wisconsin action coalition may 29, 2013 taking the lead for nursing in wisconsin: welcome and...
TRANSCRIPT
Wisconsin Action Coalition May 29, 2013
Taking the LEAD for Nursing in Wisconsin:
Welcome and Introduction
Barbara Pinekenstein MSN, RN-BC, CPHIMSPresident -WCN
Provide overview of the Lead grant work plan, teams, and roles
Connect recommendations from the Future of Nursing IOM report with implications for Wisconsin
Provide time for each team to meet and determine critical next steps
Network and share the wisdom in the room
Objectives for the Day
Assure an adequate, well-prepared and diverse nurse workforce to meet the needs of the people of Wisconsin
Mission
WCN Partnerships Administrators of Nursing Education
of Wisconsin AARP Wisconsin Faye McBeath Foundation Healthier Wisconsin Partnership
Program – Medical College of Wisconsin
Milwaukee Chapter National Black Nurses Association
Nurses Foundation of Wisconsin Oscar Rennebohm Foundation Rural Wisconsin Health Cooperative SEIU Healthcare Wisconsin Wisconsin Associate Degree Nursing
Educators & Administrators Wisconsin Association of Colleges &
Schools of Nursing Wisconsin Association of Licensed
Practical Nurses Wisconsin Association of School
Nurses Wisconsin Area Health Education
Centers
WI Chapter-American Assembly of Men in Nursing
Wisconsin Department of Economic Advisors
Wisconsin Department of Health Services
Wisconsin Department of Safety & Professional Services
Wisconsin Department of Workforce Development
Wisconsin Division of Public Health Wisconsin Healthcare Workforce
Data Collaborative Wisconsin Hispanic Nurses
Association Wisconsin Hospital Association Wisconsin League for Nursing Wisconsin Nurses Association Wisconsin Nursing Coalition Wisconsin Organization of Nurse
Executives Wisconsin Public Health Association Wisconsin State Board of Nursing
Strategic Priorities: Critically analyzing & disseminating nursing
workforce data Strengthening our capacity to bring together
nursing interests into coherent platform & message around workforce issues
Leading the Wisconsin response to the Institute of Medicine (IOM) report, The Future of Nursing
Wisconsin Center for Nursing
Growing elderly populations Increased diversity of population served Aging nursing and healthcare workforce Potential impact of healthcare reform
Trends impacting nursing workforce
Co-Leads: WI Center for Nursing & Rural WI Health CoopActivities to date:
Engage & mobilize nurses around state; regional meetings, statewide conferences
Engagement of nursing stakeholder groups Stakeholder Council for consensus for action plan
and to unify state efforts for initiative
2/1/13 RWJF State Implementation Program (SiP) grant award: “Taking the LEAD for Nursing in Wisconsin:
Leadership, Educational Advancement & Diversity”
Wisconsin Action Coalition
Table 1. Wisconsin Projected Population by Age Group, 2000-2035
Age Group
Census 2000 Projected 2015
Projected 2035 Percent Change
0-17 1,368,756 1,349,090 1,448,200 5.8
18-64 3,292,406 3,739,160 3,720,200 13.018-24 520,629 553,530 577,800 11.025-44 1,581,724 1,547,380 1,570,350 -0.745-64 1,190,053 1,638,250 1,572,050 32.165 & over 702,553 900,170 1,485,570 111.565-84 606,928 764,710 1,263,020 108.185 & over 95,625 135,460 222,550 132.7
Source: Egan-Robertson, D., Harrier, D. & Wells, P. (2008).
Wisconsin projected population growth 2000-2035
2010 Wisconsin RNs and Projected Demand Change by Work Setting
2010 RNs % Change 2010-2035
Nursing Home/Extended Care
7,291 88
Home Health 3,008 82Inpatient 21,484 41Emergency 3,068 16Surgery 5,700 36Ambulatory 8,939 30Public Health 2,963 17Other 8,664 17Nurse Educators 1,844 38Total 62,962 41Source: 2010 OEA RN Forecasting Model
Projections by work setting
RN 84.6% working as an RN 53.5% hospitals 17.3% ambulatory care 10.7 % nursing homes
LPN 86% live and works in Wi36.7% nursing home20.7 %ambulatory care8.9% hospital
Employment status and location
SnapshotMedian RN age-48
Caucasian
African America
n
Hispanic
Other
WI RN 93.5 2.0 1.4 3.0WI LPN 88.1 6.0 1.7 4.1WI Population
88.4 6.5 6.1 3.5
US Population
78.1 13.1 16.7 6.4
Race/Ethnicity RNs & LPNs in Wisconsin
Source: 2012 RN & 2011 WI LPN At-a-Glance
New Graduates needed annually to close the projected demand
2010 Observation 2,7002015 Scenario Estimate 4,5002020 Scenario Estimate 7,5002025 Scenario Estimate 11,3002030 Scenario Estimate 14,1002035 Scenario Estimate 15,500Source: DWD, OEA, 2010 RN Forecasting Model, Broad Nursing Workforce - Head Count
Closing the gap
New graduate RN pipeline
Within 9 years 59.5% LPN’s leave the workforce (northern region-63.3%)
Next 2 years- 3000 RN will leave Next 4 years 9,622 holding direct care positions will
leave (retirement, job stress, physical demands) Within 5-9 years another 22.3% of RN direct care
providers expressed intent to leave ( total 41.1% in 9 years)
Significant shortages projected at same time as physician shortages and other health professionals
Intent to leave
Staggering Potential Impact
1. Nurses should practice to the full extent of their education & training
2. Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression
3. Nurses should be full partners with MDs and other health professionals, in redesigning health care in the U.S.
4. Effective workforce planning & policy-making require better data collection & and an improved information infrastructure
IOM Future of Nursing Report
1. Remove scope of practice barriers2. Expand opportunities for nurses to lead & diffuse
collaborative improvement efforts3. Implement nurse residency programs4. Increase proportion of BSN’s to 80% by 20205. Double number of doctorates by 20206. Ensure that nurses engage in lifelong learning7. Prepare & enable nurse to lead change to advance health8. Build infrastructure for collection & analysis of inter-
professional healthcare workforce data
Provides framework to guide activities in WI to address our unique nursing workforce needs
Report Recommendations