Campaign for Action Vision: All Americans have access to high quality,
patient-centered care in a healthcare system where nurses contribute
as essential partners in achieving success.
Instructions: Information for each person must be typed on a separate
form. Participant involvement will primarily be through one of four Workgroups: Education, Collaboration,
Practice and Leadership. If you are interested in actively engaging and supporting the Illinois Healthcare
Action Coalition (IHAC) you are encouraged to submit this participant information document.
Illinois Healthcare Action Coalition – Participant Information
Name and Credentials
Preferred address (include
city, state, zip code)
Preferred
Phone #
E-mail address
Present position (title) and
name of employer
Briefly describe your
professional experience or
area(s) of expertise related
to an IHAC Workgroup.
If you are presently involved
in organizational or regional
activities in support of an
IHAC Aim please include in
this document. (<250
words)
In rank order priority, list two
workgroups that you are interested
in participating in.
1
2
Comments
Illinois Healthcare Action Coalition Aims:
1)
2)
3)
4)
5)
Illinois will foster a well educated workforce prepared to meet future healthcare demands
Illinois will advance inter-professional collaboration across the health spectrum
Nurses will practice to the full extent of their education and training
Nurses will strengthen leadership skills at all levels
Illinois will gather and generate data for program performance measures and outcomes to make informed
decisions
Nursing Co-Leads – Illinois Center for Nursing (Michele Bromberg, Linda R. Roberts)
Illinois Organization of Nursing Leaders (Sharon Canariato)
ANA-Illinois (Susan Swart)
Non-Nursing Lead – Department of Commerce and Economic Opportunity
Please return completed form to [email protected]
The Illinois Healthcare Action Coalition was convened to advance The Future of Nursing: Campaign for Action™, a collaboration
created by the Robert Wood Johnson Foundation and the AARP Foundation http://championnursing.org/.