iowa advanced practice nurse tracking system …
TRANSCRIPT
IOWA ADVANCED PRACTICE NURSE TRACKING SYSTEM ADVISORY COMMITTEE
MEETING January 12, 2021Meeting Agenda & Participant List
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday, January 12, 2021 10:00 A.M. – 12:00 P.M.
Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs
UI Carver College of Medicine, June 2020
Agenda
2019 Annual Report
Open Discussion Items
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday January 12, 2021 10:00 A.M. – 12:00 P.M.
Advisory Committee Laura Hudson, MSN, RN Associate Director, CE/Workforce Iowa Board of Nursing
Lorinda Inman, MSN, RN Chair, Iowa Nurses Foundation Iowa Nurses Association
Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP Director of Faculty Practice University of Iowa College of Nursing Director of Advanced Practice Providers The University of Iowa Hospitals and clinics
Jimmy Reyes, DNP, AGNP, RN Associate Director of Practice and Education Iowa Board of Nursing
Kathy Weinberg, MSN, RN Executive Director Iowa Board of Nursing
Kendra Williams-Perez, EdD, RN, CNE Professor and Dean Allen College of Nursing
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday January 12, 2021 10:00 A.M. – 12:00 P.M.
Iowa Health Professions Tracking Center
Greg Nelson Assistant Dean for Clinical Education Programs
Theresa Dunkin Program Manager/Assistant Director
Nibras Elnour Data Analyst/Assistant Manager
Linda Thiesen Data Analyst/Assistant Manager
Francisco Olalde Data Analyst/Assistant Manager
Annual Benchmarks
K:\DOCUMENT\NP\YearEnd\2019Yearend\Graphics\np100.ppt
Date APNs • December 2019 2754 • January 2019 2655
Gain + 99
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
* For year ending 12-31-2019
Prior Prior Ten-Year
2019 Year Average APNs Entering 271 338 245 APNs Terminating -172 -161 - 102 Net Gain/Loss +99 +177 +143
K:Document\NP\YE\YE2019\Graphics\124.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
2
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:\DOC\NP\YE\2019\Graphics\NP104.PPT
• Female 2420 • Male 334
<40 41.8%
40-49 29.2%
50-59 17.6%
>60 11.4%
Age Category No. % Cumulative % < 40 1151 41.8% 41.8% 40-49 805 29.2% 71.0% 50-59 484
17.6% 88.6%
> 60 314 11.4% 100.0% 2754 100% 100.0%
K:\DOC\NP\YE\2019YE\Graphics\np128pie.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs
UI Carver College of Medicine, June 2020
4
Presenter
Chart1
<40
<40
<40
40-49
40-49
40-49
50-59
50-59
50-59
>60
>60
>60
UNK
UNK
UNK
Age
Percent
Cumulative
2019
Part Time 116 4% Total 2754 100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:/DOC/NP/YE/2019YE/Graphics/FTE-164.PPT
Age FT % PT % Cumulative %
2638 95.8 116 4.2
FT = > 32
PT = < 32
Source: University of Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020 NP\YE\YE2019\Graphics\FTvPTage.PPT
6
2019
0 10 20 30 40 50 60 70 80 90
100
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 # in Iowa 50 50 41 40 49 43 62 52 42 55 44 38 35 43 32 30 27 15 12 8 8 5 5 5 2 1 1 0 3
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:NP\2YE2018\Graphics\Over50-Bar-163.PPT
Total number of APNs age 50 and over = 798 (29%)
7
2019
Number Percent • Private Practice 1848 67.1% • State Facility 306 11.1% • Public/Community Health • Hospital Medicine • Urgent Care
167 130 126
6.1% 4.7% 4.6%
Total
7 2754
100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:\DOC\NP\YE\2019YE\Graphics\NP126.PPT
8
Number
Percent
IOWA APNs Certifications
2019 Number Percent
• Family NP (FNP) 1489 54.1% • RN Anesthetist (CRNA) 362 13.1% • Psychiatric NP (PSNP,CAP,CNS) 194 7.0% • Adult NP (ANP) 178 6.5% • Pediatric NP (PNP) 169 6.1% • Ob/Gyn (ONP)/Women’s Health (WHNP) 98 3.6% • Acute Care NP (ACNP) 80 3.0% • Nurse Midwife (NMW) 78 2.8% • Neonatal NP (NNP) 48 1.7% • Gerontological NP (GNP)/CGE 41 1.5% • Other* 17 0.6%
Total 2754 100%
Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, June 2020
