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IOWA ADVANCED PRACTICE NURSE

TRACKING SYSTEM

ADVISORY COMMITTEE MEETING October 12, 2016

Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs

Carver College of Medicine The University of Iowa

Iowa Advanced Practice Nurse Tracking System Advisory Committee Meeting

October 12, 2016 1:00pm – 2:30pm

Carver College of Medicine 264 CMAB

-Agenda-

I. Welcome and Introductions

II. Meeting Agenda and Participant List

III. 2015 Annual Report- Annual Benchmarks - Geographic Distribution - Trends - Workforce Comparison

IV. Open Discussion Items

Iowa Advanced Practice Nurse Tracking System Advisory Committee

October 12, 2016

Advisory Committe

Iowa Nurses Association Judith Collins, MA, ARNP President

Alternate: Lorinda Inman, MSN, RN Chair, Iowa Nurses Foundation

Diane Huber, PhD, RN, FAAN, NEA-BC Professor University of Iowa College of Nursing

Iowa Board of Nursing Kathy Weinberg, MSN, RN Executive Director

Alternates: Jimmy Reyes, DNP, AGNP, RN Associate Director of Practice and Education

Laura Hudson, RN, MSN Associate Director, CE/Workforce

Kendra Williams-Perez, EdD, RN, CNE Professor and Dean, Allen College of Nursing Iowa Association of Colleges of Nursing

Office of Statewide Clinical Education Programs Iowa Health Professions Tracking Center

Theresa Dunkin Program Manager/Assistant Director

Carole Kron Data Analyst/Assistant Manager

Greg Nelson, MA, RN Assistant Dean for Clinical Education Programs

Linda Thiesen Data Analyst/Assistant Manager

Iowa APN Tracking System Advisory Committee Meeting

October 22, 2015 Advisory Group Members Present: Judith Collins Diane Huber Laura Hudson Jimmy Reyes Kathleen Weinberg

Absent: Brenda Hoskins Kendra Williams-Perez

OSCEP Staff Present: Theresa Dunkin Carole Kron Greg Nelson Linda Thiesen

Called to order: 10:05 AM

Adjourned: 11:30 PM

Location: College of Medicine 264 CMAB Iowa City, IA 52242

Prepared by: Linda Thiesen

AGENDA DISCUSSION ACTION/DEADLINE/WHO

II. Minutes Review of 9/10/14 meeting minutes; approved as submitted.

III. Review 2014 Annual Report

A. Greeting & Introductions

B. Overview & History

Introduction of OSCEP’s Director, Greg Nelson. Brenda Hoskins and Kendra Williams-Perez are unable to attend today’s meeting.

The APN Tracking System is a continuous inventory of all Iowa APNs, including CRNAs, Nurse Midwives and Certified Nursing Specialists.

The purpose of this information is to describe the APN population, monitor trends, support and evaluate programs, etc.

C. Annual Benchmarks

D. Geographic Distribution

1,812 APNs identified at 2014 yearend. C. Kron states that most of the basic metrics remain stable across the discipline. Since 1999, the annual increase in the active Iowa APN population has been 6-8% a year. CRNAs are the second largest sub-set after family medicine. Since 1999 CRNAs have historically been primarily males. From 2011 to 2014 they have achieved a 50-50 split. This graphic requested last year provides the detail of this trend. The overall age distribution is moving towards a more positive distribution. The reduction in the numbers of APNS over 62 years of age may be due to improved economic factors allowing more retirements. There is a new Acute Care Practitioner program coming on line at the University of Iowa. Also, there is the extra year factor beginning to allow dual-preparation of ‘specialties’ in APN certification. The full-time vs. part-time remains constant and only applies to paid employees. There are 947 incorporated communities in Iowa, with Lineville, pop. 217, being the smallest to have an APN provider.

On the locations by community population, include the percent of Iowa’s population in each community size cohort. Forty-six counties of Iowa have a population of 15,000 or less. Interest in seeing trend line of APN workforce in primary care by percentage.

OSCEP will provide. OSCEP will provide.

IV. Discussion Items

Interest in ethnicity detail. Bi-lingual? Looking to alter acronym from ARNP to APRN.

