a federal update on title viii nursing workforce development programs the ties that bind: creating...
TRANSCRIPT
A Federal Update on Title VIIINursing Workforce Development
Programs
The Ties That Bind: Creating Partnerships and Collaboratives – Education, Practice, Interprofessional/Interdisciplinary
Southern Regional Education BoardCouncil on Collegiate Education for Nursing
November 11, 2012
Julie Sochalski, Director, Division of NursingU.S. Department of Health and Human ServicesHealth Resources and Services Administration
Bureau of Health Professions
Mission:
To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.
Health Resources and Services Administration (HRSA),
U.S. Department of Health & Human Services
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Ensure the health workforce is trained to provide high quality care that is culturally and linguistically appropriate.
Increase the number of practicing health care providers to address shortages, and develop ongoing strategies to monitor, forecast and meet long-term health workforce needs.
Align the composition and distribution of health care providers to best meet the needs of individuals, families and communities.
Ensure a diverse health workforce.
Support the development of interdisciplinary health teams to improve the efficiency and effectiveness of care.
Goal II of HRSA’s Strategic PlanStrengthen the Health Workforce
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Mission:
Increase the population’s access to health care by providing national leadership in the development, distribution and retention of a diverse, culturally competent health workforce that can adapt to the
population’s changing health care needs and provide the highest quality of care for all.
Bureau of Health Professions, HRSA
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Division of NursingBureau of Health Professions, HRSA
Mission:
Provide leadership on policies and program initiatives that will promote the supply, skills and distribution of
qualified nursing personnel needed to improve the health of the public.
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Goals: Enhance the composition, skills and distribution of
the nursing workforce Ensure program accountability through focused
performance and outcomes assessment Increase diversity and cultural competence of the
nursing workforce Promote effective communication with the public
and stakeholders on nursing workforce development
Division of NursingBureau of Health Professions, HRSA
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History of Title VIII of thePublic Health Services (PHS) Act
1963-Surgeon General’s report , Toward Quality in Nursing, Needs and Goals1
Nurse Training Act (NTA) of 1964 (P.L. 88-581)Established Title VIII of the PHS Act, first comprehensive federal support for programs to develop the nursing workforce
On signing the act, President Johnson noted that the Nurse Training Act of 1964 was the most significant nursing legislation in the history of the country.2
1 Department of Health, Education, and Welfare, “Toward Quality in Nursing, Needs and Goals.” Report of the Surgeon General’s Consultant Group on Nursing, Feb. 1963.
2 Lyndon B. Johnson: "Remarks Upon Signing the Nurse Training Act of 1964.," September 4, 1964. Online by Gerhard Peters and John T. Woolley, The American Presidency Project. http://www.presidency.ucsb.edu/ws/?pid=26484.
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Nursing Education and Practice Improvement Act of 1998Amended by the Nurse Reinvestment Act of 2002 Amended by the Patient Protection and Affordable Care Act of 2010
Title VIII authorizes grants to institutions, and scholarships and loans to individuals, for basic and advanced levels of nursing education and grants to institutions and health facilities to support nursing practice and retention.
History of Title VIII (cont’d):
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Title VIIIPrograms
Section 811ANE Section 821
NW
D
Sectio
n 831
NEPQR
Section 846NELRP/NSP
Section 846a
NFLP
Sectio
n 855
CGEP
Supports Enhancement of Advanced Nursing Education
and Practice
Increases Access to
Nursing Education for
Disadvantaged Students
Strengthens N
ursing
Education, Practice, Quality
and Retention
Financial Supportfor Current Studentsand New Graduates
Increases the Number of
Qualified NursingFaculty
Enhances Geriatric
Care to the Elderly
GeriatricCare
Advanced Nursing Education
WorkforceDiversity
NursingFaculty
Increasing the Pipeline of Nurses
Recruitment and Retention
Title VIII Nursing Workforce Development Fiscal Year (FY) 2012 Funding
$63,925,000Advanced Nursing EducationAdvanced Education and Nurse Anesthetist Traineeships.
$39,578,000
Nurse Education, Practice, Quality & Retention ProgramFaculty Development--Integrated Technology into Nursing Ed. & PracticeNursing Assistant and Home Health Aide ProgramCoordinating Center-Interprofessional Education & Collaborative Practice
$15,979,000 Nursing Workforce Diversity
$83,135,000Nurse Scholarship ProgramNursing Education Loan Repayment Program
$24,801,000 Nurse Faculty Loan Program
$4,530,000 Comprehensive Geriatric Education Program
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HRSA Strategic Priorities and Division of Nursing
• Primary care• Interprofessional education and
practice• Innovative practice models• Health care technology• Care coordination• Workforce diversity• Population health and preventive care• Community-based training • Veterans health and health careers
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Patient Protection and Affordable Care Act of 2010
Programs and Policies
• Increased funding for health professions training
• Expanded National Health Service Corps and community health centers
• Supported service delivery innovations and new models of care
• Established Centers for Medicare & Medicaid Services Innovations Center
• Established National Center for Health Workforce Analysis
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National Center for Health Workforce Analysis
• Build on existing sources of data including from professional associations, states, and federal agencies
• Strengthen national and state capacity for data collection and analysis including within professional associations and states
• Develop and promote a national uniform minimum data set
• Support research to better understand current and future workforce needs and dynamics
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Key National Health Workforce Questions
1. Will there be enough nurses, physicians, and other health care providers to ensure access?
2. What can/should be done to increase the supply, skills and distribution of the health care workforce?
3. How can we make full use of all health care workers?
4. How can we improve the efficiency and effectiveness of health care service delivery?
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Drivers of Future Demands for Services
Population growth: U.S. population to grow by around 30 million in next decade1
Medical advances and successes Increased incidence of chronic diseases Insurance coverage expansion
1 U.S. Census Bureau “Projections of the Population and Components of Change for the United States: 2010 to 2050” (http://www.census.gov/population/www/projections/summarytables.html,accessed August 10, 2012).
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Recent Trends and Implicationsfor Future Workforce Development
• Cost pressures and shortages will encourage innovation and systems redesign
• Primary care will broaden its focus to integrate oral health, behavioral-mental health and population-focused care
• Role of technology/HIT will continue to grow
• Strong incentives to make better use of current workforce and allow health personnel to work at top of their license
• Workforce diversity is becoming pathway to improve access and reduce health disparities
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Contact Information
Julie Sochalski, PhD, RN, FAANDirector, Division of NursingU.S. Department of Health and Human ServicesHealth Resources and Services AdministrationBureau of Health [email protected]
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