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

1. Your Wisconsin Center for Nursing: Leading Today for the Workforce of Tomorrow Judith M. Hansen, MS, BSN, RN WCN Executive Director April 7, 2011

2. 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

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

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

5. 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

6. 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

7. 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…….

8. 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

9. 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

10. 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)

11. 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?

12. 2010 RN Wisconsin Survey Results: Current RN Workforce

13. Age Distribution of RNs in Wisconsin and the US

14. Highest Level of Education: Nursing & Other Degrees

15. Wisconsin & U.S. Highest Nursing Degrees

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

17. Employment Settings of Wisconsin RNs

18. Plans to Leave Direct Patient Care

19. 55 years & over by work setting

20. 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

21. 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

22. 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

23. Guiding Documents • Healthiest Wisconsin 2020 – State Health Plan • RWJF Institute of Medicine - The Future of Nursing: Leading Change, Advancing Health

24. 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

25. IOM Future of Nursing Report • Nurses should practice to the full extent of their education & training • Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression • Nurses should be full partners with MDs and other health professionals, in redesigning health care in the U.S. • Effective workforce planning & policy-making require better data collection & and an improved information infrastructure

26. Report Recommendations • Remove scope of practice barriers • Expand opportunities for nurses to lead & diffuse collaborative improvement efforts • Implement nurse residency programs • Increase proportion of BSN’s to 80% by 2020 • Double number of doctorates by 2020 • Ensure that nurses engage in lifelong learning • Prepare & enable nurse to lead change to advance health • Build infrastructure for collection & analysis of interprofessional healthcare workforce data Provides framework to guide activities in WI to address our unique nursing workforce needs

27. 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

28. “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“

29. “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

30. 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

31. Thank you! Contact info: Judith M. Hansen, MS, BSN, RN Wisconsin Center for Nursing PO Box 413 1921 East Hartford Ave. Milwaukee, WI 53201-0413 Office: 414-229-6014 Cell: 414-801-NURS (6877) judi@wicenterfornursing.org

32. 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. LaCrosseDistrict 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