Nursing Action Coalition Annual Meeting

1. Idaho’s Health Care and Nursing
Workforce
Ethan Mansfield
Regional Economist, Southwest Region
Idaho Department of Labor
Idaho Nursing Action Committee
Annual Meeting
May 16, 2016

2. • How does Health Care Fit in Idaho’s Economy?
• What does the Nursing Workforce Look Like Today?
• What does the Board of Nursing Like/Dislike about the
Report and what would they like to see changed?
Outline

3. 0%
10%
20%
30%
40%
50%
60%
70%
80%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Health Care Growth in Idaho
2000-2015
Health Care Other Sectors
94,500 Employed in
Health Care Industry
One in every 7 Idaho
jobs are in the
Health Care Industry

4. 102,590
65,970
56,730
41,850
41,420
40,540
35,500
35,150
32,890
27,710
24,410
21,780
20,040
18,130
13,620
12,580
12,310
11,800
9,890
8,500
5,450
3,820
- 20,000 40,000 60,000 80,000 100,000 120,000
Office and Administrative Support
Food Preparation and Serving Related
Production
Management
Construction and Extraction
Business and Financial Operations
Personal Care and Service
Computer and Mathematical
Community and Social Service
Life, Physical, and Social Science
Farming, Fishing, and Forestry
Employment by Major Occupation Group
Idaho
2015
TOTAL IDAHO
EMPLOYMENT: 642,700
One in 20 Idaho
Workers are skilled
Health Care providers
or technicians

5. $14.21
$11.86
$8.97
$14.70
$14.54
$16.74
$33.34
$28.17
$17.66
$18.91
$26.95
$11.27
$9.44
$12.56
$30.66
$17.37
$18.32
$35.99
$23.88
$15.02
$11.53
$28.51
$0.00 $5.00 $10.00 $15.00 $20.00 $25.00 $30.00 $35.00 $40.00
Office and Administrative Support
Food Preparation and Serving Related
Production
Management
Construction and Extraction
Business and Financial Operations
Personal Care and Service
Computer and Mathematical
Community and Social Service
Life, Physical, and Social Science
Farming, Fishing, and Forestry
Idaho Wages, Sorted by Employment
Idaho Median Wage = $15.32
Idaho Median Wage

6. Occupation
Percent Difference
from National Median
Idaho Median Wage Occupation
Percent Difference
from National Median
Idaho Median Wage
Office and Administrative
Support
-11% $14.21
Building and Grounds Cleaning and
Maintenance
-2% $11.27
Sales and Related -4% $11.86 Personal Care and Service -10% $9.44
Food Preparation and
Serving Related
-5% $8.97 Healthcare Support -3% $12.56
Transportation and Material
Moving
2% $14.70 Computer and Mathematical -22% $30.66
Production -6% $14.54 Protective Service -4% $17.37
Education, Training, and
Library
-26% $16.74 Community and Social Service -9% $18.32
Management -30% $33.34 Architecture and Engineering -3% $35.99
Healthcare Practitioners and
Technical
-6% $28.17 Life, Physical, and Social Science -20% $23.88
Construction and Extraction -13% $17.66
Arts, Design, Entertainment, Sports,
and Media
-32% $15.02
Installation, Maintenance,
and Repair
-8% $18.91 Farming, Fishing, and Forestry 10% $11.53
Business and Financial
Operations
-15% $26.95 Legal -24% $28.51

7. 0.73
0.74
0.77
0.81
0.94
0.94
0.97
0.98
0.98
0.98
0.99
1.00
1.01
1.02
1.02
1.06
1.10
1.11
1.29
1.34
1.85
2.57
0.53 1.03 1.53 2.03 2.53 3.03
Computer and Mathematical
Legal
Transportation and Material Moving
Food Preparation and Serving Related
Healthcare Support
Arts, Design, Entertainment, Sports, and Media
Office and Administrative Support
Architecture and Engineering
Management
Construction and Extraction
Life, Physical, and Social Science
Location Quotient
Relative Employment Share (Concentration)
Idaho
2015