IOWA APNs Annual Workforce Report*

Date APNs • December 2015 1926 • January 2015 1864

Gain + 62

K:\DOCUMENT\NP\YearEnd\2015Yearend\Graphics\np100.ppt

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016

* For year ending 12-31-2015

1

IOWA APNs Gender Distribution

2015

Male12%

Female88%


K:\DOC\NP\YE\2015\Annual_Report\NP104.PPT

• Female 1690

• Male 236

Total 1926

2

IOWA APNs Age Distribution

2015

40-4924%

<4038%

>6014%

50-5924%

Age Category No. % Cumulative % < 40 728 38% 38% 40-49 473 24% 62% 50-59 456

24% 86%

> 60 269 14% 100% 1926 100%

K:\DOC\NP\YE\2015\AnnRpt\np128pie.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016

3

IOWA APNs Full Time vs. Part Time*

2015

Percent

Full Time 1789 93% Part Time 137 7%

Total 1926 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:/DOC/NP/YE/2015/Annual_Report/FTE-164.PPT

*PT = < 32 hours/week

4

IOWA APNs Age Distribution

Full Time vs. Part Time* 2015

Age FT % PT % Cumulative %

< 40 686 35.6 42 2.2 37.8

40-49 445 23.1 28 1.5 62.4

50-59 426 22.1 30 1.6 86.1

> 60 232 12.0 37 1.9 100%

1789 92.8 137 7.2

*FT = > 32 PT = < 32


NP\YE2015\AnnRpt\FTvPTage.PPT 5

IOWA APNs Detail of Age > 50

2015

0102030405060708090

100

# in Iowa 46 34 55 57 39 58 45 37 37 48 43 50 44 28 25 18 21 10 9 8 3 2 1 1 4 0 1 1

50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:NP\2YE2014\AnnRpt\Over50-Bar-163.PPT

Age

AP

Ns

Total number of APNs age 50 and over = 725 (38%)

6

IOWA APNs Principal Professional Activity

2015

Number Percent • Private Practice 1451 75.3% • State Facility 186 9.7% • Public/Community Health 97 5.0% • Federal 71 3.7% • Hospital Medicine 48 2.5% • Teaching/Research 33 1.7% • Urgent Care 25 1.3% • Student Health 12 0.6% • Administration 3 0.2%

Total 1926 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:\DOC\NP\YE\2015\Annual_Report\NP126.PPT

7

IOWA APNs Specialties

2015 Number Percent

• Family NP (FNP) 943 49.0% • RN Anesthetist (CRNA) 328 17.0% • Pediatric NP (PNP) 147 7.6% • Ob/Gyn (ONP)/Women’s Health 99 5.2% • Adult NP (ANP) 93 4.8% • Psychiatric NP (PSNP) 92 4.8% • Nurse Midwife (NMW) 60 3.1% • Acute Care NP (ACNP) 54 2.8% • Neonatal NP (NNP) 35 1.8% • Gerontological NP (GNP)/CGE 29 1.5% • CNS Adult Psych (CAP) 17 0.9% • Other* 29 1.5%

Total 1926 100%

Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine

Iowa Health Professions Tracking Center, April 2016 K:\DOC\NP\YE\2015\Graphiics\NPSPEC.PPT

*CNS, CNS Med Surg, School NP,CNS Oncology, CNS Adult HealthCNS Child/Adolescent Psych, Perinatal NP

8

DISTRIBUTION OF APNs By City Population Ranges

2015

K:Doc\NP\YE2015\Grahics\CityPopRanges-Comp.ppt

Population Cities

in Iowa

% of population*

# of Cities with APNs # of APNs Percent

Cumulative Percent

< 5,000 867 (62CDP)** 27% 139 296 15.4% 15.4%

5,000-9,999 42 12% 36 209 10.8% 26.2%

10,000-24,999 17 10% 17 158 8.2% 34.4%

25,000-49,999 11 14% 11 213 11.1% 45.5%

50,000-99,999 8 23% 8 705 36.6% 82.1 %

100,000 > 2 14% 2 345 17.9% 100.0%

Totals 947 100% 213 1926 100.0%


66% of Iowa’s APNs are in the 21 cities with > 25,000 residents.

