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Study: Better nurse staffing levels tied to lower readmissions rates
Modern Healthcare    Share    Share on FacebookTwitterShare on LinkedinE-mail article
A better work environment and improved staffing levels for nurses could mean lower rates of hospital readmissions, according to a study. The study used nurse survey data and patient discharge data from three states to determine the relationship between 30-day rehospitalizations and nursing factors such as education, environment and workload. More

 MARN News & Updates

Candidates for MARN elected leadership offices sought
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Call for nominations — MARN 2013 Elections
We are looking for members in the MARN community willing to serve in the following leadership roles President-Elect, Treasurer, Director (3) and Nominating Committee(2).
We encourage members to become involved in their organization. All MARN members in good standing are eligible to submit a consent to serve form.
If you already serve on a MARN committee, please consider applying for a director position. Serving on the MARN board or committee is a rewarding and mutually beneficial experience, please consider applying today.
Deadline: Feb. 1
For more information, click here.
Consent to Serve Form, click here.

JBI Evidence-Based Practice Resources - exclusively on Ovid!

Advance healthcare using content and tools from the Joanna Briggs Institute (JBI), a global leader in evidence-based practice, only on Ovid. Search evidence in any specialty including systematic reviews, recommended practices, evidence summaries, patient handouts and more. Then use JBI's unique tools to get evidence into practice. Learn more!

Deadline TODAY: Nomination for Excellence in Nursing Practice Award
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Access the application at the relevant link below or at
Have questions, need help? Call MARN at 617-990-2856 or email
Excellence in Nursing Practice Award:
This award is for a registered nurse who demonstrates excellence in clinical practice. The nominee for this award may be self-nominated or nominated by a colleague. MARN membership is required for the nominator but not for the award recipient.
Click here to access the Excellence in Nursing Practice Award application.

Deadline TODAY: Continuing Education Committee Provider Symposium
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Wednesday, Jan. 30
Wellesley Gateway Building, Wellesley
This workshop is for you if:
You are a nurse planner who wants to be updated on the new ANCC criteria.
You are new lead nurse planner who needs to be oriented to MARN and ANCC criteria.
You are looking for development opportunities as a nurse planner.
Symposium flyer, click here.
Register now, click here.
Registrations MUST BE completed online no later than Jan. 15.

Call for ANA bylaws amendment proposals — Due March 5
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Click here for the 2013 call for proposed amendments to the ANA bylaws. For the template to be used for proposals, click here. If you have any questions or comments, please contact or by phone at 301-628-5037.

Apply today — Care coordination professional issues panel
ANA    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The American Nurses Association is convening a professional issues panel to focus on the development of a framework that reflects the contributions of registered nurses in care coordination quality measures. The panel will consist of up to fifteen members and will complete its deliberations over a six-month period starting in March 2013. The panel will meet at least once a month via conference call for approximately two hours in addition to email dialogue. More


Discover nursing’s history from technological advancements to multi-faceted responsibilities facing today’s nurses. Brought to you by Loyola University New Orleans’ online MS in Nursing. MORE
We help customers advance science and health by providing world-class information and innovative tools that help them make critical decisions, enhance productivity and improve outcomes. MORE

Flu season update
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As many of you have probably heard from media reports, this is turning out to be a strong influenza season with an early peak of activity. We wanted to give you a comprehensive update from the CDC information. We have also been asked to disseminate a survey for any of you that are working in vaccination sites to provide information on vaccine supply. (Click here for more information and key points from a CDC press call).

NQF endorses 14 quality standards on infectious diseases
Healthcare IT News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Fourteen standards intended to enhance the quality of care for infectious diseases have been approved by the National Quality Forum board of directors. The standards pertain to appropriate therapies for upper respiratory infections and tuberculosis screening and sexually transmitted disease testing among patients with HIV/AIDS. More

2 accomplishment for P-APRNs
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National Defense Authorization Act Includes P-APRNs as Included Provider
The National Defense Authorization Act originally included language for providers for PTSD pre-separation medical examination to include licensed clinical social workers and psychiatric nurse practitioners.
With the assistance of Senator Tom Udall, D-Colo., and Chairman Joe Wilson, R-S.C., as well as committee staff from both the House and the Senate, The American Nurses Association succeeded in getting "psychiatric advance practice registered nurse" added to the conference committee language. With the broader language, Psychiatric-Mental Health- Nurse Practitioners and PMH-Clinical Nurse Specialists will be able to conduct the aforementioned exams. In addition, the NDAA shows a trend of using provider-neutral language to provide mental health services to military personnel. Click here to see the conference committee language.

