Wisconsin Center for Nursing: Leading Today for the Workforce of Tomorrow (2011)


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Wisconsin Center for Nursing: Leading Today for the Workforce of Tomorrow (2011)

  1. 1. Your Wisconsin Center for Nursing: Leading Today for the Workforce of Tomorrow<br />Judith M. Hansen, MS, BSN, RN<br />WCN Executive Director<br />April 7, 2011<br />
  2. 2. Objectives <br />Recognize the Wisconsin Center for Nursing as state resource for the nursing workforce<br />Identify current data on the nursing workforce that is available for our state<br />Connect the RWJF IOM recommendations for the Future of Nursing with implications for Wisconsin<br />Allow participants to provide input to regional nursing workforce needs in Wisconsin<br />
  3. 3. Mission<br />Assure an adequate, well-prepared and diverse nurse workforce to meet the needs of the citizens of Wisconsin<br />
  4. 4. Vision<br />Wisconsin will have a nursing workforce that is:<br />diverse <br />sufficient in number <br />appropriately educated <br />effectively utilized, and<br />adequately supported <br />
  5. 5. History of WCN<br />2001 – Nursing leaders with a vision for collaboration & redesign<br />2001-2004 - Awareness, communication, partnerships, funding<br />2005 – WCN established & Board of Directors appointed <br />2006 - Established 501(c)(3) status<br />2007 – RWJF Partners Investing in Nursing (PIN) grant – Faye McBeath Foundation partnership <br />2007 - Advisory Council established<br />
  6. 6. History of WCN, continued<br />Website created: www.wisconsincenterfornursing.org<br />2008 – Medical College of WI - Healthier WI Partnership Program grant<br />2009 – Successful legislation for portion of licensure funds to collect, analyze & disseminate nursing workforce data for a statewide plan<br />2010 – Wisconsin RN Survey – Historical ‘first’ survey of 77,553 nurses<br />2010 – Hired first full-time Executive Director<br />2011 – Wisconsin LPN Survey & Education Survey<br />
  7. 7. How did this all happen?<br />“True Grit”<br />Tireless dedication<br />Determination<br />Political savvy<br />Being in the right place at the right time<br />“Get By with a Little Help from My Friends”<br />It’s all about relationships…….<br />
  8. 8. WCN Partnerships<br />Public and Private Nursing Education Programs in Wisconsin<br />WI Associate Degree Nursing Educators Administrators (WADNEA)<br />WI Assn. Colleges & Schools of Nursing (WACSN)<br />WI Assn. School Nurses (WASN)<br />Assn. of Nursing Educators of Wisconsin (ANEW)<br />WI Public Health Association (WPHA)<br />WI Org Nursing Executives (W-ONE)<br />WI Assn. Licensed Practical Nurses (WALPN)<br />Wisconsin League for Nursing (WLN)<br />Milwaukee Chapter Black Nurses Association (NBNA)<br />WI Hispanic Nurses Association (WHNA)<br />Fund for Wisconsin Scholars-Oscar Rennebohm Foundation<br />WI Nurses Association (WNA)<br />WI Nursing Coalition (WNC)<br />WI Healthcare Data Collaborative (including the following organizations: WI Center for Nursing, WI Area Health Education Centers, WI Hospital Association, Rural Wisconsin Health Cooperative, WI Division of Health Services, WI Nurses Association, WI Department of Workforce Development<br />WI Department of Workforce Development (DWD)<br />WI Department of Regulation and Licensing (DRL)<br />WI Council on Workforce Investment<br />WI Division of Health Services (DHS)<br />WI Division of Public Health (DPH)<br />Healthy WI Partnership Program<br />Faye McBeath Foundation<br />
  9. 9. 2010 Wisconsin RN Survey<br />Mandate under WI Statutes, Chapter 106.30, administered by the WI Dept. of Regulation & Licensing <br />Successful 2009 legislation; efforts of nursing leadership from professional organizations, & Senator Judy Robson<br />Bi-annual license renewal in January-March, 2010<br />Forum of State Nursing Workforce Centers - National Nursing Workforce Minimum Dataset: Supply<br />Survey development led by Sue Schuler, WCN Interim ED<br />Members of WI Healthcare Workforce Data Collaborative<br />Healthier WI Partnership Program – Medical College of Wisconsin <br />October 2010 - “At a Glance” document<br />
  10. 10. Why Data?<br />“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.”<br /> Lord Kelvin (1824 – 1907)<br />
  11. 11. Why Plan?<br />Population projections for WI – 1.5 million increase by 2034<br />24% increase in peoples 65 and over<br />133% increase in people 85 and older<br />Increasing diversity<br />Complex population health needs<br />Aging workforce & aging nursing educators<br />Nursing #1 trusted profession<br />Expertise in care coordination, patient-centered care<br />Who will take care of YOU?<br />
  12. 12. 2010 RN Wisconsin Survey Results: Current RN Workforce<br />
  13. 13. Age Distribution of RNs in Wisconsin and the US<br />
  14. 14. Highest Level of Education: Nursing & Other Degrees<br />
  15. 15. Wisconsin & U.S. Highest Nursing Degrees<br />
  16. 16. Race/Ethnicity of RNs in Wisconsin & U.S.<br />
  17. 17. Employment Settings of Wisconsin RNs<br />
  18. 18. Plans to Leave Direct Patient Care<br />
  19. 19. 55 years & over by work setting<br />
