SENATE COMMITTEE ON HEALTH POLICY

 

 

February 25, 2005                                                                   Location: Gresham, Bruning Center

1:30 P.M.                                                                                                                     Tapes  24 - 26

Corrected 9/29/2005

MEMBERS PRESENT:         Sen. Laurie Monnes Anderson, Chair

Sen. Jeff Kruse, Vice-Chair

Sen. Peter Courtney

Sen. Bill Morrisette

 

MEMBER EXCUSED:          Sen. Gary George

 

STAFF PRESENT:                 Rick Berkobien, Committee Administrator

Brittany Kenison, Committee Assistant

 

MEASURES/ISSUES HEARD:

SB 450 – Public Hearing and Work Session

SB 460 – Public Hearing and Work Session

Update and Overview of Healthcare Workforce Initiatives – Informational Meeting

Overview of Oregon Nursing Leadership Council – Informational Meeting

Update on the Oregon Consortium for Nursing Education – Informational Meeting

Improving the Practice Environment – Informational Meeting

The public will be invited to testify on issues of the healthcare workforce – Public Hearing

 

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 24, A

003

Chair Monnes Anderson

Calls the meeting to order at 1:35 p.m.  Opens public hearing on SB 450.

SB 450 – PUBLIC HEARING

015

Rick Berkobien

Committee Administrator.  Explains the bill and introduces the -5 amendments (EXHIBIT A).

035

Sen. Rick Metsger

Senate District 25.  Testifies in support of SB 450 with -5 amendments.

090

Scott Gallant

Oregon Medical Association.  Testifies in opposition to SB 450 with the -5 amendments.

130

Chair Monnes Anderson

Comments on the intent of the bill and how a circulating nurse will not need to be present during minor surgeries.

135

Gallant

Further explains concerns in the bill and definitions needed.

150

Martin Taylor

Oregon Nurses Association (ONA).  Clarifies Gallant’s concerns.

180

Sen. Kruse

Clarifies that a Spinal Tap procedure would not be covered under conscious sedation.

185

Taylor

Defers to healthcare professionals to confirm.

195

Sen. Kruse

Comments that he supports the intent of the bill and would like to speak to healthcare professionals for more clarity.

203

Taylor

Notes that no one has testified who work in operating rooms that do not already use a Circulating Nurse.  Comments on the exception with Oregon.

220

Sen. Kruse

Comments on Type A and Type B hospitals and that they are already struggling with a staffing shortage.  Comments on need to have appropriate language and definitions.

230

Taylor

Discusses ONA’s thoughts on the exceptions of the bill to please everyone involved.

240

Gallant

Reads New Mexico’s law relating to Circulating Nurses.

250

Chair Monnes Anderson

Comments on New Mexico’s law and the intent of SB 450.

258

Jo Bell

Director, Oregon Association of Hospitals and Health Systems.  Testifies in support of the SB 450 and the -5 amendments, but adds the need for further clarification for smaller facilities.  Comments on whether or not quality of care needs to be addressed with legislative measures.

275

Sen. Morrisette

Comments on Gallants remarks regarding New Mexico’s statute for Circulating Nurses.

282

Bell

Clarifies Sen. Morrisette’s comments.

285

Sen. Morrisette

Comments on what happened in New Mexico.

286

Bell

States that she does not know any more about New Mexico’s statute.

SB 450 – WORK SESSION

293

Sen. Kruse

MOTION:  Moves to ADOPT SB 450A-5 amendments dated 2/23/05.

294

 

VOTE:  4-0-1

EXCUSED:  1 - Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

295

Sen. Kruse

Comments on Gallant’s concerns and would like them to be further addressed in the House of Representatives.

295

Sen. Kruse

MOTION:  Moves SB 450A to the floor with a DO PASS AS AMENDED recommendation.

325

 

VOTE:  4-0-1

EXCUSED:  1 - Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. MONNES ANDERSON will lead discussion on the floor.

325

Chair Monnes Anderson

Closes work session on SB 450 and opens a public hearing on SB 460.