*Population Source: US Census City Population Estimates 2010**CDP: census designated place

9

IOWA APNs Communities Gaining/Losing APNs

2015

Community Size #Entering #Leaving Net <5,000 46 31 +15 5,000 - 14,999 37 23 +14

15,000 - 49,999 32 28 + 4

>50,000 114 85 +29 Total 229 167 +62

K:Doc/NP/YE/2015YE/AnnualReport/101-chart.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs

UI Carver College of Medicine, April 2016

10

Cedar

Greene

Hancock

Humboldt

Ida

Lyon Osceola

Palo Alto

Sac

Winnebago

Pocahontas

Benton

Butler

Chickasaw

Clayton

Delaware

Franklin

Grundy

Howard

Jones

Mitchell

Tama

WorthAllamakee

Audubon

Louisa

Adair

Adams Clarke

DavisDecaturFremont

GuthrieHarrison

Keokuk

Lucas

Madison

Mills Monroe

Ringgold

Shelby

Taylor Van BurenWayne

IOWA ADVANCED PRACTICE NURSES (1926)

2015

324

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

2

3

Black Hawk

117

Boone

Bremer

16

Buchanan

7

Cass

8

CerroGordo

46

15

Cherokee

3

7

7Clay

Clinton66

Dallas

106

Des Moines

32

10

Dubuque

76

Emmet

Fayette

Floyd

6

3

Hamilton

37

6

Hardin

9

Henry

Jackson

Jasper

8

Jefferson

Lee

23

Linn

125

1

MahaskaMarion

17

Marshall

28

Page

11

5

9

44

Poweshiek

3

3

Scott

1006

Sioux

Story

26

Union

7

2

Wapello

32

Warren Washington

4

11

Webster

2

Winneshiek

15

72

2

Muscatine

2

11

21

6

Crawford

Montgomery

Dickinson

Appanoose

Iowa

Wright

Calhoun

O'Brien

Monona

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, April 2016

K:DOCUMENT/NP/YearEnd/2015/2015Yearend/Graphics/NP101.cdr

Plymouth

17

Johnson

269

14

6

7

7

2

2

6

17

2

4

8

5

305

6

12

3

7

5

2 14

20

3

13 4 11

7 7

4

6

2

9

4

4

2

3

5

6

Kossuth

3

20-99 (13)

6-19 (42)

2-5 (34)

1 (2)

KEY:

0 (3)

2

1

100+ (5)2

11

Cedar

Greene

Hancock

Humboldt

Ida

Lyon Osceola

Palo Alto

Sac

Winnebago

Pocahontas

Benton

Butler

Chickasaw

Clayton

Delaware

Franklin

Grundy

Howard

Jones

Mitchell

Tama

Worth Allamakee

Audubon

Louisa

Adair

Adams Clarke

DavisDecaturFremont

GuthrieHarrison

Keokuk

Lucas

Madison

Mills Monroe

Ringgold

Shelby


IOWA APNs Family Nurse Practitioners (943)*

2015

143

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

2

3

Black Hawk

73

Boone

Bremer

8

Buchanan

3

Cass

4

CerroGordo

18

12

Cherokee

3

3Clay

Clinton34

Dallas

26

Des Moines

13

8

Dubuque

36

Emmet

Fayette

Floyd

4

1

Hamilton

26

5

Hardin

7

Henry

Jackson

Jasper

5

Jefferson

Lee

10

Linn

61

1

MahaskaMarion

9

Marshall

11

Page

9

5

6

12

Poweshiek

3

3

Scott

394

Sioux

Story

11

Union

4 2

Wapello

23

Warren Washington

3

5

Webster

2

Winneshiek

8

28

3

Muscatine

2

10

11

4

Crawford

Montgomery

Dickinson

Appanoose

Iowa

Wright

Kossuth

Calhoun

O'Brien

Monona


K:Doc/NP/YE/2015/Graphics/np110.cdr

Plymouth

13

Johnson

65

8

5

5

2

5

6

2

4

5

204

6

5

4

1

10

23

7

3 6

4

6

2

4

*49% of Iowa’s advanced practice nurses

20+ (10)

KEY:

6-19 (27)

2-5 (52)

1 (7)

0 (3)

5

9

4

1

2

5

1 2

2

4

7

2

1

3

2

1

2

2

1

12

IOWA APNsCommunities with APNs (213)

2015

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, April 2016

Doc\NP\Yearend\2015YE\NP103_Comm

Sheldon(9)

Cresco(7)

Ames(23)

Ankeny(11)

Atlantic (8)

Eldora

LeMars (7)

Bloomfield (10) Keosauqua(2)

Gowrie (2)

Evansdale

Cedar Falls(12)

