Timeline of AANA History, 2000s

2000
The first official observance of National Nurse Anesthetists Week was in January.
 
The Health Care Financing Administration (HCFA) announced it would finalize the rule to defer to the states on physician supervision of CRNAs for Medicare cases.
 
Designed to educate the public on anesthesia care and other related topics, www.AnesthesiaPatientSafety.com was launched.
 
The Annual Meeting was held in conjunction with the 6th World Congress for Nurse Anesthetists in Chicago, Ill.
 
The AANA Foundation received its first stock donation.
 
The AANA supported the Institute of Medicine’s recommendation for mandatory reporting of medical errors.
 
Members voted to establish an Organizational Health Allocation and Strategic Reserve Fund to assist the state associations.
 
A staff directory was published in the September AANA NewsBulletin, and it listed 91 staff members.
 
The AANA began using E-alerts to notify the membership about urgent matters.
 
The Fact Sheet on Reimbursement for CRNAs and Anesthesiologists was published.
 
The AANA Foundation’s Discoveries of Distinction column debuted as a regular feature in the October issue of the AANA NewsBulletin.
 
Position Statement 1.10 Workplace Violence and Disruptive Behavior was adopted.
 
The AANA Foundation’s Researcher of the Year and Outstanding Student Researcher awards were first presented.
 
Brigadier General William Bester, CRNA, became the 21st Chief of the Army Nurse Corps and the second CRNA to serve in the position.
 
AANA became a member of the recently founded National Quality Forum.
 
2001
The supervision rule was published in the January 18 Federal Register during the last days of the Clinton Administration. but later delayed by the new Bush Administration. A new rule would be published November 13 that kept in place the Medicare requirement of physician supervision of CRNAs while establishing a process by which state governors could write to Medicare to opt out of the requirement.

Iowa became the first state to opt out of the federal physician supervision requirement for nurse anesthetists.
 
The Ira P. Gunn Award for Outstanding Professional Advocacy was first presented to Ira Gunn, CRNA, MLN, FAAN.
 
John F. Garde, CRNA, MS, FAAN, retired as executive director after 17 years.
 
Jeffery Beutler, CRNA, MS, was appointed the new executive director.
 
To commemorate National Nurse Anesthetists Week, a group of CRNAs called CPR (CRNAs for PR) commissioned a work of “crop art” by environmental artist Stan Herd.  The three-acre work located near the Topeka, Kan., airport depicted a CRNA with a patient. The crop art was featured on the cover of the April 2001 AANA Journal.
 
The Guidelines for State Public Relations were published.
 
The redesigned AANA Journal included a cover photo. The new design began with the Februrary 2001 issue.
 
The first AANA Journal Course Examination was made available on the website.
 
The CRNA Competency Assessment Packet was developed.
 
The Champions of Industry program on nurse anesthetists aired on Fox Cable News.
 
The Legal Briefs column from the AANA Journal was made available online.
 
The CRNA vacancy issue and overall nursing shortage began receiving substantial press coverage; measures to alleviate the nursing shortage were introduced in Congress.
 
The Faith in Mankind campaign began days after the September 11 terrorist attacks and raised over $280,000 for the American Red Cross Disaster Relief Fund.
 
The AANA and the U.S. Army jointly produced the videotape U.S. Army Nurse Corps and the AANA, 1901-2001:Celebrating 100 Years, which premiered during the Opening Ceremonies at the Annual Meeting.
 
Nurses For a Healthier Tomorrow, a coalition of 32 nursing and healthcare organizations including the AANA, launched a national advertising and recruitment campaign—“Nursing. It’s real. It’s Life”—to help ease the nursing shortage. A CRNA was one of the seven nurses featured in the campaign.
 
The AANA Foundation State Advocate program began.
 
2002
Five more states opted out of the federal physician supervision requirement for nurse anesthetists: Nebraska, Idaho, Minnesota, New Hampshire, and New Mexico.
 
The AANA published A Professional Study and Resource Guide for the CRNA, a substantial revision to and expansion of the popular 1994 book Professional Aspects of Nurse Anesthesia Practice.
 
The AANA published Silenced Screams on awareness during anesthesia.
 
The Federal Political Director of the Year Award was first presented to Daniel Vigness, CRNA, MS.
 
The AANA Journal was made available online with issues back to October 1999.
 
Prospect Travel/AANA Travel Services curtailed operations and travel services due to economic conditions and changes in the travel industry; the AANA subsidiary was later dissolved by the Board of Directors.
 
The AANA received the 2002 Health Policy and Legislation Award from the New York University Division of Nursing for its work on the supervision issue.
 