SB 460 – PUBLIC HEARING

340

Rick Berkobien

Explains the bill.  Introduces -3 amendments (EXHIBIT B) and the -1 amendments to SB 460 (EXHIBIT C).

350

Martin Taylor

Oregon Nurses Association.  Testifies in support of SB 460 with -3 amendments.

355

Sen. Kruse

Asks if the -3 amendments restore the original language of the bill

360

Taylor

Responds, yes.  Explains the impact of the -3 amendments.

TAPE 25, A

005

Chair Monnes Anderson

Comments on deletion of page 2 from the -3 amendments.

015

Taylor

Verifies that it was a mistake.

020

Chair Monnes Anderson

Comments that the -1 amendment is the same as the -3 amendment other than the mistake in the -3 amendments.

030

Taylor

Comments that he never saw the -1 amendments.

040

Chair Monnes Anderson

Stands at ease for witness to look over the -1 amendments.

041

Chair Monnes Anderson

Resumes meeting.

045

Tom Holt

Oregon Pharmacy Association.  Clarifies that the -1 amendments restores all the original language of bill, but notes that on page three (3), line seven (7), the word “certified” needs to be inserted before “clinical.”

050

Chair Monnes Anderson

Closes public hearing and opens a work session on SB 460.

SB 460 – WORK SESSION

065

Sen. Kruse

MOTION:  Moves to ADOPT SB 460A-1 amendments dated 2/24/05 and that the measure be FURTHER AMENDED by inserting "Certified" before "Clinical" on page three, line seven.

073

Sen. Courtney

Comments on mistake by Legislative Counsel Office.

078

Chair Monnes Anderson

Comments on typo omission.

082

 

VOTE:  4-0-1

EXCUSED:  1 - Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

086

Sen. Kruse

MOTION:  Moves SB 460A to the floor with a DO PASS AS AMENDED recommendation.

089

 

VOTE:  4-0-1

EXCUSED:  1 - Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. KRUSE will lead discussion on the floor.

100

Chair Monnes Anderson

Closes work session on SB 460 and opens an informational meeting on the update and overview for healthcare workforce initiatives.

 

 

HEALTHCARE WORKFORCE INITIATIVES, UPDATE AND OVERVIEW FOR - INFORMATIONAL MEETING

130

Jo Bell

Director, Oregon Association of Hospitals and Health Systems.  Submits and presents slide presentation on the Oregon Healthcare Workforce (EXHIBIT D).

170

Bell

Continues to discuss slide presentation on Oregon’s Healthcare Workforce, page three (3) of EXHIBIT C.

215

Chair Monnes Anderson

Asks if the Community College Healthcare Action Plan commission meet on a regular basis.

217

Bell

Explains how the commission is set up and how often they meet.

220

Bell

Continues discussing the slide presentation on Oregon’s Healthcare Workforce.

230

Molly Moore

Coordinator, Governor’s Healthcare Workforce Initiative.  Continues discussing slide presentation, page four (4) of EXHIBIT C.

300

Moore

Discusses key elements of the Governor’s Healthcare Workforce.

313

Chair Monnes Anderson

Asks if the simulation labs will be able to have a wireless connection or broadband is the only option.

320

Moore

Clarifies that the Broadband connection is the only option for now.

325

Moore

Continues discussing key elements of the Governor’s Healthcare Workforce Initiative.

350

Moore

Discusses Simulation Alliance.

375

Sen. Kruse

Asks how much one simulation lab costs.

380

Moore

Answers that it varies from $24,000 to $50,000.

400

Moore

Comments on Oregon being a national model for the simulation lab program.

TAPE 24, B

003

Sen. Morrisette

Asks the witnesses if they have data for how many students are on the waiting list for nursing programs in the state of Oregon.

005

Moore

States that she does not have that data.

007

Chair Monnes Anderson

Interjects that she has the data and provides it for the committee.

010

Sen. Morrisette

States that the data is only for two colleges and wants to know data for the entire state of Oregon and how many people are being turned away.

015

Bell

Comments on problems with collecting that kind of data.

