2010 rn surveypresentationatwnaoct2010

Sue Schuler, Past President, Wisconsin Center for Nursing

Victoria Udalova, Economist, Dept. of Workforce Development

Judy Warmuth, V.P. Workforce, Wisconsin Hospital Association

Institute of Medicine

The Future of Nursing

Key Message

Effective workforce planning and

policy making require better data

collection and improved information

infrastructure.

Wisconsin Statutory Language

• Requires nurses renewing their license to

complete a survey on potential nursing

shortages.

• $4.00 renewal fee.

• Statewide nursing center to collaborate with

nursing constituents develop strategies to

ensure there is an adequate nursing

workforce.

Healthiest Wisconsin Partnership Grant

(HWPP)

Funded DWD and the Wisconsin Center for Nursing to:

• 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 .

• Determine methodology for collecting nurse data.

• Analyze and distribute nursing workforce data.

• Survey educational programs that prepare RN’s for

capacity data and share results.

Size of the current workforce; how many nurses of each type working how many hours?

Wisconsin’s future nursing demand.

Does the current educational system provide for that need?

0

2

4

6

8

10

12

14

16

18

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 and above

Percent of total

From 2010 RN Survey

Registered Nurses

White 94.7%

Black/African American 2.1%

Hispanic 1.2%

Wisconsin Residents

White 89.4%

Black/African American 6.2%

Hispanic 5.9%

Advance Practice Nurses

Nurses in Wisconsin with a Master’s degree that prepares them to be an advanced practice nurse

5,110

Nurses in Wisconsin with a Master’s degree practicing as an Advanced Practice Nurse

3,802

Highest Level of Education

Diploma 10.4%

Associate Degree 32.2%

Baccalaureate Degree 44.4%

Master’s Degree 12.0%

Doctorate .9%

Education

All nurses. N = 77,385

Highest Level of Nursing Education

Diploma 12.0%

Associate Degree 36.2%

Baccalaureate Degree 42.9%

Master’s Degree 8.6%

Doctorate .4%

Nursing Education

All nurses. N = 77,385

All RNs 77,553

RNs working in health care 68,497

RNs working in health care in Wisconsin

61,094

Academic education 2.3%

Ambulatory Care 14.6%

Home Health 4.2%

Hospital 49.9%

Nursing Home/Extended Care 11.3%

Public Health 4.7%

Other 13.0%

Primary Place of Work2010

Wisconsin Nurses

Primary Place of Work2001

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

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

Ambulatory Care 789

Home Health 400

Hospital 3,766

Nursing Home/Extended Care 740

Public/Community Health 182

Other 470

In less than 2 years 2,377

In 2 to 4 years 6,658

In 5 to 9 years 9,484

In 10 or more years 32,049

What will future demand be?

How many hours will future nurses work?

How acutely ill will future patients be?

Where will patients receive healthcare (where will nurses work?)

How many new RNs do we need and where are they needed?

When?

How many new Master’s prepared nurses do we need? (Oh and what type of Master’s?)

When?

How many new Doctorally prepared nurses do we need?

When?

Victoria Udalova, Economist Forecasting Nursing Workforce

Forecasting Nursing Workforce

Victoria Udalova, Economist

Office of Economic Advisors, Wisconsin Department of Workforce Development

October 8, 2010


Affordable, high quality health care requires a

competent, diverse, and sufficient supply of nurses,

and a shortage of nurses currently exists nationally.

HRSA, 2004


• 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

• The study is nationally focused and relies on a relatively small sample size

• Reports and analysis previously generated by the HRSA have not been updated because of federal funding cuts

National Nursing Forecast


• In 2007, DWD developed a comparable model

to the HRSA version

• Inability to populate the model with robust data

served as a catalyst for moving the data effort

forward

• 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

History of Data Collection Success


• 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

• 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

History of Data Collection Success


• Over 77,000 nurse responses are being

analyzed and aggregated

• At this time, our focus is on the basic statewide

nursing supply model

• The model is divided by:

- 13 age groups

- gender

- number (head count) of RNs and FTE RNs

- direct patient care practitioners and the broad

nursing workforce

• Guiding force for the base supply projections

are changing demographics, and the overall

population growth

Current Work on Forecasting Model


• Supply model has the potential for scenario

analyses such as incorporating inflow/outflow

changes

• Statewide demand for nursing will be generated

after the nursing supply projections are

completed

• Alternative forecasting demand models are

being reviewed now

• Supply/Demand relationship will be analyzed to

estimate the gap

• Results will serve as a guide for policymakers

Upcoming Work and Forecasting Results

• Develop and distribute a comprehensive report of

the RN survey.

• Convene nurse researchers to do an in-depth

review of the survey data.

• Initiate regional forums to review the data and

develop recommendations for nursing education

and practice.

• Work with the Nursing Coalition to determine

needs based on trends in nursing specialties.

• Collect the national nursing education minimum

data set from all nursing programs in WI.

• Review national recommendations on “best

practices”.

• Analysis the data collected and develop

recommendations based on identified needs in WI.

and best practices.

• Convene a “Best practice Retreat” to plan for

education capacity, access and diversity.

Documents

2010 rn surveypresentationatwnaoct2010