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 – Full-time Executive Director hired.
• 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
• 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) • Public and Private Nursing
Education Programs in Wisconsin
• WI Nursing Coalition (WNC)
• WI Associate Degree Nursing
• WI Healthcare Data Collaborative Educators Administrators
(including the following (WADNEA)
organizations: WI Center for
Nursing, WI Area Health Education • WI Assn. Colleges & Schools of
Centers, WI Hospital Association, Nursing (WACSN)
Rural Wisconsin Health • WI Assn. School Nurses (WASN)
Cooperative, WI Division of Health • Assn. of Nursing Educators of
Services, WI Nurses Association, WI Wisconsin (ANEW)
Department of Workforce • WI Public Health Association
Development (WPHA)
• WI Department of Workforce • WI Org Nursing Executives (W-
Development (DWD) ONE)
• WI Department of Regulation and • WI Assn. Licensed Practical Nurses
Licensing (DRL) (WALPN)
• WI Council on Workforce • Wisconsin League for Nursing
Investment (WLN)
• WI Division of Health Services • Milwaukee Chapter Black Nurses
(DHS) Association (NBNA)
• WI Division of Public Health (DPH) • WI Hispanic Nurses Association
• Healthy WI Partnership Program (WHNA)
• Faye McBeath Foundation • 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
Total Sample Number n=77,553
Total Wisconsin RN 69,887
Workforce
Total RN’s working in 68,497 (98%)
healthcare
Total RN’s working in 61,094 (87.4%)
healthcare in Wisconsin

13. Age Distribution of RNs in Wisconsin and the US
>60
50-59
40-49
30-39
Wisconsin%
U.S. %
<30
0 5 10 15 20 25 30 35

14. Highest Level of Education: Nursing & Other Degrees
Diploma
Associate
Bachelor Nursing Degrees
All Degrees
Master
PhD
0 10 20 30 40 50 %

15. Wisconsin & U.S. Highest Nursing Degrees
50%
45%
40%
35%
30%
25% WI
US
20%
15%
10%
5%
0%
PhD Master Bachelor Associate Diploma

16. Race/Ethnicity of RNs in Wisconsin & U.S.
African
Caucasian Hispanic
American
WI RN 94.7 2.1 1.2
US RN 93.2 5.4 3.6
WI Population
89.4 6.2 5.3
US Population
79.6 12.9 15.8

17. Employment Settings of Wisconsin RNs
2.3% Academic
Education
13%
Ambulatory Care
14.6%
4.7% 4.2% Home Health
11.3% Hospital
Nursing Home/
Extended Care
49.9% Public/Community
Other

18. Plans to Leave Direct Patient Care
4.7%
13.2%
<2years
2-4years
18.8% 5-9years
10/more years
63.4%

19. 55 years & over by work setting
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
Academic Ambulatory Home Health Hospital Nursing Public/CH Other
Education Care Home

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

26. Report Recommendations
1. Remove scope of practice barriers
2. Expand opportunities for nurses to lead & diffuse
collaborative improvement efforts
3. Implement nurse residency programs
4. Increase proportion of BSN’s to 80% by 2020
5. Double number of doctorates by 2020
6. Ensure that nurses engage in lifelong learning
7. Prepare & enable nurse to lead change to advance
health
8. 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. LaCrosse
District 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