Download - Aprn presentation sept 21 2015 rev
Overview of APRN’s in Georgia
Dr. Lisa Wright EichelbergerCo-Lead, GNLC
Dean, College of HealthClayton State University
September 21st, 2015
The Data
Health Status of GA
Health Status in Georgia• Overall Rank of 38th
• No Change in Rank: America’s Health Rankings 2014– United Health Foundation
• Strengths– Low prevalence of binge drinking– Low occupational fatalities– Infant mortality decreased 48% since
1990– Low rate of drug deaths
Challenges in Georgia
• Rank 48th in high school graduation• Ranks 46th in low birthweight/insurance
coverage• Rank 45th in availability of dentists• Rank 42nd in Air Pollution• Rank 39th in High BP• Rank 38th in CV deaths• Rank 37th in Diabetes• Rank 36th in Primary Care Physicians• Rank 33rd in obesity rate
Leading Causes of Death*, Georgia Number of Deaths 2007-2011
Septicemia
Flu/Pneumonia
Kidney Dx
Diabetes
Alzheimer's
CHronic Resp Dx
Cancers
Heart Disease
0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000
Series 1 Column1 Column2
Health of Georgians• Dealing with Multi-Factorial Issues• Air pollution, Public Health Funding,
Graduation Rates - all impacting health
• Focus on Primary Care – APRN practice
• Who delivers Primary Care?• What is it?
Definition of Primary Care• “The 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
PCP/Primary Care Doctors• Measured by the number of PCD per
100,000• Range from 200.8/100,000 in Massachusetts
to 80.1/100,000 in Idaho. National average is 123.5/100,000
• GA ranks 36th with 105.4/100,000• AAMC ranked GA 39th 2010 up from 40th
in 2008 – 6 counties without Family physicians,
• Work life not as long
Physician’s Assistants• In 2015, 91,921 PAs in US• In 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 private• GA is ranked 35th in number of PAs per 100,000• 49 counties do not have PA, 3/10 work in
Primary Care• 3,536 PAs in 2015 Kaiser Foundation
National Overview of APRN’s• CRNA’s graduates – grew from 1,159
to 2,447 2001 to 2011 • CNM graduates – decreased from 422
to 392 in 2001 to 2011• NP graduates – grew from 7,261 to
12,273 2001- 2011 • Nationally 174, 826 NP’s licensed
Overview of NP’s • Number of active NP’s (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 NP’s in GA• Average age 49 yo• Half of NP’s (55,400) are in primary care in 2010.• AACN data indicates graduating more NP’s each year– 12,273 - 2011, 14,400 - 2012, 15,000 - 2013– ? Graduating in GA – Incomplete AACN data
Overview of APRN’s in GA as of Sept 21st 2015• CRNA - 1,863• CNM – 498• NP – 7,537• CNS/PMH – 271• CNS – 132• RN’s – 124, 508• Licensed Undergraduate Nurse – 5• Sos.ga.gov/cgi-bin/activelicenses.asp
AACN Georgia 2014 APRN Enrollments
• 3,593 studying to be APRN’s including
• 3,499 in Nurse Practitioner programs, • 79 in CRNA programs, • 11 in Clinical Nurse Specialists, and • 4 Certified Nurse-Midwife programs.
Settings GA APRN Employment17 CNMs CNSs CRNAs NPsHospital 173 617 980 1470Ambulatory Care 69 116 205 1289Public Health 8 64 3 154Occupational Health 0 17 1 58Insurance Claims/Benefits 2 26 2 22Nurs Home/Extended Care/Assisted Living
2 49 6 115
Home Health 9 66 6 124Academic Setting 33 71 14 234Correctional Facility 1 14 2 67School Health Service 2 15 1 56Other 68 155 45 923Community Health 16 45 1 304Policy/Planning/Regulatory Agency
0 3 0 3
Total 383 1,258 1,266 4,819 = 7,726
Race/Ethnicity of GA APRN’sCNSWhite – 65%Black – 26%Hispanic – 2%Asian – 5%Alaska Native/American Indian - <1%Native Hawaiian/Other Pacific Islander - <1%Other 3%
NPWhite - 76%Black – 18%Hispanic – 2%Asian – 3%Alaska Native/American Indian - <1%Native Hawaiian/Other Pacific Islander - <1%Other – 2%
CNM
White – 77%Black – 14%Hispanic – 2%Asian – 5%Alaska Native/American Indian <1%Native Hawaiian/Other Pacific Islander - 0Other – 3%
CRNAWhite – 83%Black – 12%Hispanic – 2%Asian – 3%Alaska Native/American Indian - <1%Native Hawaiian/Other Pacific Islander - <1%Other – 2%
Gender/Age of GA APRN’s• Gender – GA • CNM: Female - 98%, Male – 2%• CNS: Female – 91%, Male – 9%• CRNA: Female – 63%, Male. – 37%• NP: Female – 93%, Male – 7%• Total: Female – 88%, Male – 12% Nationally, 9% Male• • Avg. Age - GA Avg. Age Nationally of all nurses • CNM: 47 Total: 47 • CNS: 52• CRNA: 47• NP: 46• Total: 47
Conclusion• Redesign of survey question• Type of NP practice• Continue to learn and refine process
Thank you!
References for Advocacy• Policy & Politics in Nursing and Health Care, 6th Edition• Diana J. Mason, RN, PhD, FAAN; Judith K. Leavitt, RN, MEd, FAAN; and
Mary W. Chaffee, RN, PhD, FAAN February 2011 • Approx. 848 pp., 90 illus. • ISBN: 978-1-4377-1416-6
• • http://campaignforaction.org/sites/default/files/IOM%20Report%20Chap
ter%205%20Leadership.pdf Chapter 5, Transforming Leadership. The Future of Nursing: Leading Change, Advancing Health Copyright © National Academy of Sciences. 2010
• • Abood, S. (January 31, 2007). "Influencing Health Care in the
Legislative Arena". OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 1, Manuscript 2.
• Tomajan, K., (January 31, 2012) "Advocating for Nurses and Nursing" OJIN: The Online Journal of Issues in Nursing Vol. 17, No. 1, Manuscript 4.
Settings GA APRN Employment17 CNMs CNSs CRNAs NPsHospital 173 617 27.2%Ambulatory Care Setting
18.0% 9.2% 16.2% 23.8%Public Health 2.1% 5.1% 0.2% 2.8%Occupational Health 0.0% 1.4% 0.1% 1.1%Insurance Claims/Benefits 0.5% 2.1% 0.2% 0.4%Nursing Home/Extended Care/Assisted Living Facility
0.5% 4.0% 0.5% 2.1%
Home Health 2.3% 5.2% 0.7% 2.3%Academic Setting 8.6% 5.6% 1.1% 4.3%Correctional Facility 0.2% 1.1% 0.2% 1.2%School Health Service 0.5% 1.2% 0.1% 1.0%Other 17.8% 1.2% 0.1% 17.1% Community Health 4.2% 3.6% 3.6% 5.6%Policy/Planning/Regulatory/Licensing Agency
0.0% 0.2% 0.1% 0.1%