Nursing Workforce and Louisiana Home Health Agencies

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1 HCLA/LALA Annual Conference & Exhibion November 12-13, 214 Hilton New Orleans Riverside, New Orleans, Louisiana Breakout Session Nursing Workforce and Louisiana Home Health Agencies Thursday, November 13, 214, 11: am - 12: pm Presented by Cynthia Bienemy

2 LOUISIANA CENTER FOR NURSING (Nursing Workforce Center) MISSION To contribute to the health and welfare of Louisiana residents and visitors through activities that are directed to ensure that there is an adequate workforce to meet the current and future healthcare needs of the citizens of the state of Louisiana. The Louisiana Center for Nursing (LCN) collects, analyzes and reports the registered nurse workforce data utilizing established nursing supply, demand, and predictor models to forecast registered nurse resource needs to the Louisiana Health Works Commission. LCN evaluates registered nurse education capacity, and develops strategies for increasing educational access, retention and mobility, including opportunity for minority and underrepresented groups. In addition, LCN addresses key workforce issues and contributes to nursing workforce policy development; develops and supports new and existing nursing workforce initiatives; and works with key stakeholders to address critical nursing workforce issues. CONTACT Cynthia Bienemy, PhD, RN Director, LA Center for Nursing E: P: F: Perkins Road Baton Rouge, LA WHAT ARE NURSING WORKFORCE CENTERS? Nursing Workforce Centers address issues of nursing supply and demand at the state level. The National Forum of State Nursing Workforce Centers serves as a network for collaboration and communication among statewide nursing workforce entities that focuses on addressing the nursing shortage within their states and contributes to the national effort to assure an adequate supply of qualified nurses to meet the health needs of the U.S. population. One of the major areas of the work for the National Forum was the development of a minimum data set for nursing supply, education capacity, and nursing demand which will aid in the collection of uniform information and provide a national snapshot of the nursing workforce. LOUISIANA CENTER FOR NURSING WORKFORCE REPORTS The Louisiana Multi-Regional Statewide Nursing Workforce Forecasting Model Nursing Workforce Demand Study Finding Employment as a Newly Licensed Registered Nurse in Louisiana Nursing Education Capacity and Nursing Supply in LA THE NURSING WORKFORCE There are approximately 4.1 million licensed registered nurses (RNs) in the U.S. (213 National Workforce Survey of Registered Nurses) RNs are the fastest growing segment of the health care profession (U.S. Bureau of Labor Statistics, 214) RNs, Licensed Practical Nurses (LPNs), and Nursing Assistants (NAs) are considered to be amongst the top demand healthcare occupations in Louisiana (Louisiana Workforce Commission, 214) There are 6,58 RNs licensed to practice in Louisiana. Of the 6,58 RNs, 5,1 (83%) are employed in nursing (44,89 full-time and 5,912 part-time) (LSBN, January 214 Statistics) There are 4,586 APRNs licensed to practice in Louisiana. Of the 4,586 APRNs, 2,71 are Nurse Practitioners, 1,433 are Certified Registered Nurse Anesthetists, 141 are Clinical Nurse Specialists, and 32 are Certified Nurse Midwives (LSBN, January 214 Statistics) You can find these reports on LCN s website.

3 Nursing Education Capacity and Nursing Supply in Louisiana 213 Snapshot Registered Nurse (RN) 213 Snapshot Applicants and Admissions to Pre-RN Licensure Programs in Louisiana , 5, 4, 3, 2, 1, Applicants Admissions QANA* *Qualified Applicants Not Admitted Graduates of Pre-RN Licensure Programs in LA According to Program Type 1,4 4 Reasons Why Qualified Applicants are not Admitted to Pre-RN Licensure Programs in LA #1 Budgeted Faculty Position Not Available #2 Qualified Faculty Not Available* #2 Faculty Salary Not Competitive* #3 Classroom Space Not Available #4 Clinical Placement Sites Not Available *Received the same ranking Age Ranges for Nurse Faculty 1,2 35 1, 8 6 Diploma AD BSN RNs Holding an Active LA License , 6, 5, 45% 4% 35% 3% Highest Degree Held by RNs Residing in LA 213 4, 25% 3, 2, 2% 15% LA Nation 1, 1 % RNs not Residing in LA RNs Residing in LA 5% % Diploma AD BSN Masters/Doctorate Last Updated

