APRN presentation sept 21 2015 published

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Overview of APRNs in GeorgiaDr. Lisa Wright EichelbergerCo-Lead, GNLCDean, College of HealthClayton State University September 21st, 2015

1The Data2Health Status of GABefore we talk about the supply of APRNs in Georgia, I want to put the Health statistics of Georgians and the need for primary health care in perspective and talk a little bit about the context of APRN practice in Georgia. SO I will present some of the major health statistics and supply of primary health care provides so that everyone has a baseline from which to understand the rest of what we will be talking about today.

3Health Status in GeorgiaOverall Rank of 38thNo Change in Rank: Americas Health Rankings 2014United Health FoundationStrengthsLow prevalence of binge drinkingLow occupational fatalitiesInfant mortality decreased 48% since 1990Low rate of drug deaths


Challenges in Georgia

Rank 48th in high school graduationRanks 46th in low birthweight/insurance coverageRank 45th in availability of dentistsRank 42nd in Air PollutionRank 39th in High BPRank 38th in CV deathsRank 37th in DiabetesRank 36th in Primary Care PhysiciansRank 33rd in obesity rate

Drop out rate so high means low income and high underemployment rate high disparity rate5Leading Causes of Death*, Georgia Number of Deaths 2007-2011If I asked you to draw the labels on this chart you could have done this without me tell you. By looking at the last chartChronic Respiratory rate linked to smoking rate and air pollution 42nd Air Pollution6Health of GeorgiansDealing with Multi-Factorial IssuesAir pollution, Public Health Funding, Graduation Rates - all impacting healthFocus on Primary Care APRN practiceWho delivers Primary Care?What is it?

7Definition of Primary CareThe provision of integrated, accessible health services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. IOM Committee on Future of Primary Care PCP = General, Family Medicine, Ped, Internal Med. Geriatrics, FNP, PA

So what are we to do to improve Health of GA Citizens, Solution lies in primary care prevention and proper management of conditionsWho cares for these groupsOBGYNs and some specialty may provide some primary care but for this study and definition for projecting supply and demand of PCPs they were not included8PCP/Primary Care DoctorsMeasured by the number of PCD per 100,000Range from 200.8/100,000 in Massachusetts to 80.1/100,000 in Idaho. National average is 123.5/100,000GA ranks 36th with 105.4/100,000AAMC ranked GA 39th 2010 up from 40th in 2008 6 counties without Family physicians, Work life not as long

Measured number of PCD per 100,000 per populations , essentially unchanged in the last few years. American Association of Medical Colleges AAMC 31 no internal medicine docs 63 without pediatrician. 66 without a surgeon 79 without an ob. gyn.9Physicians AssistantsIn 2015, 91,921 PAs in USIn 2010, 27,700 PAs active in primary care 1/3 PAs practice in primary care - projected forward 8,000 in 2020 173 accredited PA programs in 2013 In GA, one public PA program, three privateGA is ranked 35th in number of PAs per 100,00049 counties do not have PA, 3/10 work in Primary Care3,536 PAs in 2015 Kaiser Foundation2008 American Association of PA census 2010 South University in Savannah Emory University Mercer in Atlanta and Augusta University in Augusta seven semester program 5-6 applicants for every slot 10National Overview of APRNsCRNAs graduates grew from 1,159 to 2,447 2001 to 2011 CNM graduates decreased from 422 to 392 in 2001 to 2011NP graduates grew from 7,261 to 12,273 2001- 2011 Nationally 174, 826 NPs licensed Data Source: HRSA compilation of data from the AACN Annual Survey (in collaboration with the National Organization of Nurse Practitioner Faculties for collection of nurse practitioner data) Note: Counts include masters and post-masters degree NP and NP/Clinical Nurse Specialist graduates as well as Bachelors-to-Doctorate of Nursing Practice graduates

11Overview of NPs Number of active NPs (110,800) has doubled from 2002 to 2012 NSSRN 2010 In 2014, there were more than 205,000 nurse practitioners (NPs) licensed in the U.S.8,752 licensed NPs in GAAverage age 49 yoHalf of NPs (55,400) are in primary care in 2010.AACN data indicates graduating more NPs each year12,273 - 2011, 14,400 - 2012, 15,000 - 2013? Graduating in GA Incomplete AACN data

National Survey Sample of Registered nurse published in 201012Overview of APRNs in GA as of Sept 21st 2015CRNA - 1,863CNM 498NP 7,537CNS/PMH 271CNS 132RNs 124, 508Licensed Undergraduate Nurse 5Sos.ga.gov/cgi-bin/activelicenses.asp

AACN Georgia 2014 APRN Enrollments3,593 studying to be APRNs including 3,499 in Nurse Practitioner programs, 79 in CRNA programs, 11 in Clinical Nurse Specialists, and 4 Certified Nurse-Midwife programs.

Reported in 2014 by AACN Incomplete data from only schools reporting to AACN Do not have graduations14Settings GA APRN Employment17CNMsCNSsCRNAsNPsHospital1736179801470Ambulatory Care691162051289Public Health8643154Occupational Health017158Insurance Claims/Benefits226222Nurs Home/Extended Care/Assisted Living 2496115Home Health9666124Academic Setting337114234Correctional Facility114267School Health Service215156Other6815545923Community Health16451304Policy/Planning/Regulatory Agency0303Total3831,2581,2664,819 = 7,72615Race/Ethnicity of GA APRNsCNSWhite 65%Black 26%Hispanic 2%Asian 5%Alaska Native/American Indian -


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