K:\DOC\NP\YE\2019\Graphiics\NP-CertPPT
* Other includes: CNS Med Surg, School NP, CNS Oncology, CNS Adult Health, Perinatal NP
9
Number
Percent
98
3.6%
2019
Population Cities
in Iowa
% of population*
Cumulative Percent
5,000-9,999 42 12% 40 326 11.8% 26.0%
10,000-24,999 17 10% 17 235 8.5% 34.5%
25,000-49,999 11 14% 11 316 11.5% 46.0%
50,000-99,999 8 23% 8 1024 37.2% 83.2%
100,000 > 2 14% 2 462 16.8% 100.0%
Totals 947 100% 247 2754 100.0%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
65% of Iowa’s APNs are in the 21 cities with > 25,000 residents
*Population Source: US Census City Population Estimates 2010 **CDP: Census Designated Place
10
Presenter
Presentation Notes
Compared to last year, there are more APN’s in small population cities in 2019 then 2018
Population
Cities
2019
Population Cities
in Iowa
% of population*
Cumulative Percent
5,000-9,999 42 12% 39 309 11.2% 24.1%
10,000-24,999 17 10% 11 148 5.3% 29.4%
25,000-49,999 11 14% 6 233 8.5% 37.9%
50,000-99,999 8 23% 2 123 4.5% 42.4%
100,000 > 2 14% 7 1586 57.6% 100.0%
Totals 947 100% 232 2754 100.0%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
71% of Iowa’s APNs are in the 21 cities with > 25,000 residents *Population Source: US Census City Population Estimates 2010 **CDP: Census Designated Place
11
Presenter
Presentation Notes
The difference on this one to the box with the other professions, this is pulled with towns they may or may not have APNs while the other is with APNs.
Population
Cities
2019 Community Size #Entering #Leaving Net <5,000 38 25 +13
5,000 - 9,999 31 18 +13
10,000 - 24,999 24 08 +16
25,000 - 49,999 33 29 +04
50,000 - 99,999 103 63 +40
>100,000 42 29 +13 Total 271 172 +99
K:Doc/NP/YE/2019Y/Graphics/101-chart.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
12
804
872
907
930
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
2800
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
K:/Doc/NP/YE/2019YE/Graphics/NP102.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
243% Increase
0
50
100
150
200
250
300
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19 Entering 121 87 72 96 124 93 104 144 132 149 231 225 248 272 271 331 360 338 271 Leaving 24 19 37 73 57 45 60 54 48 56 81 107 120 113 139 131 125 61 172 Net Gain/Loss 97 68 35 23 67 48 44 90 84 93 150 118 128 159 132 200 235 177 99
AP N
K:\DOCUMENT\NP\YearEnd\2019YE\Graphics\NP168.pptmSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
Year
28
2001 vs. 2019
Under 40 40-49 50-59 60 and Over
Year Total APNs Average Age Median Age 2019 2754 44 42
K:Doc\NP\YE\2019YE\Graphics\170.PPT
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
2001 780 45 46
2001 – 2019
1506 1624
1752 1911
2043 2243
2478 2655
2754
248 258 271 274 289 319 324 359 384 407 462 502 541 593 634 704 752 821 852
100 400 700
1000 1300 1600 1900 2200 2500 2800
00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19
All APNs <15,000 Comm
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:/DOC/NP/YE//2019YE\Graphics\Comm15KNP102.ppt
2001 - 2019
151 155
247
120 130 140 150 160 170 180 190 200 210 220 230 240 250 260
Year '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19
To w
ns w
it h
AP N
64% Increase
120
130
140
150
160
170
180
190
200
210
220
230
240
250
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
Co m
m un
it ie
2001-2019
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
K:Doc/NP/YE2019/NPs106w PHY
64% Increase
13% Decrease
Year
Communities
151
232
155
231
158
230
155
230
164
228
172
232
174
229
178
225
179
221
186
219
206
217
213
214
210
212
211
213
220
214
228
210
242
208
248
207
247
202
Sheet1
Year
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
'15
'16
'17
'18
'19
151
155
158
155
164
172
174
178
179
186
206
213
210
211
220
228
242
248
247
232
231
230
230
228
232
229
225
221
219
217
214
212
213
214
210
208
207
202
To resize chart data range, drag lower right corner of range.
