Your Wisconsin Center for Nursing: Leading Today for the Workforce of Tomorrow

Judith M. Hansen, MS, BSN, RNWCN Executive Director

April 7, 2011

Objectives

• Recognize the Wisconsin Center for Nursing as state resource for the nursing workforce

• Identify current data on the nursing workforce that is available for our state

• Connect the RWJF IOM recommendations for the Future of Nursing with implications for Wisconsin

• Allow participants to provide input to regional nursing workforce needs in Wisconsin

Mission

•Assure an adequate, well-prepared and diverse nurse workforce to meet the needs of the citizens of Wisconsin

VisionWisconsin will have a nursing workforce that is:• diverse • sufficient in number • appropriately educated • effectively utilized, and• adequately supported

History of WCN

• 2001 – Nursing leaders with a vision for collaboration & redesign• 2001-2004 - Awareness, communication,

partnerships, funding• 2005 – WCN established & Board of Directors

appointed • 2006 - Established 501(c)(3) status• 2007 – RWJF Partners Investing in Nursing (PIN)

grant – Faye McBeath Foundation partnership • 2007 - Advisory Council established

History of WCN, continued

• Website created: www.wisconsincenterfornursing.org• 2008 – Medical College of WI - Healthier WI

Partnership Program grant• 2009 – Successful legislation for portion of

licensure funds to collect, analyze & disseminate nursing workforce data for a statewide plan• 2010 – Wisconsin RN Survey – Historical ‘first’

survey of 77,553 nurses• 2010 – Hired first full-time Executive Director• 2011 – Wisconsin LPN Survey & Education Survey

How did this all happen?

• “True Grit”• Tireless dedication• Determination• Political savvy• Being in the right place at the right time• “Get By with a Little Help from My Friends”

It’s all about relationships…….

WCN Partnerships• WI Nurses Association (WNA)• WI Nursing Coalition (WNC)• WI Healthcare Data Collaborative

(including the following organizations: WI Center for Nursing, WI Area Health Education Centers, WI Hospital Association, Rural Wisconsin Health Cooperative, WI Division of Health Services, WI Nurses Association, WI Department of Workforce Development

• WI Department of Workforce Development (DWD)

• WI Department of Regulation and Licensing (DRL)

• WI Council on Workforce Investment• WI Division of Health Services (DHS)• WI Division of Public Health (DPH)• Healthy WI Partnership Program• Faye McBeath Foundation

• Public and Private Nursing Education Programs in Wisconsin

• WI Associate Degree Nursing Educators Administrators (WADNEA)

• WI Assn. Colleges & Schools of Nursing (WACSN)

• WI Assn. School Nurses (WASN)• Assn. of Nursing Educators of Wisconsin

(ANEW)• WI Public Health Association (WPHA)• WI Org Nursing Executives (W-ONE)• WI Assn. Licensed Practical Nurses

(WALPN)• Wisconsin League for Nursing (WLN)• Milwaukee Chapter Black Nurses

Association (NBNA)• WI Hispanic Nurses Association (WHNA)• Fund for Wisconsin Scholars-Oscar

Rennebohm Foundation

2010 Wisconsin RN Survey

• Mandate under WI Statutes, Chapter 106.30, administered by the WI Dept. of Regulation & Licensing

• Successful 2009 legislation; efforts of nursing leadership from professional organizations, & Senator Judy Robson

• Bi-annual license renewal in January-March, 2010

• Forum of State Nursing Workforce Centers - National Nursing Workforce Minimum Dataset: Supply

• Survey development led by Sue Schuler, WCN Interim ED

• Members of WI Healthcare Workforce Data Collaborative

• Healthier WI Partnership Program – Medical College of Wisconsin

• October 2010 - “At a Glance” document

Why Data?

“If you can measure that of which you speak and express it in numbers, you know something about your subject; but if you cannot measure it, your knowledge is of a very meager and unsatisfactory kind.”

Lord Kelvin (1824 – 1907)

Why Plan?

• Population projections for WI – 1.5 million increase by 2034• 24% increase in peoples 65 and over• 133% increase in people 85 and older• Increasing diversity• Complex population health needs• Aging workforce & aging nursing educators• Nursing #1 trusted profession• Expertise in care coordination, patient-centered care

Who will take care of YOU?

2010 RN Wisconsin Survey Results: Current RN Workforce

Total Sample Number n=77,553

Total Wisconsin RN Workforce

69,887

Total RN’s working in healthcare

68,497 (98%)

Total RN’s working in healthcare in Wisconsin

61,094 (87.4%)

Age Distribution of RNs in Wisconsin and the US

<30

30-39

40-49

50-59

>60

0 5 10 15 20 25 30 35

Wisconsin%U.S. %

Highest Level of Education: Nursing & Other Degrees

PhD

Master

Bachelor

Associate

Diploma

0 5 10 15 20 25 30 35 40 45 50

Nursing DegreesAll Degrees

%

Wisconsin & U.S. Highest Nursing Degrees

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

PhD Master Bachelor Associate Diploma

WIUS

Race/Ethnicity of RNs in Wisconsin & U.S.

