A U.S. healthcare executive s recent visit to China By Richard F. Peisch

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "A U.S. healthcare executive s recent visit to China By Richard F. Peisch"

Transcription

1 A U.S. healthcare executive s recent visit to China By Richard F. Peisch Richard F. Peisch is the founder and president of MDP, Inc., a medical revenue cycle management company headquartered in Boston. In June of 2011, MDP executives travelled to China to review the health care system there. Our mission was equal parts sales, market research and tourism. We visited Shanghai, Hong Kong, Xian and Beijing and in Shanghai we were granted full access to and a tour of the Fudan University Cancer Hospital, one of China s leading cancer hospitals. While at the hospital, we were informed about the number of staff, the number of beds, the different departments and the types of care the hospital provides. We learned that, among other staffing, of the 498 nurses on their staff, only 4 had Masters Degrees and only 113 had college degrees. While this level of nurses education may seem low by U.S. standards, the number with college degrees was a huge increase over the national average in China (23% versus 5%). Since Fudan has a nursing staff of 498 and a total of 1090 beds, it gives the hospital a nurse-to-bed ratio of.46 which is very low when compared to international standards for nursing. We asked ourselves, if this is the nurse/bed ratio in one of the toprated hospitals in all of China, does this mean there is a nursing shortage in China? One nurse offered an explanation for the possible nursing shortage. While she acknowledged that there was a shortage of nurses, she described how, in Chinese hospitals, there are many normal workers who provide care. She insisted that the US does not have a true equivalent for a normal worker but described the position as being similar to a nurse s assistant. In America, patients expect that basic treatment should be provided by a medical professional, either a doctor or a nurse. But in China, there is no expectation that the person who brings patients medicine or blankets has to have a medical degree. She described how, when people in the US catch a cold, they take Advil or Tylenol and sleep it off but people in China go to a hospital and get an IV. This means that Chinese hospitals have a lot of patients who do not need intensive care so having fewer nurses and more normal workers is acceptable. It is unclear just how many normal workers are in China but our source estimated that there are an equal number of normal workers as nurses. According to this perspective, even though there is a slight shortage of nursing staff, the shortage of true nurses is more dramatic by international standards. We decided to investigate those international standards and look at some data and previous research on the issue in an attempt to determine the level of the nursing shortage in China. According to the World Health Organization (WHO), in order for a health care system to run efficiently and meet the population s primary care needs, there must be a minimum of two nurses per 1,000 individuals. In China, a country with a population of 1.3 billion, there was only 1 nurse per 1,000 individuals in 2006 (compared with 9.37

2 nurses per 1,000 individuals in the US). With a current nursing population of approximately 1.3 million, China will need to train and employ at least 1 million more nurses to uphold the WHO standard and millions more to reach the standards of other developed nations. It appears that this overwhelming shortage has arisen for two complex political and social factors. The first factor is the underdevelopment of the nursing profession due to a lack of higher education. The second is the structure of the Chinese health care system which dissuades the hiring of nurses, overworks and underpays nurses, and concentrates nurses in large, urban hospitals. In recognition of some of these problems, the Chinese government announced some major health care reforms in Addressing the nursing shortage will be a major test of the efficacy of those reforms and will ultimately improve population health in China. The profession of nursing did not exist in China until the 1840 s when Western-style medicine was introduced and the first school of nursing opened its doors in Before nursing became a legitimate profession, the sick were provided treatment by doctors and the majority of nursing was done by family members along with barefoot doctors. These were grass-roots doctors who received basic medical and paramedical training (six months to a year and a half from a local hospital) and worked in rural villages promoting hygiene, illness prevention and family planning. Although the concept of having a stranger provide the care intended as a family member s duty was foreign to Chinese society, the nursing profession grew in the early and mid-1900s. In , however, the anti-intellectual Cultural Revolution halted nursing education (and many other forms of education) altogether. Though nursing education was revived in 1983, the lapse left by the Cultural Revolution left a 30 year gap in education, training, and development of the profession. Today, there are several different forms of nursing education. 93% of all nurses are trained in 3-year programs (following 9 years of primary and secondary schooling). These include diploma programs and a few associate degree programs. Those entering diploma programs are typically years old while those entering associate degree programs are typically 18 years old. Those in any 3-year program must take a licensing exam to become Registered Nurses (RN). However, the US recognizes a distinction in the degrees in that, if a Chinese nurse was to attempt to gain employment in the US, a nurse with a diploma would not be eligible to take the NCLEX (the US RN licensing exam) before further training, while a nurse with an associate degree would be eligible. An alternative route to an RN degree, reintroduced in 1983, is the 5-year baccalaureate program (also known as the Bachelor s degree program). In terms of curriculum, the RN degrees in China are similar to the RN degrees in the US. The biggest difference is that Chinese nurses are also trained in traditional Chinese medicine which emphasizes holistic care as a means of restoring balance and harmony between people and their surroundings.

