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Mission:

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  1. A Federal Update on Title VIIINursing Workforce Development ProgramsThe Ties That Bind: Creating Partnerships and Collaboratives – Education, Practice, Interprofessional/Interdisciplinary Southern Regional Education BoardCouncil on Collegiate Education for NursingNovember 11, 2012Julie Sochalski, Director, Division of NursingU.S. Department of Health and Human ServicesHealth Resources and Services AdministrationBureau of Health Professions

  2. Health Resources and Services Administration (HRSA), U.S. Department of Health & Human Services Mission: To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs. 2

  3. Goal II of HRSA’s Strategic Plan Strengthen the Health Workforce • Ensure the health workforce is trained to provide high quality care that is culturally and linguistically appropriate. • Increase the number of practicing health care providers to address shortages, and develop ongoing strategies to monitor, forecast and meet long-term health workforce needs. • Align the composition and distribution of health care providers to best meet the needs of individuals, families and communities. • Ensure a diverse health workforce. • Support the development of interdisciplinary health teams to improve the efficiency and effectiveness of care. 3

  4. Mission: Increase the population’s access to health care by providing national leadership in the development, distribution and retention of a diverse, culturally competent health workforce that can adapt to the population’s changing health care needs and provide the highest quality of care for all. Bureau of Health Professions, HRSA 4

  5. Division of NursingBureau of Health Professions, HRSA Mission: Provide leadership on policies and program initiatives that will promote the supply, skills and distribution of qualified nursing personnel needed to improve the health of the public. 5

  6. Division of NursingBureau of Health Professions, HRSA Goals: • Enhance the composition, skills and distribution of the nursing workforce • Ensure program accountability through focused performance and outcomes assessment • Increase diversity and cultural competence of the nursing workforce • Promote effective communication with the public and stakeholders on nursing workforce development 6

  7. History of Title VIII of the • Public Health Services (PHS) Act • 1963-Surgeon General’s report , Toward Quality in Nursing, Needs and Goals1 •  Nurse Training Act (NTA) of 1964 (P.L. 88-581) • Established Title VIII of the PHS Act, first comprehensive federal support for programs to develop the nursing workforce • On signing the act, President Johnson noted that the Nurse Training Act of 1964 was the most significant nursing legislation in the history of the country.2 • 1Department of Health, Education, and Welfare, “Toward Quality in Nursing, Needs and Goals.” Report of the Surgeon General’s Consultant Group on Nursing, Feb. 1963. • 2Lyndon B. Johnson: "Remarks Upon Signing the Nurse Training Act of 1964.," September 4, 1964. Online by Gerhard Peters and John T. Woolley, The American Presidency Project. http://www.presidency.ucsb.edu/ws/?pid=26484. 7

  8. History of Title VIII (cont’d): • Nursing Education and Practice Improvement Act of 1998 • Amended by the Nurse Reinvestment Act of2002 • Amended by the Patient Protection and Affordable Care Act of 2010 • Title VIII authorizes grants to institutions, and scholarships and loans to individuals, for basic and advanced levels of nursing education and grants to institutions and health facilities to support nursing practice and retention. 8

  9. Advanced NursingEducation Supports Enhancement of Advanced Nursing Education and Practice Geriatric Care Workforce Diversity Increases Access to Nursing Education for Disadvantaged Students Enhances Geriatric Care to the Elderly Section 811 ANE Title VIII Programs Section 855 CGEP Section 821 NWD Section 846a NFLP Section 831 NEPQR Increases the Number of Qualified Nursing Faculty Strengthens Nursing Education, Practice, Quality and Retention Section 846 NELRP/NSP Nursing Faculty Financial Support for Current Students and New Graduates Recruitment and Retention Increasing the Pipeline of Nurses

  10. Title VIII Nursing Workforce Development Fiscal Year (FY) 2012 Funding 10

  11. Primary care Interprofessional education and practice Innovative practice models Health care technology Care coordination Workforce diversity Population health and preventive care Community-based training Veterans health and health careers HRSA Strategic Priorities and Division of Nursing 11

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  16. Patient Protection and Affordable Care Act of 2010Programs and Policies • Increased funding for health professions training • Expanded National Health Service Corps and community health centers • Supported service delivery innovations and new models of care • Established Centers for Medicare & Medicaid Services Innovations Center • Established National Center for Health Workforce Analysis 16

  17. Build on existing sources of data including from professional associations, states, and federal agencies Strengthen national and state capacity for data collection and analysis including within professional associations and states Develop and promote a national uniform minimum data set Support research to better understand current and future workforce needs and dynamics National Center for Health Workforce Analysis 17

  18. Will there be enough nurses, physicians, and other health care providers to ensure access? What can/should be done to increase the supply, skills and distribution of the health care workforce? How can we make full use of all health care workers? How can we improve the efficiency and effectiveness of health care service delivery? Key National Health Workforce Questions 18

  19. Population growth: U.S. population to grow by around 30 million in next decade1 Medical advances and successes Increased incidence of chronic diseases Insurance coverage expansion Drivers of Future Demands for Services • 1 U.S. Census Bureau “Projections of the Population and Components of Change for the United States: 2010 to 2050” (http://www.census.gov/population/www/projections/summarytables.html,accessed August 10, 2012). 19

  20. Recent Trends and Implicationsfor Future Workforce Development • Cost pressures and shortages will encourage innovation and systems redesign • Primary care will broaden its focus to integrate oral health, behavioral-mental health and population-focused care • Role of technology/HIT will continue to grow • Strong incentives to make better use of current workforce and allow health personnel to work at top of their license • Workforce diversity is becoming pathway to improve access and reduce health disparities 20

  21. Julie Sochalski, PhD, RN, FAAN Director, Division of Nursing U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions 301-443-5688 JSochalski@hrsa.gov Contact Information 21

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