The Latex Allergy Awareness public education campaign was launched.
 
The AANA sponsored a survey on the reuse of needles and syringes.
 
Membership passed 30,000.
 
The AANA joined forces with 60 other nursing organizations in A Call to the Profession: Nursing’s Agenda for Change, a cooperative effort to address the nursing shortage.
 
2003
Kansas, North Dakota, Washington, Alaska, and Oregon opted out of the federal physician supervision requirement for nurse anesthetists.
 
The study, "Surgical Mortality and Type of Anesthesia Provider," showed that the surgical death rate is not linked to type of provider.
 
The United States and Britain went to war with Iraq. On April 1, Steve Hendrix, CRNA, LTC, Special OPS, was the lone anesthesia provider to participate in the rescue mission of U.S. Army Private Jessica Lynch from Saddam Hussein Hospital in Nasiriyah, Iraq.
 
Sweet Dreams at the Hospital, a coloring book, and Herbal Products and Your Anesthetic, a brochure, were published.
 
The Student Mentoring Program was expanded to the Mid-Year Assembly.
 
The Public Relations Recognition Award expanded to three categories: best overall effort, best effort by a small state association, and best promotional effort for National Nurse Anesthetists Week.
 
The Speaker Databank and CRNA Careers Online were launched on the website.
 
A new web feature, “Deployed CRNAs in Service of Our Country,” debuted.
 
Members voted to develop a proposal for electronic voting.
 
The American Academy of Nursing honored Ira Gunn, CRNA, LMN, FAAN, as a Living Legend.
 
The AANA endorsed the Joint Commission’s Universal Protocol to Prevent Wrong Site Surgery.
 
The Board of Directors adopted AANA’s new mission, vision, core values, and motto. 
  • Mission: Advancing patient safety and excellence in anesthesia
  • Vision: Recognized leaders in anesthesia car
  • Core values: Integrity, Professionalism, Advocacy, Quality
  • Motto: Supporting Our Members, Protecting Our Patients
 
2004
The Minnesota Association of Nurse Anesthetists (MANA) successfully resolved the legal actions that had been pending against hospitals and anesthesiologists in the Twin Cities and St. Cloud.  The legal action, brought by MANA in 1994 on behalf of the federal government, alleged wrongful termination of nurses, antitrust violations, and Medicare fraud.  The lawsuit was instrumental in bringing about substantial regulatory changes regarding reimbursement of CRNAs and anesthesia practitioners generally. 
 
Montana opted out of the federal physician supervision requirement for nurse anesthetists.
 
The AANA and the ASA entered into a mediation process, facilitated by a company called ThoughtBridge, to help improve communication between the organizations.
 
 
Former AANA President Sandra Maree Ouellette, CRNA, MEd, FAAN, was elected president of the International Federation of Nurse Anesthetists.
 
COL Gale Pollock, CRNA, was promoted to Major General and became the 22nd Chief of the Army Nurse Corps and the third CRNA to serve in the position.
 
The AANA Wellness Initiative was launched in honor of AANA Past President Jan Stewart.
 
The online voting option was made available for the first time and nearly 30 percent of the total votes were cast online.
 
The AANA NewsBulletin published responses to the question “Why should America’s Certified Registered Nurse Anesthetists vote for you?” from presidential nominees Sen. John Kerry (D-MA) and President George W. Bush.
 
A Florida appellate court struck down a Florida Board of Medicine rule for Level III office surgery requiring anesthesiologist supervision of CRNAs. The Florida appellate court rulings concerned the legal challenge brought by Florida CRNA Victor Ortiz.  The anesthesia rule, which was implemented in 2002, had forced Ortiz and many other CRNAs who had previously provided anesthesia in physicians’ offices out of office practice.
 
The Office-Based Anesthesia brochure was published.
 
The AANA and ASA teamed with the JCAHO on a sentinel event alert on patient awareness under anesthesia.
 
2005
The AANA published the book, The Chemistry of Drugs for Nurse Anesthetists.
 
South Dakota and Wisconsin opt out of the federal physician supervision requirement for nurse anesthetists.
 
AANA staff members got a first-hand look at CRNAs in action during tours of the operating rooms and simulator lab at Rush University College of Nursing Nurse Anesthesia Program.  CRNAs Margaret Faut-Callahan (program director), Michael Kremer, and Judith Wiley coordinated the events and hosted the staff members. 
 
 
The Wellness Program’s Blue Ribbon Panel of Experts was created. 
 
Advisory Opinion 5.1 Patient Safety: Fatigue, Stress and Work Schedule Effects was adopted.
 