3 In 1992, the first Masters of Science in Nursing program was introduced at Beijing Medical University. An even more recent development is the formation of Doctoral Programs in Nursing. In 2006, there were five doctoral programs, including one that was developed by Johns Hopkins in collaboration with Peking Union Medical College in Beijing. Though much progress has been made in the past decade with regards to advancing nursing education, China is still behind many other developed nations in terms of how many nurses there are with higher-level degrees. Degree Type: Number of Programs in China Percentage with the degree (China): Number of Programs in the US Percentage with the degree (US): Diploma Associate Degree Baccalaureate Masters of Science 30 < (All higher degrees) Doctoral 5 <1 103 Included in 13 Other (accelerated baccalaureate, postmasters, DNP) Accelerated Bac. included in Bac. (35). Post-MA and DNP included in higher degree (13) Total , Because the majority of nurses in China only hold diplomas or associate degrees, they are restricted in the types of care they can provide. Additionally, because so many nurses do not hold higher degrees in China, the profession as a whole is not seen as prestigious as it is seen in the US and this lack of higher education devalues the profession in China. While the advancement of nursing education is crucial to mitigating the nursing shortage, the problem is, in many respects, symptomatic of larger financing and organizational issues in the Chinese health care system. Hospitals are reluctant to hire nurses for a variety of reasons, one of which is that they view nurses as incapable of bringing in as much revenue as a physician due to their lack of training and professional prestige. Doctors are hired over nurses because they can prescribe expensive medications

4 and order expensive treatments. Hospitals need to generate revenue as the government cut back how much it funded hospitals and covered health insurance. In fact, in % of the urban population and 79% of the rural population had to pay for care totally out-of pocket. Also in 2006, 49.3% of health care expenses came from patients, 32.6% came from social health expenditure, and 18.1% came from the government. Though new reforms will increase coverage and government provision of care, Chinese hospitals still prefer to hire doctors over nurses. Because of this, there is rising nurse unemployment in China, specifically in urban areas. In 2004, the Ministry of Health predicted that there would be million vacancies to be filled in Chinese hospitals by It is obvious how few nurses are being employed when one compares the nurse-to-doctor and the nurse-to-bed ratio in China to that in the US. Nurse-to-Doctor Ratio Nurse-to-Bed Ratio China 1:1.38 US 4: Being that there are only.38 nurses per bed in the average Chinese hospital (and only.46 nurses per bed in the leading cancer institute we visited), nurses are severely overworked. Nurses are also severely underpaid by hospitals, making around $200/month in rural areas and up to $799/month in urban areas. A physician s salary in China is not much different from a nurse s salary but Chinese doctors can make extra money by receiving commissions from hospitals based on their prescription drug sales, cuts of the operations, and red envelope money from patients seeking better care. Nurses Salary (Dollars per Month) Doctor s Salary (Dollars per Month) China 200 (rural) -799 (urban) 300 (GP) -800 (specialist) US 3,666 (RN) 6,700 (Doctoral) 8,000 (non-specialist) 18,000 (surgeon) Additionally, some hospitals will even demote nurses to temporary status so as to avoid providing certain benefits or higher salaries. These problems not only dissuade many individuals from pursuing a career in nursing but also encourage nurses to leave the field and even the country. The Chinese government actually encourages nurses to seek international work; a stance that may alleviate nursing shortages in other countries such as the US but exacerbates the nursing shortage in China.

5 In its organization, the Chinese medical system also encourages nurses to seek work only in certain regions of the country; primarily, urban areas in Eastern China. In the 1980s, the Chinese government dismantled many of its rural people s communes and eliminated the rural cooperative medical system. The Ministry of Health began pooling the majority of its resources into large, urban hospitals: 80% of the funds were allocated to such hospitals even though 70% of the Chinese population lives in rural villages. Not only did this cause patients to bypass rural clinics in favor of urban hospitals, but it caused nurses (and physicians) to pool in Eastern China s cities because they had more developed economies than those in Western China. Rural Nursing Density Urban Nursing Density Percentage of Nurses Working in Eastern China Percentage of Nurses Working in Western China 5.5 RNs/10,000 individuals 18.8 RNs/10,000 individuals 75% 25% It is difficult to recruit physicians and nurses to rural areas because the lifestyle is less attractive, including the fact that nurses worry they will be paid even less in rural clinics. Because of this, there are ample nursing jobs in rural clinics and unemployment in cities. This skewed concentration of nurses in urban, Eastern hospitals leads to an enormous discrepancy in quality and quantity of care provided in rural populations. In 2009 the Chinese Government announced a plan for health care reform (New Rural Co-operative Medical Care System). The reforms are an attempt to alleviate many the problems mentioned previously and bring affordable health insurance to 90% of the population by In 2004, nursing was recognized by the Chinese government as being a highly valuable profession which required a high level of training. This came after the SARS epidemic in 2003 in which the International Committee of the Red Cross, recognized the bravery and the value of Chinese nurses. In 2005, the government proposed the Nursing Development Plan in China and on January 28, 2010, Premier Wen Jiabao signed the Nursing Act to increase nursing education, raise salaries, and lessen the patient load of most nurses. There is also a general effort to eliminate the diploma programs to encourage nurses to seek higher education. Other advocates for improvements in the nursing profession are unions and the Chinese Nursing Association (established in 1909). In China, each company has its own labor union so, for example, Fudan Hospital would have a labor union for all of its health care personnel. Because of this, each union can advocate for improved conditions in its own hospital but not for the nursing profession as a whole. The Chinese Nursing Association is an advocate for the advancement of the profession. One of its major goals is trying to get nurses more involved in research. The Association recently stated that it

6 hopes the newly improved health care system will incorporate nurses as part of the solution to inefficiencies in cost and operations. Many lessons have been drawn from China s experience As part of the current refocusing on primary care, new efforts by nursing education include training more nurses in community medicine (something they currently don t have much training in because the majority of their work is done in hospitals). The new rural health workers (potentially including nurses) would, as the barefoot doctors did, operate highly subsidized primary care and preventative medicine clinics in rural areas. Nurses will also play a role in the advancement of primary care, a highly emphasized component of the 2009 reforms.

