Alaska Nursing November 18, 2016
Alaska Nursing
November 18, 2016
Nursing Education
2002 Nursing Education Task Force Recommendations
Double graduates from basic nursing programs
(AAS and BS) – from <100 to >200 – by 2006
Distribute programming across the state from
Anchorage base
Closely articulate levels of nursing education
Accomplishing this would require extensive and intensive
planning and decision-making, and committed stakeholder
engagement. Funding allocations and educational policies and practices had to align.
3
Expansion Timeline
Pre-expansion period
Prior to 2000 through 2002
Growing shortage reported and Task Force convened
Plans made to implement recommendations
Expansion period
2003-2006
Basic nursing programs changed
Graduate numbers doubled
AAS program distributed
Post-expansion period
2007 to present
Maintenance of gains
Additional outreach sites brought on line
Ongoing challenges identified
4
Expansion Details BS program
Trimester schedule; decreased program length to 5 consecutive trimesters
Admission cohort size from 32 to 40
Rolling admission open to all achieving specific GPA
AAS program
Outreach sites established in 13 communities; cohort sized per site capacity
LPN slots added in Anchorage
Admitted to Anchorage site in Fall semester, Outreach sites in Spring semester
Admission process ranked applicants to each site
Program length of 4 semesters with summer breaks
RN-to-BS program
Program improved
Offered via distance delivery methods
5
Basic Nursing Programs (AAS, BS)
0
20
40
60
80
100
120
140
FY
00
FY
01
FY
02
FY
03
FY
04
FY
05
FY
06
FY
07
FY
08
FY
09
FY
10
FY
11
FY
12
FY
13
FY
14
FY
15
FY
16
AAS BS
0
50
100
150
200
250
300
FY
00
FY
01
FY
02
FY
03
FY
04
FY
05
FY
06
FY
07
FY
08
FY
09
FY
10
FY
11
FY
12
FY
13
FY
14
FY
15
FY
16
Total Basic Nursing Graduates
AAS Nursing Program Sites
AnchorageBethelDillinghamFairbanksHomerJuneauKenaiKetchikanKodiakKotzebueMat-SuNomeSitkaValdez Kenai
Homer
Mat-Su
7
NCLEX First Time Pass Rates
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
May
-00
Sep
-00
Jan
-01
May
-01
Sep
-01
Jan
-02
May
-02
Sep
-02
Jan
-03
May
-03
Sep
-03
Jan
-04
May
-04
Sep
-04
Jan
-05
May
-05
Sep
-05
Jan
-06
May
-06
Sep
-06
Jan
-07
May
-07
Sep
-07
Jan
-08
May
-08
Sep
-08
Jan
-09
May
-09
Sep
-09
Jan
-10
May
-10
Sep
-10
Jan
-11
May
-11
Sep
-11
Jan
-12
May
-12
Sep
-12
Jan
-13
May
-13
Sep
-13
Jan
-14
May
-14
Sep
-14
% P
ass
ed N
CL
EX
Fir
st T
ry
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
% P
ass
ed N
CL
EX
Fir
st T
ry
Anchorage Outreach Sites
BS
AAS
Graduation Rates
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%S
u2
00
4
F20
04
Sp2
00
5
Su2
00
5
F20
05
Sp2
00
6
Su2
00
6
F20
06
Sp2
00
7
Su2
00
7
F20
07
Sp2
00
8
Su2
00
8
F20
08
Sp2
00
9
Su2
00
9
F20
09
Sp2
01
0
Su2
01
0
F20
10
Sp2
01
1
Su2
01
1
F20
11
Sp2
01
2
Su2
01
2
F20
12
Sp2
01
3
Su2
01
3
F20
13
Sp2
01
4
Su2
01
4
BS Graduation Rate by Admission Cohort
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
% G
rad
ua
ted
Anchorage Cohorts Outreach Site Cohorts
AAS Graduation Rates Anchorage and Outreach Sites
Graduate Program, Pre-Nursing Majors
0
10
20
30
40
50
60
70
Fall
00
Fall
01
Fall
02
Fall
03
Fall
04
Fall
05
Fall
06
Fall
07
Fall
08
Fall
09
Fall
10
Fall
11
Fall
12
Fall
13
Fall
14
Fall
15
Nursing Science MS and DNP Students
0
200
400
600
800
1,000
1,200
1,400
Fall
00
Fall
01
Fall
02
Fall
03
Fall
04
Fall
05
Fall
06
Fall
07
Fall
08
Fall
09
Fall
10
Fall
11
Fall
12
Fall
13
Fall
14
Fall
15
Pre-Nursing Majors (UAA, UAS)
National Admissions to Basic Nursing Programs 2014
(NLN, national data)
Main Obstacles to Expanding Admissions to
Basic RN Programs, 2014 (NLN, national data)
Nurse Workforce
Workforce Age
1.3%
7.0%
9.7%
9.0%
9.8% 10.3%
13.3%
17.4%
15.3%
7.1%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
<25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Average Age of Alaska RN Survey Respondents
41.0
42.0
43.0
44.0
45.0
46.0
47.0
48.0
49.0
50.0
1996 1998 2000 2002 2004 2006 2008 2010 2012 2014
Alaska Registered Nurse Respondents by Age Group (2014)
30-39
4%
40-49
17%
50-59
49%
60-69
30%
Age SON Faculty 2009
2010 2012 2014
No Plans to Leave 54.0% 50.0% 49.2%
Leave Within 1-5 Years 35.0% 38.0% 38.7%
Leave Within 1 Year 11.0% 12.0% 12.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Respondents’ Plansto Leave Nursing
Diversity
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Fall
2000
Fall
2003
Fall
2004
Fall
2005
Fall
2006
Fall
2007
Fall
2008
Fall
2009
Fall
2010
Fall
2011
AK
2010
AAS BS
% Caucasian Nursing Students
% Caucasian RN Survey Respondents
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 AK
2010
Caucasian Alaska Native/Native American
Asian/Pacific Islander Black/African American
Other/Two or More
Employment
0
1000
2000
3000
4000
5000
6000
7000
8000
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
# R
egis
tere
d N
urs
es i
n W
ork
forc
e
Annualized Quarterly Employment of RNs in Alaska
(government and self-employed not included)
DOLWD
Number of RN License-holders in 2014:
Residents = 8,487; Non-residents = 4,089
16
Labor Market Area Alaska Licensees (%)Alaska Population (%)
2014 est.