Position Statement 2.12 Unintended Awareness Under Anesthesia was adopted.
 
The patient education brochure Patient Awareness Under Anesthesia - What Is It? was published.
 
The Wellness Milestones column debuted in the AANA NewsBulletin 
 
At the Fall Assembly of States, AANA dedicated a new fountain and flagpole at the executive office to nurse anesthetists past and present who have served in the military.
 
2006
The AANA Foundation celebrated it 25th anniversary.
 
The Task Force on Doctoral Education of Nurse Anesthetists, formed in 2005, began its work to develop various options for doctoral preparation of nurse anesthetists.
 
An improved AANA website debuted in April with increased online functionality.
 
AANA celebrated its 75th anniversary on June 17. The year-long anniversary celebration culminated at the Annual Meeting which featured former US President Bill Clinton, whose mother was a nurse anesthetist, as a keynote speaker and a history museum of artifacts, documents, and photographs from AANA’s history.
 
The AANA cosponsored  a new exhibit, The Universal Condition: Enduring and Alleviating Pain, at the International Museum of Surgical Science in Chicago, Ill.
 
 
AANA became a member of the Coalition for Patients’ Rights, an organization representing a diverse and multidisciplinary group of more than 3 million healthcare professionals who provide a wide variety of safe, effective, and affordable healthcare services. The group was forme, in 2006, as a response to the 2005 formation of the “Scope of Practice Partnership (SOPP)” and AMA’s Resolution 814. The goal of CPR is to ensure patients have access to the healthcare provider of their choice.
 
2007
"Anesthesia Staffing and Anesthetic Complications during Cesarean Delivery: A Retrospective Analysis,” published in Nursing Research, shows obstetrical anesthesia is equally safe when provided by CRNAs or anesthesiologists 
 
AANA cosponsored an executive symposium on perioperative safety; its theme was “Creating a Culture of Perioperative Safety.”
 
The Publicity Club of Chicago selected the AANA as a Golden Trumpet Award winner (top honor) in the “Brochures, Booklets, and Books” category for the 75th Anniversary Pictorial History Book and as a Silver Trumpet Award winner in the “Special Events and Occurrences” category for the overall 75th Anniversary Celebration effort.
 
The Task Force on Doctoral Preparation of Nurse Anesthetists issued its final report and the AANA formally supported doctoral education for entry into nurse anesthesia practice by 2025.
 
The United States Department of Education granted the Council on Accreditation five years of continued recognition.
 
The AANA published Substance Abuse Policies for Anesthesia: Time to Re-Evaluate Your Policies and Curriculum.
 
For the first time, a CRNA served on the National Advisory Council on Nurse Education and Practice: AANA member John Nagelhout, CRNA, PhD, FAAN, was selected for a four year term.
 
The AANA NewsBulletin received a Gold (first place) EXCEL award from the Society of National Association Publishers (SNAP) in the “Newsletter - Most Improved” category.
 
“Intervention,” part of the Wearing Masks DVD series on substance abuse, received a certificate for creative excellence for “Excellence in Communications in International Competition” from the U.S. International Film and Video Festival. The award was presented in the category of “EDUCATIONAL: Medicine, Health: Professional—Educational (No Product).”

The Council on Recertification of Nurse Anesthetists (COR) and the Council on Certification of Nurse Anesthetists (CCNA) formed the separately incorporated National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
 
AANA published the third edition of Clinical Techniques of Regional Anesthesia.
 
The gravesite of AANA founder and first president Agatha Hodgins was discovered to be in Chatham, Mass. On Oct 12, it was dedicated with a historical marker.
 
AANA purchased a second Park Ridge office building. Located at 116 S. Prospect Ave., the building would be the future home of AANA Insurance Services.
 
The AANA Federal Government Affairs office relocated to a new space at 25 Massachusetts Ave., NW, near the U.S. Senate office buildings and Union Station.
 
In a November 6 opinion, the Supreme Court of the State of Montana affirmed that Montana state law does not require nurse anesthetists to be supervised by physicians. This confirmed the validity of Montana’s 2004 opt out of the federal Medicare and Medicaid supervision requirement.
 
AANA announced its first theme contest for the 2008 National Nurse Anesthetists Week. The winning theme, “Nurse Anesthesia: The Professional Quality You Expect, the Personal Care You Deserve,” was penned by Tommy Herring, RN, BSN, a student at the Wolford College Nurse Anesthesia Program in Naples, Fla.

