March 15, 2012
Good morning Missouri APRNs,
I am not one for talking “trash” or being disrespectful to anybody. However, in light of this
release by the Missouri State Medical Association, there needs to be a response. I am not
suggesting that we take the “low road” of disrespecting our physician colleagues or responding
in discourteous manner as they have. I am suggesting that we take the “high road” and letting
the records support our cause! You really need to read the attachment from the MSMA and
understand the implications of the first paragraph. Do you really want you or your profession
portrayed in such a manner?
Missouri APRNs need to respond by sending letters of support regarding Barrier Free Care. The
letters need to address the all of the issues that we have previously addressed. The letters
should not be emotionally charged regarding our physician colleagues, but rather based upon
the facts of the legal limitations to be able to provide care for Missouri citizens and patients. Be
respectful and professional in how we present ourselves. Missouri’s citizens and patients will
benefit the most in a professional and respectful environment.
I cannot stress enough that there should be “no” public presentation of disrespect to our
physician colleagues. Our letters should only address the issues that have been previously
mentioned. Responding in a disrespectful manner will make Missouri APRNs appear petty. We
must take the more honest and honorable path! We should not take the path that MSMA letter
presents! It is a sad thing that the author of that letter felt that they needed to present such
poor representation of their MO APRN colleagues.
Write your letters of testimony and support to the Senate and House committee members.
Send copies to Jill Kliethermes. Be brief and focused! NO TRASH TALK!
The more professional that we portray ourselves, the greater the benefit overall! Write the
letters if you have not done so! If you have written letters to the committee members, send
them again! Remember, we can make ourselves appear “better” to our elected representatives
by making our presentations on the facts. Being derogatory can only hurt us! Being
professional, respectful and focused on the facts will see us through.
Write those letters of testimony and support! Don’t wait. The House committee hearing is
occurring March 21st (next Wednesday). There is not time to delay! Please plan on being
present at the hearing if possible. We need to fill the room! Send the letters regardless if you
are going to be there or not!
To avoid failure and have success we need to have as many APRNs as possible write a brief
letter of testimony that can be sent to Jill Kliethermes, CEO of MONA (Jill@missourinurses.org)
and also could be forwarded on to your elected representatives. These letters of testimony and
direct presentations are essential to our success.
Examples (but not limited to) of challenges caused by our existing law:
Not being able to provide care to patients in disaster relief if outside the mileage restrictions.
Not being able to provide care if Primary Collaborative and Back up Collaborative partners are
out of the area at the same time.
Not being able to find a collaborative partner for rural areas.
If your Collaborative partner decides to move or retire leaving you without the ability to care
for existing patients that are well established.
...and the list goes on.
Also, if you desire to write to another perspective, write letters that will provide details on
how you bring improved quality of care to your patients. If you can get your patients to write
these types of letter to submit to the committee hearings, it would be AWESOME and have
significant impact as well.
Patient care outcomes, community and state health outcomes will be greatly affected by this
legislation. All of the stake holder's voices need to be heard as well. Written testimonies from
patients, collaborators, community leaders anybody that would be willing to provide the
support is needed and would be greatly appreciated. If you know of anybody that would be
willing to speak at the hearings, please notify Jill Kliethermes (Jill@missourinurses.org ).
Without your encouragement and support, barriers to our patient's care will remain in place
and others will dictate how our profession cares for our patients. Please utilize the resources
that I and others have provided in the recent weeks to craft your letters and presentations.
Keep things simple and focused on your experiences. Draft a letter that could be used in
committee hearings and send it to Jill (Jill@missourinurses.org) and then on to the Missouri
elected representatives. When sending letters to Jill, please note "Letters of Testimony" in the
subject area of the e-mail.
More voices translate out to decreased barriers to care and improved patient outcomes.
Please copy/paste these links to access information regarding your elected
For access to the AANPs site that will allow you to look up information, go
….and for the more nostalgic, but does provide a very nice review of the legislative process
This School House Rock production does a very nice job reviewing the process that our bills are
currently going through!
I also have provided an attachment that provides the phone numbers and electronic access
capabilities for our Missouri elected officials. The Senate access can be a little more time
consuming, but is equally important to the process.
Please, oh please utilize these resources to gain support. Missouri APRNs can have positive
influences on our patient’s and our professions career!
The following is a copy/paste that was provided by J. Kliethermes, with date modification.
Reminder: Needs / Plans for the weeks March 12th and 19th 2012
1. Contact all your legislator either personally or by email to support SB 679 and HB1371
(http://www.moga.mo.gov/ to find their phone number or email).
2. Contact the members of the House Professional Registration and Licensing Committee
(personally, email, letter):
Brandom, Ellen, Chair
Burlison, Eric, Vice Chair
McCann Beatty, Gail
3. Contact the following members of Financial and Governmental Organization and Elections
Kevin Engler, 3rd, Chairman
Jay Wasson, 20th, Vice-Chairman
Jane Cunningham, 7th
Will Kraus, 8th
David Pearce, 31st
Luann Ridgeway, 17th
Bill Stouffer, 21st
Jolie Justus, 10th
Robin Wright-Jones, 5th
4. If you have not done so, please use the above email address to send thank you notes to
our bill sponsors:
Senator Dixon (Senate Sponsor)
Representative Weter (House Sponsor)
5. Please contact your local media and have a personal interview and create your area's
media campaign. Ground the message in the content of the white paper or the talking points.
6. Please find stake holders for the white paper and legislation.
7. Write your personal testimony for presentation on the senate or house committee. You
can give your testimony in writing only. Have your patients and coworkers do the same. Send
the testimonies to firstname.lastname@example.org or send to me at email@example.com.
Respectfully and with much hope,