Anchorage / Mat-Su 65.4 54.2
Gulf Coast 10.0 11.0
Interior 10.9 15.3
Southeast 9.9 10.1
Southwest 2.2 5.8
Northern 1.7 3.7
Projected Workforce Demand
78
220
167
256
231251 249
201
0
500
1000
1500
2000
2500
3000
1994 1998 2002 2004 2006 2008 2010 2012
5.7%
11.0% 11.5%
8.0%
9.0%
11.0% 11.0%
9.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
2000 2001 2002 2003 2005 2007 2009 2012
Projected Annual Demand for Additional RNs (does not include government/self-employed)
Vacancy Rate – All RN Positions
DOLWD
UAA
DOLWD Projects 10.2% IncreaseFor Registered Nurses 2014-2024
Growth 545 Replacement 1,328 Total 1,873
ASHNHA Employer Survey 2016 (29 Respondents)
Positions Vacancies Vacancy Percent
Hospitals:
Urban 3591 333 9.3%
Rural 392 55 14.0%
Hospital Total: 3983 388 9.7%
LTC:
Urban 206 19 9.2%
LTC Total: 206 19 9.2%
Total: 4189 407 9.7%
ASHNHA MembersTrouble filling generalist
positions?Trouble filling specialist
positions?
Total Respondents 20 Y, 9 N 21 Y, 7 N
Urban Hospitals 4 Y, 6 N 9 Y, 0 N
Rural Hospitals 11 Y, 2 N 10 Y, 3 N
Urban Long Term Care 5 Y, 1 N 2 Y, 4 N
Facility CategoriesUrban Hospitals: 10 Nurse Positions
Peacehealth Ketchikan 200
Mat-Su Regional 296
Central Peninsula 200
Bartlett Memorial 105
Alaska Regional 400
NorthStar 90
Providence AMC 1000
Elmendorf 200
Fairbanks Memorial 300
Alaska Native Medical Center 800
3591
Rural Hospitals: 13 Nurse Positions
Samuel Simmonds 35
Cordova 10
Wrangell Medical Center 9
YKHC 50
South Peninsula 120
Sitka Community 50
Norton Sound 7
Providence Seward 16
Petersburg Medical Center 20
Maniilaq 8
Kanakanak 30
Providence Kodiak 9
Providence Valdez 28
392
Urban LTCs: 6 Nurse Positions
Denali Center 39
Horizon House Assisted Living 2
Prestige 44
Providence Transitional Care 30
Wildflower Court 25
Providence Extended Care 66
206
Education Level Preference
Does your organization require bachelor's preparation for new staff nurse hire?Urban Hospital Rural Hospital Urban LTC Total
Yes, requires bachelor's preparation 1 0 0 1
No, but is considering requiring bachelor's preparation for new hires 1 0 2 3
No, but prefers bachelor's preparation in hiring 4 10 1 15
No, has no stated or understood preference for bachelor's preparation in hiring 4 3 3 10
When you hire a general staff nurse, do you prefer to hire …?Urban Hospital Rural Hospital Urban LTC Total
A nurse with a bachelor's degree 5 6 0 11
A nurse with an associate degree 0 1 0 1
Either - doesn't matter whether bachelor's or associate degree 3 2 5 9
Depends on position 1 4 1 6
Hard to Fill Specialties
0
2
4
6
8
10
12
Urban Hospital Rural Hospital Urban LTC Totals
From ASHNHA Employer Survey
# Occupation % w Difficulty
1 Psychiatric Nurse Practitioners 100%
1 Psychiatrists 100%
1 Rehabilitation Counselors 100%
4 Chief Medical Officers 94%
5 Surgical Technicians/Technologists 93%
6 Psychiatric Nurses 91%
7 Substance Abuse Disorder Counselors 90%
8 Occupational Therapists 90%
9 Mammographers 89%
10 Perioperative Nurses 88%
11 Nurse Managers 87%
12 Pharmacists 86%
12 Obstetric Nurses 86%
12 Diagnostic Medical Sonographers 86%
15 Geriatric Nurses 85%
16 Case Management Nurses 84%
16 Speech-Language Pathologists 84%
18 Critical Care Nurses 83%
18 MRI Technologists 83%
18 Pediatricians 83%
20 Physical Therapists 82%
Hardest to Fill Occupations 2015 (DOLWD)
22