Cedar Rapids(113)

Postville

Chariton(7)

Cherokee (15)

Kingsley (2)

Clarinda(5)

Bedford (2)

Clear Lake (2)

Garner (2)

Clinton (14)

Clive(15)

Corning(2)

Seymour (2)

Albia(7)

Creston (7)

Underwood

Davenport (73)

Decorah(12)

Denison(6)

Ida Grove(6)

Denver

Des Moines(232)

Dubuque(74)

Ogden(2)

Emmetsburg(3)

Estherville (2)Lake Mills (2)

Fort Dodge(34)

Fort Madison(15)

Greenfield (3)

Audubon (2)Grinnell (6)

Harlan (4)

West PointHamburg(2)

Indianola (4)

Iowa City(255)

Iowa Falls(4)

Osage (3)

Keokuk(7)

Knoxville(6)

Lake View

Spirit Lake(7)

Leon (3)

Manchester(21)

Cascade (2)

Mapleton (4)Maquoketa (5) Marshalltown(27)

Mason City(44)

Bellevue

Mount Pleasant(8)

Story City

New Hampton(3)

Newton (6)

Hubbard

North Liberty(3)

Vinton

Onawa (2)

Orange City (7)

Shenandoah(6)

Melcher-Dallas

Ottumwa(32)

Waukee (2)

Pella(9)

Dunlap

Janesville(2)

Corydon (2)

Larchwood

Hampton (2)

Red Oak (6)

Milford

Sioux City (68)

Hartley (2)Spencer (17)

Lake Park

Storm Lake(7)

Boone (8)

Tama(4)

Panora (2)

State Center

Reinbeck

Waterloo(110)

Waukon(5)

Webster City (4)

West Burlington(29)

W Des Moines(61)

Mount Ayr(3)

Graettinger(2)

Parkersburg

Richland

Pocahontas (2)

Ireton

Sioux Center(8)

Burlington(2)

Rockford

Armstrong (2)

Guttenberg (7)Algona

Muscatine(19)

Okoboji

Coralville(11)

Oskaloosa(13)

Osceola (4)

Lansing

Wesley

Sergeant Bluff (2)

Lake City(3)

Guthrie Center (2)

Manson

Mitchellville(2)

Zearing (2)

Clarion(6)

Winfield

Lamoni (3)

Jefferson(4)

ShellsburgCarroll (11)

Urbandale(12)

Marion(4)

Fontanelle

Waverly(12)

Arlington

Independence(2)

Oelwein (5)

Sumner

Grimes

Sigourney(3)

New Sharon

Centerville (3)

Marengo

Altoona(3)

Hiawatha(8)

Lineville

Britt (3)West Union (1)

KalonaPrairie City

Eagle Grove

Sloan

Manning (2)

Moville

Belmond(2)

Johnston(8)

Monticello

Winthrop

Fairfield (6)

Winterset (2)

Charles City (5)

Wellman

Washington (2)

Humeston(2)

Sac City (2)

Carlisle

Tipton

Shell Rock (3)

Clarksville

North English

Belle Plaine

Dayton

Windsor Hgts(6)

Sanborn

Earling

Carson

Sidney(2)

Villisca

New London

Humboldt (2)

Rockwell City

Colfax

Ackley (3)

Allison

Montezuma (2)

Pleasantville

Wilton

Clarence

Calmar (2)

Adair

Shelby

Strawberry Point

Dysart

Traer

Grundy Center (2)

Wayland

Polk City

Stuart

Woodbine

Madrid

Kanawha

Edgewood

Elkader (2)

Bettendorf (21)

OssianRock Valley

Norwalk

Council Bluffs (41)Oakland

Glenwood(2)

Tabor

Mediapolis

Exira

13

Cedar

Greene

Hancock

Humboldt

Ida

Lyon Osceola

Palo Alto

Sac

Winnebago

Pocahontas

Benton

Butler

Chickasaw

Clayton

Delaware

Franklin

Grundy

Howard

Jones

Mitchell

Tama

Worth Allamakee

Audubon

Louisa

Adair

Adams Clarke

DavisDecaturFremont

GuthrieHarrison

Keokuk

Lucas

Madison

Mills Monroe

Ringgold

Shelby


IOWA APNsCertified Registered Nurse Anesthetists (328)