020

Sen. Morrisette

Comments on the problem of the healthcare shortage and the need of that kind of data.

030

Sen. Kruse

Comments on a ratio that he heard regarding the healthcare shortage.

033

Sen. Morrisette

States that he would like total number.  Expresses need to solve problem.

035

Sen. Kruse

Comments on having to address the issue of coordinating the information before the data can be collected.

040

Chair Monnes Anderson

Closes informational meeting on the update and overview of healthcare workforce initiatives and opens an informational meeting on overview of Oregon Nursing Leadership Council.

OREGON NURSING LEADERSHIP COUNCIL, OVERVIEW OF – INFORMATIONAL MEETING

045

Kristine Campbell

Executive Director, Oregon Center for Nursing (OCN).  Submits and presents slide presentation on Nursing leadership in Oregon (EXHIBIT E) and a fact sheet on the OCN (EXHIBIT F).

100

Campbell

Continues discussing nursing leadership in Oregon.

150

Campbell

Continues discussing nursing leadership in Oregon.

170

Sen. Morrisette

Comments on information on slide presentation.

180

Campbell

Clarifies that the graph shows students who have graduated.

190

Campbell

Discusses promoting a facility career.

200

Campbell

Discusses successes for the Oregon Center for Nursing.

260

Sen. Morrisette

Asks to clarify whether the statistic is referring to only Oregon or Nationally that there will be a 15,000 nurse shortage by 2025.

265

Campbell

Responds, Oregon.

268

Sen. Morrisette

Asks if she know the current shortage.

273

Campbell

Offers to return information to the committee.

280

Campbell

Discusses the different shortages.  Continues discussing nursing shortage.

295

Sen. Morrisette

Asks Campbell if nurses with Associate of Arts (AA) degree are included in the graph.

300

Campbell

Answers that they are included because they are considered registered nurses.

305

Sen. Morrisette

Asks how many just have an AA degree and asks to confirm that a higher education is needed to be a nurse practitioner.

320

Campbell

Confirms that a Bachelors degree is needed to be a nurse practitioner.

322

Sen. Morrisette

Speculates that to fill the workforce shortage for nurse practitioners, an AA degree would suffice most of the time.

323

Campbell

Affirms statement.  States that 60 percent of nurses have an AA degree and 40 percent have a Bachelors degree.

325

Sen. Morrisette

Confirms that the Oregon Health and Science University (OHSU) only offer the nurses program as a Bachelors degree.

327

Campbell

Affirms and adds that they offer a graduate program as well.

328

Sen. Morrisette

Notes then that most of the community colleges and the hospitals offer the AA degree.

329

Campbell

Confirms. States that there are four (4) Bachelors degree programs in Oregon and list who offers the program.

330

Chair Monnes Anderson

Comments that Paula Gubrud, Dean of Allied Health, Mt. Hood Community College, was discussing how the two year program will blend into the four year program.

335

Campbell

Discusses solutions to retain nurses trained in Oregon.

390

Campbell

Summarizes and concludes.

 

TAPE 25, B

The following was submitted for the record without public testimony:

 

Denise Honzel

Director, Oregon Center for Health Professions, Oregon Institute of Technology.  Submits written testimony on Allied Health Education. (EXHIBIT G).

004

Chair Monnes Anderson

Closes informational meeting on overview of Oregon Nursing Leadership Council and opens an informational meeting on an update on the Oregon Consortium for Nursing Education.

OREGON CONSORTIUM FOR NURSING EDUCATION, UPDATE ON THE – INFORMATIONAL MEETING

005

Louise Shores

Project Director, Oregon Consortium for Nursing Education (OCNE).  Introduces herself.

010

Chris Tanner

Professor, Oregon Health and Science University (OHSU).  Discusses previous testimony of Kristine Campbell, Executive Director, Oregon Center for Nursing (OCN) and resources being used to address the shortage of nurses.

040

Paula Gubrud

Dean, Allied Health, Mount Hood Community College.  Discusses current locations of consortium for Nursing.  Also discusses future goals for the simulation labs.