8. [CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELL
[CELLRANGE]
[CELL
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELLRANGE]
[CELL
-5 0 5 10 15 20 25 30
Construction and Extraction
Healthcare Support
Personal Care and Service
Sales and Related
Computer and Mathematical
Transportation and Material Moving
Building and Grounds Cleaning and Maintenance
Office and Administrative Support
Education, Training, and Library
Protective Service
Life, Physical, and Social Science
ID US
2012-2022 Projected Percent Job Growth and Median Wage
Sources: Idaho Department of Labor and US Bureau of Labor Statistics

9. Healthcare Support
Personal Care and Service
Installation, Maintenance, and Repair
Community and Social Service
Computer and Mathematical
Business and Financial Operations
Transportation and Material Moving
Production
Building and Grounds Cleaning and
Maintenance
Management
Farming, Fishing, and Forestry
Education, Training,…
Architecture and Engineering
Protective Service
Arts, Design, Entertainment,…
Life, Physical, and Social…
Legal
Office and Administrative Support
Food Preparation and Serving Related
Healthcare Practitioners
and Technical
Sales and Related
-2,000
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
0 5 10 15 20 25 30
NewJobs(2012-2022)
Percent Growth (2012-2022)
2012-2022 Projected New Jobs and Percent Growth

10. Idaho Hot Jobs by Degree: 2012-2022
Doctoral or Professional Degree Master's Degree
Pharmacists Physician Assistants
Physical Therapists Nurse Practitioners
Physicians and Surgeons, All Other Healthcare Social Workers
Health Specialties Teachers, Postsecondary Occupational Therapists
Lawyers Rehabilitation Counselors
Dentists, General Speech-Language Pathologists
Family and General Practitioners Mental Health Counselors
Clinical, Counseling, and School Psychologists Nursing Instructors and Teachers, Postsecondary
Optometrists Nurse Anesthetists
Veterinarians Instructional Coordinators
Bachelor's Degree Associate's Degree
Software Developers, Applications Registered Nurses
Market Research Analysts and Marketing Specialists Dental Hygienists
Computer Systems Analysts Diagnostic Medical Sonographers
Cost Estimators Radiologic Technologists
Electrical Engineers Respiratory Therapists
Civil Engineers Physical Therapist Assistants
Management Analysts Cardiovascular Technologists and Technicians
Accountants and Auditors Web Developers
Elementary School Teachers, Except Special Education Medical Equipment Repairers
Personal Financial Advisors Medical and Clinical Laboratory Technicians

11. Aging Idaho
18%
48%
16%
18%
2014
15-24 25-54
18%
46%
14%
22%
2024

13. Summary
 Health Care industry represents one in every 7 jobs in Idaho
 One in 20 Idaho jobs are Skilled Health Care Providers and Technicians
 Health Care Practitioners and Technical Occupations pay much higher than the
Idaho Median Wage ($28.17 vs. $15.32) and are more competitive nationally
than other Idaho occupation groups
 Concentration of Health Care Practitioners and Technical Occupations 6%
below national concentration
 BUT, projected to grow much faster than nationally
 Idaho is aging. It is unclear how aging affects relative health care growth, but in
Idaho, the trend is positive
Sources: Bureau of Labor Statistics, Occupational Employment Statistics; Idaho Department of Labor,
Idaho@Work Employment Newsletter

14. Nursing in Idaho – A Report from the
Idaho Department of Labor
• Idaho Licensed Nurses
• Nursing Graduates
• Projected 2022 Demands
Supply and
Demand
• Nursing Students Enrollment
• New Graduates’ Licensing and Working
Status
Education Capacity
• Idaho Nurses and Nursing Faculty
• Estimated Wage in Idaho and Six
Surrounding States
Nursing Salary
• Current Faculty Headcount
• Working Hours Allocation
• Retention
Nursing Faculty

