2010 rn surveypresentationatwnaoct2010


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2010 rn surveypresentationatwnaoct2010

  1. 1. Sue Schuler, Past President, Wisconsin Center for Nursing Victoria Udalova, Economist, Dept. of Workforce Development Judy Warmuth, V.P. Workforce, Wisconsin Hospital Association
  2. 2. Institute of Medicine The Future of Nursing Key Message Effective workforce planning and policy making require better data collection and improved information infrastructure.
  3. 3. <ul><li>Wisconsin Statutory Language </li></ul><ul><li>Requires nurses renewing their license to complete a survey on potential nursing shortages. </li></ul><ul><li>$4.00 renewal fee. </li></ul><ul><li>Statewide nursing center to collaborate with nursing constituents develop strategies to ensure there is an adequate nursing workforce. </li></ul>
  4. 4. <ul><li>Healthiest Wisconsin Partnership Grant (HWPP) </li></ul><ul><li>Funded DWD and the Wisconsin Center for Nursing to: </li></ul><ul><li>Review nursing workforce supply questions and methodologies from other states. This included participation in the review and input into the national minimum nursing supply data set . </li></ul><ul><li>Determine methodology for collecting nurse data. </li></ul><ul><li>Analyze and distribute nursing workforce data. </li></ul><ul><li>Survey educational programs that prepare RN’s for capacity data and share results. </li></ul>
  5. 5. <ul><li>Size of the current workforce; how many nurses of each type working how many hours? </li></ul><ul><li>Wisconsin’s future nursing demand. </li></ul><ul><li>Does the current educational system provide for that need? </li></ul>
  6. 6. From 2010 RN Survey
  7. 7. <ul><li>Registered Nurses </li></ul><ul><li>White 94.7% </li></ul><ul><li>Black/African American 2.1% </li></ul><ul><li>Hispanic 1.2% </li></ul><ul><li>Wisconsin Residents </li></ul><ul><li>White 89.4% </li></ul><ul><li>Black/African American 6.2% </li></ul><ul><li>Hispanic 5.9% </li></ul>
  8. 8. <ul><li>Nurses in Wisconsin with a Master’s degree that prepares them to be an advanced practice nurse 5,110 </li></ul><ul><li>Nurses in Wisconsin with a Master’s degree practicing as an Advanced Practice Nurse </li></ul><ul><li>3,802 </li></ul>Advance Practice Nurses
  9. 9. <ul><li>Highest Level of Education </li></ul><ul><ul><li>Diploma 10.4% </li></ul></ul><ul><ul><li>Associate Degree 32.2% </li></ul></ul><ul><ul><li>Baccalaureate Degree 44.4% </li></ul></ul><ul><ul><li>Master’s Degree 12.0% </li></ul></ul><ul><ul><li>Doctorate .9% </li></ul></ul>Education All nurses. N = 77,385
  10. 10. <ul><li>Highest Level of Nursing Education </li></ul><ul><ul><li>Diploma 12.0% </li></ul></ul><ul><ul><li>Associate Degree 36.2% </li></ul></ul><ul><ul><li>Baccalaureate Degree 42.9% </li></ul></ul><ul><ul><li>Master’s Degree 8.6% </li></ul></ul><ul><ul><li>Doctorate .4% </li></ul></ul>Nursing Education All nurses. N = 77,385
  11. 11. <ul><li>All RNs 77,553 </li></ul><ul><li>RNs working in health care 68,497 </li></ul><ul><li>RNs working in health care in Wisconsin </li></ul><ul><ul><ul><ul><ul><li>61,094 </li></ul></ul></ul></ul></ul>
  12. 12. <ul><li>Academic education 2.3% </li></ul><ul><li>Ambulatory Care 14.6% </li></ul><ul><li>Home Health 4.2% </li></ul><ul><li>Hospital 49.9% </li></ul><ul><li>Nursing Home/Extended Care 11.3% </li></ul><ul><li>Public Health 4.7% </li></ul><ul><li>Other 13.0% </li></ul>
  13. 13. Primary Place of Work 2010 Wisconsin Nurses Primary Place of Work 2001 Wisconsin Nurses Number Percent Number Percent Hospital 30731 49.9 Hospital 30,675 54 Ambulatory Care 8977 14.6 Outpatient Clinic 8,548 15 Public/Community Health 2986 4.7 Public/Community Health 5,986 11 Home Health 2588 4.2 Nursing/Extended care 6927 11.3 Nursing Home 6,074 11 Academic Education 1406 2.3 Nursing Education 1,129 2 Other 8017 13.0
  14. 14. Hours worked per week Respondents Percent Less than 20 3,289 7.5 20-35 17,128 39.1 36-40 17,017 38.9 41-48 3,064 7.0 49 and more hours 3,293 7.5
  15. 15. <ul><li>Ambulatory Care 789 </li></ul><ul><li>Home Health 400 </li></ul><ul><li>Hospital 3,766 </li></ul><ul><li>Nursing Home/Extended Care 740 </li></ul><ul><li>Public/Community Health 182 </li></ul><ul><li>Other 470 </li></ul>