Registered Nurse Survey 2012 Executive Summary

Registered Nurse Survey 2012 Executive Summary Wisconsin Registered Nurse Survey 2012 Executive Summary wicenterfornursing.org Wisconsin Center for Nursing Mary Ellen Murray, PhD, RN, School of Nursing University of Wisconsin-Madison Judith Westphal,

More information

Healthcare Workforce Challenges in Saudi Arabia (A Brief Overview)

Healthcare Workforce Challenges in Saudi Arabia (A Brief Overview) Healthcare Workforce Challenges in Saudi Arabia (A Brief Overview) Introduction The government of Saudi Arabia has given high priority to the development of health care services at all levels: primary,

More information

Regional Inequality in Healthcare in China

Regional Inequality in Healthcare in China Regional Inequality in Healthcare in China QIAN Jiwei* Regional inequality in healthcare in China is particularly wide. Since 2007, the central government has increased earmarked healthcare transfers to

More information

Iowa Legislative Fiscal Bureau. Iowa's Nursing Shortage. This Issue Review provides a comprehensive overview of the current nursing shortage in Iowa.

Iowa Legislative Fiscal Bureau. Iowa's Nursing Shortage. This Issue Review provides a comprehensive overview of the current nursing shortage in Iowa. Iowa Legislative Fiscal Bureau I S S U E R E V I E W Dennis Prouty State Capitol (515) 281-5279 Des Moines, IA 50319 FAX 281-8451 September 20, 2001 ISSUE Iowa's Nursing Shortage This Issue Review provides

More information

NURSES NEEDED SHORT-TERM RELIEF, ONGOING SHORTAGE. Results from the 2010 Nursing Workforce Survey

NURSES NEEDED SHORT-TERM RELIEF, ONGOING SHORTAGE. Results from the 2010 Nursing Workforce Survey NURSES NEEDED SHORT-TERM RELIEF, ONGOING SHORTAGE Results from the 2010 Nursing Workforce Survey JUNE 2010 IN COLLABORATION WITH WNYHA Western New York Healthcare Association Demand for nurses will continue

More information

NEW YORK S GROWING DEMAND

NEW YORK S GROWING DEMAND Nurses and Allied Health Professionals NEW YORK S GROWING DEMAND Results from the 2011 Health Care Professionals Workforce Survey JUNE 2011 Published by The 2011 Health Care Professionals Workforce Survey

More information

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas RN Shortages in Hospitals March 1999, Vol. 1, No. 2 Nurses comprise the largest sector of the healthcare workforce and the majority of nurses work in hospitals. Because of the prominence and importance

More information

Topic: Nursing Workforce Snapshot A Regional & Statewide Look

Topic: Nursing Workforce Snapshot A Regional & Statewide Look Topic: Nursing Workforce Snapshot A Regional & Statewide Look Nursing Workforce in Texas 184,467 registered nurses (2011) Median age of RN is 47 (2011) Gender 89% Female and 11% Male (2011) Race/Ethnicity

More information

Lesson 2: Health Professions

Lesson 2: Health Professions Glossary 1. Bachelor s Degree: a 4-year degree from a college or university 2. Certification: some jobs require you to complete a training program or pass an exam to show that you have the knowledge to

More information

A MANAGER S GUIDE: HOW BETTER NURSE TO PATIENT RATIOS CAN IMPROVE THE HEALTH OF YOUR PATIENTS & LOWER STAFFING COSTS.

A MANAGER S GUIDE: HOW BETTER NURSE TO PATIENT RATIOS CAN IMPROVE THE HEALTH OF YOUR PATIENTS & LOWER STAFFING COSTS. A MANAGER S GUIDE: HOW BETTER NURSE TO PATIENT RATIOS CAN IMPROVE THE HEALTH OF YOUR PATIENTS & LOWER STAFFING COSTS. RN-TO-PATIENT RATIOS & PATIENT SAFETY RN-to-Patient ratio is another key component

More information

ARIZONA STATE BOARD OF NURSING EMPLOYMENT OF NEWLY LICENSED RN S 2012

ARIZONA STATE BOARD OF NURSING EMPLOYMENT OF NEWLY LICENSED RN S 2012 ARIZONA STATE BOARD OF NURSING EMPLOYMENT OF NEWLY LICENSED RN S 12 Pamela K. Randolph RN, MS Associate Director Education and Evidence Based Regulation Background In 1 the Arizona State Board of Nursing

More information

Medical Device Reimbursement In China

Medical Device Reimbursement In China Medical Device Reimbursement In China Reimbursement has long been an issue of major concern to U.S. pharmaceutical manufacturers trying to sell their products in China. Recent developments have made the

More information

UI College of Nursing. The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa. Geriatric Nursing. Nursing

UI College of Nursing. The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa. Geriatric Nursing. Nursing The Need for Nurses Prepared to Address Care Needs of Older Adults in Iowa UI College of Nursing #1 in Gerontological nursing in the country! Janet Specht, PhD, RN, FAAN, FGSA Professor and Director John

More information

DIVERSIFIED LEADER IN HEALTHCARE STAFFING & OUTSOURCING

DIVERSIFIED LEADER IN HEALTHCARE STAFFING & OUTSOURCING DIVERSIFIED LEADER IN HEALTHCARE STAFFING & OUTSOURCING NURSE & ALLIED STAFFING PHYSICIAN STAFFING CLINICAL TRIALS SERVICES EDUCATION & RETAINED SEARCH February 2009 This presentation contains forward-looking