IOWA ADVANCED PRACTICE NURSING SUPPLY All APNs – Primary Care APNs*
2006 - 2019
1045 1179
1000 1200 1400 1600 1800 2000 2200 2400 2600 2800
'06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
N ur
se s
*Primary Care: ANP, FNP, & PNP
Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, July 2020
Primary Care APNs* 226% Increase (16% per year)
APN Supply 163% Increase (12% per year)
33
100 150 200 250 300 350 400
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
All CRNAs Male Female
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:Doc\NP\YE\2018YE\Graphics\CRNA-Gender.PPT
34
Retirement Summary
Physicians 128 39% 67 332 55
Pharmacists 30 27% 65 111 51
Dentists 23 43% 65 53 59
Nurse Practitioners 40 23% 65 172 48
Physician Assistants 18 27% 65 68 46
35
2019
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI College of Medicine, July 2020
K:\Document\NP\YE2019\USMap171.ppt
1
1
1
7
6
9
4
3
2
Military Misc/UNK Total
2011 21 19 - - - 3 - - 38 81
2012 19 22 2 1 - 9 1 - 53 107
2013 20 29 - 2 1 10 1 - 57 120
2014 21 39 1 2 1 2 5 - 42 113
2015 30 40 3 - 1 10 3 - 52 139
2016 30 29 - 1 3 4 6 - 58 131
2017 30 22 1 - 2 2 2 - 66 125
2018 45 46 - - 3 5 2 1 59 161
2019 40 56 2 - 3 12 3 - 56 172
Total 265 316 9 7 14 64 23 1 508 1205
Annual Average 25.5 31.5 1.8 1.4 2.0 6.3 2.9 1.0 50.8 120.5
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs University of Iowa Carver College of Medicine, July 2020 K:Document\NP\YE2019\W orkforce142
IOWA APNs Attrition Analysis 2010-2019
37
K:Graphics/Powerpoint/IA Workforce/ALL-HP-2019/SummarySource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
Physicians 5947
Pharmacists 2955
4974 5003 5197 5417 5599 5783 5878 5951 5947
2539 2591 2691 2814 2865 2925 2968 3023 2955
1446 1467 1476 1498
0 500
1000 1500 2000 2500 3000 3500 4000 4500 5000 5500 6000 6500
'03 '05 '07 '09 '11 '13 '15 '17 '19
Physicians 20% Increase
Dentists 8% Increase
PAs 90% Increase
Pharmacists 16% Increase
APNs 203% Increase
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:Graphics\Powerpoint\IA Workforce\ALL-HP-2019\Trendline
39
Net Gain/Loss Summary
Entering % Leaving % Net % Total
Nurse Practitioners 271 10.0% 172 6.0% 99 3.6% 2754
Dentists 40 2.6% 53 3.4% -13 -0.8% 1560
Physician Assistants 79 7.7% 68 6.7% 11 1.1% 1023
40
Gender
Dentists 1058 502 1560
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
K:Graphics/Powerpoint/IA Workforce/All-HP-2019/GENDER.PPT
<40 1429 24%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
K:Graphics/Powerpoint/IA Workforce/ALL-HP-2018/AGE
Age
42
4974 5003 5197 5417 5599 5783 5878 5951 5947
907 997 1089 1263 1506 1752 2043
2478 2754
0 500
1000 1500 2000 2500 3000 3500 4000 4500 5000 5500 6000 6500
'03 '05 '07 '09 '11 '13 '15 '17 '19
Physicians 20% Increase
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:Graphics\Powerpoint\IA Workforce\ALL-HP-2019\Trendline PHY PA APN
43
2019 Community Population
APN s
PHYs PA PHA DDS APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS
< 1,000 43 13 20 11 13 52 17 21 18 16 1.9 %
0.3% 2.1% 0.6% 1.0%
