Division of Nursing’s Workforce Diversity and Health Equity Agenda

1. Division of Nursing’s Workforce Diversity and Health Equity Agenda Shanita D. Williams, PhD, MPH, APRN Chief, Nursing Practice and Workforce Development Branch Bureau of Health Professions June 13, 2013 Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions Division of Nursing

2. HRSA Mission To improve health and achieve health equitythrough access to quality services, a skilled health workforceand innovative programs. HRSA, BHPr, Division of Nursing

3. Health Equity • Attainment of the highest level of health for all people • Valuing everyone equally • Focused and ongoing societal efforts to address: • avoidable inequalities • historical and contemporary injustices • Elimination of health and health care disparities • Healthy People 2020 HRSA, BHPr, Division of Nursing

4. Cascading Strategic Initiative on Health Equity HRSA, BHPr, Division of Nursing

5. DN Structure HRSA, BHPr, Division of Nursing

6. Division of Nursing Mission To provide national leadership to assure an adequate supply and distribution of qualified nursing personnel to meet the health needs of the Nation. HRSA, BHPr, Division of Nursing

7. Division on Nursing Goals • Enhance the composition, skills and distribution of the nursing workforce • Ensure program accountability through focused performance and outcomes assessment • Promote effective communication with the public and stakeholders on nursing workforce development • Increase diversity and cultural and linguistic competence of the nursing workforce HRSA, BHPr, Division of Nursing

8. Legislation Title VIII Section 821 of the Public Health Service Act; 42 U.S.C. 296m, as amended by the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148 Legislative Definition of Diversity Create and expand nursing education opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among registered nurses) Nursing Workforce Development (NWD) Program HRSA, BHPr, Division of Nursing

9. Nursing Workforce Development (NWD) Program • Increase nurse education opportunities for individuals from disadvantaged backgrounds using stipends, scholarships, and mentoring • Achieve a culturally-aligned and competent workforce that is reflective of the population • Develop innovative pipeline programs to recruit, retain, and help graduate nurses (RN programs) HRSA, BHPr, Division of Nursing

10. Workforce Diversity to Achieve Health Equity HRSA, BHPr, Division of Nursing

11. Vision HRSA, BHPr, Division of Nursing • Leadership Role in Workforce Diversity: • Support portfolio of next generation NWD projects and evaluation • Partner with other federal agencies, foundations, and public and private organizations • Models of Best Practice: • Grantees/Awardees develop and rigorously evaluate innovative NWD programs • Clearinghouse of exemplar programs and evaluation methodologies

12. Vision • Incorporating Social Determinants of Health (SDOH) in Workforce Diversity efforts • Integrating/Coordinating diversity efforts with the DN’s interprofessional education and collaborative practice initiatives and investments • Increase diversity of portfolio of grantees • Expand outreach efforts: • Tribal colleges and universities (TCU) • Historically Black Colleges and Universities (HBCU) • Minority Serving Institutions (MSU) • Hispanic Serving Institutions (HSI) HRSA, BHPr, Division of Nursing

13. Vision • Expand definitions of diversity • Cultural and linguistic diverse • Economic and educational disadvantaged • Persons with disabilities • Men HRSA, BHPr, Division of Nursing

14. Towards Health Equity • Multi-focal program evaluation • Detailed portfolio assessment • Prevalent strategies • Effective (non-effective) interventions • Prior investments • Identifying best practices • Diversifying nursing workforce HRSA, BHPr, Division of Nursing

15. Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence. HRSA, BHPr, Division of Nursing

16. Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence. Health Equity Reduce Health Disparities HRSA, BHPr, Division of Nursing

17. DN’s Diversity to Health Equity Model HRSA, BHPr, Division of Nursing

18. Social Determinants of Health • Conditions in which people are born, grow, live, work and age • Shaped by the distribution of money, power and resources • global, national and local levels • influenced by policy choices • Responsible for health inequities • unfair and avoidable differences in health status • observed within and between countries • World Health Organization

19. Move from individual-level to multi-level approaches and strategies…

20. Nursing Workforce Diversity • Multi-level strategies are needed to: • address the larger social and structural forces that impede efforts to diversify the nursing workforce • increase access to quality care • reduce health disparities • improve health equity HRSA, BHPr, Division of Nursing

21. The Nursing in 3D Summit HRSA, BHPr, Division of Nursing

22. Nursing in 3D Journal Supplement • Public Health Reports • Integration of the 3D’s • 15 invited manuscripts • 3D Summit presenters • HRSA staff HRSA, BHPr, Division of Nursing

23. Towards Health Equity NWD 2013 Funding Opportunity Announcement: • Develop innovative workforce diversity strategies that would facilitate the entry, retention and graduation of racial and ethnic minorities from Schools of Nursing • Create “new” partnerships/alliances • Integrate diversity, disparities, and social determinants (3D) HRSA, BHPr, Division of Nursing

24. What’s Next… • Engage stakeholder groups • NACNEP • Professional Associations etc. • Continue to shape the vision • Develop “new” partnerships • Nontraditional • Multiple disciplines, sectors HRSA, BHPr, Division of Nursing

25. Contact Information Shanita D. Williams, PhD, MPH, APRN Chief, Nursing Practice and Workforce Development Branch, Division of Nursing Bureau of Health Professions Office: 301-443-1253 Email: swilliams3@hrsa.gov www. http://bhpr.hrsa.gov/nursing/index.html