More information

Regulatory and Legislative Action Since the September 2010 Membership Meeting:

Regulatory and Legislative Action Since the September 2010 Membership Meeting: MEMBERSHIP MEETING January 19, 2011 Delivery System Reform: Healthcare Workforce Issue: The passage of health reform will bring millions of newly insured individuals into the system and drive patients

More information

Health Reform and the AAP: What the New Law Means for Children and Pediatricians

Health Reform and the AAP: What the New Law Means for Children and Pediatricians Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for

More information

China s Social Medical Insurance System Needs the Support of a Sound Medical Service System

China s Social Medical Insurance System Needs the Support of a Sound Medical Service System Network of Asia-Pacific Schools and Institutes of Public Administration and Governance (NAPSIPAG) Annual Conference 2005 BEIJING, PRC, 5-7 DECEMBER 2005 THEME: THE ROLE OF PUBLIC ADMINISTRATION IN BUILDING

More information

The ABC'S Of Immigration: Visa Options for Nurses, Part 2: Immigrant Visa Options for Nurses

The ABC'S Of Immigration: Visa Options for Nurses, Part 2: Immigrant Visa Options for Nurses The ABC'S Of Immigration: Visa Options for Nurses, Part 2: Immigrant Visa Options for Nurses by Gregory Siskind The immigrant visa is normally the only option for nurses because most of the nonimmigrant

More information

Changes in the Nursing Career Ladder

Changes in the Nursing Career Ladder Emerging Career Pathways in the New York City Healthcare Workforce: Changes in the Nursing Career Ladder The City University of New York Office of the University Dean for Health and Human Services William

More information

Tri-Council for Nursing

Tri-Council for Nursing For Immediate Release Tri-Council for Nursing Issues New Consensus Policy Statement on the Educational Advancement of Registered Nurses WASHINGTON, D.C., May 14, 2010 In light of the recent passage of

More information

South Carolina Nurse Supply and Demand Models 2008 2028 Technical Report

South Carolina Nurse Supply and Demand Models 2008 2028 Technical Report South Carolina Nurse Supply and Demand Models 2008 2028 Technical Report Overview This document provides detailed information on the projection models used to estimate the supply of and demand for Registered

More information

Washington Nursing Education at a Glance, Fall 2014

Washington Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Healthcare in rural China

Healthcare in rural China Student Research Projects/Outputs No.045 Healthcare in rural China Anna Malet MBA 2010 China Europe International Business School 699, Hong feng Road Pudong, Shanghai People s Republic of China Healthcare

More information

China s 12th Five-Year Plan: Healthcare sector

China s 12th Five-Year Plan: Healthcare sector China s 12th Five-Year Plan: Healthcare sector May 2011 KPMG CHINA One of the guiding principles of the 12th Five-Year Plan (5YP) is inclusive growth : helping ensure that the benefits of the country s

More information

Organization of the health care system and the recent/evolving human resource agenda in Canada

Organization of the health care system and the recent/evolving human resource agenda in Canada Organization of the health care system and the recent/evolving human resource agenda in Canada 1. Organization - the structural provision of health care. Canada has a predominantly publicly financed health

More information

Kansas Dental Project Joint Venture

Kansas Dental Project Joint Venture Kansas Dental Project Joint Venture Purpose In 2009, the W.K. Kellogg Foundation launched a national initiative to expand access to oral health care through innovative and community-driven solutions to

More information

Yuanli Liu Harvard School of Public Health Philadelphia, July 20, 2005

Yuanli Liu Harvard School of Public Health Philadelphia, July 20, 2005 Liu s China Related Work Yuanli Liu Harvard School of Public Health Philadelphia, July 20, 2005 Overview of the Presentation On-going projects HSPH China Initiative Influencing policy: an example 2 Liu

More information

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office

SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE. Prepared by National Policy Office SUBMISSION TO THE SENATE INQUIRY INTO OUT-OF- POCKET COSTS IN AUSTRALIAN HEALTHCARE Prepared by National Policy Office May 2014 COTA Australia Authorised by: Ian Yates AM Chief Executive iyates@cota.org.au

More information

U.S. HEALTHCARE REFORM

U.S. HEALTHCARE REFORM U.S. HEALTHCARE REFORM It s Impact on the Future Talent & Recruiting Needs of Healthcare Providers September 18, 2012 1 PANEL DISCUSSION FACILITATOR Carl Kutsmode Partner at talentrise Talent Acquisition

More information

The Indian Healthcare Industry. DIBD India 25. 9. 12

The Indian Healthcare Industry. DIBD India 25. 9. 12 The Indian Healthcare Industry DIBD India 25. 9. 12 Introduction to the Healthcare Industry Current Market Overview Survey of The Indian Hospital Sector Opportunities Current Market Overview Big Market,

More information

December, 2009. Salary, Education, Benefits, and Job Descriptions of Nurses, Teachers, and Social Workers: A Comparative Analysis

December, 2009. Salary, Education, Benefits, and Job Descriptions of Nurses, Teachers, and Social Workers: A Comparative Analysis December, 2009 Salary, Education, Benefits, and Job Descriptions of Nurses, Teachers, and Social Workers: A Comparative Analysis Contents Introduction 3 Problem Statement 3 Social Work within the Texas

More information

Nursing Leadership, Nursing Education, and Patient Outcomes

Nursing Leadership, Nursing Education, and Patient Outcomes Nursing Leadership, Nursing Education, and Patient Outcomes Linda H. Aiken www.nursing.upenn.edu/chopr IOM Report: Future of Nursing IOM Report legitimizes many of nursing s long standing action priorities.

