1. Pre-Review Orientation Webinar for Nursing Workforce Diversity (NWD) Program Department of Health and Human Services Health Resources and Services Administration (HRSA) Bureau of Health Professions Division of Nursing Kristen Hansen, MHSA, RN Nursing Practice and Workforce Development Branch

2. NWD Pre-Review Orientation Purpose and Program goals Legislative intent Eligibility Background 2014 FOA Reviewer overview Review criteria and funding preference Required documents 1

3. Purpose of NWD To increase access to health care by supporting innovative educational pipeline programs Achieve a diverse and culturally aligned workforce To identify and develop workforce strategies that incorporate social determinants of health to facilitate recruitment and retention of disadvantaged groups and racial and ethnic minorities 2

4. Goals of NWD Increase nurse education opportunities for individuals from disadvantaged backgrounds through student stipends, scholarships, and opportunities for mentorship Achieve a culturally-aligned and competent workforce that is reflective of the populations served Encourage innovative pipeline programs that recruit, retain, graduate, and support progression through registered nursing programs 3

5. Legislation Title VIII Section 821 of the Public Health Service Act; 42 U.S.C. 296m, as amended by the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148 Legislative Intent Create and expand nursing education opportunities for those from disadvantaged backgrounds, ethnic minorities and underrepresented groups to become registered nurses 4

6. NWD Eligibility Accredited schools of nursing Academic health centers Nursing centers State or local governments Faith-based and community-based organizations Tribes and Tribal Organizations Other private or public entities determined appropriate by the Secretary 5

7. The Nursing in 3D Summit and Journal Supplement 6

8. Transformation from Health Disparities to Health Equity

9. Nursing Workforce Diversity promotes the adequate supply and distribution of well-prepared nurses to ensure access to high quality, safe, and efficient care for the nation. -Health Resources and Services Administration Health Disparities are differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups. -National Institutes of Health Definitions 8

10. Health Equity is attainment of the highest level of wellness for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and health disparities. -Healthy People 2020 Social Determinants of Health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are influenced by policy choices. The social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries. -World Health Organization Definitions (cont.) 9

11. NWD Resources Nursing in 3D Journal Supplement- http://www.publichealthreports.org/issuecontents.cfm?Volume= 129&Issue=8 http://www.publichealthreports.org/issuecontents.cfm?Volume= 129&Issue=8 Nursing in 3D Summit Recordings- http://bhpr.hrsa.gov/nursing/summit.html http://bhpr.hrsa.gov/nursing/summit.html Frequently Asked Questions for the NWD FY2014 FOA- http://bhpr.hrsa.gov/nursing/technicalassistance.html http://bhpr.hrsa.gov/nursing/technicalassistance.html Division of Nursing Website- http://bhpr.hrsa.gov/nursing/index.html http://bhpr.hrsa.gov/nursing/index.html 10

12. NWD Review Objectives Establish a clear understanding of the basis of application ratings Produce succinct, well-focused critiques that evaluate, rather than describe, applications Use of the entire rating scale 11

13. NWD Reviewer Focus Address all applicable criteria and other review considerations Identify strengths and weaknesses Assign scores to each of the six “core” criteria Assign an overall impact/priority score 12

14. Overall Impact/Priority Scores Consider criterion strengths and weaknesses of each application in determining an overall impact/priority score Focus on the guidelines of each review criteria for its use Be mindful that the scoring system is intended to reflect the “real-world” range of quality for each section of an application 13

15. Review Criteria Criterion 1: Need = 10 points Criterion 2: Response = 30 points Criterion 3: Evaluative Measures = 30 points Criterion 4: Impact = 10 points Criterion 5: Resources/Capabilities = 15 points Criterion 6: Support Requested = 5 points 14

16. Key Points Within Need Applicants should demonstrate how they will integrate the social determinants of health framework into pre- entry/mentoring activities that accelerate underrepresented groups into and graduate from schools of nursing. Social determinants of health are the conditions in which people are born, grow, live, work and age that can contribute to or detract from the health of individuals and communities. 15

17. Key Points Within Response Applicants should: Incorporate social determinants in the methodology and work plan. Describe how this proposed project will utilize innovative workforce diversity strategies to promote underrepresented groups recruitment, retention, and graduation from schools of nursing. Describe how they will develop interprofessional collaborations and partnerships to foster nursing workforce diversity. 16

18. Key Points Within Evaluative Measures Applicants should: Provide a description of how quantitative and/or qualitative evaluation strategies are linked when rates of underrepresented groups are recruited, retained, and graduate from schools of nursing for each objective. Explain plans to collect, monitor, and evaluate project process and outcomes measures. 17

19. Key Points Within Impact Applicants should: Document the extent to which the proposed project will increase rates at which disadvantaged students are recruited, retained, and graduate from accredited schools of nursing. Describe how the project will expand from individual-level strategies to multi-level strategies (that address the social determinants). 18

20. Key Points Within Resources/Capabilities Applicants need to: Describe how the proposed project describes its capability, commitment, and necessary resources to create effective NWD programs, including sustainability plans that speak to other sources of income. Describe plans to include integration of the social determinants of health framework, and plans to meet the unique needs of the target population of the communities served. 19

21. Key Points Within Support Requested The proposed budget needs to be reasonable according to the work to be accomplished. The budget should link to the statement of activities, evaluation plan, and anticipated results. 20

22. NWD Funding Preferences Statutory Funding Preference o Substantially benefits rural areas o Substantially benefits medically underserved populations o Help meet public health nursing needs in state and local health departments 21

23. Required Attachment Documents Accreditation documentation Position descriptions Organizational chart Maintenance of Effort statement Institutional diversity statement Letters of agreement and/or description of proposed/existing contracts (as applicable) Letters of support (as applicable) Funding preference (if applicable) 22

24. Questions? 23

25. Program Technical Assistance Contact Information 24 Kristen Hansen, MHSA, RN Project Officer, HRSA/BHPR/DN Attn: Nursing Workforce Diversity Program 5600 Fishers Lane, Suite 9-61 Rockville, MD 20857-0001 Office: 301-443-2796 Fax: 301-443-0791 khansen@hrsa.gov