15. Nursing Supply and Demand
LPNs
3,937 hold Idaho
licenses, 2,403 (61%)
working full-time or
part-time as nurses in
Idaho
Jobs projected to
increase by 639 (2.0%
annual growth rate)
between 2012 and
20222013-14: 223 new
graduates; it is
estimated to be 203 in
2019
RNs
18,763 active Idaho
licensed RNs,11,358
(60.5%) were working
as nurses in Idaho.Total number of jobs
projected to be 15,511
in 2022 (2.4% annual
growth rate)2013-14:
958 new graduates –
367 ASN, 539 BSN,
52 MSN;
estimated 922 new RN
grads in 2019
APRNs
1,489 had active Idaho
licenses, 1,038 (70%)
were working as nurses
in IdahoBetween 2012 and
2022, the number of
APRNs will increase by
227, with 1.8% annual
growth rate for nurse
anesthetists, 2.9% for
nurse midwives, 2.7%
for nurse practitioners

16. New (Public School) Graduates
Working in Idaho
About 65% of LPN graduates and 60% RN graduates
received their first licenses and stayed in Idaho to work as
nurses
% of 1st license grads working in ID
Institution Location LPN RN
Northern NR 50.0%
North Central 50.0% 40.2%
Southwestern N/A 65.4%
South Central NR 68.5%
Southeastern 66.7% 60.8%
Eastern 65.8% 88.2%
Idaho 64.4% 59.9%

17. Gap Analyses

18. Gap Analyses

19. LPNs
32% of LPNs were 55 or older
87% of LPNs were Caucasian
8.8 % of LPNs were men
RNs
30% of RNs were 55 or older
88% of RNs were Caucasian
11.6 % of RNs were men
APRNs
35% of APRNs were 55 or older
89% of APRNs were Caucasian
32.4% of APRNs were men
32%
87%
8.8%
30%
88%
11.6%
35%
89%
32.4%
0%
20%
40%
60%
80%
100%
% that is 55 or order % that is Caucasian % that is men
LPNs RNs APRNs
Demographic Composition

20. Education Capacity
More than 2,200 applicants in
2013-2014, 1,331 newly
admitted
1,191 Graduates in 2013,
1,181 Graduates in 2014
2,391 Current
Nursing students
2013-2014
Institution
Denied
admission
Admitted
Boise State University 237 120
Brigham Young University-
Idaho
185 310
Carrington College 0 109
College of Southern Idaho 25 154
College of Western Idaho 163 37
Eastern Idaho Technical College 16 64
Idaho State University 40 114
ISU-College of Technology 74 75
ITT Technical Institute 42 78
Lewis-Clark State College 28 119
North Idaho College 117 103
Northwest Nazarene University 11 48
Total 938 1,331

21. Education Capacity
Institution
Current
Students
LPN
Capacity
AS RN
Capacity
BS RN
Capacity
MSN
Capacity
DNP
Capacity
PhD
Capacity
Boise State University 310 --- --- 408 --- --- ---
Brigham Young University-Idaho 335 --- 252 320 --- --- ---
Carrington College 112 66 48 --- --- --- ---
College of Southern Idaho 225 50 200 --- --- --- ---
College of Western Idaho 72 --- 80 --- --- --- ---
Eastern Idaho Technical College 105 41 54 --- --- --- ---
Idaho State University 252 --- --- 202 20 60 12
Idaho State University--College of Technology 75 44 36 --- --- --- ---
ITT Technical Institute 314 --- 300 --- --- --- ---
Lewis-Clark State College 228 16 --- 260 --- --- ---
North Idaho College 163 30 160 --- --- --- ---
Northwest Nazarene University 200 --- --- 160 30 --- ---
Total 2,391 247 1,130 1,350 50 60 12

