Idaho s Nursing Workforce June 3, 2015 Bob Uhlenkott - Chief Research Officer Idaho Department of Labor
Workforce - #1 Challenge to Idaho s Economic Prosperity Page-2
Population Trends Page-3 Source: US Census Bureau
Population Trends Page-4 Source: US Census Bureau
Population Trends Page-5 Source: US Census Bureau
Population Trends Page-6 Source: US Census Bureau
Population Trends Page-7 Source: US Census Bureau
Population Trends Page-8 Source: US Census Bureau
Population Trends Page-9 Source: Economic Modeling Specialists Intl.
Population Trends Idaho: 1970 Idaho: 2022 Page-10
Job Growth / Workforce Growth Page-11
Workforce Gap Job Growth / Workforce Growth Projections for Population and Jobs Added from 2012 to 2022 120000 100000 109,000 Jobs 91,609 80000 60000 40000 20000 21,030 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
Projection s Methodology Historical Industry Trends Industry Forecast Occupational Proportions Occupational Forecast Page-13
Industry Job Growth: 2012-2022 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 6000 5700 4500 3600 3400 2300 1900 1800 1400 600 500 500 100 11800 11600 16800 14700 21800 0 5000 10000 15000 20000 25000 Page-14
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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
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
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 310 --- --- 408 --- --- --- Brigham Young University-Idaho 335 --- 252 320 --- --- --- Carrington College 112 66 48 --- --- --- --- College of Southern Idaho 225 50 200 --- --- --- --- College of Western Idaho 72 --- 80 --- --- --- --- Eastern Idaho Technical College 105 41 54 --- --- --- --- Idaho State University 252 --- --- 202 20 60 12 Idaho State University--College of Technology 75 44 36 --- --- --- --- ITT Technical Institute 314 --- 300 --- --- --- --- Lewis-Clark State College 228 16 --- 260 --- --- --- North Idaho College 163 30 160 --- --- --- --- Northwest Nazarene University 200 --- --- 160 30 --- --- Total 2,391 247 1,130 1,350 50 60 12 Page-18
Nursing Students Enrollments More than 2,200 applicants in 2013-2014, 1,331 newly admitted 1,191 Graduates in 2013, 1,181 Graduates in 2014 2,391 Current Nursing students Institution 2013-2014 Denied admission Admitted Boise State University 237 120 Brigham Young University-Idaho 185 310 Carrington College 0 109 College of Southern Idaho 25 154 College of Western Idaho 163 37 Eastern Idaho Technical College 16 64 Idaho State University 40 114 ISU-College of Technology 74 75 ITT Technical Institute 42 78 Lewis-Clark State College 28 119 North Idaho College 117 103 Northwest Nazarene University 11 48 Total 938 1,331 Page-19
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
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
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
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
Rural vs. Urban (Mean Wage) Occupation Rural Urban Difference CNA' $ 11.18 $ 10.92-2.3% LPN $ 18.86 $ 18.99 0.7% RN $ 27.09 $ 29.37 8.4% APPN $ 42.90 $ 45.67 6.5% Occupational Employment Statistics Survey 2014 Page-24
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
ASN BSN Proportions Comparison of 2008, 2010 and 2014 Nursing Graduates Idaho Education and Licensure Level 2007-2008 2009-2010 2013-2014 Count % of Total Count % of Total Count % of Total LPN 307 30.1% 264 22.5% 223 18.9% ASN 386 37.8% 380 32.4% 367 31.1% BSN 312 30.6% 486 41.4% 539 45.6% All Other* 15 1.5% 43 3.7% 52 4.4% TOTAL 1,020 100.0% 1,173 100.0% 1,181 100.0% Source: 2008, 2010 and 2013 Board of Nursing Annual Report. * All Other: Higher than BSN Page-26
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 2022 2013-14: 223 new graduates; it is estimated to be 203 in 2019 18,763 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) 2013-14: 958 new graduates 367 ASN, 539 BSN, 52 MSN; estimated 922 new RN grads in 2019 1,489 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
Gap Analyses - LPN, RN and APRN Page-28
Gap Analysis - LPN Page-29
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Gap Analysis - RN Page-31
Gap Analyses - RN Page-32
Gap Analysis - APRN Page-33
Gap Analysis - APRN Page-34
Chicken or the Egg Workforce or Good Jobs Page-35
Thank You! Page-36