Beyond The Mask: Innovation & Opportunities For CRNAs

With more and more CRNAs shifting to 1099, it’s time to start thinking about how to best position yourself from a tax standpoint as your finances change. Today, Jeremy Stanley, CFP® will share nine tax strategies that most S corporations can utilize each year to maximize their earnings and minimize what they owe.   Read more: http://beyondthemaskpodcast.com    Learn more about financial planning: https://www.crnafinancialplanning.com/    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   What we discuss in this episode:  2:36 – Background on our topic 3:40 – Reasons for not being S corporation   5:40 – Strategy #1: Taking money out as distributions 7:49 – Strategy #2: Deduct health insurance premiums.   9:22 – Strategy #3: Employee your children 12:40 – Strategy #4: Reimbursement of home office expenses 13:36 – Strategy #5: Rent your home to your S corp 15:41 – Strategy #6: Reimburse you for depreciating expenses 17:13 – Strategy #7: Vehicle deductions 20:57 – Strategy #8: Reimbursement of travel expenses 23:49 – Strategy #9: Cell phone expenses   26:23 – Final thoughts

Today we’re continuing the conversation with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, on the history of CRNAs in the workforce. In part two, we’ll look at educational changes since 2010 along with the updated statistics on active professionals and students. We’ll also turn our attention to the future of anesthesia and discuss the trends that might be on the horizon.     Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  2:14 – No studies in last 13 years 3:19 – Doctoral programs 4:18 – Total number of CRNAs 7:39 – 2019 Merritt Hawkins whitepaper 15:32 – Why do CRNAs leave? 17:44 – 10 trends for the future 29:42 – Where does Nancy and Sandy see things going? 31:07 – Healthcare expenses out of control 35:28 – Wrapping up the conversation

Over the past five decades, quite a bit of attention has been paid to the challenges facing the CRNA workforce, especially when numbers dropped significantly in the 80s and 90s. The lack of manpower pushed Congress, the AANA, and other organizations to study the reasons behind the lack of graduates and determine what solutions might exist. Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, join us today to take us back through the history of these shortages and the studies that followed in part one of this two-part series.   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  2:40 – Trends from 70s and 80s    5:40 – The reductions at Wake Forest 9:02 – The major factors that led to this issue  10:52 – Factors in the 80s 13:18 – Study on Program Closures 17:05 – CRNA manpower study in 1990  19:20 – Obstacles to achieving the study’s recommendations 26:39 – Steps the AANA has taken 30:49 – Anesthesiology training in the 90s 37:04 – Supply and Demand study in 2003 40:13 – Economic impact on the profession 42:35 – 2006 study 46:59 – Key points from 2009 study 48:59 – Cromwell study

More than 1,000 CRNAs work with the Veterans Health Administration and they can’t operate with full practice authority like their counterparts serving in every branch of the military. The Association of Veterans Affairs Nurse Anesthetists is working to change that despite significant pushback, and former president Diane Boettger, CRNA, joins the show to talk about her time on the board and the work the organization is doing to push CRNAs forward.   About the AVANA: https://www.vacrna.com/   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  2:17 – Background on this topic 3:18 – Why this is important 4:25 – How AVANA is structured 8:59 – Establishing full practice authority 13:33 – Different standards while serving 16:20 – How veterans have been affected 20:15 – What changed during COVID 22:57 – Why the huge pushback 25:55 – What can CRNAs do to help? 29:41 – Opioid crisis 31:37 – How to help AVANA 31:57 – Closing message

As more and more CRNAs are trying to find their place in the political setting, Jennifer Banek, CRNA found her own path to serving. In 2020, Banek was elected Coroner in Lake County, Illinois, and she’s currently holding that position alongside her job as a nurse anesthetist. She joins the show today to share her unique story and pull back the curtain on the campaign and election process for those aspiring to run for office in the future.   About our guest: https://www.lakecountyil.gov/450/Coroners-Office   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  2:27 – Welcome in Jennifer 3:28 – What we’re talking about today 4:45 – Her path to politics 10:26 – Getting signatures 13:35 – The campaigning process   20:25 – How many states did she fundraise from 22:04 – Election and challenges 24:00 – Husband deployed during the election 25:14 – What does Coroner’s Office do? 28:30 – How nurse anesthetist training benefits this position 30:51 – Balancing Coroner and CRNA roles 32:03 – How running for office changed her perspective 35:59 – Her future in politics 37:20 – Final thoughts

If you want an eye-opening perspective on lobbying and what it takes to influence lawmakers, this will be an episode you don’t want to miss. Bob Guyer of The Lobby School gives us a master class on how to be successful in convincing legislators to align with your goals, which is essential for CRNAs as we continue to fight to protect our industry and our paycheck.   Get The Lobby School's free resources here: https://lobbyschool.com/free-resources/    Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  3:18 – Introducing our guest 5:35 – His organization 7:37 – Why this topic is important 8:46 – What groups influence legislation 10:53 – Convincing legislators of your goal 13:23 – Motivating special interest groups   15:00 – Legislative staff 19:15 – Agency officials 21:00 – Bobisms 23:46 – Motivating legislators to vote 26:43 – What CRNAs can do to help 28:51 – Simplifying things for lawmakers 31:57 – Hiring consultants 34:07 – Managing and evaluating lobbyists 38:30 – Do campaign donations help? 43:01 – CRNAs running for office 45:47 – Final thoughts