1,000- 4,999
126 109 81 128 112 339 392 129 377 210 12.3 6.6 12.6 13.0 13.5
5,000- 9,999
40 42 35 42 42 326 528 125 382 209 11.8 8.9 12.2 13.0 13.4
10,000- 49,999
28 28 24 28 28 551 1174 204 646 188 20.0 19.7 19.9 21.8 12.0
50,000- 99,999
8 8 8 8 8 1024 2571 351 966 529 37.2 43.2 34.3 32.6 33.9
> 100,000 2 2 2 2 2 462 1265 193 566 408 16.8 21.3 18.9 19.0 26.2
Total 247 202 170 219 205 2754 5947 1023 2955 1560 100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
K:Graphics/Powerpoint/IA Workforce/All-HP-2019/CommDist-NP-PA-Phys44
2019 Community Population
Number of Communities With Providers
Number of Providers % of Providers
APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS
< 1,000 43 14 21 11 13 52 19 22 18 16 1.9 %
0.3% 2.2% 0.6% 1.1%
1,000- 4,999
124 109 79 126 110 303 290 123 352 206 11.0 4.9 12.5 12.0 13.6
5,000- 9,999
39 40 32 40 40 309 441 105 370 204 11.2 7.5 10.7 12.5 13.4
10,000- 49,999
17 17 14 17 17 381 713 103 386 190 13.8 12.1 10.5 13.0 12.5
50,000- 99,999
2 2 2 2 2 123 382 39 147 95 4.5 6.5 4.0 5.0 6.3
> 100,000 7 7 7 7 7 1586 4060 589 1682 808 57.6 68.8 60.0 56.9 53.2
Total 232 189 155 203 189 2754 5905 981 2955 1519 100%
*Using 2010 Census population figures, combining adjacent communities Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,
UI Carver College of Medicine, June 2020 K:Graphics/Powerpoint/IA Workforce/All-HP-2019/CommDist-NP-PA-Phys45
IOWA ADVANCED PRACTICE NURSE TRACKING SYSTEMAdvisory Committee Meeting January 12, 2021
Meeting Agenda & Participant List
Iowa Advanced Practice Nurse Tracking SystemAdvisory Committee MeetingTuesday January 12, 202110:00 A.M. – 12:00 P.M.
Iowa Advanced Practice Nurse Tracking SystemAdvisory Committee MeetingTuesday January 12, 202110:00 A.M. – 12:00 P.M.
Annual Benchmarks
IOWA APNsEntering vs. Terminating Practice
IOWA APNs Gender Distribution2019
IOWA APNsAge Distribution 2019
IOWA APNsFull Time vs. Part Time*2019
IOWA APNsAge DistributionFull Time vs. Part Time2019
IOWA APNs Detail of Age > 502019
IOWA APNsPrincipal Professional Activity2019
IOWA APNsCertifications2019
DISTRIBUTION OF APNsBy City Population Ranges Adjusted2019
IOWA APNsCommunities Gaining/Losing APNs2019
Geographic Distributions
IOWA APNs Net Gain/Loss 2001 - 2019
IOWA APNsAge Distribution Comparison2001 vs. 2019
IOWA APNs Working in Communities of <15,000 2001 – 2019
IOWA APNsTowns With at Least One APN 2001 - 2019
Slide Number 40
IOWA ADVANCED PRACTICE NURSING SUPPLYAll APNs – Primary Care APNs*2006 - 2019
IOWA APNsCRNA - Gender2001 - 2019
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Retirement Summary
Slide Number 44
Slide Number 45
IOWA HEALTH PROFESSIONS INVENTORY 2003-2019
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Net Gain/Loss Summary
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Gender
IOWA HEALTH PROFESSIONS INVENTORYDistribution by Community Size2019
IOWA HEALTH PROFESSIONS INVENTORYDistribution by Community Size*2019
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday, January 12, 2021 10:00 A.M. – 12:00 P.M.
Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs
UI Carver College of Medicine, June 2020
Agenda
2019 Annual Report
Open Discussion Items
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday January 12, 2021 10:00 A.M. – 12:00 P.M.
Advisory Committee Laura Hudson, MSN, RN Associate Director, CE/Workforce Iowa Board of Nursing
Lorinda Inman, MSN, RN Chair, Iowa Nurses Foundation Iowa Nurses Association
Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP Director of Faculty Practice University of Iowa College of Nursing Director of Advanced Practice Providers The University of Iowa Hospitals and clinics
Jimmy Reyes, DNP, AGNP, RN Associate Director of Practice and Education Iowa Board of Nursing
Kathy Weinberg, MSN, RN Executive Director Iowa Board of Nursing
Kendra Williams-Perez, EdD, RN, CNE Professor and Dean Allen College of Nursing
Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting Tuesday January 12, 2021 10:00 A.M. – 12:00 P.M.
Iowa Health Professions Tracking Center
Greg Nelson Assistant Dean for Clinical Education Programs
Theresa Dunkin Program Manager/Assistant Director
Nibras Elnour Data Analyst/Assistant Manager
Linda Thiesen Data Analyst/Assistant Manager
Francisco Olalde Data Analyst/Assistant Manager
Annual Benchmarks
K:\DOCUMENT\NP\YearEnd\2019Yearend\Graphics\np100.ppt
Date APNs • December 2019 2754 • January 2019 2655
Gain + 99
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
* For year ending 12-31-2019
Prior Prior Ten-Year
2019 Year Average APNs Entering 271 338 245 APNs Terminating -172 -161 - 102 Net Gain/Loss +99 +177 +143
K:Document\NP\YE\YE2019\Graphics\124.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
2
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:\DOC\NP\YE\2019\Graphics\NP104.PPT
• Female 2420 • Male 334
<40 41.8%
40-49 29.2%
50-59 17.6%
>60 11.4%
Age Category No. % Cumulative % < 40 1151 41.8% 41.8% 40-49 805 29.2% 71.0% 50-59 484
17.6% 88.6%
> 60 314 11.4% 100.0% 2754 100% 100.0%
K:\DOC\NP\YE\2019YE\Graphics\np128pie.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs
UI Carver College of Medicine, June 2020
4
Presenter
Chart1
<40
<40
<40
40-49
40-49
40-49
50-59
50-59
50-59
>60
>60
>60
UNK
UNK
UNK
Age
Percent
Cumulative
2019
Part Time 116 4% Total 2754 100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:/DOC/NP/YE/2019YE/Graphics/FTE-164.PPT
Age FT % PT % Cumulative %
2638 95.8 116 4.2
FT = > 32
PT = < 32
Source: University of Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020 NP\YE\YE2019\Graphics\FTvPTage.PPT
6
2019
0 10 20 30 40 50 60 70 80 90
100
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 # in Iowa 50 50 41 40 49 43 62 52 42 55 44 38 35 43 32 30 27 15 12 8 8 5 5 5 2 1 1 0 3
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:NP\2YE2018\Graphics\Over50-Bar-163.PPT
Total number of APNs age 50 and over = 798 (29%)
7
2019
Number Percent • Private Practice 1848 67.1% • State Facility 306 11.1% • Public/Community Health • Hospital Medicine • Urgent Care
167 130 126
6.1% 4.7% 4.6%
Total
7 2754
100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:\DOC\NP\YE\2019YE\Graphics\NP126.PPT
8
Number
Percent
IOWA APNs Certifications
2019 Number Percent
• Family NP (FNP) 1489 54.1% • RN Anesthetist (CRNA) 362 13.1% • Psychiatric NP (PSNP,CAP,CNS) 194 7.0% • Adult NP (ANP) 178 6.5% • Pediatric NP (PNP) 169 6.1% • Ob/Gyn (ONP)/Women’s Health (WHNP) 98 3.6% • Acute Care NP (ACNP) 80 3.0% • Nurse Midwife (NMW) 78 2.8% • Neonatal NP (NNP) 48 1.7% • Gerontological NP (GNP)/CGE 41 1.5% • Other* 17 0.6%
Total 2754 100%
Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, June 2020
K:\DOC\NP\YE\2019\Graphiics\NP-CertPPT
* Other includes: CNS Med Surg, School NP, CNS Oncology, CNS Adult Health, Perinatal NP
9
Number