More information

PHYSICIAN RECRUITMENT STRATEGY

PHYSICIAN RECRUITMENT STRATEGY PHYSICIAN RECRUITMENT STRATEGY Introduction Physicians play a vital role in health care. Working along side other health care professionals, they diagnose illnesses, prescribe medication and treatments,

More information

Estimating Future RN Supply and Demand in South Carolina: 2008-2028

Estimating Future RN Supply and Demand in South Carolina: 2008-2028 Policy Brief June 2014 Estimating Future RN Supply and Demand in South Carolina: 2008-2028 Nursing shortages disrupt the timely delivery of health care and jeopardize the safety of hospital patients. Being

More information

Subcommittee on Labor, Health and Human Services, Education and Related Agencies Committee on Appropriations United States House of Representatives

Subcommittee on Labor, Health and Human Services, Education and Related Agencies Committee on Appropriations United States House of Representatives Testimony of the American Nurses Association Regarding Fiscal Year 2015 Appropriations for the Title VIII Nursing Workforce Development Programs and Nurse-Managed Health Clinics Subcommittee on Labor,

More information

Executive Summary. Overview

Executive Summary. Overview Executive Summary Overview The proposed Doctor of Nursing Practice (DNP) Consortium at the University of North Carolina at Charlotte (UNCC) and Western Carolina University (WCU) is a practice doctorate

More information

Staffing Solutions that work for everyone. ADEX Medical Staffing LLC 8 West 40th Street, 12 Floor, New York NY 10018 USA. www.adexmedicalstaffing.

Staffing Solutions that work for everyone. ADEX Medical Staffing LLC 8 West 40th Street, 12 Floor, New York NY 10018 USA. www.adexmedicalstaffing. Staffing Solutions that work for everyone ADEX Medical Staffing LLC 8 West 40th Street, 12 Floor, New York NY 10018 USA Our Mission To empower and enable qualified international nurses to emigrate to the

More information

NURSING N NURSE LICENSEES AND NURSING EDUCATION IN

NURSING N NURSE LICENSEES AND NURSING EDUCATION IN NURSING N NURSE LICENSEES AND NURSING EDUCATION IN T R E D S I O W A RELEASED JULY 215 A publication of: A Publication of: MISSION STATEMENT The Iowa Center for Nursing Workforce exists to support a dynamic,

More information

Virginia Nursing Education at a Glance, Fall 2014

Virginia Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Midwifery Education Trends Report 2013 Currently, there is a national shortage of providers of primary and reproductive health care

Midwifery Education Trends Report 2013 Currently, there is a national shortage of providers of primary and reproductive health care Midwifery Education Trends Report 2013 Currently, there is a national shortage of providers of primary and reproductive health care for women. Certified nurse-midwives and certified midwives (CNMs/CMs)

More information

Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education

Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education Statement on the Redirection of Nursing Education Medicare Funds to Graduate Nurse Education To the National Bipartisan Commission on the Future of Medicare Graduate Medical Education Study Group (January

More information

Texas. Map the Impact of Immigration Across the Nation 4,225,816 16.5% 45.7% Mexico, El Salvador, India. 1. Introduction

Texas. Map the Impact of Immigration Across the Nation 4,225,816 16.5% 45.7% Mexico, El Salvador, India. 1. Introduction Page 1 of 6 Map the Impact of Immigration Across the Nation HOME (/) TAKE ACTION ABOUT (/ABOUT/) SECTIONS Texas 1. Introduction INTRODUCTION In 2011, according to analysis by the Pew Hispanic Center, more

More information

ISSUE PAPER. Eighth in a series of Issue Papers released at the request of Chairman Charles Miller to inform the work of the Commission

ISSUE PAPER. Eighth in a series of Issue Papers released at the request of Chairman Charles Miller to inform the work of the Commission A NATIONAL DIALOGUE: The Secretary of Education s Commission on the Future of Higher Education ISSUE PAPER Eighth in a series of Issue Papers released at the request of Chairman Charles Miller to inform

More information

A CHANGING, GROWING HEALTH CARE SECTOR

A CHANGING, GROWING HEALTH CARE SECTOR A CHANGING, GROWING HEALTH CARE SECTOR Demand Continues for More Nurses and Allied Health Care Professionals 2012 Nursing and Allied Health Care Professionals Workforce Survey Report The 2012 Nursing and

More information

Testimony of Patsy L. Ruchala, DNSc, RN before the Nevada State Legislative Committee on Health Care January 10, 2006

Testimony of Patsy L. Ruchala, DNSc, RN before the Nevada State Legislative Committee on Health Care January 10, 2006 Exhibit L Testimony of Patsy L. Ruchala, DNSc, RN before the Nevada State Legislative Committee on Health Care January 10, 2006 Mr. Chairman, members of the Committee, for the record I am Patsy Ruchala,

More information

The Rewards of Nursing (DRAFT) Speech Appropriate for Middle and High School Students

The Rewards of Nursing (DRAFT) Speech Appropriate for Middle and High School Students The Rewards of Nursing (DRAFT) Speech Appropriate for Middle and High School Students This speech represents most of what you will want to tell an audience. It can be used in its entirety (full classroom

