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6 Improving Workforce Data Infrastructure
Pages 161-176

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From page 161... ... . The recommendation on workforce data in The Future of Nursing assumes the existence of the National Health Care Workforce Commission, and each of the recommendation's bullet points calls on the Commission and the Health Resources and Services Administration (HRSA) Read the entire page →
From page 162... ... • The Workforce Commission and the Health Resources and Services Ad ministration should retain, but bolster, the Health Resources and Services Administration's registered nurse sample survey by increasing the sample size, fielding the survey every other year, expanding the data collected on advanced practice registered nurses, and releasing survey results more quickly. • The Workforce Commission and the Health Resources and Services Administration should establish a monitoring system that uses the most current analytic approaches and data from the minimum data set to sys tematically measure and project nursing workforce requirements by role, skill mix, region, and demographics. Read the entire page →
From page 163... ... As noted above, however, despite the absence of a formal national infrastructure and despite some setbacks, significant progress has been made in the past 5 years toward improving the collection and analysis of data on the nursing workforce for use in health workforce planning and policy relating to education, training, and practice. HRSA has not administered the National Sample Survey of Registered Nurses (NSSRN) Read the entire page →
From page 164... ... began efforts to develop national nursing datasets on supply, demand, and education, with the support of the Center to Champion Nursing (Moulton, 2015; Moulton et al., 2012; National Forum of State Nursing Workforce Centers, 2015b; Nooney et al., 2010) Read the entire page →
From page 165... ... , only Maine and New Hampshire indicated that improving data on the nursing workforce was the greatest priority for their state; nevertheless, 46 percent of state Action Coalitions noted that workforce data was a main focus of their work, and another 44 percent said they were doing some work to advance this recommendation. The National Forum reports significant involvement of data stakeholders, particularly State Nursing Workforce Centers, in the state Action Coalitions, stating that more than "70% of workforce centers are co-leads for their state's Action Coalition" (National Forum of State Nursing Workforce Centers, 2015a, p. 2) Read the entire page →
From page 166... ... As mentioned in Chapter 2, as more APRNs begin obtaining and using their own National Provider Identifier (NPI) , opportunities may increase for collecting and analyzing data on the services these clinicians provide and the settings in which they work; however, because many NPs -- particularly those that provide care in hospitals and those that work under the supervision of or under collaborative agreements with physicians -- do not use their own NPIs, limitations remain to the use of this information to determine comprehensively the types of services provided by APRNs (Buerhaus et al., 2015; HRSA, 2014a) Read the entire page →
From page 167... ... HRSA plans on convening leaders in 2016 to assist with the development of the new survey and provide feedback on the survey instrument, the sampling plan, and the implementation plan. In addition to the lack of an overall infrastructure for the collection and analysis of data on the nursing or interprofessional health workforce, the existing sources of nursing workforce data have many gaps. Read the entire page →
From page 168... ... Work setting Yes+ Yes Yes Education Nursing-specific; General, by degree type General, by degree type includes foreign Time spent/roles Yes No No APRN status Yes NP/CNM, CRNA (2010-) Other pluses Certifications, Geography, immigration, health status and specialties, residence insurance; other occupations for comparison from previous year NOTE: ACS = American Community Survey; APRN = advanced practice registered nurse; CNM = certified nurse midwife; CPS = Current Population Survey; CRNA = certified registered nurse anesthetist; NP = nurse practitioner; NSSRN = National Sample Survey of Registered Nurses; RN = registered nurse. Read the entire page →
From page 169... ... Health professionals have worked to bolster data collection efforts within their professions and also have united around the need for comprehensive and interprofessional workforce data. For example, dozens of health professions associations have urged Congress to appropriate funds to allow the Commission recommended in The Future of Nursing to be operational.1,2 Data Needs for Assessing Progress In assessing the landscape of the nursing and broader health care professions workforce, the committee identified a number of areas that require improved data collection, analysis, and availability to help in assessing progress toward implementing the recommendations of The Future of Nursing: • National surveys of nurses need to continue to have sample frames that include licensed RNs with an associate's degree in nursing (ADN) Read the entire page →
From page 170... ... . FINDINGS AND CONCLUSIONS The nursing community and other stakeholders, including nursing associations, state nursing workforce centers, and federal agencies, have made strides toward collecting more and more consistent and robust data on the nursing workforce. Read the entire page →
From page 171... ... There has been a significant increase in the number of State Nursing Workforce Centers collecting data on the supply, demand, and education of nurses, and in those collecting all or most of the data items suggested by the National Forum of State Nursing Workforce Centers. NCSBN also has put great effort into developing and populating its Nursys data system and building a workforce database using the MDS through the participation of state boards of nursing. Read the entire page →
From page 172... ... Significant progress has been made on accelerating uptake of the MDS for the collection of data on the supply, demand, and education of nurses among State Nursing Workforce Centers, thanks to efforts by the National Forum of State Nursing Workforce Centers, NCSBN, and HRSA. RECOMMENDATION Recommendation 10: Improve Workforce Data Collection. Read the entire page →
From page 173... ... This expan sion should include the collection of data on current and former licensees in the American Community Survey and a sampling of services provided by nurse practitioners and physician assistants for their own patient panels and outside of physician offices in the National Ambulatory Medical Care Survey. • HRSA should undertake a combined National Sample Survey of Registered Nurses and National Sample Survey of Nurse Practi tioners that can be administered more frequently than once every 4 years. Read the entire page →
From page 174... ... :162-169. National Forum of State Nursing Workforce Centers. Read the entire page →
From page 175... ... 2015. The changing roles of registered nurses in Pioneer Accountable Care Organizations. Read the entire page →

From page 161...

... . The recommendation on workforce data in The Future of Nursing assumes the existence of the National Health Care Workforce Commission, and each of the recommendation's bullet points calls on the Commission and the Health Resources and Services Administration (HRSA)

6 Improving Workforce Data Infrastructure Pages 161-176

6 Improving Workforce Data Infrastructure
Pages 161-176