Division of Nursing Update of

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• Division of Nursing Update of
• Title VIII Nursing Workforce Development Programs
• Technical Assistance Workshops
• September 10-11, 2009 Washington, DC
• September 28-29, 2009 Denver, CO
• E. Michele Richardson, MS, BSN, RN, Director
• US Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Health Professions
• Division of Nursing

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Division of Nursing (DN)

• The DN is the key federal focus for nursing
  education and practice.
• The DN provides leadership to assure supply and
  distribution of qualified nursing personnel to
  meet the health needs of the Nation.

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Division of Nursing- Cont.

• Strategic Goals
• Increase access to quality care through improved
  composition, distribution, and retention of the
  nursing workforce
• Identify and use data, program performance
  measures and outcomes to make informed decisions
  on nursing workforce issues
• Increase the supply, distribution and retention
  of the nursing workforce through financial
  assistance
• Improve the quality of nursing education and
  practice
• Increase cultural competence in the nursing
  workforce.
• Increase diversity in the nursing workforce

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Division of Nursing- Cont.
Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Situational Analysis of The Nursing Workforce
Shortage
Challenges of the Health Care Environment
(External)
Impact on U.S. Health Care Delivery System
Federal Legislation
Title VIII Programs
Title VIII Program Outcomes
Challenges within the Profession of Nursing
(Internal)
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Challenges of The Health Care Environment
Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Challenges of the Nursing Profession
Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Federal Legislation Related to the Nursing
Workforce Shortage

• The Nurse Reinvestment Act was expanded in 2002
  to include Nursing Workforce Development (Title
  VIII, Public Health Service Act), in order to
  create new and expanded programs targeted to
  resolving the nursing workforce shortage.
• Every year Congress funds
• Title VIII programs through
• the appropriations process.

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Title VIII Program Outcomes

• Title VIII programs administered by HRSA provide
  the largest source of federal funding that assist
  students, schools of nursing, and health systems
  in their efforts to recruit, educate, and retain
  registered nurses.
• In FY 2008, Nursing Workforce Development
  Programs assisted at least 51,657 students in
  obtaining their nursing education through
  individual student support and programmatic
  support.

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Advanced Education Nursing
Supports the Preparation of NPs, Nurse-Midwives,
Clinical Specialists, Anesthetists, Educators,
Administrators, PHNs, and Others
Geriatric Care
Workforce Diversity
Increases Access to Nursing Education for
Disadvantaged and Minority Students
Section 811 AEN
Enhances Geriatric Care to the Elderly
Section 855 CGEP
Title VIII Programs
Section 821 NWD
Section 846a NFLP
Section 831 NEPR
Increases the Number of Qualified
Nursing Faculty
Strengthens Nursing Education, Practice, and
Retention
Section 846 NELRP/NSP
Recruitment and Retention
Nursing Faculty
Provides Financial Support to Current Students
and New Graduates
Increasing the Pipeline of Nurses
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Title VIII Budget
Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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American Recovery and Reinvestment Act (ARRA) of
2009

• 200 million to support grants, loans, loan
  repayment, and scholarships to expand the
  training of health care professionals
• 50 million in grants to health professions
  training programs
• Equipment Grants
• Workforce Diversity Grants
• 39 million will be targeted to nurses and nurse
  faculty

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Sec. 846A Nurse Faculty Loan Program

• Strategic Goals
• Promote recruitment of nursing students to become
  nurse faculty
• Provide financial support for students enrolled
  in an advanced education nursing program to
  prepare qualified nurse faculty

Health Resources and Services Administration
Bureau of Health Professions - Division of Nursing
Health Resources and Services Administration
Bureau of Health Professions - Division of Nursing
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Nurse Faculty Loan Program Cont.

• NFLP recipients may cancel up to 85 of loan
  interest in return for full-time employment as a
  faculty member in a school of nursing
• Loans may cover tuition, fees, books, lab
  expenses, and other reasonable education expenses

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Nurse Faculty Loan Program Cont.

• In FY 2008
• 134 participating schools of nursing
• 729 students received NFLP loan support
• 401 NFLP graduates have been prepared
• as nurse faculty
• 196 NFLP graduates are employed as full-time
  faculty remaining 206 are seeking employment as
  faculty

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Nurse Faculty Loan Program Cont.

