The Future of Nursing Leading Change, Advancing Health (2011) / Chapter Skim
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6 Meeting the Need for Better Data on the Health Care Workforce
6 Meeting the Need for Better Data on the Health Care Workforce
Pages 255-268
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From page 255... ...
Such data are needed across the health professions if a fundamental transformation of the health care system is to be achieved. Major gaps exist in currently available workforce data.
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From page 256... ...
barriers to improved coordination at the Federal, State, and local levels and recommend ways to address such barriers."1 The ACA also authorizes a National Center for Workforce Analysis, as well as state and regional workforce centers, and provides funding for workforce data collection and studies. The committee believes these initiatives will prove most successful if they analyze workforce needs across the professions -- as the Department of Veterans Affairs did in the 1990s (see Chapter 3)
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by Rosenblatt and colleagues (2006) found that 46 percent of direct care providers in rural CHCs were nonphysician clinicians, including nurse practitioners, nurse midwives, and physician assistants; in urban clinics, the figure was 38.9 percent.
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For a more detailed examination of the pro jected nursing shortage based on the numbers and composition of the workforce, 400,000 350,000 300,000 Full-time Equivalent RNs 250,000 200,000 150,000 Best supply forecast National 25th percentile FTE RNs/population 100,000 National average FTE RNs/population 50,000 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2021 2024 2030 2022 2029 2020 2023 2025 2026 2028 2027 Year FIGURE 6-1 Forecast supply of and demand for full-time equivalent (FTE)
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What is the current educational capacity to meet the need, and how quickly can it be ramped up? Yet the Robert Wood Johnson Foundation Nursing Research Network, when consulted by the committee, suggested that these pro
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The methods used to develop projection models are notoriously deficient and focus on single professions, typically assuming the continuation of current practice and utilization patterns. Projection models do not allow policy makers to test and evaluate the impact of different policy scenarios on supply and demand estimates; whether and how health outcomes are associated with various health professions; Personal communication with David Auerbach, Analyst, Health and Human Resource Division, Congressional Budget Office; Peter Buerhaus, Valere Potter Professor of Nursing, and Director, Center for Interdisciplinary Health Workforce Studies, Institute for Medicine and Public Health, Vanderbilt University Medical Center; Tim Dall, Vice President, The Lewin Group; Jean Moore, Director, School of Public Health, University at Albany State University of New York; Edward Salsberg, Director, Center for Workforce Studies, Association of American Medical College; Sue Skillman, Deputy Director, Rural Health Research Center and WWAMI Rural Health Research Center, University of Washington; and Joanne Spetz, Professor, Community Health Systems, University of California, San Francisco, April 15, 010.
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. The Robert Wood Johnson Foundation Nursing Research Network assessed for the committee the quantity and quality of workforce data across health professions and suggested three key areas of need: • Core data sets on health care workforce supply and demand -- Researchers should develop and routinely update core data sets that facilitate analysis of the supply, demand, and distribution of the health care workforce across health professions.
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HRSA's Bureau of Primary Care and Bureau of Health Professions conduct some monitoring -- primarily for nurses, primary care clinicians, mental health professionals, dentists, and pharmacists -- for purposes of designating health professional shortage areas/facilities and medically underserved areas/populations and informing funding decisions to support clinician training. Thus, HRSA is well positioned to assume leadership in directing resources needed to build a data infrastructure to support health care workforce research.
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Reprinted with permission from Jean Moore, Center for Health Workforce Studies, University of Albany. Fig 6-3.eps Demand = Population × Health × Utilization Rates Prevalence Insurance and incidence Number of conditions Access and diseases Age Organization Gender of services Race/ethnicity Medical advances Available Location Environment supply Poverty/income Medical advances Prevention Public health measures Behavior/lifestyle FIGURE 6-4 Factors to consider when assessing health care workforce demand.
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From page 264... ...
Several schools are opening branch campuses and offering online programs to further increase the pool of eligible students. With an eye toward increasing both the numbers and diversity of the nursing student body, the University of Houston has launched a nursing program in Victoria, Texas, a city located about 120 miles outside of Houston.
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This program is similar to programs in New Jersey and California that are funded by the Robert Wood Johnson Foundation and the Gordon and Betty Moore Foundation, respectively.5 CONCLUSION Taking into account the need to transform the way health care is delivered in the United States and the observations and goals outlined in Chapters 3 through 5, policy makers must have reliable, sufficiently granular data on workforce supply and demand, both present and future, across the health professions. In the context of this report, such data are essential for determining what changes are needed in nursing practice and education to advance the vision for health care set forth in Chapter 1.
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2000. HRSA state health workforce data resource guide.
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Part III A Blueprint for Action
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