22. Education Capacity – Limits to
Expansion
Institution Degree
Capacity constraints
No constraints/no
need to expand
Background
coursework for
incoming
students
Campus
facilities and
equipment
Clinical site
availability
Funding
Operating
support
Qualified
students
Scheduling
constraints for
classes
Boise State University - BSN BSN √
Brigham Young University Idaho - ASN/BSN ASN √
Brigham Young University Idaho - ASN/BSN BSN √
Carrington College - LPN LPN √
Carrington College - RN ASN √
College of Southern Idaho (LPN) LPN √
College of Southern Idaho (RN) ASN √
College of Western Idaho-RN ASN √
Eastern Idaho Technical College-PN LPN √ √
Eastern Idaho Technical College-RN ASN √ √
Idaho State University - College of Technology (ADRN) ASN √ √ √
Idaho State University - College of Technology (LPN) LPN √ √ √
Idaho State University-BSN BSN √
Idaho State University-MSN MSN √
Idaho State University-MSN PHD √
ITT ASN √
Lewis -Clark State College-PN LPN √
Lewis-Clark State College-RN BSN √
North Idaho College-PN LPN √ √ √ √
North Idaho College-RN ASN √
Northwest Nazarene University BSN √
Northwest Nazarene University MSN √

23. LPNs
• $36,837
RNs: $60,704
• AS-RN: $59,495
• BA-RN: $60,770
• MS-RN: $74,145
APRNs: $101,299
• Certified Nurse Midwife $88,562
• Nurse Practitioner $91,401
• Clinical Nurse Specialist $92,342
• Registered Nurse Anesthetist
Nursing Wages – Median Annual
Earnings
Nursing Faculty
at Idaho’s public
institutions
$57,217
ASN & BSN $38,169
MSN & Master $51,329
PHD & Post-Master's
Certificate & APRN
$70,484
Sources: Idaho Department of Labor Unemployment Insurance Division
Database and Idaho Board of Nursing Annual Report.

24. Nursing Wages – Geographic
Comparisons
• In 2013, Idaho’s median annual wage for both LPNs and RNs ranked second to last among the
bordering states, surpassing only Montana.
• Nursing instructors ranked last among the seven states.
• Only Utah and Nevada paid their nursing instructors more than RNs.
• In general, annual wages for Idaho’s nurses fall in the bottom half when compared to surrounding
states.
Median Annual Wage Estimates from OES May 2013
State LPNs RNs Instructors
Nurse
Anesthetists
Nurse
Midwives
Nurse
Practitioners
Oregon $48,100 $80,360 $61,770 $151,650 $106,810 $104,320
Nevada $51,970 $78,240 $80,310 > $187,200 * $90,830
Washington $47,100 $75,500 $58,350 $165,330 $88,150 $95,860
Wyoming $42,570 $60,450 $57,900 $185,730 * $88,740
Utah $40,330 $59,040 $61,350 $124,100 $80,620 $89,600
Idaho $38,330 $58,980 $51,300 $145,400 * $88,840
Montana $37,530 $58,840 $55,280 $138,610 * $88,210
Source: OES May 2013 National Occupational Employment
and Wage Estimates.

25. Nursing Wages – Geographic
Comparisons
Source: OES May 2014 National Occupational Employment
and Wage Estimates.
Occupation Rural Urban Difference
CNA $ 11.18 $ 10.92 -2.3%
LPN $ 18.86 $ 18.99 0.7%
RN $ 27.09 $ 29.37 8.4%
APPN $ 42.90 $ 45.67 6.5%

26. Nursing Faculty
Source: OES May 2014 National Occupational Employment
and Wage Estimates.
236 faculty
80%
Full-time
219 (93%) met
credential
requirements;
8 of the remaining
17 have master’s
degrees or higher
Hours Worked per
Week:
30 to 50
the faculty to
student ratio in
clinical courses:
1:7 to 1:10
22 (9.3%)
faculty plan on
leaving in 2
years
9 retiring or
working not
as a nurse
13 returning
to a practice
setting

27. Thank You!
 Discussion: What questions would you like to
see answered in the next report?
 Discussion: Data Sources
 Contact info: ethan.mansfield@labor.Idaho.gov
 208-332-3570 ext. 3455