More information

China new healthcare reform 2020

China new healthcare reform 2020 Financial institutions Energy Infrastructure, mining and commodities Transport Technology and innovation Life sciences and healthcare China new healthcare reform 2020 Ten things to know Norton Rose Fulbright

More information

Advanced Nursing Practice Development in Mainland China. Dr. Hu Yan School of Nursing, Fudan University

Advanced Nursing Practice Development in Mainland China. Dr. Hu Yan School of Nursing, Fudan University Advanced Nursing Practice Development in Mainland China Dr. Hu Yan School of Nursing, Fudan University Outline: 1. Nursing Education System 2. Progress of Nursing Research 3. Nursing Care Delivery System

More information

Missouri s Nursing Workforce- 2014

Missouri s Nursing Workforce- 2014 Missouri Department of Health and Senior Services Office of Primary Care and Rural Health 912 Wildwood Dr. Jefferson City, MO 6512 Ph: 573-751-6219 Email: OPCRHInfo@health.mo.gov http://health.mo.gov Missouri

More information

2015 Survey of Health Care Employers in Arizona: Home Health Agencies

2015 Survey of Health Care Employers in Arizona: Home Health Agencies 2015 Survey of Health Care Employers in Arizona: Home Health Agencies Conducted for St. Luke s Health Initiatives by the UCSF Philip R. Lee Institute for Health Policy Studies Please contact Lela Chu for

More information

The Magnificent Journey to Nursing Excellence at Sharp Grossmont

The Magnificent Journey to Nursing Excellence at Sharp Grossmont The Magnificent Journey to Nursing Excellence at Sharp Grossmont Grossmont College Future of Nursing / Strategic Partnership Dale E. Beatty, RN, MSN, NEA-BC CNO Sharp Grossmont Hospital Future of Nursing

More information

Key Provisions Related to Nursing Nursing Workforce Development

Key Provisions Related to Nursing Nursing Workforce Development Key Provisions Related to Nursing The newly released House bill, the Affordable Health Care for America Act (HR 3962), clearly represents a movement toward much-needed, comprehensive and meaningful reform

More information

Patty Iron Cloud National Native American Youth Initiative Meeting June 20, 2011

Patty Iron Cloud National Native American Youth Initiative Meeting June 20, 2011 Patty Iron Cloud National Native American Youth Initiative Meeting June 20, 2011 Indian Health Service Overview by Yvette Roubideaux, M.D., M.P.H. Director, Indian Health Service (The Patty Iron Cloud

More information

North Dakota Nursing Needs Study

North Dakota Nursing Needs Study North Dakota Nursing Needs Study Faculty Survey Results Center for Rural Health North Dakota Center for Health Workforce Data June 2003 Patricia Moulton, Ph.D. Seth Christman Holly Dannewitz, B.A. Mary

More information

Baby Boomer Workforce Cliff

Baby Boomer Workforce Cliff Baby Boomer Workforce Cliff Impact on Your Nursing Workforce and Steps You Can Take Now to Minimize i i the Shortage Baby Boomer Workforce Cliff Impact On Your Nursing Workforce and Steps You Can Take

More information

ADVERTISING AND PUBLIC RELATIONS IN CHINA. Ying Fan

ADVERTISING AND PUBLIC RELATIONS IN CHINA. Ying Fan ADVERTISING AND PUBLIC RELATIONS IN CHINA Ying Fan Published as a part of Chapter 12 Communicating with 1.3 billion people in China, Handbook of Corporate Communication and Public Relations: Pure and Applied

More information

Alabama Nursing Education at a Glance, Fall 2014

Alabama Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

What can China learn from Hungarian healthcare reform?

What can China learn from Hungarian healthcare reform? Student Research Projects/Outputs No.031 What can China learn from Hungarian healthcare reform? Stephanie XU MBA 2009 China Europe International Business School 699, Hong Feng Road Pudong, Shanghai People

More information

Each year, millions of Californians pursue degrees and certificates or enroll in courses

Each year, millions of Californians pursue degrees and certificates or enroll in courses Higher Education Each year, millions of Californians pursue degrees and certificates or enroll in courses to improve their knowledge and skills at the state s higher education institutions. More are connected

More information

The NLN s 2015-2016 Public Policy Agenda:

The NLN s 2015-2016 Public Policy Agenda: Dedicated to excellence in nursing and preparing the nursing workforce to meet the health care needs of our diverse populations, the National League for Nursing is the premier organization for nurse faculty

More information

TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE

TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE TREND WHITE PAPER LOCUM TENENS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS: A GROWING ROLE IN A CHANGING WORKFORCE The Leader in Locum Tenens Staffing INTRODUCTION Today s Mobile Healthcare Work Force

More information

Progress Report. Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE

Progress Report. Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE Progress Report Program Evaluation Unit Legislative Finance Committee Date: August 21, 2015 Adequacy of New Mexico s Healthcare Workforce Systems AT A GLANCE With the full implementation of the Affordable

More information

Massachusetts Nursing Education at a Glance, Fall 2014

Massachusetts Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Same income, different year?