Percent
98
3.6%
2019
Population Cities
in Iowa
% of population*
Cumulative Percent
5,000-9,999 42 12% 40 326 11.8% 26.0%
10,000-24,999 17 10% 17 235 8.5% 34.5%
25,000-49,999 11 14% 11 316 11.5% 46.0%
50,000-99,999 8 23% 8 1024 37.2% 83.2%
100,000 > 2 14% 2 462 16.8% 100.0%
Totals 947 100% 247 2754 100.0%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
65% of Iowa’s APNs are in the 21 cities with > 25,000 residents
*Population Source: US Census City Population Estimates 2010 **CDP: Census Designated Place
10
Presenter
Presentation Notes
Compared to last year, there are more APN’s in small population cities in 2019 then 2018
Population
Cities
2019
Population Cities
in Iowa
% of population*
Cumulative Percent
5,000-9,999 42 12% 39 309 11.2% 24.1%
10,000-24,999 17 10% 11 148 5.3% 29.4%
25,000-49,999 11 14% 6 233 8.5% 37.9%
50,000-99,999 8 23% 2 123 4.5% 42.4%
100,000 > 2 14% 7 1586 57.6% 100.0%
Totals 947 100% 232 2754 100.0%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
71% of Iowa’s APNs are in the 21 cities with > 25,000 residents *Population Source: US Census City Population Estimates 2010 **CDP: Census Designated Place
11
Presenter
Presentation Notes
The difference on this one to the box with the other professions, this is pulled with towns they may or may not have APNs while the other is with APNs.
Population
Cities
2019 Community Size #Entering #Leaving Net <5,000 38 25 +13
5,000 - 9,999 31 18 +13
10,000 - 24,999 24 08 +16
25,000 - 49,999 33 29 +04
50,000 - 99,999 103 63 +40
>100,000 42 29 +13 Total 271 172 +99
K:Doc/NP/YE/2019Y/Graphics/101-chart.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
12
804
872
907
930
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
2800
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
K:/Doc/NP/YE/2019YE/Graphics/NP102.PPTSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
243% Increase
0
50
100
150
200
250
300
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19 Entering 121 87 72 96 124 93 104 144 132 149 231 225 248 272 271 331 360 338 271 Leaving 24 19 37 73 57 45 60 54 48 56 81 107 120 113 139 131 125 61 172 Net Gain/Loss 97 68 35 23 67 48 44 90 84 93 150 118 128 159 132 200 235 177 99
AP N
K:\DOCUMENT\NP\YearEnd\2019YE\Graphics\NP168.pptmSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
Year
28
2001 vs. 2019
Under 40 40-49 50-59 60 and Over
Year Total APNs Average Age Median Age 2019 2754 44 42
K:Doc\NP\YE\2019YE\Graphics\170.PPT
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
2001 780 45 46
2001 – 2019
1506 1624
1752 1911
2043 2243
2478 2655
2754
248 258 271 274 289 319 324 359 384 407 462 502 541 593 634 704 752 821 852
100 400 700
1000 1300 1600 1900 2200 2500 2800
00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19
All APNs <15,000 Comm
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:/DOC/NP/YE//2019YE\Graphics\Comm15KNP102.ppt
2001 - 2019
151 155
247
120 130 140 150 160 170 180 190 200 210 220 230 240 250 260
Year '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 19
To w
ns w
it h
AP N
64% Increase
120
130
140
150
160
170
180
190
200
210
220
230
240
250
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
Co m
m un
it ie
2001-2019
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
K:Doc/NP/YE2019/NPs106w PHY
64% Increase
13% Decrease
Year
Communities
151
232
155
231
158
230
155
230
164
228
172
232
174
229
178
225
179
221
186
219
206
217
213
214
210
212
211
213
220
214
228
210
242
208
248
207
247
202
Sheet1
Year
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
'15
'16
'17
'18
'19
151
155
158
155
164
172
174
178
179
186
206
213
210
211
220
228
242
248
247
232
231
230
230
228
232
229
225
221
219
217
214
212
213
214
210
208
207
202
To resize chart data range, drag lower right corner of range.