2008
In a decisive response to incidents in Nevada and New York in which patients were infected with hepatitis C allegedly through the reuse of needles and syringes, on March 6 the AANA called on healthcare professionals across the nation to exercise the utmost care and vigilance when performing or observing injections on patients and met with officials from the Centers for Disease Control and Prevention (CDC) in Atlanta, Ga., to review the infection control problems that led to the situation
AANA joined the Safe Injection Practices Coalition, which was established to address the lack of understanding and adherence to the most basic safe injection practices in nonhospital settings. 

The Commission on Anesthesia Economics and Reimbursement (CAER) presented its final report to the AANA membership at the 2008 Annual Business Meeting.
 
Membership passes 40,000.
 
On October 26-28, the AANA offered its first-ever advanced pain management workshop. 
 
"Anesthesia Provider Model, Hospital Resources, and Maternal Outcomes" was published in Health Services Research and confirmed that CRNAs and anesthesiologists provide equally safe obstetrical anesthesia.

The AANA Statement on the ASA’s Revised Statement on the Anesthesia Care Team was issued in December.
 
AANA cohosted a health care community discussion in response to President-elect Barack Obama’s urging interested citizens to share healthcare concerns via several “community discussions,” suggest ways to modernize the American healthcare system, and present the resulting information to his transition team.
 
On December 11, following five years of advocacy by the AANA, the Centers for Medicare & Medicaid Services (CMS) issued new Medicare hospital conditions of participation interpretive guidelines for anesthesia services. Under the new guidelines, 1) Medicare no longer required physician supervision of labor and delivery analgesia and moderate sedation services provided by CRNAs; 2) Medicare required that deep sedation with propofol in the operative setting must involve an anesthesia professional such as a CRNA; and 3) individual operating practitioners did not need to be granted specific privileges to supervise a CRNA.

2009
The 10th annual National Nurse Anesthetist Week was held.
 
At its January meeting, the AANA Board of Directors endorsed the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education.
 
On February 11, the Safe Injection Practices Coalition—composed of patient advocacy organizations, foundations, the Centers for Disease Control and Prevention (CDC), provider associations and societies including the AANA, and industry partners—joined Congresswoman Shelley Berkley (D-NV) and Senate Majority Leader Harry Reid (D-NV) to launch the One and Only Campaign, an education and awareness initiative aimed at both healthcare providers and patients.
 
On February 23 the AANA issued Position Statement 2.13 Safe Practices for Needle and Syringe Use
 
AANA Insurance Services moved to new office on February 26, located at 116 S Prospect Ave., in Park Ridge, just a few blocks from the AANA Executive Office.
 
Position Statement 2.14 Securing Propofol was adopted in June.
 
The Council on Recertification of Nurse Anesthetists introduced the opportunity for CRNAs to complete their recertification application and payment electronically.
 
AANA Endorsed the Joint Commission’s Revised Universal Protocol.
 
The first online forum for candidates for the AANA Board of Directors opened on April 20.
  
AANA endorsed the Specialty Nursing Association's Global Vision Statement on Care of Older Adults.
 
The Board of Directors voted to rename the AANA Advanced Pain Management Seminar as the AANA Jack Neary Advanced Pain Management Seminar at their April 18 meeting. The first workshop with new name was held in October.
 
AANA filed an amicus (“friend of the court”) brief in the Louisiana pain management case, hoping it would be heard by Louisiana Supreme Court. The court denied the hearing, and Louisiana continued to be the only state in the nation to rule that interventional pain management is not within CRNA scope of practice.
 
John F. Garde, CRNA, MS, FAAN, was appointed interim executive director after the resignation of Jeffrey Beutler, CRNA, MSN, in February.
 
On June 30, AANA sent the first issue of its bi-monthly email newsletter, Anesthesia E-ssential. It was called AANA eNews for the first four issues.
 
John F. Garde, CRNA, MS, FAAN, past president and former executive director, died on July 21.
 
Jackie Rowles, CRNA, MBA, MA, FAAPM, was appointed interim executive director.
 
AANA started a Twitter account @aanawebupdates. Originally for announcements of updates to the web site, it would later expand to all AANA news.
 
On July 17, California became the 15th state to opt out of the federal supervision requirement for nurse anesthetists.
 
AANALearn, AANA’s in-house continuing education program, was launched on August 3.
 
The Board of Directors adopted Position Statement 2.15 Safe Surgery and Anesthesia in August.
 
AANA published A Resource for Nurse Anesthesia Educators.
 
The Board of Directors voted to rename the AANA Archives-Library in honor of John F. Garde, CRNA, MS, FAAN.
 
Wanda O. Wilson, CRNA, PhD, was appointed executive director and her official start date was December 1. 
 
 
 
 
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