2015

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

Black Hawk

Boone

Bremer

Buchanan

Cass

CerroGordo

Cherokee

Clay

Clinton

Dallas

Dubuque

Emmet

Fayette

Floyd

Hamilton Hardin

Henry

Jackson

Jasper

Jefferson

Lee

Linn

MahaskaMarion

Marshall

Page

Poweshiek

Scott

Sioux

Story

Union Wapello

Warren Washington

Webster

Winneshiek

Muscatine

Crawford

Montgomery

Dickinson

Appanoose

Iowa

Wright

Kossuth

Calhoun

O'Brien

Monona

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:DOCUMENT/NP/YearEnd/2015Yearend/Graphics/CRNA-Cty.cdr

Plymouth

Johnson

2

1

8

23

4

1

127

2

7

8 16

1

1

3

2

1

2 59

5

1

27

91

1

6

3

1

3

44

7

4

1

2

3

6

2

26

4

7

Des Moines

2 1

14 2

1

1

1

1

2

211

1

1

3

KEY:

>11 (6)

(10)

(11)

(34)

(38)

6 - 10

3 - 5

1 - 2

0

CRNAs Counties

1

1

1

1

1

14

IOWA APNsCommunities with CRNAs (64)

2015


K:Don\NP\Yearend\2015\NP103-CRNA_Comm.CDR

Sheldon (3)

Ames

Panora*

Atlantic (2)

LeMars (3)

Bloomfield (7)

Chariton

Cherokee (2)

Corning

Albia

Council Bluffs (7)

Creston (3)

Davenport (4)

Decorah (4)

Denison (2)

Des Moines (35)

Dubuque (16)

Estherville

Fort Dodge (6)

Fort Madison (5)

Grinnell (3)

Ida Grove

Hamburg

Iowa City (59)

Iowa Falls

Grundy Center

Knoxville (3)

Spirit Lake (2)

Mount Ayr

Manchester (8)

Maquoketa Marshalltown (9)

Mason City (15)

Mount Pleasant (3)

Newton (2)

Onawa

Orange City (2)

Shenandoah

Pella (4)

Hampton

Red Oak (2)

Cresco (2)

Sioux City (26)

Spencer (7)

Storm Lake (3)

Boone (7)

Waterloo (8)

Waukon (2)

West Burlington (11)

W Des Moines (9)

Guttenberg

Algona

Muscatine (6)

Oskaloosa (2)

Lake City

Clarion (4)

Carroll (3)

Waverly (2)

Manning

Harlan

West Union

Winterset

Charles City (2)

*Locum Tenens

Osage

15

Cedar

Greene

Hancock

Humboldt

Ida

Lyon Osceola

Palo Alto

Sac

Winnebago

Pocahontas

Benton

Butler

Chickasaw

Clayton

Delaware

Franklin

Grundy

Howard

Jones

Mitchell

Tama

Worth Allamakee

Audubon

Louisa

Adair

Adams Clarke

DavisDecaturFremont

GuthrieHarrison

Keokuk

Lucas

Madison

Mills Monroe

Ringgold

Shelby


IOWA APNsPsychiatric Nurse Practitioners* (113)

