Idaho s Nursing Workforce

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1 Idaho s Nursing Workforce June 3, 2015 Bob Uhlenkott - Chief Research Officer Idaho Department of Labor

2 Workforce - #1 Challenge to Idaho s Economic Prosperity Page-2

3 Population Trends Page-3 Source: US Census Bureau

4 Population Trends Page-4 Source: US Census Bureau

5 Population Trends Page-5 Source: US Census Bureau

6 Population Trends Page-6 Source: US Census Bureau

7 Population Trends Page-7 Source: US Census Bureau

8 Population Trends Page-8 Source: US Census Bureau

9 Population Trends Page-9 Source: Economic Modeling Specialists Intl.

10 Population Trends Idaho: 1970 Idaho: 2022 Page-10

11 Job Growth / Workforce Growth Page-11

12 Workforce Gap Job Growth / Workforce Growth Projections for Population and Jobs Added from 2012 to ,000 Jobs 91, ,030 13,770 0 Under 15 Years Old 15 to 64 Years Old Workforce 65 or Older Population Forecasts - EMSI August 2014 and Jobs Forecast - IDOL August 2014 Page-12

13 Projection s Methodology Historical Industry Trends Industry Forecast Occupational Proportions Occupational Forecast Page-13

14 Industry Job Growth: projected 2022 net change Healthcare/Social Retail Trade Leisure/Hospitality Prof./Business Svcs Construction Manufacturing Education Financial Wholesale Agriculture Transport/Warehouse Self-Employed State/Local Govt Other Services Information Federal Govt Utilities Mining Page-14

15 Page-15

16 Nursing Report Covers Supply and Demand Education Capacity Idaho Licensed Nurses Nursing Graduates Projected 2022 Demands Nursing Students Enrollment New Graduates Licensing and Working Status Nursing Salary Idaho Nurses and Nursing Faculty Estimated Wage in Idaho and Six Surrounding States Nursing Faculty Current Faculty Headcount Working Hours Allocation Retention Page-16

17 Nursing Faculty 13 returning to a practice setting 80% Full-time 22 (9.3%) faculty plan on leaving in 2 years 236 faculty 219 (93%) met credential requirements; 8 of the remaining 17 with master s degrees or higher 9 retiring or working not as a nurse the faculty to student ratio in clinical courses: 1:7 to 1:10 Hours Worked per Week: 30 to 50 Page-17

18 Program Capacity Institution Current Students LPN Capacity AS RN Capacity BS RN Capacity MSN Capacity DNP Capacity * Capacity is found by multiplying the maximum expected for one year by the number of years in the program. PhD Capacity Boise State University Brigham Young University-Idaho Carrington College College of Southern Idaho College of Western Idaho Eastern Idaho Technical College Idaho State University Idaho State University--College of Technology ITT Technical Institute Lewis-Clark State College North Idaho College Northwest Nazarene University Total 2, ,130 1, Page-18

19 Nursing Students Enrollments More than 2,200 applicants in , 1,331 newly admitted 1,191 Graduates in 2013, 1,181 Graduates in ,391 Current Nursing students Institution Denied admission Admitted Boise State University Brigham Young University-Idaho Carrington College College of Southern Idaho College of Western Idaho Eastern Idaho Technical College Idaho State University ISU-College of Technology ITT Technical Institute Lewis-Clark State College North Idaho College Northwest Nazarene University Total 938 1,331 Page-19

20 Nursing Program Capacity Constraints All Idaho nursing programs faced capacity constraints in clinical site availability, except for College of Southern Idaho (LPN). Institution Degree No constraints/n o need to expand Background coursework for incoming students Campus facilities and equipment Capacity constraints Clinical site availability Funding Operating support Qualified students Boise State University - BSN BSN Brigham Young University Idaho - ASN/BSN ASN Brigham Young University Idaho - ASN/BSN BSN Carrington College - LPN LPN Carrington College - RN ASN College of Southern Idaho (LPN) LPN College of Southern Idaho (RN) ASN College of Western Idaho-RN ASN Eastern Idaho Technical College-PN LPN Eastern Idaho Technical College-RN ASN Idaho State University - College of Technology (ADRN) ASN Idaho State University - College of Technology (LPN) LPN Idaho State University-BSN BSN Idaho State University-MSN MSN Idaho State University-MSN PHD ITT ASN Lewis -Clark State College-PN LPN Lewis-Clark State College-RN BSN North Idaho College-PN LPN North Idaho College-RN ASN Northwest Nazarene University BSN Northwest Nazarene University MSN Scheduling constraints for classes Page-20

