Pre-Review Orientation Webinar forNursing Workforce Diversity (NWD) Program

Department of Health and Human ServicesHealth Resources and Services Administration (HRSA)

Bureau of Health ProfessionsDivision of Nursing

Shanita Williams, PhD, MPH, APRNKristen Hansen, MHSA, RN, NE-BC

Nursing Practice and Workforce Development Branch

NWD Funding Opportunity Announcement (FOA) Overview

• Purpose and Program goals

• Legislation

• Eligibility

• Background 2013 FOA

• Reviewer overview

• Review criteria and funding preference

• Required documents

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Purpose of NWD

• To increase access to health care by supporting

innovative educational pipeline programs

• Achieve a diverse and culturally aligned workforce

• To identify and develop workforce strategies that

incorporate social determinants of health to facilitate

recruitment and retention of disadvantaged groups and

racial and ethnic minorities

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Goals of NWD

• Increase nurse education opportunities for individuals from disadvantaged backgrounds through student stipends, scholarships, and opportunities for mentorship

• Achieve a culturally-aligned and competent workforce that is reflective of the populations served

• Encourage innovative pipeline programs that recruit, retain, graduate, and support progression through registered nursing programs

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Legislation

Title VIII Section 821 of the Public Health Service Act; 42 U.S.C. 296m, as amended by the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148

Legislative Intent

Create and expand nursing education opportunities for those from disadvantaged backgrounds and ethnic minorities and underrepresented groups to become registered nurses

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NWD Eligibility

• Accredited schools of nursing• Nursing Centers• Academic health centers• State or local governments• Faith-based and community-based organizations• Tribes and Tribal Organizations• Other private or public entities determined

appropriate by the Secretary

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The Nursing in 3D Summit

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Transformation from Health Disparities to Health Equity

Nursing Workforce Diversity promotes the adequate supply and distribution of well-prepared nurses to ensure access to high quality, safe, and efficient care for the nation.-Health Resources and Services Administration

 

Health Disparities are differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups.-National Institutes of Health

 

Definitions

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Health Equity is attainment of the highest level of wellness for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and health disparities. -Healthy People 2020

Social Determinants of Health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are influenced by policy choices. The social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries.

-World Health Organization

 

Definitions (cont.)

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NWD Resources

• Nursing in 3D Summit Recordings-http://bhpr.hrsa.gov/nursing/summit.html

• Frequently Asked Questions for the NWD FY2013 FOA- http://bhpr.hrsa.gov/nursing/technicalassistance.html

• Division of Nursing Website- http://bhpr.hrsa.gov/nursing/index.html

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NWD Review Objectives

• Establish a clear understanding of the basis of application ratings

• Produce succinct, well-focused critiques that evaluate, rather than describe, applications

• Use of the entire rating scale

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NWD Reviewer Focus

• Address all applicable criteria and other review

considerations

• Identify strengths and weaknesses

• Assign scores to each of the six “core” criteria

• Assign an overall impact/priority score

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Overall Impact/Priority Scores

• Consider criterion strengths and weaknesses of each application in determining an overall impact/priority score

• Focus on the guidelines of each review criteria for its use

• Be mindful that the scoring system is intended to reflect the “real-world” range of quality for each section of an application

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Review Criteria

Criterion 1: Need = 15 points

Criterion 2: Response = 25 points

Criterion 3: Evaluative Measures = 20 points

Criterion 4: Impact = 15 points

Criterion 5: Resources/Capabilities = 20 points

Criterion 6: Support Requested = 5 points14

Key Points Within Need

• Applicants demonstrating how they will integrate the social determinants of health framework into pre-entry/mentoring activities that accelerate underrepresented groups into and graduate from schools of nursing.

• Social determinants of health are the conditions in which people are born, grow, live, work and age that can contribute to or detract from the health of individuals and communities.

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Key Points Within Response

• Applicants should incorporate social determinants in the methodology and work plan.

• Applicants should describe how this proposed project will utilize innovative workforce diversity strategies to promote underrepresented groups recruitment, retention, and graduation from schools of nursing.

• Applicants should clearly describe they will develop interprofessional collaborations and partnerships to foster nursing workforce diversity.

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Key Points Within Evaluative Measures

• Applicants must provide a description of how quantitative and/or qualitative evaluation strategies are linked with rates of underrepresented groups are recruited, retained, and graduate from schools of nursing for each objective and explain your plans to collect, monitor, and evaluate project process and outcomes measures.

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Key Points Within Impact

• Applicants should document the extent to which the proposed project will increase rates at which disadvantaged students are recruited, retained, and graduate from accredited schools of nursing and successfully shifting practice paradigms and be replicable in diverse populations and multiple settings.

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Key Points Within Resources/Capabilities

• Applicants need to describe how the proposed project describes its capability, commitment, and necessary resources to create effective NWD programs, including sustainability plans that speak to other sources of income. Plans to include integration of the social determinants of health framework, and plans to meet the unique needs of the target population of the communities served.

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Key Points Within Support Requested

• The proposed budget needs to be reasonable according to the work to be accomplished. The budget should link to the statement of activities, evaluation plan, and anticipated results.

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NWD Funding Preferences

• Statutory Funding Preferenceo Substantially benefits rural areaso Substantially benefits medically underserved

populationso Help meet Public Health Nursing needs in

state and local health departments

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Required Attachment Documents

Attachment 1: Accreditation Documentation – Required

Attachment 2: Staffing Plan & Position Descriptions – Required

Attachment 3: Organizational Chart – Required

Attachment 4: Letters of Agreement and/or Description – As applicable.

Attachment 5: Letters of Support – As applicable

Attachment 6: Institutional Diversity Statement – Required

Attachment 7: Maintenance of Effort Documentation – Required.

Attachment 8: Summary Progress Report – (for competing continuations)

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Questions?

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Program Technical Assistance Contact Information

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Kristen Hansen, MHSA, RN, NE-BCNurse Consultant, HRSA/BHPR/DNAttn: Nursing Workforce Diversity Program5600 Fishers Lane, Suite 9-61 Rockville, MD 20857-0001Office: 301-443-2796Fax: 301-443-0791khansen@hrsa.gov