1. N URSES IN W YOMING; D EMAND, R ETENTION, & S UPPLY Fourth Annual Nursing Summit Sheridan, Wyoming September 20, 2007 Wyoming Department of Employment Research & Planning Tom Gallagher, Manager R ESEARCH & P LANNING

2. 2 Study Structure Demand Retention Supply R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

3. Study Phases Obtain administrative databases – BON license file, hospital discharge file – Complete Nurse Advisory Committee meetings May 7 and August 23 Ambulatory Care Nurse Survey Completed n=466 responses, 70.1% response rate Facility Office Vacancy – Retention Survey, n=169, 50.1% response rate (1 st mailing) Hospitals and Long-Term Care Nurse Survey Completed n=1,825 responses, 61.4% response rate (2 nd mailing – 9/18/07) Facility Office Vacancy – Retention Survey, planned end of September 3 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

4. Study Phases (Continued) Demand Report in design Demand projections completed & discussed with industry Replacement projections in Progress Balance of nurses survey, collecting anecdotal evidence Higher education Facility Nurses (faculty) Survey, collecting anecdotal evidence Cohort retention analysis of new supply – under way Retention Report – to be determined Supply Report – to be determined 4 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

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6. Selected Demand Characteristics Population Dynamics Discharge Files Industry Growth and the demand for RNs -- Hospitals 6 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

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9. Loss of 44,253 workers in five years 9 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

10. Loss of 45,127 workers in five years 10 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

11. Hospital Discharge (In-Patient) Data 11 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

12. 12 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

13. 13 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

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15. Nursing Demand Projections Assume current policies continue into the future Does not assume any intervention strategies Assumes constant compound annual growth rate in industry employment and RN demand between beginning and end points Intermediate data points shown for illustrative purposes only RN Base period = 2006 Employment Projection period=2014 Connects jobs to number of RNs working in Health Care RNs assigned to primary industry (industry paying the most $$ each quarter) Annual averages based on quarterly numbers 15 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

16. 16 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

17. 17 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

18. 18 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING 22% 29%

19. The Grand Total Based on Current HR Practices 19 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

20. Selected Survey Results Ambulatory Care Hospitals and Long-Term Care – Preliminary 20 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

21. 21 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

22. 22 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

23. 23 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

24. 24 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

25. 25 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

26. 26 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Ambulatory Health Care – Comments

27. Hospitals & Long-Term Care 27 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

28. 28 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

29. 29 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

30. 30 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

31. 31 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

32. 32 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

33. 33 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

34. 34 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

35. 35 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

36. 36 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

37. 37 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

38. 38 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

39. 39 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Direct Patient Care Nurses Only Hospitals & Long-Term Care

40. 40 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING Hospitals & Long-Term Care – Comments Direct Patient Care Nurses Only

41. R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING 41 Hospitals & Long-Term Care – Comments Direct Patient Care Nurses Only

42. Supply 42 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

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45. R ESEARCH & P LANNING H EALTH C ARE IN W YOMING 45 R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING

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47. R ESEARCH & P LANNING N URSES & H EALTH C ARE IN W YOMING For More Information, See the Wyoming Health Care Commission’s Website: http://www.wyominghealthcarecommission.org/ 47