IOWA ADVANCED PRACTICE NURSING SUPPLY All APNs – Primary Care APNs*
2006 - 2019
1045 1179
1000 1200 1400 1600 1800 2000 2200 2400 2600 2800
'06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
N ur
se s
*Primary Care: ANP, FNP, & PNP
Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, July 2020
Primary Care APNs* 226% Increase (16% per year)
APN Supply 163% Increase (12% per year)
33
100 150 200 250 300 350 400
'01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 '19
All CRNAs Male Female
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2020
K:Doc\NP\YE\2018YE\Graphics\CRNA-Gender.PPT
34
Retirement Summary
Physicians 128 39% 67 332 55
Pharmacists 30 27% 65 111 51
Dentists 23 43% 65 53 59
Nurse Practitioners 40 23% 65 172 48
Physician Assistants 18 27% 65 68 46
35
2019
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI College of Medicine, July 2020
K:\Document\NP\YE2019\USMap171.ppt
1
1
1
7
6
9
4
3
2
Military Misc/UNK Total
2011 21 19 - - - 3 - - 38 81
2012 19 22 2 1 - 9 1 - 53 107
2013 20 29 - 2 1 10 1 - 57 120
2014 21 39 1 2 1 2 5 - 42 113
2015 30 40 3 - 1 10 3 - 52 139
2016 30 29 - 1 3 4 6 - 58 131
2017 30 22 1 - 2 2 2 - 66 125
2018 45 46 - - 3 5 2 1 59 161
2019 40 56 2 - 3 12 3 - 56 172
Total 265 316 9 7 14 64 23 1 508 1205
Annual Average 25.5 31.5 1.8 1.4 2.0 6.3 2.9 1.0 50.8 120.5
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs University of Iowa Carver College of Medicine, July 2020 K:Document\NP\YE2019\W orkforce142
IOWA APNs Attrition Analysis 2010-2019
37
K:Graphics/Powerpoint/IA Workforce/ALL-HP-2019/SummarySource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
Physicians 5947
Pharmacists 2955
4974 5003 5197 5417 5599 5783 5878 5951 5947
2539 2591 2691 2814 2865 2925 2968 3023 2955
1446 1467 1476 1498
0 500
1000 1500 2000 2500 3000 3500 4000 4500 5000 5500 6000 6500
'03 '05 '07 '09 '11 '13 '15 '17 '19
Physicians 20% Increase
Dentists 8% Increase
PAs 90% Increase
Pharmacists 16% Increase
APNs 203% Increase
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:Graphics\Powerpoint\IA Workforce\ALL-HP-2019\Trendline
39
Net Gain/Loss Summary
Entering % Leaving % Net % Total
Nurse Practitioners 271 10.0% 172 6.0% 99 3.6% 2754
Dentists 40 2.6% 53 3.4% -13 -0.8% 1560
Physician Assistants 79 7.7% 68 6.7% 11 1.1% 1023
40
Gender
Dentists 1058 502 1560
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, July 2020
K:Graphics/Powerpoint/IA Workforce/All-HP-2019/GENDER.PPT
<40 1429 24%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
K:Graphics/Powerpoint/IA Workforce/ALL-HP-2018/AGE
Age
42
4974 5003 5197 5417 5599 5783 5878 5951 5947
907 997 1089 1263 1506 1752 2043
2478 2754
0 500
1000 1500 2000 2500 3000 3500 4000 4500 5000 5500 6000 6500
'03 '05 '07 '09 '11 '13 '15 '17 '19
Physicians 20% Increase
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, July 2020
K:Graphics\Powerpoint\IA Workforce\ALL-HP-2019\Trendline PHY PA APN
43
2019 Community Population
APN s
PHYs PA PHA DDS APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS
< 1,000 43 13 20 11 13 52 17 21 18 16 1.9 %
0.3% 2.1% 0.6% 1.0%
1,000- 4,999
126 109 81 128 112 339 392 129 377 210 12.3 6.6 12.6 13.0 13.5
5,000- 9,999
40 42 35 42 42 326 528 125 382 209 11.8 8.9 12.2 13.0 13.4
10,000- 49,999
28 28 24 28 28 551 1174 204 646 188 20.0 19.7 19.9 21.8 12.0
50,000- 99,999
8 8 8 8 8 1024 2571 351 966 529 37.2 43.2 34.3 32.6 33.9
> 100,000 2 2 2 2 2 462 1265 193 566 408 16.8 21.3 18.9 19.0 26.2
Total 247 202 170 219 205 2754 5947 1023 2955 1560 100%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2020
K:Graphics/Powerpoint/IA Workforce/All-HP-2019/CommDist-NP-PA-Phys44
2019 Community Population
Number of Communities With Providers
Number of Providers % of Providers
APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS APNs PHYs PA PHA DDS
< 1,000 43 14 21 11 13 52 19 22 18 16 1.9 %
0.3% 2.2% 0.6% 1.1%
1,000- 4,999
124 109 79 126 110 303 290 123 352 206 11.0 4.9 12.5 12.0 13.6
5,000- 9,999
39 40 32 40 40 309 441 105 370 204 11.2 7.5 10.7 12.5 13.4
10,000- 49,999
17 17 14 17 17 381 713 103 386 190 13.8 12.1 10.5 13.0 12.5
50,000- 99,999
2 2 2 2 2 123 382 39 147 95 4.5 6.5 4.0 5.0 6.3
> 100,000 7 7 7 7 7 1586 4060 589 1682 808 57.6 68.8 60.0 56.9 53.2
Total 232 189 155 203 189 2754 5905 981 2955 1519 100%
*Using 2010 Census population figures, combining adjacent communities Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,
UI Carver College of Medicine, June 2020 K:Graphics/Powerpoint/IA Workforce/All-HP-2019/CommDist-NP-PA-Phys45
IOWA ADVANCED PRACTICE NURSE TRACKING SYSTEMAdvisory Committee Meeting January 12, 2021
Meeting Agenda & Participant List
Iowa Advanced Practice Nurse Tracking SystemAdvisory Committee MeetingTuesday January 12, 202110:00 A.M. – 12:00 P.M.
Iowa Advanced Practice Nurse Tracking SystemAdvisory Committee MeetingTuesday January 12, 202110:00 A.M. – 12:00 P.M.
Annual Benchmarks
IOWA APNsEntering vs. Terminating Practice
IOWA APNs Gender Distribution2019
IOWA APNsAge Distribution 2019
IOWA APNsFull Time vs. Part Time*2019
IOWA APNsAge DistributionFull Time vs. Part Time2019
IOWA APNs Detail of Age > 502019
IOWA APNsPrincipal Professional Activity2019
IOWA APNsCertifications2019
DISTRIBUTION OF APNsBy City Population Ranges Adjusted2019
IOWA APNsCommunities Gaining/Losing APNs2019
Geographic Distributions
IOWA APNs Net Gain/Loss 2001 - 2019
IOWA APNsAge Distribution Comparison2001 vs. 2019
IOWA APNs Working in Communities of <15,000 2001 – 2019
IOWA APNsTowns With at Least One APN 2001 - 2019
Slide Number 40
IOWA ADVANCED PRACTICE NURSING SUPPLYAll APNs – Primary Care APNs*2006 - 2019
IOWA APNsCRNA - Gender2001 - 2019
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Retirement Summary
Slide Number 44
Slide Number 45
IOWA HEALTH PROFESSIONS INVENTORY 2003-2019
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Net Gain/Loss Summary
IOWA HEALTH PROFESSIONS INVENTORYComposition of Workforce - 2019Gender
IOWA HEALTH PROFESSIONS INVENTORYDistribution by Community Size2019
IOWA HEALTH PROFESSIONS INVENTORYDistribution by Community Size*2019