050

Chair Monnes Anderson

Asks how many community colleges have a simulation lab.

053

Gubrud

Answers nine (9) of the fourteen (14).  Discusses methods of creating partnerships.

075

Tanner

Adds to discussion of creating partnerships.

095

Gubrud

Comments on the funds created to build the Bruning Center.

100

Tanner

Discusses accomplishments to date.

120

Chair Monnes Anderson

Asks when the new curriculum will be in place among all of the schools.

125

Tanner

Answers that the 2006 new students will start the curriculum and will graduate in 2008.  Continues discussing accomplishments.

140

Tanner

Discusses what OCNE needs from the state.

145

Gubrud

Adds to discussion of OCNE needs.

150

Chair Monnes Anderson

Comments on the programs.  Closes the informational meeting on the update on the Oregon Consortium for Nursing Education and opens an informational meeting on improving the practice environment.

IMPROVING THE PRACTICE ENVIRONMENT – INFORMATIONAL MEETING

170

Sue Davidson

Assistant Executive Director, Oregon Nurses Association (ONA).  Submits and presents slide presentation on improving the practice environment (EXHIBIT H).

200

Davidson

Discusses nurse staffing.

260

Davidson

Discusses ONA approach to solve nurse staffing issues.

300

Davidson

Reports on instances of unsafe staffing, no rest breaks and mandatory overtime.

315

Davidson

Discusses ONA’s focus and approach to nurse staffing.

375

Davidson

Continues discussion on the ONA’s focus and approach to nurse staffing.

395

Davidson

Summarizes and concludes.

410

Chair Monnes Anderson

Closes informational meeting on improving the practice environment and opens a public hearing for the public to testify on issues on the healthcare workforce.

HEALTHCARE WORKFORCE INITIATIVES, UPDATE  AND OVERVIEW OF – PUBLIC HEARING

425

Andrew Carter

Bi-Mart Corporation.  Submits and presents statistics on the Oregon Board of Pharmacy (EXHIBIT I). Comments on shortage of pharmacies within Bi-Mart.

TAPE 26, A

030

Carter

Discusses shortage of pharmacies in rural areas.

045

Carter

Urges support for the University schooling of pharmacy.

060

Rick Berkobien

Committee Administrator.  Discusses article about increase in Asian population in America and asks if that is still a current trend.

063

Carter

States that it was in the past.  Comments that current students attending pharmacy schooling are second career Oregonians.  Explains the decrease in international students.

080

Scott Forrester

Citizen, Gresham, OR.  Discusses concern over unionized healthcare workforce.

120

Forrester

Urges committee to hold discussion on healthcare workforce until the new master plan is released for the mental health.  Addresses concerns relating to quality of care related to the workforce.

145

Forrester

Refers to Governor’s Mental Health Task Force plan and states his concerns.

150

Chair Monnes Anderson

Comments on the high cost of the state hospital and efforts to try to establish more community housing centers.

155

Forrester

States that Service Employees International Union (SEIU) is concerned about the possibility of jeopardizing union jobs.

165

Chair Monnes Anderson

Closes public hearing and adjourns meeting at 3:52 p.m.

 

EXHIBIT SUMMARY

A.     SB 450, proposed -1 amendment, staff, 1 p

B.     SB 460, proposed -3 amendment, staff, 3 pp

C.     SB 460, proposed -1 amendment, staff, 3 pp

D.    Healthcare Workforce Initiatives, Update and Overview of, PowerPoint presentation, Jo Bell, 10 pp

E.     Oregon Nursing Leadership Council, Overview of, PowerPoint presentation, Kristine Campbell, 5 pp

F.      Oregon Nursing Leadership Council, Overview of, fact sheet, Kristine Campbell, 1 p

G.    Oregon Nursing Leadership Council, Overview of, written testimony, Denise Honzel, 2 pp

H.    Improving the Practice Environment, PowerPoint presentation, Sue Davidson, 7 pp

I.       Healthcare Workforce Initiatives, Update and Overview of, statistics, Andrew Carter, 1 p