse Practitioners Mississippi Nurses Association Kentucky Coalition of Nurse Practitioners and Nurse Midwives Michigan Council of Nurse Practitioners Texas Nurse Practitioners Nurse Practitioner Association of South Dakota Louisiana Association of Nurse Practitioners Nurse Practitioner Association New York State

ARNP Internet Resources
(click link for a new and growing list of resources)

USM To Offer Region’s First Doctor of Nursing Practice (DNP) Degree

The University of Maine System Board of Trustees has given the University of Southern Maine approval to launch a Doctor of Nursing Practice (DNP) degree program. USM is accepting students for the fall 2011 semester.

The USM program will be the only one of its kind in northern New England at a time when the DNP is becoming an increasingly popular and sought after credential. According to the American Association of Colleges of Nursing, from 2008 to 2009, the number of students enrolled in DNP programs increased from 3,415 to 5,165. Currently, there are 120 programs in the nation that offer the practice doctorate in nursing, an increase of 103 such programs since 2006. Another 161 institutions are considering, or are in the actual planning stages, for development of a DNP program.

It also is anticipated that the DNP will be the required credential for all advanced practice nurses by 2015, according to a policy approved by the American Association of Colleges of Nursing. The DNP is practice-focused, and consequently provides nurses with the advanced leadership and management skills needed as a part of day-to-day operations in healthcare delivery, unlike a Ph.D. in nursing, which prepares one for careers in research.

Those holding this terminal degree will be qualified to respond to the pressing need for advanced and specialized nurse professionals. These include professionals involved in direct care of individual patients, management of care, administration of nursing systems and the development and implementation of health policy.

“USM has a central role to play in educating nurses for the 21st century,” said USM President Selma Botman. “Given the growth of DNP programs and the ever-increasing complexity of health care, the launch of this program is a natural fit with our mission of shaping the future of this region.”

USM, home to the state’s largest nursing program, has 441 students enrolled in undergraduate nursing programs this fall and 120 students enrolled in master’s nursing programs. The program is considered a national leader in offering different pathways to a nursing degree, among them a master’s degree program for those who earned an undergraduate degree in another discipline. USM Nursing also has been cited for its use of advanced simulation technology that helps prepares students for real-life, clinical experiences.

Krista Meinersmann, who joined USM last year as director and associate professor of nursing, has noted, “I have found the faculty, staff and students to be enthusiastic supporters of quality nursing education who are committed to providing quality health care. There’s a track record of innovation here that is exciting.”

For more information, contact the USM School of Nursing at 780-4505.

Laurie R. Mooney
USM Office of Public Affairs
PO Box 9300
Portland, ME 04104
207-780-4200 (voice)
207-780-4860 (fax)