2015

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

Black Hawk

Boone

Bremer

Buchanan

Cass

CerroGordo

Cherokee

Clay

Clinton

Dallas

Des Moines

Dubuque

Emmet

Fayette

Floyd

Hamilton Hardin

Henry

Jackson

Jasper

Jefferson

Lee

Linn

MahaskaMarion

Marshall

Page

Poweshiek

Scott

Sioux

Story

Union Wapello

Warren Washington

Webster

Winneshiek

Muscatine

Crawford

Montgomery

Dickinson

Appanoose

Iowa

Wright

Kossuth

Calhoun

O'Brien

Monona

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, April 2016

K:DOC/NP/YE/2015/Graphics/PsychNP.cdr

Plymouth

Johnson

CAP/PSNP

KEY*

CAP/CCAP/PSNP

CCAP/PSNP

CAP-17; PSNP-92; CCAP-4

CAP-1

PSNP-12

PSNP

CAP

CAP-1

PSNP-1

CAP-1

CAP-1

CCAP-1

PSNP-4

PSNP-2

PSNP-4

PSNP-1

CAP-2

CAP-1

CAP-1CCAP-1PSNP-7

CAP-4

CCAP-1

PSNP-22

CAP-5

CCAP-1

PSNP-9

*PSNP-Psychiatric NP; CAP-CNS Adult Psych;CCAP-CNS Child/Adolescent Psych

PSNP-5

PSNP-2

PSNP-1

PSNP-3

PSNP-1

PSNP-1

PSNP-1

PSNP-6

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

PSNP-1

16

Plymouth

Cedar

Buena

Boone

Calhoun

Crawford

Emmet

Greene

Hamilton

Hancock

Humboldt

Ida

KossuthLyon

Monona

O'Brien

Osceola

Palo Alto

Sac

Sioux

Winnebago

WrightVista

Pocahontas

Allamakee

Benton

BremerButler

Chickasaw

Clayton

Delaware

Fayette

Floyd

Franklin

Grundy

Howard

JacksonJones

Mitchell

Tama

Worth

Audubon

Henry

Louisa

Muscatine

Adair

Adams

Appanoose

Clarke

DavisDecaturFremont

GuthrieHarrison Iowa

Keokuk

Lucas

Madison

Monroe

Poweshiek

Ringgold

Shelby

Taylor Van Buren

Warren Washington

Wayne

Montgomery

IOWA APNsPsychiatric Nurse Practitioners and Psychiatrists

2015

K:\Doc\NP\YE2015\PsychAPN-Phys.cdrSource: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, April 2016

27/47

Polk

15/81

Johnson

1/0

Marion

9/7Scott

Clinton

1/0

Des Moines

Lee

0/5

1/2

JeffersonWapello

0/2 0/1

Mahaska

Jasper

1/0

0/1

MarshallStory

1/5

1/1

2 /2

Hardin

Dubuque

4/7Woodbury

Cass

Dallas

Mills

Page

Pottawattamie

Union

1/36/9

3/1

2 /11/5

1 /2

Carroll

1/0

Webster

Cherokee

Clay

2/1

Dickinson

Black Hawk Buchanan

Cerro

Winneshiek

Gordo

0/3

6/4

Linn

13/21

5/9

2/0

0/3

1/2

KEY:

Psych > APNs (13)

APNs > Psych (5)

Psych Only-No APNs (7)

APNs Only-No Psych (10)

APNs = Psych (2)

1/0

1 /2

0/1

No Psych or APN (62)

First Number is APN/second is psychiatrist

Average Age:Total APNs: 113 Psych APN - 49Total Psychiatrists: 228 Psychiatrist - 53

1/0

1/0

1/0

1/0

17

K:Doc\NP\YE\2015\Graphics\NP108.cdr

IOWA APNs 50 and Over

2015— Age —

Source: Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016

Iowa Health Professions Tracking Center,

1st number > 50 years of age / 2nd number = total in county

Buena

Emmet

VistaPocahontas

Chickasaw

Worth

Adair

DavisDecatur

Keokuk

Monroe

RinggoldTaylor

Union

2/2

3/5

Lyon DickinsonOsceola Kossuth

Sioux O'Brien Clay Palo Alto

HumboldtCherokeePlymouth

Woodbury Ida Sac Calhoun

Webster

Hamilton Hardin

Monona Crawford Carroll Greene Boone Story

PolkDallasGuthrieAudubonShelbyHarrison

CassPottawattamie

Montgomery

Fremont Page

Madison Warren

Clarke

Marion Mahaska

Lucas

Wayne Appanoose

Wapello

Van Buren

Jefferson Henry

Washington

Louisa

Muscatine

Des Moines

Grundy

Marshall

Tama Benton

Buchanan Delaware Dubuque

Scott

Clinton

JacksonJonesLinn

Cedar

JohnsonIowaPoweshiekJasper

Franklin Butler Bremer

Fayette Clayton

AllamakeeWinneshiek

Floyd

HowardMitchell

Black Hawk

2/34/624/46

Hancock

Wright

Winnebago

CerroGordo

AdamsMills

Lee

2/4

4/54/8

8/15

3/6

6/10

4/5 2/11 76/169

5/7

1/2

15/28

5/7

6/11

10/17

4/7

1/2

22/32

= 0 APNs (3)

> 50% age 50 and over (28)

< 50% age 50 and over (68)

