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 - 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 2010 – Hired first full-time Executive Director 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 Public and Private Nursing Education Programs in Wisconsin WI Associate Degree Nursing Educators Administrators (WADNEA) WI Assn. Colleges & Schools of Nursing (WACSN) WI Assn. School Nurses (WASN) Assn. of Nursing Educators of Wisconsin (ANEW) WI Public Health Association (WPHA) WI Org Nursing Executives (W-ONE) WI Assn. Licensed Practical Nurses (WALPN) Wisconsin League for Nursing (WLN) Milwaukee Chapter Black Nurses Association (NBNA) WI Hispanic Nurses Association (WHNA) Fund for Wisconsin Scholars-Oscar Rennebohm Foundation WI Nurses Association (WNA) WI Nursing Coalition (WNC) WI Healthcare Data Collaborative (including the following organizations: WI Center for Nursing, WI Area Health Education Centers, WI Hospital Association, Rural Wisconsin Health Cooperative, WI Division of Health Services, WI Nurses Association, WI Department of Workforce Development WI Department of Workforce Development (DWD) WI Department of Regulation and Licensing (DRL) WI Council on Workforce Investment WI Division of Health Services (DHS) WI Division of Public Health (DPH) Healthy WI Partnership Program Faye McBeath 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

13. Age Distribution of RNs in Wisconsin and the US

14. Highest Level of Education: Nursing & Other Degrees

15. Wisconsin & U.S. Highest Nursing Degrees

16. Race/Ethnicity of RNs in Wisconsin & U.S.

17. Employment Settings of Wisconsin RNs

18. Plans to Leave Direct Patient Care

19. 55 years & over by work setting

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

26. Report Recommendations Remove scope of practice barriers Expand opportunities for nurses to lead & diffuse collaborative improvement efforts Implement nurse residency programs Increase proportion of BSN’s to 80% by 2020 Double number of doctorates by 2020 Ensure that nurses engage in lifelong learning Prepare & enable nurse to lead change to advance health 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. The Future of Nursing… Depends on us !

31. 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

32. Contact information 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

33. 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 , P. (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. LaCrosseDistrict 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