1. COLLECTING NURSING DEMAND DATA: METHODS, CHALLENGES, AND BEST PRACTICES Mary Lou Brunell, MSN, RN, Florida Center for Nursing Clark Ruttinger, MPA, Utah Nursing Workforce Information Center Cynthia Bienemy, PhD, RN, Louisiana Center for Nursing Pamela Lauer, MPH, Texas Center for Nursing Workforce Studies

2. Current Status of Demand Data Collection & Challenges and Best Practices Handout Table 1 – Current Status of Demand Data Collection Table 2 – Challenges and Best Practices

3. DATA: NURSE DEMAND DATASET AND SURVEY DEVELOPMENT Mary Lou Brunell, MSN, RN Executive Director, Florida Center for Nursing

4. Demand vs. Need and Why it Matters Need – immediate, current vacancies Demand – anticipated need, future Demand information is critical for: Determining future shortages/surpluses Strategic decision making Health workforce planning Policy development Budgetary allocations

5. The Case for Standardization Standardizing the collection of state-level nurse workforce data: Allows for the creation of a national repository of data. Enables state and national nurse workforce planners to more quickly and accurately implement best policy approaches to resolve the critical shortage. Provides a reliable way to benchmark progress in addressing the nursing shortage in their state and across the nation.

6. National Forum of State Nursing Workforce Centers – Minimum Nurse Demand Dataset Created through a rigorous process of consensus building Funded by the Center to Champion Nursing in America/AARP and the in-kind contributions from National Forum Members National Forum workgroups initiated working draft and conducted public comment period including solicitation of input from experts Ratified by the National Forum and released in 2009 http://www.nursingworkforcecenters.org/minimumdatasets.aspx

7. National Forum Member Data Collection Legend Location of Center States With NURSE SUPPLY DATA States With NURSE DEMAND DATA States With NURSE EDUCATION PROGRAM DATA TOTALS NATIONALLY: 27 collect Supply Data; 17 collect Demand Data; 29 collect Education Program Data

8. Survey Development Industry groups selected for inclusion Prominence as nurse employers Strategic relevance Feasibility of participation Cost 6 individual survey instruments developed Core Variables – National Forum MNDD Additional Variables – to assess current and future trends Input from and pilot test by relevant professional/trade organizations Reviewed by FCN Research & Workforce Analysis Committee

9. NURSING DEMAND STUDIES: PRE-PLANNING Clark Ruttinger, MPA Senior Research Analyst, Utah Nursing Workforce Information Center

10. Education 20 Institutions Online Survey Instrument 17 Institutions Responded Supply 26,720 Licensed RNs in Utah Surveyed Paper Survey Instrument 12,155 responded (42%) Demand Over 1,000 employers surveyed Approximately 33% have responded Online/Paper Survey Instrument Nursing Surveys

11. Decide Who to Survey Different from Supply & Demand Surveys Tie nursing licenses to reported wages Coordinate with major health systems

12. Decide What to Ask Advisory Committee Minimum Data Set Other Questions

13. Decide How to Survey Paper Survey Online Survey Phone Survey

14. LAUNCHING OF THE SURVEY: DATA COLLECTION AND ANALYSIS Cynthia Bienemy, PhD, RN Director, Louisiana Center for Nursing

15. Launching of the Employer Survey  Seven Surveys Hospital Psychiatric Hospital Long Term Care / Skilled Nursing Facility Home Health Hospice Public Health Generic: Ambulatory Surgical Care Dialysis Centers Rural Health Clinics Federally Qualified Healthcare Centers  Methods of Dissemination Electronic U. S. Postal System Fax

16. Data Collection Census Survey – survey all healthcare facilities in selected industry groups Return / Response Rates Healthcare Industry Healthcare Industry by Region Double Data Entry Data Verification Review of Databases – Seek clarification from employers when needed

17. DateHospitals Psychiatric Hospitals Home Health Hospice SNF/Long Term Care Public Health VA Hospitals Dialysis Rural Health Ambulatory Surgical FQHC Weekly Return Total Week 1 Thursday, September 18, 2014 2 432 615 Friday, September 19, 20141 312 24 36 Week 1 - Returns by Facility30744008550 Week 2 Monday, September 22, 2014 122 2121 45 Tuesday, September 23, 2014 1 110 1 Wednesday, September 24, 201431 8 1 Thursday, September 25, 20142 11 Friday, September 26, 20141 1 1 1 Week 2 - Returns by Facility612242005122 Week 3 Monday, September 29, 20142 1 1 69 Tuesday, September 30, 2014 21 3 1 Wednesday, October 01, 20141 31 2 1 Thursday, October 02, 2014429441 612 Friday, October 03, 20144 1335 1 Week 3 - Returns by Facility11216971208220 Week 4 Monday, October 06, 2014 2213 411 53 Tuesday, October 07, 20142 12 3 6 Wednesday, October 08, 20143 12 2 12 Thursday, October 09, 201411 21 Friday, October 10, 201431 12 11 Week 4 - Returns by Facility924641106416 Week 5 Monday, October 13, 2014 11 34 Tuesday, October 14, 20142 21 2 Wednesday, October 15, 20141 1 Thursday, October 16, 20145 2 2 1 Friday, October 17, 2014511 411 Week 5 - Returns by Facility131407314010 Return/Response Rates

18. Data Analysis Bias Analysis – comparing responding facilities with non- responding facilities – bed size and size of facilities (large vs small) Imputations - Constructing estimates for non-respondents Descriptive Statistics Percentages Mean, median, mode Standard deviation

19. Variables Staff size Skill Mix Full-time Equivalents (FTEs) Number of vacancies Separations Replacements (Workforce Commission) Vacancy rates Turnover rates Growth rates

20. WRITING AND DISSEMINATION OF THE FINAL REPORT Pamela Lauer, MPH Director, Texas Center for Nursing Workforce Studies

21. Report Writing Full-length reports Fact sheets Brochures Infographics

22. Report Review Process Internal review Task-force review Advisory committee review and approval

23. Report Dissemination Web publishing Hard copies Distribute to/through Advisory Committee and Stakeholders Conference Presentations Exhibit tables

24. Lessons Learned Engage a variety of stakeholders Follow up, follow up, follow up Share survey results

25. Questions?

26. Contact Us Mary Lou Brunell, MSN, RNMaryLou.Brunell@ucf.eduhttp://www.flcenterfornursing.org/ Clark Ruttinger, MPAcrutting@utah.govwww.utahmec.org Cynthia Bienemy, PhD, RNbienemyc@lsbn.state.la.ushttp://lcn.lsbn.state.la.us/ Pamela Lauer, MPHPamela.Lauer@dshs.state.tx.ushttp://www.dshs.state.tx.us/chs/cnws/