Jasper

5/8

Johnson

1/2

1/2

2/4

8/14

1/2

1/2

18

ACTIVE IOWA APNs 1999 - 2015

1926

1176

1087

1044

997

930

907

872

804707

633

1260

1353 1500

16151731

1864

0

200

400

600

800

1000

1200

1400

1600

1800

2000

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

K:/Doc/NP/YE/2015/Graphics/NP102.PPT


204% Increase

19

IOWA APNs CRNA - Gender

1999 - 2015

136

214

266285

300328320

285286

167149

178161

246

209189

207

164161152144

101

148

114 119 122 133116

133

106

135149 162 163

164159148141

35 43 47 51 59 67 74 76 79 97 104123

137

0

50

100

150

200

250

300

350

400

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

All CRNAs Male Female

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:Doc\NP\YE\2015YE\Graphics\CRNA-Gender.PPT

20

IOWA APNs Net Gain/Loss 1999 - 2015

525456585

105125145165185205225245265

Entering 130 96 121 88 72 96 124 92 104 144 132 149 230 224 242 258 229

Leaving 11 22 24 20 37 73 57 45 61 55 48 56 83 109 126 125 167

Net Gain/Loss 119 74 97 68 35 23 67 47 43 89 84 93 147 115 116 133 62

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

AP

Ns

K:\DOCUMENT\NP\YearEnd\2015Yearend\Graphics\NP168.pptm


21

IOWA APNs Age Distribution Comparison

1999 vs. 2015 728

473 456

269

159 152

21

280

050

100150200250300350400450500550600650700750800

Under 40 40-49 50-59 60 and Over

Year Total APNs Average Age Median Age 2015 1926 45 44

K:Doc\NP\YE\2015\Graphics\170.PPT


*Includes 21 unknown

1999 633* 45 45

22

IOWA APNs

Working in Communities of <15,000 1999 – 2015

633

1087

1260

1500

1731

1926

198 219

382 405 458 498 535 580 604

997930

10441176

804907

707

872

1353

1615

1864

357323318258 289274271248

100300500700900

11001300150017001900

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

All APNs <15,000 Comm


K:/DOC/NP/YE//2015\Graphics\Comm15KNP102.ppt

23

IOWA APNs Towns With at Least One APN

1999 - 2015

211

185

164158

151

213209

208205

179

178

174

172

155155

143

135

120

130140

150

160

170180

190

200

210220

230

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

Tow

ns

wit

h A

PN

s

Year K:/DOC/NP/YE/2015/Graphics/NPS106.ppt Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,


58% Increase

24

135

143

151155

158155

164

172 174178 179

185

205211

208 209213

239233 232 231 230 230 229

232229

225221 219 217

214 212 213 214

120

130

140

150

160

170

180

190

200

210

220

230

240

250

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 15

Com

mun

itie

s

Year

IOWA APNsCommunities with APN or Physician

1999-2015Towns With At Least One APN

Towns With At Least One PHY

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, April 2016 K:/Doc/NP/YE2015/Graphics/All-HP-2015/NPS106 w PHY

58% Increase

10% Decrease

25

IOWA COMBINED WORKFORCE Physician – APN – PA

2005 vs. 2015

2015 2005

Primary Care 41%

Primary Care 54%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2016

Non-Primary Care 59%


*Primary Care – less Hospitalists & Administration Physicians – Family Medicine, General Internal Medicine, & General Pediatrics Physician Assistants – Family Medicine, General Internal Medicine, & General Pediatrics Advanced Practice Nurses – ANP, FNP, & PNP


Primary Care 41%

K:\GRAPHICS\PowerPoint\PIS\2015 PIS\PhyPAaAPNs pc split 2005 2015 percent sum.ppt

26

IOWA ADVANCED PRACTICE NURSING SUPPLY All APNs – Primary Care APNs*

1999 - 2015

633

804907

9971087

1260

1500

1731

1926

282389

458527707

872 930

1044

1176

1353

1615

1864

566481

433

326

11141015

939854

749688

649606

1183

0200400600800

100012001400160018002000

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15

Nur

ses

APNs Primary Care APNs

K:Doc/NP/YE/2015YE/Graphics/PrimaryCareTrend.ppt

*Primary Care: ANP, FNP, & PNP

Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, April 2016

Primary Care APNs* 319% Increase (19% per year)

APN Supply 204% Increase (12% per year)