Same income, different year? Nursing Management (Springhouse) 2005 by Lippincott Williams & Wilkins, Inc. Volume 36(7), July 2005, pp 18-27 Salary Survey 2005; Hader, Richard RN, CNA, CHE, CPHQ, PhD ABOUT THE AUTHOR In addition to

More information

To help transform our health care system and improve

To help transform our health care system and improve INVITED COMMENTARY The RIBN Initiative: A New Effort to Increase the Number of Baccalaureate Nurses in North Carolina Polly Johnson To meet the increasing demand for a more educated nursing workforce,

More information

THE GROWING USE OF LOCUM TENENS DENTISTS

THE GROWING USE OF LOCUM TENENS DENTISTS TREND WHITE PAPER THE GROWING USE OF LOCUM TENENS DENTISTS WE VE EARNED THE JOINT COMMISSION S GOLD SEAL OF APPROVAL The Leader in Locum Tenens Staffing IN THIS WHITE PAPER INTRODUCTION BACKGROUND: PHYSICIANS

More information

E-Learning to Ease the Nursing Shortage: A New Model for Transitioning Licensed Vocational Nurses (LVNs) to Registered Nurses (RNs)

E-Learning to Ease the Nursing Shortage: A New Model for Transitioning Licensed Vocational Nurses (LVNs) to Registered Nurses (RNs) E-Learning to Ease the Nursing Shortage: A New Model for Transitioning Licensed Vocational Nurses (LVNs) to Registered Nurses (RNs) Dr. Carol Diminnie Professor of Management Sciences Angelo State University,

More information

2013 Survey of registered nurses

2013 Survey of registered nurses We ve earned The Joint Commission s Gold Seal of Approval 2013 Survey of registered nurses Generation Gap Grows as Healthcare Transforms AMN Healthcare, Inc., 2013 12400 High Bluff Drive, San Diego, CA

More information

Opportunities in the China Healthcare Sector. December 2008

Opportunities in the China Healthcare Sector. December 2008 Opportunities in the China Healthcare Sector December 28 Opportunities in the China Healthcare Sector Executive Summary China s healthcare sector is rapidly developing Total Health expenditure in China

More information

Pricing Private Health Insurance Products in China. Chen Tao

Pricing Private Health Insurance Products in China. Chen Tao Pricing Private Health Insurance Products in China Chen Tao Abstract In this paper an overview of how to price private health insurance products in China is given. In the beginning the Chinese private

More information

Nursing Education Programs in Pennsylvania Data from 2012 Nursing Education Program Annual Reports

Nursing Education Programs in Pennsylvania Data from 2012 Nursing Education Program Annual Reports Nursing Education Programs in Pennsylvania Data from 2012 Nursing Education Program Annual Reports Bureau of Health Planning Division of Plan Development Volume 11, January 2014 TABLE OF CONTENTS List

More information

Development of Public Private Partnerships (PPPs) in China

Development of Public Private Partnerships (PPPs) in China Development of Public Private Partnerships (PPPs) in China Dr Paul H K Ho Chairman, Quantity Surveying Division The Hong Kong Institute of Surveyors Associate Head, Division of Building Science and Technology

More information

Medical Staff Motivation - Essential Condition for Obtaining a High Level of Performance in Hospitals in Romania

Medical Staff Motivation - Essential Condition for Obtaining a High Level of Performance in Hospitals in Romania Medical Staff Motivation - Essential Condition for Obtaining a High Level of Performance in Hospitals in Romania Adriana ZANFIR PhD Student The Bucharest Academy of Economic Studies zanfir.adriana@gmail.com

More information

The Case for Urgency in Addressing Staff Retention

The Case for Urgency in Addressing Staff Retention Missouri s s LTC Workforce: The Case for Urgency in Addressing Staff Retention Matt Younger, M.S., LNHA Administrator, Section for Long-Term Care Regulation Missouri i Dept. of Health and Senior Services

More information

GAO NURSING WORKFORCE. Multiple Factors Create Nurse Recruitment and Retention Problems. Testimony

GAO NURSING WORKFORCE. Multiple Factors Create Nurse Recruitment and Retention Problems. Testimony GAO For Release on Delivery Expected at 10:00 a.m. Wednesday, June 27, 2001 United States General Accounting Office Testimony Before the Subcommittee on Oversight of Government Management, Restructuring

More information

Nursing. Nunavut. Recruitment and Retention Strategy 2007 2012 NUNAVUT NURSES BE THE DIFFERENCE

Nursing. Nunavut. Recruitment and Retention Strategy 2007 2012 NUNAVUT NURSES BE THE DIFFERENCE Government of Nunavut Department of Health and Social Services Nunavut Nursing Recruitment and Retention Strategy 2007 2012 NUNAVUT NURSES BE THE DIFFERENCE Nunavut Nursing Recruitment and Retention Strategy

More information

Health-care Provision and Health-care Reform in Post-Mao China

Health-care Provision and Health-care Reform in Post-Mao China April 3, 2014 Health-care Provision and Health-care Reform in Post-Mao China Prepared statement by Yanzhong Huang Senior Fellow for Global Health, Council on Foreign Relations; Associate Professor and

More information

2010/2011 Pulse of Pennsylvania s Registered Nurse Workforce. Bureau of Health Planning Division of Plan Development

2010/2011 Pulse of Pennsylvania s Registered Nurse Workforce. Bureau of Health Planning Division of Plan Development 2010/2011 Pulse of Pennsylvania s Registered Nurse Workforce Bureau of Health Planning Division of Plan Development A Report on the 2010/2011 Survey of Registered Nurses Volume 5, January 2013 TABLE OF

More information

The Ohio State University. College of Nursing

The Ohio State University. College of Nursing The Ohio State University College of Nursing Facts about nursing Approximately 3 million RNs currently licensed; 2.4 million employed in nursing Age: overall average 46.8; RNs with doctorates average 55.4

