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Wcn pptfor wone conf040711


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  • 1. Your Wisconsin Center for Nursing:Leading Today for the Workforce of Tomorrow Judith M. Hansen, MS, BSN, RN WCN Executive Director April 7, 2011
  • 2. Objectives• Recognize the Wisconsin Center for Nursing as state resource for the nursing workforce• Identify current data on the nursing workforce that is available for our state• Connect the RWJF IOM recommendations for the Future of Nursing with implications for Wisconsin• Allow participants to provide input to regional nursing workforce needs in Wisconsin
  • 3. Mission• Assure an adequate, well- prepared and diverse nurse workforce to meet the needs of the citizens of Wisconsin
  • 4. VisionWisconsin will have a nursing workforce that is:• diverse• sufficient in number• appropriately educated• effectively utilized, and• adequately supported
  • 5. History of WCN• 2001 – Nursing leaders with a vision for collaboration & redesign• 2001-2004 - Awareness, communication, partnerships, funding• 2005 – WCN established & Board of Directors appointed• 2006 – Full-time Executive Director hired.• 2006 - Established 501(c)(3) status• 2007 – RWJF Partners Investing in Nursing (PIN) grant – Faye McBeath Foundation partnership• 2007 - Advisory Council established
  • 6. History of WCN, continued• Website created:• 2008 – Medical College of WI - Healthier WI Partnership Program grant• 2009 – Successful legislation for portion of licensure funds to collect, analyze & disseminate nursing workforce data for a statewide plan• 2010 – Wisconsin RN Survey – Historical ‘first’ survey of 77,553 nurses• 2011 – Wisconsin LPN Survey & Education Survey
  • 7. How did this all happen?• “True Grit”• Tireless dedication• Determination• Political savvy• Being in the right place at the right time• “Get By with a Little Help from My Friends”It’s all about relationships…….
  • 8. WCN Partnerships• WI Nurses Association (WNA) • Public and Private Nursing Education Programs in Wisconsin• WI Nursing Coalition (WNC) • WI Associate Degree Nursing• WI Healthcare Data Collaborative Educators Administrators (including the following (WADNEA) organizations: WI Center for Nursing, WI Area Health Education • WI Assn. Colleges & Schools of Centers, WI Hospital Association, Nursing (WACSN) Rural Wisconsin Health • WI Assn. School Nurses (WASN) Cooperative, WI Division of Health • Assn. of Nursing Educators of Services, WI Nurses Association, WI Wisconsin (ANEW) Department of Workforce • WI Public Health Association Development (WPHA)• WI Department of Workforce • WI Org Nursing Executives (W- Development (DWD) ONE)• WI Department of Regulation and • WI Assn. Licensed Practical Nurses Licensing (DRL) (WALPN)• WI Council on Workforce • Wisconsin League for Nursing Investment (WLN)• WI Division of Health Services • Milwaukee Chapter Black Nurses (DHS) Association (NBNA)• WI Division of Public Health (DPH) • WI Hispanic Nurses Association• Healthy WI Partnership Program (WHNA)• Faye McBeath Foundation • Fund for Wisconsin Scholars-Oscar Rennebohm Foundation
  • 9. 2010 Wisconsin RN Survey• Mandate under WI Statutes, Chapter 106.30, administered by the WI Dept. of Regulation & Licensing• Successful 2009 legislation; efforts of nursing leadership from professional organizations, & Senator Judy Robson• Bi-annual license renewal in January-March, 2010• Forum of State Nursing Workforce Centers - National Nursing Workforce Minimum Dataset: Supply• Survey development led by Sue Schuler, WCN Interim ED• Members of WI Healthcare Workforce Data Collaborative• Healthier WI Partnership Program – Medical College of Wisconsin• October 2010 - “At a Glance” document
  • 10. Why Data?“If you can measure that of which you speak and express it in numbers, you know something about your subject; but if you cannot measure it, your knowledge is of a very meager and unsatisfactory kind.” Lord Kelvin (1824 – 1907)
  • 11. Why Plan?• Population projections for WI – 1.5 million increase by 2034• 24% increase in peoples 65 and over• 133% increase in people 85 and older• Increasing diversity• Complex population health needs• Aging workforce & aging nursing educators• Nursing #1 trusted profession• Expertise in care coordination, patient-centered care Who will take care of YOU?
