Nursing Workforce Supply- Demand Data

1. Nursing Workforce Supply- Demand Data Linda B. Roberts, MSN, RN Manager, IDFPR/Illinois Center for Nursing

2. Illinois Department of Financial and Professional Regulation/Illinois Center for Nursing • ICN was established by legislation in 2006 as part of SB 0931 • ICN is part of an overall strategy to produce more highly skilled nursing professionals, ease the nursing shortage, improve access to quality health care for IL families

3. Institute Of Medicine Future of Nursing: Campaign for Action • 2010 October, Institute of Medicine (IOM) Report, The Future of Nursing: Leading Change, Advancing Health • Goal is to assure that all Americans have access to high quality, patient-centered care in a system where nurses contribute as essential partners to achieving success

4. Institute Of Medicine Future of Nursing Eight Recommendations • Remove scope of practice barriers • Expand opportunities for nurses to lead and diffuse collaborative improvement efforts • Implement Nurse Residency programs • Increase the proportion of nurses with a baccalaureate degree to 80% by 2020

5. Institute Of Medicine Future of Nursing Eight Recommendations • Double the number of nurses with a doctorate by 2020 • Ensure that nurses engage in lifelong learning • Prepare and enable nurses to lead change to advance health • Build an infastructure for the collection and analysis of inter-professional health care workforce data

6. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • 2007 IL Nursing Workforce Supply Survey was conducted • Purpose • To develop a strategic plan for nursing manpower in IL • Maintain a database of nursing supply/demand • Create nursing retention and recruitment initiatives • Random sample of RNs, LPNs, and all APNs

7. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • The Forum of State Nursing Workforce Centers (http://www.nursingworkforcecenters.org/) • 2009 Construction of Nurse Minimum Dataset • Supply • Demand • Education • Goal: construction of core items for each topic – the minimum dataset • AARP’s Center to Champion Nursing in America provided a portion of the funding for this project

8. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • CCNA mission – expand nursing education capacity • A national repository of nurse workforce data based on state level contributions would be advantageous for state and national nurse workforce planners • Critical nursing shortage and is expected to grow by 2020 • Workgroups met by conference call over 4-6 month period

9. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Demand/Employer survey instruments collected from state workforce centers • Instruments compiled • Survey developed • Identified items collected • Rate items collected • Demand forecasting • Policy issues

10. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Review of literature • Unruh, Russo, Jiang and Stocks, 2009 • Reinier, Palumbo, McIntosh, Rambur, Kolodinsky, Hurowitz and Ashikaga, 2005 • Survey variable list vetted with nursing and healthcare community including • National Council State Boards of Nursing • American Nurses Association • American Hospital Association

11. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Datasets to include • Facility surveyed • Long term care/nursing facility • Public health • Medicare/Medicaid certified home health care agencies • Definitions of facilities, caregivers, FT, PT • Caregivers • APNs, RNs, LPN/LVNs, CNAs

12. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Labor Market Supply-Demand for IL Patient-Care Registered Nurses • Sharing of data agreement amongst government agencies • CCNA “Team IL” leadership meetings with IDES/IL Department of Employment Security as the lead • Compare IDES projections to national growth rates and industry studies

13. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Demand • Determine current year occupational employment and projected growth rate • Account for possible adjustments to separation/replacement rates based upon occupational or industry specific studies of vacancy rates or turnover rates

14. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Supply • Account for all sources of education and training • Data base of program completers • Annual supply projection • Account for leakage • From the state • From the industry • From the labor workforce

15. IOM #8 – Build an Infrastructure for the Collection & Analysis of Health Care Workforce Data • Summary for Illinois • Annual RN acute care estimated supply-demand balance • Regions vary • Nursing workforce survey was last completed in 2007 • Non-state organizations conduct separate demand surveys • Nursing labor market supply-demand analysis is now beginning to be used as a template for other health occupations

16. Nursing Workforce Supply and Demand Data Thank you Linda B. Roberts, MSN,RN IDFPR/IL Center for Nursing www.nursing.illinois.gov