More information

GRADUATE PROGRAMS. DNP Doctor of Nursing Practice

GRADUATE PROGRAMS. DNP Doctor of Nursing Practice GRADUATE PROGRAMS DNP Doctor of Nursing Practice Doctor of Nursing Practice the right program, at the right time P ut yourself at the forefront of healthcare reform. Graduates of the DNP program are prepared

More information

Nursing Education Programs in Pennsylvania

Nursing Education Programs in Pennsylvania Nursing Education Programs in Pennsylvania Data from 2010 Nursing Education Program Annual Reports BUREAU OF HEALTH PLANNING Pennsylvania Nursing Education Programs 1 April 2012 Volume 9 April 2012 TABLE

More information

Nursing Education Programs in Pennsylvania

Nursing Education Programs in Pennsylvania Nursing Education Programs in Pennsylvania Data from 2011 Nursing Education Program Annual Reports Bureau of Health Planning Division of Plan Development Volume 10 December 2012 Pennsylvania Nursing Education

More information

California s Other Healthcare Crisis The Clinical Laboratory Workforce Shortage

California s Other Healthcare Crisis The Clinical Laboratory Workforce Shortage Healthcare Laboratory Workforce Initiative California s Other Healthcare Crisis The Clinical Laboratory Workforce Shortage California s healthcare system faces many serious threats dramatic cuts to Medicare

More information

2011 Hospitalist Locum Tenens Survey

2011 Hospitalist Locum Tenens Survey 2011 Hospitalist Locum Tenens Survey Introduction The past two decades have seen explosive growth in Hospital Medicine. A majority of US hospitals now have hospital medicine programs and the number of

More information

New Hampshire Nursing Education at a Glance, Fall 2014

New Hampshire Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Chapter 6 Economic Growth

Chapter 6 Economic Growth Chapter 6 Economic Growth 1 The Basics of Economic Growth 1) The best definition for economic growth is A) a sustained expansion of production possibilities measured as the increase in real GDP over a

More information

Arizona Nursing Education at a Glance, Fall 2014

Arizona Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Lessons for Primary Care Workforce Development: Growing the PA Profession Around the World

Lessons for Primary Care Workforce Development: Growing the PA Profession Around the World Lessons for Primary Care Workforce Development: Growing the PA Profession Around the World Ruth Ballweg MPA, PA-C Professor and Senior Advisor February 2015 Learning objectives At the end of this activity

More information

Michigan Nursing Education at a Glance, Fall 2014

Michigan Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Getting Ahead by Growing Your Own

Getting Ahead by Growing Your Own ABOUT THE PROJECT The Pioneer Employer Initiative is based on the idea that employers who do good, do well. It is an effort to discover and promote the next generation of best practices in workforce management,

More information

ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY

ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY NOVEMBER 2008 ACCESS TO CARE IN CRISIS: PHYSICIANS IN SHORT SUPPLY HANYS 2008 PHYSICIAN WORKFORCE SURVEY

More information

Ashland University Dwight Schar College of Nursing Case for Support

Ashland University Dwight Schar College of Nursing Case for Support Ashland University Dwight Schar College of Nursing Case for Support History Established in 1919 by Mansfield General Hospital as a hospital-based diploma program, the Mansfield General Hospital School

More information

Executive Summary. Introduction

Executive Summary. Introduction Eecutive Summary Introduction Nurses often are referred to as the backbone of health care in the United States. They are frequently the most visible practitioners in a hospital, school, home, or long-term

More information

[ chapter one ] E x ecu t i v e Summ a ry

[ chapter one ] E x ecu t i v e Summ a ry [ Chapter One ] Execu tive Summ a ry [ Executive Summary ] Texas faces an impending crisis regarding the health of its population, which will profoundly influence the state s competitive position nationally

More information

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION PRIVATE MEDICAL PRACTITIONERS ASSOCIATION AN INTRODUCTION AND HISTORY A non governmental representative body. Representative body of millions of experienced doctors. Giving their services in deep rural

More information

Workforce Development Programs

Workforce Development Programs Nurses provide extraordinary care. They re the front lines of the healthcare system. ~ President Barack Obama White House Health Care Summit March 5, 2009 Nursing Workforce Development Programs Title VIII

More information

The Emergency Care Workforce in the U.S. August 2006

The Emergency Care Workforce in the U.S. August 2006 The Emergency Care Workforce in the U.S. August 2006 Prepared by the Center for Health Workforce Studies by Sandra McGinnis Jean Moore David Armstrong EXECUTIVE SUMMARY Emergency care systems in the United

More information

Senate Finance Committee. Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs.

Senate Finance Committee. Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs. Senate Finance Committee Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs May 15, 2009 Comments Presented on Behalf of the American Association

More information

MICHIGAN NURSE (RN) PROFESSIONAL LICENSING GUIDE

MICHIGAN NURSE (RN) PROFESSIONAL LICENSING GUIDE MICHIGAN NURSE (RN) PROFESSIONAL LICENSING GUIDE 1. How the Profession Is Organized in Michigan 2. Eligibility for Licensing 3. Tests 4. Time and Costs 5. Other Careers and Credentials 6. Beyond Licensing

More information

Medicare Supplemental Insurance (Medigap)

Medicare Supplemental Insurance (Medigap) Medicare Supplemental Insurance (Medigap) All Medigap s A through N The available supplemental insurance plans that are offered are lettered plans A-N. Each plan offers a different benefits package and

More information