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

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Hospitals are the second-largest employer in the private sector.

Hospital Employment versus Employment in Other Industries, 2007* 6.0

4.5

3.0

1.5

0.0

Full-service Restaurants General Medical & Surgical Hospitals Limited-service Eating Places Employment Services Grocery Stores Offices of Physicians Building Equipment Contractors Department Stores Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics Survey, customized tables. Data released 2008. http://www.bls.gov/ces.

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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.

time.

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 The 20% 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 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

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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… Rank Occupational Title 1 Healthcare Practitioners and Technical Occupations 2

Registered Nurses

3

Licensed Practical and Licensed Vocational Nurses

4

Dental Hygienists

5

Medical Records and Health Information Technicians

6

Medical and Clinical Laboratory Technicians

7

Emergency Medical Technicians and Paramedics

8

Pharmacists

9

Pharmacy Technicians

10

Medical and Clinical Laboratory Technologists

11

Radiologic Technologists and Technicians

12

Physical Therapists

13

Health Diagnosing and Treating Practitioners, All Other

14

Physicians and Surgeons, All Other

15

Occupational Therapists

16

Respiratory Therapists

17

Physician Assistants

18

Chiropractors

19

Family and General Practitioners

20

Surgical Technologists

Base Year Employment (2004) Projected Year Employment (2014) Absolute Change Percentage Change Openings due to Growth Total Openings 70,220

26,210 7,060 1,850 2,490 2,030 2,450 2,340 2,020 2,130 1,730 1,290 910 1,140 970 1,300 510 790 950 740

85,540

32,530 8,140 2,620 3,120 2,550 2,940 2,830 2,510 2,600 2,040 1,590 1,190 1,390 1,200 1,510 710 970 1,120 890

15,320

6,320 1,080 770 630 520 490 490 490 470 310 300 280 250 230 210 200 180 170 150

22

24 15 42 25 26 20 21 24 22 18 23 31 22 24 16 39 23 18 20

15347

6328 1081 774 623 523 490 488 487 463 308 303 278 246 233 211 207 173 162 154

28975

11811 2621 931 980 1070 771 941 751 1038 630 430 476 398 364 637 285 323 290 250 Source: 2004-2014 Kansas Occupational Outlook, Kansas Department of Labor, 2008. http://www.dol.ks.gov/lmis/ALMIS/iomatrix/projections.html

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…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.) 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

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National Supply and Demand Projections FTE RNs; 2000 - 2020

2900 2700 2500 2300 2100 1900 1700 1500 2000 2005 RN FTE Demand Shortage of over 1,000,000 nurses in 2020 RN FTE Supply 2010 2015 2020 Source: National Center For Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, 2004

5-13

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Distribution of RN Workforce by Age Group, 1980 – 2020 (Projected)

2,500 Age Group 2,000 60s 1,500 1,000 50s 500 40s 0 30s 500 20s 1,000 1980 1990 2000 2004 2010 (proj.) 2020 (proj.) 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.

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Annual Percentage Change in Entry Level Baccalaureate Nursing Enrollment, 1990 – 2007

20% 15% 14.3% 12.4% 10.2% 10% 8.1% 16.6% 14.1% 9.6% 7.6% 5.0% 5% 3.7% 2.6% 0% -5% -10% 90 92 93 94 -2.6% -6.2% -6.6% -5.5% -4.6% -2.1% 95 96 97 98 99 00 01 02 03 04 05 06 (1) 07 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.

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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

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…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

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…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.pdf

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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.

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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.pdf

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RN Vacancies by KHA District, 2008

Northwest 9.1% Southwest 11.1% North Central 3.6% South Central 11.8% Northeast 8.4% Southeast 4.3%

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

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Hospital FTE Vacancy Rates for Nursing and All Positions-2005-2008

8.8% 8.0% 4.5% 3.7% 5.2% 4.4% 3.6% 6.2% 5.8% 4.5% 6.8% 7.4% 2005 2006 2007 2008

Licensed Practical Nurse Registered Nurse All Positions Surveyed

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

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Hospital Turnover Rates Nursing and All Positions 2006-2008

16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0%

8.7% 14.5% 13.3% 8.6% 11.8% 13.1%

Licensed Practical Nurse Registered Nurse

8.6% 11.8% 13.1%

All Positions Surveyed

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

2006 2007 2008

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

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