27

IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 2015

K/Doc/NP/YE2015/Graphics/Summary


Physicians 5821

Pharmacists 2927

Dentists 1556

Nurse Practitioners Physician Assistants

1926 874

28

IOWA HEALTH PROFESSIONS INVENTORY 2001-2015

4830 4974 5002 5196 5417 5597 5770 5821

2473 2538 2590 2691 2814 2865 2920 2927

1421 1447 1468 1475 1495 1521

1566 1556 804 907 997 1087 1260

1501

1731 1926

480 538 583 630 682 736 810 873

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

'01 '03 '05 '07 '09 '11 '13 '15

Physicians 21% Increase

Dentists 10% Increase

PAs 82% Increase

Pharmacists 18% Increase

APNs 140% Increase

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:Graphics\Powerpoint\IA Workforce\ALL-HP-2015\Trendline

29


Net Gain/Loss Summary

K:Doc/NP/YE2015/Graphics/Gain-Loss Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016

Entering % Leaving % Net % Total

Physicians 406 7.0% 351

6.0% 55 0.9% 5821

Pharmacists 176 6.0% 175 6.0% 1 0.0% 2927

Dentists 70 4.5% 61 4.0% 9 0.6% 1556

Nurse Practitioners 229

12.0% 167 8.7% 62 3.2% 1926

Physician Assistants 95 10.9% 73 8.4%

22 2.5% 873

30


Gender

Male

%

Female

%

Total

Physicians 4065 1756 5821

Physician Assistants 251 622 873

Dentists 1140 416 1556

Pharmacists APNs

1077

236

1850

1690

2927

1926

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, April 2016 K:Doc/NP/YE2015/Graphics/GENDER.PPT

29%

70%

73%

37%

71%

27%

88%

30%

12%

63%

31

Physicians Physician Assistants Dentists Pharmacists APNs

<40 1387 24%

419 48%

504 32%

1263 43%

728 38%

40-49 1578 27%

198 23%

295 19%

726 25%

473 24%

50-59 1586 27%

169 19%

332 22%

540 18%

456 24%

> 60 1270 22%

87 10%

425 27%

398 14%

269 14%

Total 5821 873 1556 2927 1926


K:Document/NP/YE2015/AGE-All

IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce – 2015

Age

32


Retirement Summary

K:Document/NP/YE2015/RETIREMENT-All Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs


Average Average Retired % Leaving Age Retirement Age

Physicians 119 31% 351 53 67

Pharmacists 45 26% 175 50 67

Dentists 33 54% 61 57 66

Nurse Practitioners 30 18% 167 45 63

Physician Assistants 8 12% 73 45 64

33

IOWA HEALTH PROFESSIONS INVENTORY Distribution by Community Size

2015

Community Population

Number of Communities With Providers

Number of Providers % of Providers

Pharms APNs Phys PA Pharms APNs Phys PA Pharms APNs Phys PA

< 1,000 14 34 15 22 16 41 21 22 0.5% 2.1% 0.4% 2.5%

1,000- 4,999

131 105 119 75 391 255 421 126 13.4 13.2 7.2 14.4

5,000- 9,999

42 36 42 36 389 209 503 103 13.3 10.9 8.6 11.8

10,000-49,999 28 28 28 24 653 371 1134 142 22.3 19.3 19.5 16.3

50,000-99,999 8 8 8 8 914 705 2506 317 31.2 36.6 43.1 36.3

> 100,000 2 2 2 2 564 345 1236 163 19.3 17.9 21.2 18.7

Total 225 213 214 167 2927 1926 5821 873 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 2016 K:Doc/NP/2015YrEnd/IA Workforce/CommDist-NP-Pharm-PA-Phys

34

135143

151155 158 155

164

172

174178 179

185

205211 208 209

213

239233 232 231 230 230 229 232 229

225221 219 217 214 212 213 214

161165

160 156162

168

166

165161 159

165 167 165 167 169 169 167

120

130

140

150

160

170

180

190

200

210

220

230

240

250

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 15

Com

mun

itie

s

Towns With At Least One APN

Towns With At Least One PHY

Towns With At Least One PA

Year Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs

UI Carver College of Medicine, April 2016 K:/DOC/NP/YE/2015/Graphics/NPS106 All Provider Types

58% Increase

11% Decrease

4% Increase

COMMUNITIES WITH PA, APN OR PHYSICIAN 1999 - 2015

35

IOWA ADVANCED PRACTICE NURSE TRACKING … Advanced Practice Nurse Tracking System . ... DNP, AGNP,...

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