• In FY 2009
• 99 awards to participating schools of nursing

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Sec. 846 Nursing Education Loan Repayment
Program (NELRP)

• Loan support to assist RNs repay up to 85 of
  incurred qualified nursing educational expenses
• Three years in return for their commitment
• RNs dedicated to providing health care in
  facilities with a critical shortage of nurses

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Nursing Education Loan Repayment Program Cont.

• First preference for RNs working in
• Disproportionate Share Hospitals
• Nursing Homes
• Public Health Departments/Clinics
• Federally designated community health centers
• Federally designated migrant health centers
• Rural health clinics
• Indian Health Service Health Center

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Nursing Education Loan Repayment Program - Cont.

• In FY 2008
• 2,845 eligible applications received
• 435 awards made to individual recipients

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Sec. 846 Nursing Scholarship Program (NSP)

• Scholarships to eligible individuals who agree to
  serve as a nurse in a health care facility with a
  critical shortage of nurses for a minimum of two
  years in return for scholarship support at
  schools of nursing

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Nursing Scholarship Program Cont.

• In FY2008
• 316 eligible applications received
• 177 awards made to individual recipients

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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National Advisory Council on Nursing Education
and Practice (NACNEP)

• Advises the Secretary of the U.S. Department of
  Health and Human Services and the U.S. Congress
  on policy issues related to the Title VIII
  programs including nurse workforce supply,
  education and practice improvement.
• NACNEP authorized by Section 845 of the Public
  Health Service Act as amended by Public Law
  105-392.
• NACNEP was established as the Advisory Council on
  Nurse Training on September 4, 1964 and renamed
  in 1988.

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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NACNEP Report History

• 1st Report The Nursing Workforce Shortage
• 2nd Report Nursing Faculty Shortage
• 3rd Report Title VIII and the Nursing Shortage
  An assessment of the effects of the nurse work
  environment on patient safety and retention of
  nurses in the workplace

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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NACNEP Report History - Cont.

• 4th Report Geriatrics Nursing and Education
• 5th Report Violence Against Nurses An
  assessment of the causes and impact of violence
  in nursing education and practice
• 6th Report Nursing and the Work Environment

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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NACNEP Report History- Cont.

• 7th Report Surging Demand, Receding Capacity
  The nursing workforce tackles staffing shortages
  while training for emergency preparedness
• 8th Report Addressing the Challenges facing
  Nursing Education
• 9th Report The Impact of the Faculty Shortage on
  Nurse Education and Practice

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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What is the National Sample Survey Of Registered
Nurses?

• Data provides National and State level estimates
  on the
• Number and distribution of RNs by type of
• employment and location of practice
• Number of RNs employed full-time and
• part-time nationally and for each of the 50
• States and DC
• Average rates of compensation for RNs
• Activity status of RNs with advanced
• training or graduate degrees in nursing

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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History of National Sample Survey Of Registered
Nurses (NSSRN)

• The first study was conducted in 1977 followed by
  studies in
• November 1980
• November 1984
• March 1988
• March 1992
• March 1996
• March 2000
• March 2004
• March 2008

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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2008 National Sample Survey Of Registered Nurses
(NSSRN) Timeline

• Completion of data collection in spring 2009
• Executive Summary released by end of 2009
  calendar year
• Final report beginning of 2010

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Whats New in HRSA and Bureau of Health
Professions

• Dr. Mary K. Wakefield, HRSA Administrator
• Dr. Marcia Brand, HRSA Deputy Administrator
• Diana Espinosa, Acting BHPR Associate
  Administrator
• BHPR - strong focus on evidence based practice
  models and enhancing health professions
  workforce, shortage projections and overall data

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Whats New in the Division of Nursing

• Doctor of Nursing Practice Roundtable
• April 6, 2009 with 30 Nurse Leaders
• Purpose of meeting to examine characteristics of
  existing DNP programs, identify elements that
  promote excellence, and discuss the range of
  approaches to the implementing the practice
  doctorate and measuring outcomes
• Hired new chief DBNE branch
• New branding and marketing plan

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Questions
Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Contact Information

• E. Michele Richardson, MS, BSN, RN
• Director, Division of Nursing
• Chair, NACNEP
• MRichardson_at_hrsa.gov
• www.bhpr.hrsa.gov/nursing
• 301 443-5688

Health Resources and Services Administration -
Bureau of Health Professions - Division of Nursing
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Thank You for Your Interest in the Division of
Nursing!
Health Resources and Services Administration
Bureau of Health Professions - Division of Nursing