Few people in our profession represent what it means to be a CRNA more than Yana Krmic, MSN, CRNA, APRN. Born in Ukraine and raised in Siberia before moving to the United States 25 years ago, Krmic overcame many challenges to become a CRNA and eventually rise to the position of president of the New York State Association of Nurse Anesthetists. Her story is an inspiration to us all and one we’ll share on the podcast today along with her feelings on what’s happening in her home country.   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  4:02 – Introducing our guest 5:24 – Yana’s professional background 6:58 – Growing up in Ukraine 10:22 – Mom moves to New York 12:21 – Yana moves to Siberia 15:43 – Getting into healthcare 17:50 – Green card lottery  19:21 – Determination and assertiveness 20:18 – Her mother’s upbringing 22:08 – Arriving in America  24:56 – Adjusting to a new world 28:08 – Getting a degree and moving into healthcare 35:21 – Experience during COVID 39:53 – Driving more advocacy 46:00 – Her perspective on Ukraine 52:24 – Ukrainian resilience 57:17 – Her identity became clear 1:02:15 – Final thoughts

The healthcare industry has always depended on collaboration to advance medicine and improve care for patients. Much of that collaboration comes in the form of sharing findings from studies and research, which is what the Cochrane Network tries to compile into thorough and systemic reviews. By working with clinicians, policymakers, providers, and even CRNAs like Dru Riddle, PhD, DNP, CRNA, FAAN, Cochrane promotes evidence-based decision making across healthcare, and today we’ll learn more about the US Network and the role it plays for CRNAs.   Learn more about Cochrane: https://us.cochrane.org/cochrane-us-network   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   What we discuss in this episode:  3:28 – Introducing our guests 4:30 – Introducing our topic 8:05 – Who is involved 10:16 – Financial support 12:19 – Building credibility 13:42 – Reviews in US and UK  15:37 – Why he got involved  18:56 – Reviewing anesthesiologists efficiency 21:33 – Cochrane’s new strategy   23:16 – Why isn’t this research being applied to CRNAs? 25:40 – Generating a topic review 29:52 – How Cochrane worked for Sharon recently  34:42 – Why they need CRNA influence 36:23 – Micro-volunteerism  38:13 – Final thoughts

The fight to give CRNAs full practice authority continues in states across the country but there have been some important victories along the way. All you need to do is look to our military to find a model that many people would like to see across the profession as the U.S. Army, Navy, and Air Force have all removed restrictions on CRNAs. Today we’ll talk with Air Force Colonel Jan Setnor, MSN, CRNA, who was one of the key people involved in helping the Air Force gain that authority and she’ll share the story of how it all happened.       Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   What we discuss in this episode:  2:53 – Jan’s background in the Air Force 7:07 – ASA and military CRNAs 9:53 – Battling against restrictions 14:27 – Calling Deb Molina 17:04 – Details from the meeting 20:55 – How they reached an outcome 24:21 – Different rules 27:18 – Advocating 29:23 – VA rules in different states 33:38 – Final thoughts 34:50 – Where she was on 9/11

The AANA Elections to appoint 2022-2023 board and elected committees will open on April 19 and members will have two weeks to cast their votes. We had the opportunity to go to the mid-year assembly in Washington D.C earlier this month and give candidates the chance to speak directly to you about their views and goals to help you make a more informed decision. Today you’ll hear from 13 CRNAs who will be on the ballot this month.   Meet the candidates: https://www.aana.com/governance/election-center/aana-election-slate-announced    Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Candidates for President 2:52 – Heather Rankin, DNP, MBA, CRNA, FAANA - Alabama 7:13 – Dru Riddle, PhD, DNP, CRNA, FAAN – Texas   Candidates for Vice President 11:15 – Kristie Hoch, DNP, MS, CRNA - Arizona 15:18 – Debra Diaz, DNP, CRNA, APRN, CDR - Florida 17:26 – Janet Setnor, MSN, CRNA – Virginia   Candidates for Treasurer 18:19 – Jeffrey Molter, MBA, MSN, CRNA - Ohio   Candidates for Directors 19:53 – Jill Mason, EdD, DNAP, MSN, CRNA, COI - Indiana 23:03 – Paul Packard, DNAP, CRNA, CPPS - North Carolina 24:33 – Jennifer Banek, MSN, CRNA - Illinois 26:39 – Cathy Harrison, DNAP, MSN, CRNA, CAPT - Virginia 27:47 – Andrea Roberts, DNAP, CRNA - Minnesota 31:12 – Randy Cornelius, DNP, CRNA, ARNP - Iowa 33:49 – Tracy Young, MSNA, MBA, CRNA – Louisiana