Division of Nursing’s Workforce Diversity and Health Equity Agenda Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions Division of Nursing Shanita D. Williams, PhD, MPH, APRN Chief, Nursing Practice and Workforce Development Branch Bureau of Health Professions June 13, 2013

HRSA Mission To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs. HRSA, BHPr, Division of Nursing 2

Health Equity  Attainment of the highest level of health for all people  Valuing everyone equally  Focused and ongoing societal efforts to address:  avoidable inequalities  historical and contemporary injustices  Elimination of health and health care disparities Healthy People 2020 HRSA, BHPr, Division of Nursing 3

Cascading Strategic Initiative on Health Equity Improve Health Equity Achieve Health Equity HHSHRSABHPr HRSA, BHPr, Division of Nursing 4

DN Structure Division of Nursing Nursing Practice and Workforce Development Nursing Workforce Diversity Nurse Education, Practice, Quality and Retention Advanced Nursing Education ANE/ANEE NAT NFLP HRSA, BHPr, Division of Nursing 5

Division of Nursing Mission To provide national leadership to assure an adequate supply and distribution of qualified nursing personnel to meet the health needs of the Nation. HRSA, BHPr, Division of Nursing 6

Division on Nursing Goals  Enhance the composition, skills and distribution of the nursing workforce  Ensure program accountability through focused performance and outcomes assessment  Promote effective communication with the public and stakeholders on nursing workforce development  Increase diversity and cultural and linguistic competence of the nursing workforce HRSA, BHPr, Division of Nursing 7

Nursing Workforce Development (NWD) Program 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 Legislative Definition of Diversity Create and expand nursing education opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among registered nurses) HRSA, BHPr, Division of Nursing 8

Increase nurse education opportunities for individuals from disadvantaged backgrounds using stipends, scholarships, and mentoring Achieve a culturally-aligned and competent workforce that is reflective of the population Develop innovative pipeline programs to recruit, retain, and help graduate nurses (RN programs) HRSA, BHPr, Division of Nursing Nursing Workforce Development (NWD) Program 9

Workforce Diversity to Achieve Health Equity HRSA, BHPr, Division of Nursing 10

Vision Leadership Role in Workforce Diversity:  Support portfolio of next generation NWD projects and evaluation  Partner with other federal agencies, foundations, and public and private organizations Models of Best Practice:  Grantees/Awardees develop and rigorously evaluate innovative NWD programs  Clearinghouse of exemplar programs and evaluation methodologies HRSA, BHPr, Division of Nursing 11

Vision Incorporating Social Determinants of Health (SDOH) in Workforce Diversity efforts Integrating/Coordinating diversity efforts with the DN’s interprofessional education and collaborative practice initiatives and investments Increase diversity of portfolio of grantees Expand outreach efforts: Tribal colleges and universities (TCU) Historically Black Colleges and Universities (HBCU) Minority Serving Institutions (MSU) Hispanic Serving Institutions (HSI) HRSA, BHPr, Division of Nursing 12

Vision Expand definitions of diversity Cultural and linguistic diverse Economic and educational disadvantaged Persons with disabilities Men HRSA, BHPr, Division of Nursing 13

Towards Health Equity Multi-focal program evaluation Detailed portfolio assessment Prevalent strategies Effective (non-effective) interventions Prior investments Identifying best practices Diversifying nursing workforce HRSA, BHPr, Division of Nursing 14

HRSA, BHPr, Division of Nursing Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence. 15

Health Equity HRSA, BHPr, Division of Nursing Reduce Health Disparities Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence. 16

DN’s Diversity to Health Equity Model HRSA, BHPr, Division of Nursing 17

Social Determinants of Health  Conditions in which people are born, grow, live, work and age  Shaped by the distribution of money, power and resources  global, national and local levels  influenced by policy choices  Responsible for health inequities  unfair and avoidable differences in health status  observed within and between countries  World Health Organization 18

Move from individual-level to multi-level approaches and strategies… 19

Nursing Workforce Diversity  Multi-level strategies are needed to:  address the larger social and structural forces that impede efforts to diversify the nursing workforce  increase access to quality care  reduce health disparities  improve health equity HRSA, BHPr, Division of Nursing 20

The Nursing in 3D Summit HRSA, BHPr, Division of Nursing 21

Public Health Reports Integration of the 3D’s 15 invited manuscripts 3D Summit presenters HRSA staff Nursing in 3D Journal Supplement HRSA, BHPr, Division of Nursing 22

Towards Health Equity NWD 2013 Funding Opportunity Announcement: Develop innovative workforce diversity strategies that would facilitate the entry, retention and graduation of racial and ethnic minorities from Schools of Nursing Create “new” partnerships/alliances Integrate diversity, disparities, and social determinants (3D) HRSA, BHPr, Division of Nursing 23

What’s Next… Engage stakeholder groups NACNEP Professional Associations etc. Continue to shape the vision Develop “new” partnerships Nontraditional Multiple disciplines, sectors HRSA, BHPr, Division of Nursing 24

Contact Information Shanita D. Williams, PhD, MPH, APRN Chief, Nursing Practice and Workforce Development Branch, Division of Nursing Bureau of Health Professions Office: www. 25