COLLECTING NURSING DEMAND DATA: METHODS, CHALLENGES, AND BEST PRACTICES Mary Lou Brunell, MSN, RN, Florida Center for Nursing Clark Ruttinger, MPA, Utah Nursing Workforce Information Center Cynthia Bienemy, PhD, RN, Louisiana Center for Nursing Pamela Lauer, MPH, Texas Center for Nursing Workforce Studies

Current Status of Demand Data Collection & Challenges and Best Practices Handout Table 1 – Current Status of Demand Data Collection Table 2 – Challenges and Best Practices

DATA: NURSE DEMAND DATASET AND SURVEY DEVELOPMENT Mary Lou Brunell, MSN, RN Executive Director, Florida Center for Nursing

Demand vs. Need and Why it Matters Need – immediate, current vacancies Demand – anticipated need, future Demand information is critical for: Determining future shortages/surpluses Strategic decision making Health workforce planning Policy development Budgetary allocations

The Case for Standardization Standardizing the collection of state-level nurse workforce data: Allows for the creation of a national repository of data. Enables state and national nurse workforce planners to more quickly and accurately implement best policy approaches to resolve the critical shortage. Provides a reliable way to benchmark progress in addressing the nursing shortage in their state and across the nation.

National Forum of State Nursing Workforce Centers – Minimum Nurse Demand Dataset Created through a rigorous process of consensus building Funded by the Center to Champion Nursing in America/AARP and the in-kind contributions from National Forum Members National Forum workgroups initiated working draft and conducted public comment period including solicitation of input from experts Ratified by the National Forum and released in

National Forum Member Data Collection Legend Location of Center States With NURSE SUPPLY DATA States With NURSE DEMAND DATA States With NURSE EDUCATION PROGRAM DATA TOTALS NATIONALLY: 27 collect Supply Data; 17 collect Demand Data; 29 collect Education Program Data

Survey Development Industry groups selected for inclusion Prominence as nurse employers Strategic relevance Feasibility of participation Cost 6 individual survey instruments developed Core Variables – National Forum MNDD Additional Variables – to assess current and future trends Input from and pilot test by relevant professional/trade organizations Reviewed by FCN Research & Workforce Analysis Committee

NURSING DEMAND STUDIES: PRE-PLANNING Clark Ruttinger, MPA Senior Research Analyst, Utah Nursing Workforce Information Center

Education 20 Institutions Online Survey Instrument 17 Institutions Responded Supply 26,720 Licensed RNs in Utah Surveyed Paper Survey Instrument 12,155 responded (42%) Demand Over 1,000 employers surveyed Approximately 33% have responded Online/Paper Survey Instrument Nursing Surveys

Decide Who to Survey Different from Supply & Demand Surveys Tie nursing licenses to reported wages Coordinate with major health systems

Decide What to Ask Advisory Committee Minimum Data Set Other Questions

Decide How to Survey Paper Survey Online Survey Phone Survey

LAUNCHING OF THE SURVEY: DATA COLLECTION AND ANALYSIS Cynthia Bienemy, PhD, RN Director, Louisiana Center for Nursing

Launching of the Employer Survey  Seven Surveys Hospital Psychiatric Hospital Long Term Care / Skilled Nursing Facility Home Health Hospice Public Health Generic: Ambulatory Surgical Care Dialysis Centers Rural Health Clinics Federally Qualified Healthcare Centers  Methods of Dissemination Electronic U. S. Postal System Fax

Data Collection Census Survey – survey all healthcare facilities in selected industry groups Return / Response Rates Healthcare Industry Healthcare Industry by Region Double Data Entry Data Verification Review of Databases – Seek clarification from employers when needed

DateHospitals Psychiatric Hospitals Home Health Hospice SNF/Long Term Care Public Health VA Hospitals Dialysis Rural Health Ambulatory Surgical FQHC Weekly Return Total Week 1 Thursday, September 18, Friday, September 19, Week 1 - Returns by Facility Week 2 Monday, September 22, Tuesday, September 23, Wednesday, September 24, Thursday, September 25, Friday, September 26, Week 2 - Returns by Facility Week 3 Monday, September 29, Tuesday, September 30, Wednesday, October 01, Thursday, October 02, Friday, October 03, Week 3 - Returns by Facility Week 4 Monday, October 06, Tuesday, October 07, Wednesday, October 08, Thursday, October 09, Friday, October 10, Week 4 - Returns by Facility Week 5 Monday, October 13, Tuesday, October 14, Wednesday, October 15, Thursday, October 16, Friday, October 17, Week 5 - Returns by Facility Return/Response Rates

Data Analysis Bias Analysis – comparing responding facilities with non- responding facilities – bed size and size of facilities (large vs small) Imputations - Constructing estimates for non-respondents Descriptive Statistics Percentages Mean, median, mode Standard deviation

Variables Staff size Skill Mix Full-time Equivalents (FTEs) Number of vacancies Separations Replacements (Workforce Commission) Vacancy rates Turnover rates Growth rates

WRITING AND DISSEMINATION OF THE FINAL REPORT Pamela Lauer, MPH Director, Texas Center for Nursing Workforce Studies

Report Writing Full-length reports Fact sheets Brochures Infographics

Report Review Process Internal review Task-force review Advisory committee review and approval

Report Dissemination Web publishing Hard copies Distribute to/through Advisory Committee and Stakeholders Conference Presentations Exhibit tables

Lessons Learned Engage a variety of stakeholders Follow up, follow up, follow up Share survey results

Questions?

Contact Us Mary Lou Brunell, MSN, Clark Ruttinger, Cynthia Bienemy, PhD, Pamela Lauer,