1. 1 Nursing Workforce The following slides contain samplings of various national, state and hospital workforce statistics. The intent is not to supply a complete, cohesive presentation but instead to provide various related information that can be imported and used in any way needed. Perhaps this will provide a quick and easy way to bolster your next presentation about health care workforce challenges. A capable, dedicated, and affordable hospital workforce sufficient to meet demand Prepared 12/08

2. 2 Hospital Employment versus Employment in Other Industries, 2007* Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics Survey, customized tables. Data released 2008. http://www.bls.gov/ces. Hospitals are the second-largest employer in the private sector.

3. 3 Although hospitals are the single largest employers of RNs, they are increasingly competing for talent with non- hospital organizations. As the largest health care occupation, registered nurses held about 2.5 million jobs in 2006. Hospitals employed the majority of RNs, with 59 percent of jobs. Other industries also employed large shares of workers. About 8 percent of jobs were in offices of physicians, 5 percent in home health care services, 5 percent in nursing care facilities, 4 percent in employment services, and 3 percent in outpatient care centers. The remainder worked mostly in government agencies, social assistance agencies, and educational services. About 21 percent of RNs worked part time. The projected growth rates for RNs in the industries with the highest employment of these workers are: Offices of physicians 39%, Home health care services 39%, Outpatient care centers (except mental health and substance abuse) 34%, Employment services 27%, General medical and surgical hospitals (public and private) 22%, Nursing care facilities 20% Source: Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2008-09 Edition, Registered Nurses, on the Internet at http://www.bls.gov/oco/ocos083.htm

4. 4 It is projected that there will be many more new RN and LPN positions to be filled in Kansas during coming years compared to all other health care fields… Source: 2004-2014 Kansas Occupational Outlook, Kansas Department of Labor, 2008. http://www.dol.ks.gov/lmis/ALMIS/iomatrix/projections.html

5. 5 Total Number of Nurses Needed by 2014 = 32,538 Total Number of NEW Nurses Needed by 2014 = 11,811 Source: 2004-2014 Kansas Occupational Outlook, Kansas Department of Labor, 2008. http://www.dol.ks.gov/lmis/ALMIS/iomatrix/projections.html …but considering many nurses are quickly approaching retirement age, there will also be replacement positions to be filled. A total of 11,811 new nurses must enter the pipeline between 2004 and 2014 to meet demand. (Note the data below does not estimate the progress made toward meeting the demand between 2004-current.)

6. 6 5-13 National Supply and Demand Projections FTE RNs; 2000 - 2020 Source: National Center For Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, 2004 RN FTE Demand RN FTE Supply Shortage of over 1,000,000 nurses in 2020 FTEs (in thousands)

7. 7 Distribution of RN Workforce by Age Group, 1980 – 2020 (Projected) 0 Number of RNs (Thousands) Age under 40 Age 40 and over Age Group 20s 30s 40s 50s 60s 1,000 500 1,000 1,500 2,000 1980199020002010 (proj.)2020 (proj.)2004 2,500 Source: Bureau of Health Professions, Health Resources and Services Administration. (1980-2004). Findings from the National Survey of Registered Nurses. Link: https://bhpr.hrsa.gov/healthworkforce/nursing.htm. 2010 and 2020 projections derived from The Lewin Group analysis of the National Sample Survey of Registered Nurses, 2000.

8. 8 Annual Percentage Change in Entry Level Baccalaureate Nursing Enrollment, 1990 – 2007 Source: American Association of Colleges of Nursing. (1994-2007). Percent Change in Enrollments in Entry- Level Baccalaureate Nursing Programs: 1994-2007. Link: http://www.aacn.nche.edu/Media/ppt/94- 07EnrChgs.ppt, and Berlin, L.E. et al. Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: AACN. (1)

9. 9 Sustainable increases in nursing education capacity are needed… Percentage Change in Enrollments in Entry-Level Baccalaureate Nursing Programs: 1994-2008 Source: American Association of Colleges of Nursing, Research and Data Center, 2008. http://www.aacn.nche.edu/Media/NewsReleases/2009/workforcedata.html http://www.aacn.nche.edu/Media/NewsReleases/2009/workforcedata.html

10. 10 …more applicants are out there… Qualified Applications Turned Away from Entry-Level Baccalaureate Nursing Programs: 2002-2008 Source: American Association of Colleges of Nursing, Research and Data Center, 2008. http://www.aacn.nche.edu/Media/NewsReleases/2009/workforcedata.html http://www.aacn.nche.edu/Media/NewsReleases/2009/workforcedata.html

11. 11 …but innovative strategies must be implemented to decrease leaks in the supply pipeline, including new nurse turnover. Source: What Works- Healing the Healthcare Staffing Shortage, PricewaterhouseCoopers’ Health Research Institute, 2007. http://www.dwd.state.wi.us/healthcare/pdf/what_works.pdfhttp://www.dwd.state.wi.us/healthcare/pdf/what_works.pdf

12. 12 Basic Workforce Data Definitions Vacancy Rate A vacancy rate of 10% signifies 10 job openings for every 100 filled. Turnover Rate The annual number of job exits divided by the total number of workers.

13. 13 Benchmarking turnover rates is a difficult task because there are not standard data collection methodologies, definitions, or equations. The annual KHA workforce survey facilitates a degree of in-state benchmarking ability. Statistics reported by national organizations may also be used as an (inexact) resource. Hospital Nurse Turnover Metrics- national sample Cost of Hospital Nurse Turnover Source: What Works- Healing the Healthcare Staffing Shortage, PricewaterhouseCoopers’ Health Research Institute, 2007. http://www.dwd.state.wi.us/healthcare/pdf/what_works.pdfhttp://www.dwd.state.wi.us/healthcare/pdf/what_works.pdf

14. 14 RN Vacancies by KHA District, 2008 Southwest 11.1% North Central 3.6% South Central 11.8% Northeast 8.4% Southeast 4.3% Northwest 9.1% Source: Kansas Hospital Association 2007 Annual STAT Report. www.kha-net.org

15. 15 Source: Kansas Hospital Association 2007 Annual STAT Report. www.kha-net.org

16. 16 Hospital Turnover Rates- Nursing and All Positions 2006-2008 Source: Kansas Hospital Association 2007 Annual STAT Report. www.kha-net.org

17. 17 A capable, dedicated, and affordable hospital workforce sufficient to meet demand