1. Sue Schuler, Past President, Wisconsin Center for Nursing
Victoria Udalova, Economist, Dept. of Workforce Development
Judy Warmuth, V.P. Workforce, Wisconsin Hospital Association
2. Institute of Medicine
The Future of Nursing
Key Message
Effective workforce planning and
policy making require better data
collection and improved information
infrastructure.
3. Wisconsin Statutory Language
• Requires nurses renewing their license to
complete a survey on potential nursing
shortages.
• $4.00 renewal fee.
• Statewide nursing center to collaborate with
nursing constituents develop strategies to
ensure there is an adequate nursing
workforce.
4. Healthiest Wisconsin Partnership Grant
(HWPP)
Funded DWD and the Wisconsin Center for Nursing to:
• Review nursing workforce supply questions and
methodologies from other states. This included
participation in the review and input into the national
minimum nursing supply data set .
• Determine methodology for collecting nurse data.
• Analyze and distribute nursing workforce data.
• Survey educational programs that prepare RN’s for
capacity data and share results.
5. Size of the current workforce; how many
nurses of each type working how many
hours?
Wisconsin’s future nursing demand.
Does the current educational system provide
for that need?
6. 18
16
14
12
10
8 Percent of total
6
4
2
0
20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 and
above
From 2010 RN Survey
7. Registered Nurses Wisconsin Residents
White 94.7% White 89.4%
Black/African Black/African
American 2.1% American 6.2%
Hispanic 5.9%
Hispanic 1.2%
8. Advance Practice Nurses
Nurses in Wisconsin with a Master’s degree
that prepares them to be an advanced
practice nurse
5,110
Nurses in Wisconsin with a Master’s degree
practicing as an Advanced Practice Nurse
3,802
9. Education
Highest Level of Education
Diploma 10.4%
Associate Degree 32.2%
Baccalaureate Degree 44.4%
Master’s Degree 12.0%
Doctorate .9%
All nurses. N = 77,385
10. Nursing Education
Highest Level of Nursing Education
Diploma 12.0%
Associate Degree 36.2%
Baccalaureate Degree 42.9%
Master’s Degree 8.6%
Doctorate .4%
All nurses. N = 77,385
11. All RNs 77,553
RNs working in health care 68,497
RNs working in health care in Wisconsin
61,094
12. Academic education 2.3%
Ambulatory Care 14.6%
Home Health 4.2%
Hospital 49.9%
Nursing Home/Extended Care 11.3%
Public Health 4.7%
Other 13.0%
13. Primary Place of Wisconsin Primary Place of Wisconsin
Work Nurses Work Nurses
2010 2001
Number Percent Number Percent
Hospital 30731 49.9 Hospital 30,675 54
Ambulatory Care 8977 14.6 Outpatient Clinic 8,548 15
Public/Community 2986 4.7 Public/Community 5,986 11
Health Health
Home Health 2588 4.2
Nursing/Extended 6927 11.3 Nursing Home 6,074 11
care
Academic 1406 2.3 Nursing Education 1,129 2
Education
Other 8017 13.0
14. Hours worked per Respondents Percent
week
Less than 20 3,289 7.5
20-35 17,128 39.1
36-40 17,017 38.9
41-48 3,064 7.0
49 and more hours 3,293 7.5
15. Ambulatory Care 789
Home Health 400
Hospital 3,766
Nursing Home/Extended Care 740
Public/Community Health 182
Other 470
16. In less than 2 years 2,377
In 2 to 4 years 6,658
In 5 to 9 years 9,484
In 10 or more years 32,049
17. What will future demand be?
How many hours will future nurses work?
How acutely ill will future patients be?
Where will patients receive healthcare (where
will nurses work?)
18. How many new RNs do we need and where
are they needed?
When?
How many new Master’s prepared nurses do
we need? (Oh and what type of Master’s?)
When?
How many new Doctorally prepared nurses do
we need?
When?
19.
20. Forecasting Nursing Workforce
Victoria Udalova, Economist
Office of Economic Advisors, Wisconsin Department of Workforce Development
October 8, 2010
Victoria Udalova, Economist Forecasting Nursing Workforce
21. Affordable, high quality health care requires a
competent, diverse, and sufficient supply of nurses,
and a shortage of nurses currently exists nationally.
HRSA, 2004
Victoria Udalova, Economist Forecasting Nursing Workforce
22. National Nursing Forecast
• 2004 Health Resources and Services
Administration (HRSA) study projected that
there will be a shortage of over 10,000 FTE
nurses in Wisconsin by 2020
• The study is nationally focused and relies on
a relatively small sample size
• Reports and analysis previously generated by
the HRSA have not been updated because of
federal funding cuts
Victoria Udalova, Economist Forecasting Nursing Workforce
23. History of Data Collection Success
• In 2007, DWD developed a comparable model
to the HRSA version
• Inability to populate the model with robust data
served as a catalyst for moving the data effort
forward
• A workgroup of the health care sector sub-
committee of the Council on Workforce
Investment (CWI), Wisconsin Health Workforce
Data Collaborative, received Medical College of
Wisconsin (MCW) grant
Victoria Udalova, Economist Forecasting Nursing Workforce
24. History of Data Collection Success
• Senator Robson language was signed into law
in 2009 Wisconsin Act 28 (2009-11 Budget Bill)
on June 29, 2009 mandating the completion of
a workforce survey
• The survey incorporated the National Minimum
Nurse Supply Data Set, developed by the
Forum of State Nursing Workforce Centers and
funded by the Robert Wood Johnson
Foundation and AARP
Victoria Udalova, Economist Forecasting Nursing Workforce
25. Current Work on Forecasting Model
• Over 77,000 nurse responses are being
analyzed and aggregated
• At this time, our focus is on the basic statewide
nursing supply model
• The model is divided by:
- 13 age groups
- gender
- number (head count) of RNs and FTE RNs
- direct patient care practitioners and the broad
nursing workforce
• Guiding force for the base supply projections
are changing demographics, and the overall
population growth
Victoria Udalova, Economist Forecasting Nursing Workforce
26. Upcoming Work and Forecasting Results
• Supply model has the potential for scenario
analyses such as incorporating inflow/outflow
changes
• Statewide demand for nursing will be generated
after the nursing supply projections are
completed
• Alternative forecasting demand models are
being reviewed now
• Supply/Demand relationship will be analyzed to
estimate the gap
• Results will serve as a guide for policymakers
Victoria Udalova, Economist Forecasting Nursing Workforce
27. • Develop and distribute a comprehensive report of
the RN survey.
• Convene nurse researchers to do an in-depth
review of the survey data.
• Initiate regional forums to review the data and
develop recommendations for nursing education
and practice.
• Work with the Nursing Coalition to determine
needs based on trends in nursing specialties.
28. • Collect the national nursing education minimum
data set from all nursing programs in WI.
• Review national recommendations on “best
practices”.
• Analysis the data collected and develop
recommendations based on identified needs in WI.
and best practices.
• Convene a “Best practice Retreat” to plan for
education capacity, access and diversity.