4 Nursing Education Capacity and Nursing Supply in Louisiana 213 Snapshot Advanced Practice Registered Nurse (APRN) 213 Snapshot Nurse Practitioner (NP), Certified Registered Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS), Certified Nurse Midwives (CNM) Enrollment in Louisiana APRN Programs According to Role Graduates from APRN Programs in Louisiana According to Role 1, 2 3 1, NP CRNA CNS NP CRNA CNS Highest Degree Held by APRNs Residing in LA , 3,5 3, 4,5 4, 3,5 Licensed APRNs Residing in LA 2,5 2, 1,5 1, BSN or Lower Masters Doctorate 3, 2,5 2, 1, 5 1, APRNs Residing in LA According to Role APRNs Residing in Louisiana with Prescriptive Authority 213 2,482 1, , 212 2,25 1, 2 2 2, , , , 1,5 21 1, 7 6 1, , 29 1, , , , 8 9 % 2% 4% 6% 8% 1% NP CRNA CNS CNM FOR MORE INFORMATION ABOUT THE LOUISIANA CENTER FOR NURSING please contact Dr. Cynthia Bienemy at The Louisiana Center for Nursing is a Division of the Louisiana State Board of Nursing Last Updated

5 Louisiana s Multi-Regional Statewide Nursing Workforce Forecasting Model 214 Update For more information, contact Dr. Cynthia Bienemy, Louisiana Center for Nursing, at or Description The Louisiana Multi-Regional Statewide Nursing Workforce Forecasting Model is a unique approach to predicting the supply and demand for all levels of licensed professional nursing workforce including registered nurses (RNs), advanced practice registered nurses (APRNs), and licensed practical nurses (LPNs). There are 27 separate models (RN, APRN and LPN) covering eight regional labor market areas with one state model of aggregated data for each level of nursing workforce. The Northeast Ohio Nursing Initiative (NEONI) Forecasting Model was used as a template for Louisiana s Multi-Regional Statewide Nursing Workforce Forecasting Model (213). Design Features Operates on a series of Excel spreadsheets connected by specific mathematical relationships incorporating multiple data bases of information related to nurse licensure, demographics, and patient care utilization across multiple settings. Sixteen adjustable settings are embedded within each regional model which allows hypothetical testing situations based on specific variables. Measures nurses as full-time equivalents (FTEs) or 4 hours/week. Functional through 22 and can be updated annually with new licensure data and other relevant data as needed. Key Findings State Model Measurements Total Demand for Nurses Demand by Setting Supply by Region Total Supply versus Demand Unfilled FTEs by Region & Total Regional Model Measurements Demand Dashboard Demand by Setting Supply versus Demand RNs Fifty-seven percent of RNs are employed in Louisiana hospitals. Almost 1 percent of RNs are unemployed or choose not to work. 214 shows a shortage of full-time equivalent (FTE) RNs: a supply of 41,393 (FTE) RNs compared to a demand of 45,982 resulting in an unfilled gap of 4,589 (FTE) RNs that varies significantly by region. Shortages will exist through 22 in Baton Rouge, Lafayette, and New Orleans regional labor market areas (RLMAs). A statewide shortage for RNs is expected to continue through 22 based on current conditions.* *Changes in health care policy/health care reform, patient care delivery, nurse intensity, or population shift will affect demand for RNs, APRNs, and LPNs APRNs The demand for APRNs (FTEs) in 214 is estimated at 5,558, with a supply of 4,186, leaving a gap of 1,372 FTEs. The ultimate size of this gap over the next decade will depend on the changing patterns of APRN utilization and healthcare policy as we go forward. Based on the current intensity (nurse-to-healthcare-unit ratio) for APRNs in Louisiana and a growth rate of 4% annually for APRNs in both the inpatient and ambulatory care settings, the demand for APRNs will exceed 7, FTEs by 22. There will be a demand for APRNs through 22 in the following RLMAs: Baton Rouge, Houma, Lafayette, Lake Charles, New Orleans, and Shreveport. LPNs The majority of LPNs continue to be employed in long-term care facilities/extended care/assisted living (6,685) and hospitals (3,89). There will be a shortage of LPNs through 22 in the following RLMAs: Baton Rouge, Houma, Lake Charles, New Orleans, and Shreveport. A surplus in the number of FTE LPNs will extend through 22 in the Alexandria, Lafayette, and Monroe RLMAs. 214 Funded by the Louisiana Health Works Commission and the Louisiana State Board of Nursing

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