Caucasian African American Hispanic

WI RN 94.7 2.1 1.2US RN 93.2 5.4 3.6WI Population

89.4 6.2 5.3

US Population

79.6 12.9 15.8

Employment Settings of Wisconsin RNs

Academic Education

Ambulatory Care

Home Health

Hospital

Nursing Home/ Extended Care

Public/Community

Other

49.9%

11.3%

13%14.6%

4.2%4.7%

2.3%

Plans to Leave Direct Patient Care

<2years2-4years5-9years10/more years

63.4%

18.8%

13.2%

4.7%

55 years & over by work setting

Academic Education

Ambulatory Care

Home Health Hospital Nursing Home

Public/CH Other0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Workforce Implications

• Not just about having ‘enough’ nurses• Need the right nurse, in the right place, at the

right time• Diversity needed for culturally competent care• Adequate providers by specialty area • Regional workforce needs• National comparisons; want WI to lead• Need to balance graduates w/ workforce needs• Importance of role of nursing in healthcare

reform

In Process

• Data Sharing Agreement with DWD• Nurse researcher team from schools with

doctoral programs• Detailed data analysis of 2010 WI RN

Survey• 2011 WI Education Survey - February• 2011 WI LPN Survey - March• RWJF Partners Investing in Nursing (PIN)

grant for demand data - March

Next Steps

• Provide Supply & Education data analyses to DWD, make recommendations & assist in development of statewide workforce plan• Due to legislature September, 2010• Begin analysis of Education Survey & LPN Survey• Begin prep for next RN Survey in 2012• Possible ‘Demand’ survey in 2012 (PIN II Grant)• Ultimate goal – All “three legs of the stool” to

compile comprehensive picture of the WI Nursing Workforce

Guiding Documents

• Healthiest Wisconsin 2020 – State Health Plan• RWJF Institute of Medicine - The Future

of Nursing: Leading Change, Advancing Health

Healthiest WI 2020 – State Health Plan

• WI dropped from 11th best in 2009 to 18th in 2010• Ranks 23rd in nation combined measures for infant health;

high AA infant mortality rates in Milwaukee • WI leads nation for adult binge drinking & youth alcohol use• Second highest in nation for STI (Chlamydia) in Milwaukee

in 2007 (50% >Chicago)• 50th out of 50 states for per-capita state funding of public

health• One of FOCUS AREAS – “ diverse, sufficient & competent

workforce that promotes & protects health” supports need for work of WCN

• Nurses can greatly impact population health

IOM Future of Nursing Report

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

Report Recommendations

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

interprofessional healthcare workforce data

Provides framework to guide activities in WI to address our unique nursing workforce needs

Regional Action Coalition (RAC)

• WI submission in next wave of applicants.• Requires WCN in partnership with “non-

nursing” entity• Faye McBeath Foundation - $15,000 start up

money for RAC activities once accepted• Opportunity to mobilize partners to

implement IOM recommendations in Wisconsin in tandem with the data being gathered & analyzed• Perfect timing for all to come together

“The IOM Report: Building the Future of Nursing in Wisconsin” • Wisconsin Center for Nursing, in partnership with

Wisconsin Coalition for Nursing• May 2, 2011 – Wilderness Resort, Wisconsin Dells• Keynote Speaker: Peter Buerhaus, PhD, RN,

Vanderbuilt University"The Future of Nursing: Workforce Data,

Quality, Economics, & Public Policy“

“The IOM Report: Building the Future of Nursing in Wisconsin”• Ellen K. Murphy, MSN, JD, FAAN, UW-Milwaukee, "Scope of Practice and What It Means for Wisconsin Nursing's Future.“

• Afternoon session: Facilitated regional activities for IOM implementation in our state, using the Appreciative Inquiry Model• Registration online at

www.wisconsinnurses.com/reg_iomreport.asp

Now it’s YOUR turn…

•Q & A•Form small regional discussion

groups •Brainstorm nursing workforce

needs in your own organizations & regions.•Report-out to whole group

Thank you!

Contact info:Judith M. Hansen, MS, BSN, RNWisconsin Center for Nursing

PO Box 4131921 East Hartford Ave.

Milwaukee, WI 53201-0413Office: 414-229-6014

Cell: 414-801-NURS (6877)judi@wicenterfornursing.org

References• Acord, L., Dennik-Champion, G., Lundeen, S. & Schuler, S. (2010) Vision, Grit and

Collaboration: How the WI Center for Nursing Achieved Both Sustainable Funding and Established Itself as a State Health Care Workforce Leader. Policy, Politics & Nursing Practice, 11(2), 126.131.

• Egan-Robertson, D., Harrier, D., & Wells (2008) Wisconsin population 2035: A report on projected state and county populations and household for the period 2000-2035 and municipal populations 2000-2030. Demographic Services Center, Division of Intergovernmental Relations, Wisconsin Department of Administration. http://www.doa.state.wi.us/subctegory.asp?linksubcatid=105&locid=9

• Healthiest Wisconsin 2020: Everyone Living Better, Longer http://www.dhs.wisconsin.gov/hw2020 /

• Inglis, R. & Jahangir, M. (2011). Wisconsin Nursing Workforce Poster. LaCrosse District Nurses Association: Gundersen Lutheran & Viterbo University.

• IOM Future of Nursing: Leading Change, Advancing Health. http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

• Wisconsin Department of Workforce Development, Division of Employment and Training (2010). Wisconsin 2010 RN Survey Summary

• U.S. Department of Health and Human Services, Health Resources and Services Administration (2010). The Registered Nurse Population: Findings from the 2008 National Sample Survey of Registered Nurses