  20. 20. Workforce Implications<br />Not just about having ‘enough’ nurses<br />Need the right nurse, in the right place, at the right time<br />Diversity needed for culturally competent care<br />Adequate providers by specialty area <br />Regional workforce needs<br />National comparisons; want WI to lead<br />Need to balance graduates w/ workforce needs<br />Importance of role of nursing in healthcare reform<br />
  21. 21. In Process<br />Data Sharing Agreement with DWD<br />Nurse researcher team from schools with doctoral programs<br />Detailed data analysis of 2010 WI RN Survey<br />2011 WI Education Survey - February<br />2011 WI LPN Survey - March<br />RWJF Partners Investing in Nursing (PIN) grant for demand data - March<br />
  22. 22. Next Steps<br />Provide Supply & Education data analyses to DWD, make recommendations & assist in development of statewide workforce plan<br />Due to legislature September, 2010<br />Begin analysis of Education Survey & LPN Survey<br />Begin prep for next RN Survey in 2012<br />Possible ‘Demand’ survey in 2012 (PIN II Grant)<br />Ultimate goal – All “three legs of the stool” to compile comprehensive picture of the WI Nursing Workforce<br />
  23. 23. Guiding Documents <br />Healthiest Wisconsin 2020 – State Health Plan<br />RWJF Institute of Medicine - The Future of Nursing: Leading Change, Advancing Health<br />
  24. 24. Healthiest WI 2020 – State Health Plan<br />WI dropped from 11th best in 2009 to 18th in 2010<br />Ranks 23rd in nation combined measures for infant health; high AA infant mortality rates in Milwaukee <br />WI leads nation for adult binge drinking & youth alcohol use<br />Second highest in nation for STI (Chlamydia) in Milwaukee in 2007 (50% >Chicago)<br />50th out of 50 states for per-capita state funding of public health<br />One of FOCUS AREAS – “ diverse, sufficient & competent workforce that promotes & protects health” supports need for work of WCN<br />Nurses can greatly impact population health<br />
  25. 25. IOM Future of Nursing Report<br />Nurses should practice to the full extent of their education & training<br />Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression<br />Nurses should be full partners with MDs and other health professionals, in redesigning health care in the U.S.<br />Effective workforce planning & policy-making require better data collection & and an improved information infrastructure<br />
  26. 26. Report Recommendations<br />Remove scope of practice barriers<br />Expand opportunities for nurses to lead & diffuse collaborative improvement efforts<br />Implement nurse residency programs<br />Increase proportion of BSN’s to 80% by 2020<br />Double number of doctorates by 2020<br />Ensure that nurses engage in lifelong learning<br />Prepare & enable nurse to lead change to advance health<br />Build infrastructure for collection & analysis of interprofessional healthcare workforce data<br />Provides framework to guide activities in WI <br />to address our unique nursing workforce needs<br />
  27. 27. Regional Action Coalition (RAC)<br />WI submission in next wave of applicants.<br />Requires WCN in partnership with “non-nursing” entity<br />Faye McBeath Foundation - $15,000 start up money for RAC activities once accepted<br />Opportunity to mobilize partners to implement IOM recommendations in Wisconsin in tandem with the data being gathered & analyzed<br />Perfect timing for all to come together<br />
  28. 28. “The IOM Report: Building the Future of Nursing in Wisconsin” <br />Wisconsin Center for Nursing, in partnership with Wisconsin Coalition for Nursing<br />May 2, 2011 – Wilderness Resort, Wisconsin Dells<br />Keynote Speaker: Peter Buerhaus, PhD, RN, Vanderbuilt University<br />"The Future of Nursing: Workforce Data, <br /> Quality, Economics, & Public Policy“ <br />
  29. 29. “The IOM Report: Building the Future of Nursing in Wisconsin”<br /> Ellen K. Murphy, MSN, JD, FAAN, UW-Milwaukee, <br /> "Scope of Practice and What It <br /> Means for Wisconsin <br /> Nursing's Future.“<br />Afternoon session: Facilitated regional activities for IOM implementation in our state, using the Appreciative Inquiry Model<br />Registration online at www.wisconsinnurses.com/reg_iomreport.asp<br />
  30. 30. The Future of Nursing…<br />Depends on us !<br />
  31. 31. Now it’s YOUR turn…<br />Q & A<br />Form small regional discussion groups <br />Brainstorm nursing workforce needs in your own organizations & regions.<br />Report-out to whole group<br />
  32. 32. Contact information<br />Judith M. Hansen, MS, BSN, RN<br />Wisconsin Center for Nursing<br />PO Box 413<br />1921 East Hartford Ave.<br />Milwaukee, WI 53201-0413<br />Office: 414-229-6014 <br />Cell: 414-801-NURS (6877)<br />judi@wicenterfornursing.org<br />
  33. 33. References<br />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.<br />Egan-Robertson, D., Harrier, D., & Wells , P. (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.http://www.doa.state.wi.us/subctegory.asp?linksubcatid=105&locid=9<br />Healthiest Wisconsin 2020: Everyone Living Better, Longer http://www.dhs.wisconsin.gov/hw2020/<br />Inglis, R. & Jahangir, M. (2011). Wisconsin Nursing Workforce Poster. LaCrosseDistrict Nurses Association: Gundersen Lutheran & Viterbo University.<br />IOM Future of Nursing: Leading Change, Advancing Health. http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx<br />Wisconsin Department of Workforce Development, Division of Employment and Training (2010). Wisconsin 2010 RN Survey Summary<br />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<br />