Medicare Physician Fee Schedule Final Rule Has Major Impact for RNs & APRNs
The Medicare Physician Fee Schedule Final Rule, issued Nov. 1, and effective Jan. 1, could have a major impact for many RNs and APRNs, especially those working in psychiatric/mental health.
On Jan. 1, new coding and reimbursement policies go into effect for many psychiatric/mental health services. Many services will be paid at higher levels. The new policies recognize the challenges of caring for patients with severe mental illness, multiple co-morbidities and complex medications, in community settings as well as hospitals and other inpatient facilities. This is great news for advanced practice registered nurses, psychiatric registered nurses, and other mental health providers. The new codes will also have a major impact for other RNs and APRNs, especially those working in primary care, care coordination, and nurse anesthetists. The 1,362-page Final Rule can be accessed via CMS' website (

DCF substance exposed newborn policy
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The Massachusetts Department of Children and Families would like to inform you about a change in policy related to screening of reports involving Substance Exposed Newborns. This change is being implemented to better protect the vulnerable SEN population, while recognizing the need for medication-assisted treatment during pregnancy for women who are dependent upon opioids or who have other medically diagnosed conditions requiring medication.
Click here for the full report.

 Around Massachusetts

21 states take aim at Mass. hospitals' Medicare windfall
The Boston Globe    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Massachusetts comes out a winner due to a Medicare rule that says a state's urban hospitals must be reimbursed for wages paid to doctors and staff at least as much as rural hospitals. Since Massachusetts has only one rural hospital, Nantucket Cottage sets the floor for wage reimbursements. Typically, rural hospitals have lower wages than urban ones. More

Massachusetts governor seeks to revamp retiree healthcare
Reuters    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Massachusetts Governor Deval Patrick said he will file legislation to overhaul benefits for public retirees, including a proposal to double the number of years an employee would have to serve to be eligible. The bill would require most current employees of the state and its cities, towns and school districts to work for 20 years instead of 10 years to become eligible for health benefits when they retire. More

 Nursing News

Nurses' can help alleviate end-of-life emotional suffering
The Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The psychological response to terminal illness can be summarized as the realization that life is short, say Spanish researchers. They say that their qualitative research into the psychology of terminally ill patients will be useful in helping nurses to alleviate suffering at the end of life. More

Nurses can help patients stay on oral chemo regimen    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In a study, more than 40 percent of patients on oral chemotherapy initially were taking too many pills or were missing doses, with poor adherence more likely among those with complex treatment regimens. More

Call for contributors
MultiBriefs    Share    Share on FacebookTwitterShare on LinkedinE-mail article
In an effort to enhance the overall content of the Nursing Flash, we'd like to include peer-written articles in future editions. As a member of MARN, your knowledge of the industry lends itself to unprecedented expertise. And we're hoping you'll share this expertise with your peers through well-written commentary. Because of the digital format, there's no word or graphical limit and our group of talented editors can help with final edits. If you're interested in participating, please contact Colby Horton to discuss logistics and payment. More

 Healthcare News

False-negative results found in HPV testing
The Arizona Republic via USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
More than 12,000 women in the United States will be diagnosed with cervical cancer this year. Hundreds more may go undiagnosed because of the widespread use of a screening test that the Food and Drug Administration has not approved for detecting the human papillomavirus, or HPV, which causes nearly all cervical cancers. More

2013 flu epidemic? Experts: Too soon to tell
Politico    Share    Share on FacebookTwitterShare on LinkedinE-mail article
This flu season struck hard about a month earlier than usual. But despite all those news reports about overcrowded emergency rooms, it's too soon to say whether it will be worse than normal. In fact, federal health officials said recently it may already have peaked. More

Related story: State flu shot mandate at center of legal battle (American Medical News)

 Policy & Reform

Thigh is safer vaccination site than arm for toddlers
HealthDay News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Giving the diphtheria, tetanus and pertussis vaccine in the thigh rather than the arm reduces a toddler's risk of an injection-site reaction that requires medical attention, according to a new study. More

Under tight budgets, public health spending falls for first time
Kaiser Health News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Policymakers took heart from another year of relatively slow health-spending growth in 2011, documented by government statisticians and disclosed in a new report. But one aspect of moderating health expenditures — and the only category showing outright decline — could cost more than it saves. Hit by recession and tight budgets, spending on public health by federal, state and local governments fell in 2011 for the first time since analysts started tracking the numbers in 1960. More

MARN Nursing Flash
Colby Horton, Vice President of Publishing, 469.420.2601
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Christine Kraly, Content Editor, 469.420.2685   
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