21 New Graduates Licensing and Working Status (Public School) About 65% of LPN graduates and 60% RN graduates received their first licenses and stayed in Idaho to work as nurses % of 1st license grads working in ID Institution Location LPN RN Northern NR 50.0% North Central 50.0% 40.2% Southwestern N/A 65.4% South Central NR 68.5% Southeastern 66.7% 60.8% Eastern 65.8% 88.2% Idaho 64.4% 59.9% Source: Idaho Department of Labor Unemployment Insurance Database, Idaho Board of Nursing Licensure Database and public nursing institution provided data. Page-21

22 Median Annual Earnings Nursing Faculty at Idaho s public institution $57,217 ASN & BSN $38,169 MSN & Master $51,329 PHD & Post-Master's Certificate & APPN $70,484 APPNs: $101,299 LPNs $36,837 RNs: $60,704 AS-RN: $59,495 BA-RN: $60,770 MS-RN: $74,145 PHD-RN: $75,530 Certified Nurse Midwife $88,562 Nurse Practitioner $91,401 Clinical Nurse Specialist $92,342 Registered Nurse Anesthetist $149,655 Sources: Idaho Department of Labor Unemployment Insurance Division Database and Idaho Board of Nursing Annual Report. Page-22

23 Estimated Wage in Idaho and Six Surrounding States In 2013, Idaho s median annual wage for both LPNs and RNs ranked second to last among the bordering states, surpassing only Montana. Nursing instructors ranked last among the seven states. Only Utah and Nevada paid their nursing instructors more than RNs. In general, annual wages for Idaho s nurses fall in the bottom half when compared to surrounding states. Median Annual Wage Estimates from OES May 2013 State LPNs RNs Instructors Nurse Anesthetists Nurse Midwives Nurse Practitioners Oregon $48,100 $80,360 $61,770 $151,650 $106,810 $104,320 Nevada $51,970 $78,240 $80,310 > $187,200 * $90,830 Washington $47,100 $75,500 $58,350 $165,330 $88,150 $95,860 Wyoming $42,570 $60,450 $57,900 $185,730 * $88,740 Utah $40,330 $59,040 $61,350 $124,100 $80,620 $89,600 Idaho $38,330 $58,980 $51,300 $145,400 * $88,840 Montana $37,530 $58,840 $55,280 $138,610 * $88,210 * Estimated wage is not available Source: OES May 2013 National Occupational Employment and Wage Estimates. Page-23

24 Rural vs. Urban (Mean Wage) Occupation Rural Urban Difference CNA' $ $ % LPN $ $ % RN $ $ % APPN $ $ % Occupational Employment Statistics Survey 2014 Page-24

25 Demographic Characteristics LPNs RNs APRNs 32% of LPNs were 55 or older 87% of LPNs were Caucasian 8.8 % of LPNs were men 30% of RNs were 55 or older 88% of RNs were Caucasian 11.6 % of RNs were men 35% of APRNs were 55 or older 89% of APRNs were Caucasian 32.4% of APRNs were men 100% 87% 88% 89% 80% 60% 40% 32% 30% 35% 32.4% 20% 8.8% 11.6% 0% % that is 55 or order % that is Caucasian % that is men LPNs RNs APRNs Page-25

26 ASN BSN Proportions Comparison of 2008, 2010 and 2014 Nursing Graduates Idaho Education and Licensure Level Count % of Total Count % of Total Count % of Total LPN % % % ASN % % % BSN % % % All Other* % % % TOTAL 1, % 1, % 1, % Source: 2008, 2010 and 2013 Board of Nursing Annual Report. * All Other: Higher than BSN Page-26

27 Supply and Demand LPNs RNs APRNs 3,937 hold Idaho licenses, 2,403 (61%) working full-time or part-time as nurses in Idaho Jobs projected to increase by 639 (2.0% annual growth rate) between 2012 and : 223 new graduates; it is estimated to be 203 in ,763 active Idaho licensed RNs, 11,358 (60.5%) were working as nurses in Idaho. Total number of jobs projected to be 15,511 in 2022 (2.4% annual growth rate) : 958 new graduates 367 ASN, 539 BSN, 52 MSN; estimated 922 new RN grads in ,489 had active Idaho licenses, 1,038 (70%) were working as nurses in Idaho Between 2012 and 2022, the number of APPNs will increase by 227, with 1.8% annual growth rate for nurse anesthetists, 2.9% for nurse midwives, 2.7% for nurse practitioners Page-27

28 Gap Analyses - LPN, RN and APRN Page-28

29 Gap Analysis - LPN Page-29

30 Page-30

31 Gap Analysis - RN Page-31

32 Gap Analyses - RN Page-32

33 Gap Analysis - APRN Page-33

34 Gap Analysis - APRN Page-34

35 Chicken or the Egg Workforce or Good Jobs Page-35

36 Thank You! Page-36

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