  • 12. 2010 RN Wisconsin Survey Results: Current RN WorkforceTotal Sample Number n=77,553Total Wisconsin RN 69,887WorkforceTotal RN’s working in 68,497 (98%)healthcareTotal RN’s working in 61,094 (87.4%)healthcare in Wisconsin
  • 13. Age Distribution of RNs in Wisconsin and the US >6050-5940-4930-39 Wisconsin% U.S. % <30 0 5 10 15 20 25 30 35
  • 14. Highest Level of Education: Nursing & Other Degrees DiplomaAssociateBachelor Nursing Degrees All Degrees Master PhD 0 10 20 30 40 50 %
  • 15. Wisconsin & U.S. Highest Nursing Degrees 50% 45% 40% 35% 30% 25% WI US 20% 15% 10% 5% 0% PhD Master Bachelor Associate Diploma
  • 16. Race/Ethnicity of RNs in Wisconsin & U.S. African Caucasian Hispanic American WI RN 94.7 2.1 1.2 US RN 93.2 5.4 3.6 WI Population 89.4 6.2 5.3 US Population 79.6 12.9 15.8
  • 17. Employment Settings of Wisconsin RNs 2.3% Academic Education 13% Ambulatory Care 14.6% 4.7% 4.2% Home Health 11.3% Hospital Nursing Home/ Extended Care 49.9% Public/Community Other
  • 18. Plans to Leave Direct Patient Care 4.7% 13.2% <2years 2-4years 18.8% 5-9years 10/more years 63.4%
  • 19. 55 years & over by work setting50%45%40%35%30%25%20%15%10%5%0% Academic Ambulatory Home Health Hospital Nursing Public/CH Other Education Care Home
  • 20. Workforce Implications• Not just about having ‘enough’ nurses• Need the right nurse, in the right place, at the right time• Diversity needed for culturally competent care• Adequate providers by specialty area• Regional workforce needs• National comparisons; want WI to lead• Need to balance graduates w/ workforce needs• Importance of role of nursing in healthcare reform
  • 21. In Process• Data Sharing Agreement with DWD• Nurse researcher team from schools with doctoral programs• Detailed data analysis of 2010 WI RN Survey• 2011 WI Education Survey - February• 2011 WI LPN Survey - March• RWJF Partners Investing in Nursing (PIN) grant for demand data - March
  • 22. Next Steps• Provide Supply & Education data analyses to DWD, make recommendations & assist in development of statewide workforce plan• Due to legislature September, 2010• Begin analysis of Education Survey & LPN Survey• Begin prep for next RN Survey in 2012• Possible ‘Demand’ survey in 2012 (PIN II Grant)• Ultimate goal – All “three legs of the stool” to compile comprehensive picture of the WI Nursing Workforce
  • 23. Guiding Documents• Healthiest Wisconsin 2020 – State Health Plan• RWJF Institute of Medicine - The Future of Nursing: Leading Change, Advancing Health
  • 24. Healthiest WI 2020 – State Health Plan• WI dropped from 11th best in 2009 to 18th in 2010• Ranks 23rd in nation combined measures for infant health; high AA infant mortality rates in Milwaukee• WI leads nation for adult binge drinking & youth alcohol use• Second highest in nation for STI (Chlamydia) in Milwaukee in 2007 (50% >Chicago)• 50th out of 50 states for per-capita state funding of public health• One of FOCUS AREAS – “ diverse, sufficient & competent workforce that promotes & protects health” supports need for work of WCN• Nurses can greatly impact population health
  • 25. IOM Future of Nursing Report1. Nurses should practice to the full extent of their education & training2. Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression3. Nurses should be full partners with MDs and other health professionals, in redesigning health care in the U.S.4. Effective workforce planning & policy- making require better data collection & and an improved information infrastructure
  • 26. Report Recommendations1. Remove scope of practice barriers2. Expand opportunities for nurses to lead & diffuse collaborative improvement efforts3. Implement nurse residency programs4. Increase proportion of BSN’s to 80% by 20205. Double number of doctorates by 20206. Ensure that nurses engage in lifelong learning7. Prepare & enable nurse to lead change to advance health8. Build infrastructure for collection & analysis of interprofessional healthcare workforce data Provides framework to guide activities in WI to address our unique nursing workforce needs
  • 27. Regional Action Coalition (RAC)• WI submission in next wave of applicants.• Requires WCN in partnership with “non- nursing” entity• Faye McBeath Foundation - $15,000 start up money for RAC activities once accepted• Opportunity to mobilize partners to implement IOM recommendations in Wisconsin in tandem with the data being gathered & analyzed• Perfect timing for all to come together
  • 28. “The IOM Report: Building the Future ofNursing in Wisconsin”• Wisconsin Center for Nursing, in partnership with Wisconsin Coalition for Nursing• May 2, 2011 – Wilderness Resort, Wisconsin Dells• Keynote Speaker: Peter Buerhaus, PhD, RN, Vanderbuilt University "The Future of Nursing: Workforce Data, Quality, Economics, & Public Policy“
  • 29. “The IOM Report: Building the Future ofNursing in Wisconsin” • Ellen K. Murphy, MSN, JD, FAAN, UW-Milwaukee, "Scope of Practice and What It Means for Wisconsin Nursings Future.“ • Afternoon session: Facilitated regional activities for IOM implementation in our state, using the Appreciative Inquiry Model • Registration online at
  • 30. Now it’s YOUR turn…•Q & A• Form small regional discussion groups• Brainstorm nursing workforce needs in your own organizations & regions.• Report-out to whole group
  • 31. Thank you! Contact info: Judith M. Hansen, MS, BSN, RN Wisconsin Center for Nursing PO Box 413 1921 East Hartford Ave. Milwaukee, WI 53201-0413 Office: 414-229-6014 Cell: 414-801-NURS (6877)
  • 32. References• Acord, L., Dennik-Champion, G., Lundeen, S. & Schuler, S. (2010) Vision, Grit and Collaboration: How the WI Center for Nursing Achieved Both Sustainable Funding and Established Itself as a State Health Care Workforce Leader. Policy, Politics & Nursing Practice, 11(2), 126.131.• Egan-Robertson, D., Harrier, D., & Wells (2008) Wisconsin population 2035: A report on projected state and county populations and household for the period 2000-2035 and municipal populations 2000-2030. Demographic Services Center, Division of Intergovernmental Relations, Wisconsin Department of Administration.• Healthiest Wisconsin 2020: Everyone Living Better, Longer• Inglis, R. & Jahangir, M. (2011). Wisconsin Nursing Workforce Poster. LaCrosse District Nurses Association: Gundersen Lutheran & Viterbo University.• IOM Future of Nursing: Leading Change, Advancing Health. Advancing-Health.aspx• Wisconsin Department of Workforce Development, Division of Employment and Training (2010). Wisconsin 2010 RN Survey Summary• U.S. Department of Health and Human Services, Health Resources and Services Administration (2010). The Registered Nurse Population: Findings from the 2008 National Sample Survey of Registered Nurses