  16. 16. <ul><li>In less than 2 years 2,377 </li></ul><ul><li>In 2 to 4 years 6,658 </li></ul><ul><li>In 5 to 9 years 9,484 </li></ul><ul><li>In 10 or more years 32,049 </li></ul>
  17. 17. <ul><li>What will future demand be? </li></ul><ul><li>How many hours will future nurses work? </li></ul><ul><li>How acutely ill will future patients be? </li></ul><ul><li>Where will patients receive healthcare (where will nurses work?) </li></ul>
  18. 18. <ul><li>How many new RNs do we need and where are they needed? </li></ul><ul><li>When? </li></ul><ul><li>How many new Master’s prepared nurses do we need? (Oh and what type of Master’s?) </li></ul><ul><li>When? </li></ul><ul><li>How many new Doctorally prepared nurses do we need? </li></ul><ul><li>When? </li></ul>
  19. 20. Forecasting Nursing Workforce Victoria Udalova, Economist Office of Economic Advisors, Wisconsin Department of Workforce Development October 8, 2010
  20. 21. <ul><li>Affordable, high quality health care requires a competent, diverse, and sufficient supply of nurses, and a shortage of nurses currently exists nationally. </li></ul><ul><li>HRSA, 2004 </li></ul>
  21. 22. <ul><li>2004 Health Resources and Services Administration (HRSA) study projected that there will be a shortage of over 10,000 FTE nurses in Wisconsin by 2020 </li></ul><ul><li>The study is nationally focused and relies on a relatively small sample size </li></ul><ul><li>Reports and analysis previously generated by the HRSA have not been updated because of federal funding cuts </li></ul>National Nursing Forecast
  22. 23. <ul><li>In 2007, DWD developed a comparable model to the HRSA version </li></ul><ul><li>Inability to populate the model with robust data served as a catalyst for moving the data effort forward </li></ul><ul><li>A workgroup of the health care sector sub- committee of the Council on Workforce Investment (CWI), Wisconsin Health Workforce Data Collaborative, received Medical College of Wisconsin (MCW) grant </li></ul>History of Data Collection Success
  23. 24. <ul><li>Senator Robson language was signed into law in 2009 Wisconsin Act 28 (2009-11 Budget Bill) on June 29, 2009 mandating the completion of a workforce survey </li></ul><ul><li>The survey incorporated the National Minimum Nurse Supply Data Set, developed by the Forum of State Nursing Workforce Centers and funded by the Robert Wood Johnson Foundation and AARP </li></ul>History of Data Collection Success
  24. 25. <ul><li>Over 77,000 nurse responses are being analyzed and aggregated </li></ul><ul><li>At this time, our focus is on the basic statewide nursing supply model </li></ul><ul><li>The model is divided by: </li></ul><ul><ul><li>13 age groups </li></ul></ul><ul><ul><li>gender </li></ul></ul><ul><ul><li>number (head count) of RNs and FTE RNs </li></ul></ul><ul><ul><li>direct patient care practitioners and the broad nursing workforce </li></ul></ul><ul><li>Guiding force for the base supply projections are changing demographics, and the overall population growth </li></ul>Current Work on Forecasting Model
  25. 26. <ul><li>Supply model has the potential for scenario analyses such as incorporating inflow/outflow changes </li></ul><ul><li>Statewide demand for nursing will be generated after the nursing supply projections are completed </li></ul><ul><li>Alternative forecasting demand models are being reviewed now </li></ul><ul><li>Supply/Demand relationship will be analyzed to estimate the gap </li></ul><ul><li>Results will serve as a guide for policymakers </li></ul>Upcoming Work and Forecasting Results
  26. 27. <ul><li>Develop and distribute a comprehensive report of the RN survey. </li></ul><ul><li>Convene nurse researchers to do an in-depth review of the survey data. </li></ul><ul><li>Initiate regional forums to review the data and develop recommendations for nursing education and practice. </li></ul><ul><li>Work with the Nursing Coalition to determine needs based on trends in nursing specialties. </li></ul>
  27. 28. <ul><li>Collect the national nursing education minimum data set from all nursing programs in WI. </li></ul><ul><li>Review national recommendations on “best practices”. </li></ul><ul><li>Analysis the data collected and develop recommendations based on identified needs in WI. and best practices. </li></ul><ul><li>Convene a “Best practice Retreat” to plan for education capacity, access and diversity. </li></ul>