IOWA ADVANCED PRACTICE NURSE TRACKING … Reyes, DNP, AGNP, RN Associate Director of Practice and...

IOWA ADVANCED PRACTICE NURSE

TRACKING SYSTEM

ADVISORY COMMITTEE MEETING October 17, 2017

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 17, 2017 10:30am – 12:00pm

Carver College of Medicine 106 CME

-Agenda-

I. Welcome and Introductions

II. Meeting Agenda and Participant List

III. 2016 Annual Report- Annual Benchmarks- Geographic Distribution- Trends- Workforce Comparison

IV. Open Discussion Items

Iowa Advanced Practice Nurse Tracking System Advisory Committee

October 17, 2017

Advisory Committe

Iowa Nurses Association Lorinda Inman, MSN, RN Chair, Iowa Nurses Foundation

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

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 Iowa Association of Colleges of Nursing Kendra Williams-Perez, EdD, RN, CNE Professor and Dean, Allen College 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 APNs Annual Workforce Report*

Date APNs • December 2016 2047 • January 2016 1969

Gain + 78

K:\DOCUMENT\NP\YearEnd\2016Yearend\Graphics\np100.ppt Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017

* For year ending 12-31-2016

1

IOWA APNs Entering vs. Terminating Practice

Prior Ten-Year 2016 Year Average APNs Entering 237 256 199 APNs Terminating -159 -170 - 99 Net Gain/Loss +78 +86 +100

K:Document\NP\YE2016\Graphics\124.PPT

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017

2

IOWA APNs Gender Distribution

2016

Male12%

Female88%


K:\DOC\NP\YE\2016\Graphics\NP104.PPT

• Female 1800

• Male 247

Total 2047

3

IOWA APNs Age Distribution

2016

40-4926%

<4038%

>6014%

50-5922%

Age Category No. % Cumulative % < 40 782 38% 38% 40-49 535 26% 64% 50-59 442

22% 86%

> 60 288 14% 100% 2047 100%

K:\DOC\NP\YE\2016\Graphics\np128pie.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017

4

IOWA APNs Full Time vs. Part Time*

2016

Percent

Full Time 1907 93%

Part Time 140 7% Total 2047 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017 K:/DOC/NP/YE/2016/Graphics/FTE-164.PPT

*PT = < 32 hours/week

5

IOWA APNs Age Distribution

Full Time vs. Part Time* 2016

Age FT % PT % Cumulative %

< 40 746 36.4 36 1.7 38.1

40-49 499 24.4 36 1.7 64.2

50-59 413 20.2 29 1.5 85.9

> 60 249 12.2 39 1.9 100%

1907 93.2 140 6.8

*FT = > 32

PT = < 32

Source: University of Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017

NP\YE2016\Graphics\FTvPTage.PPT 6

IOWA APNs Detail of Age > 50

2016

0102030405060708090

100

# in Iowa 34 48 38 55 56 39 53 44 37 38 48 42 46 37 28 22 13 15 11 9 6 2 2 1 1 3 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 78

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017 K:NP\2YE2016\Graphics\Over50-Bar-163.PPT

Age

AP

Ns

Total number of APNs age 50 and over = 730 (36%)

7

IOWA APNs Principal Professional Activity

2016

Number

Percent

• Private Practice 1525 74.5% • State Facility 215 10.5% • Public/Community Health 101 5.0% • Federal 69 3.4% • Hospital Medicine 55 2.7% • Teaching/Research 35 1.7% • Urgent Care 29 1.4% • Student Health 13 0.6% • Administration 5 0.2%

Total 2047 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017 K:\DOC\NP\YE\2016\Graphics\NP126.PPT

8

IOWA APNs Certifications

2016 Number Percent

• Family NP (FNP) 1025 50.1% • RN Anesthetist (CRNA) 330 16.1% • Pediatric NP (PNP) 133 6.5% • Adult NP (ANP) 121 5.9% • Ob/Gyn (ONP)/Women’s Health 103 5.0% • Psychiatric NP (PSNP) 103 5.0% • Nurse Midwife (NMW) 65 3.2% • Acute Care NP (ACNP) 57 2.8% • Neonatal NP (NNP) 33 1.6% • Gerontological NP (GNP)/CGE 32 1.6% • CNS Adult Psych (CAP) 16 0.8% • Other* 29 1.4%

Total 2047 100%

Source: Office of Statewide Clinical Education Programs, UI Carver College of MedicineIowa Health Professions Tracking Center, June 2017

K:\DOC\NP\YE\2016\Graphiics\NP-CertPPT

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

9

DISTRIBUTION OF APNs By City Population Ranges

2016

K:Doc\NP\YE2016\Grahics\CityPopRanges-Comp.ppt

Population Cities

in Iowa

% of population*

# of Cities with APNs

# of APNs Percent

Cumulative Percent

< 5,000 867 (62CDP)** 27% 142 307 15.0% 15.0%

5,000-9,999 42 12% 37 232 11.3% 26.3%

10,000-24,999 17 10% 17 175 8.6% 34.9%

25,000-49,999 11 14% 11 215 10.5% 45.4%

50,000-99,999 8 23% 8 767 37.5% 82.9%

100,000 > 2 14% 2 351 17.1% 100.0%

Totals 947 100% 217 2047 100.0%


65% 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

10

IOWA APNs Communities Gaining/Losing APNs

2016

Community Size #Entering #Leaving Net

<5,000 42 24 +18

5,000 - 9,999 27 14 +13

10,000 - 24,999 21 11 +10

25,000 - 49,999 33 25 + 8

50,000 - 99,999 73 45 +28

>100,000 41 40 + 1 Total 237 159 +78

K:Doc/NP/YE/2016Y/Graphics/101-chart.PPT Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017

11

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

IOWAADVANCED PRACTICE NURSES (2047)

2016

345

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

2

3

Black Hawk

122

Boone

Bremer

20

Buchanan

5

Cass

10

Cerro

Gordo

50

16

Cherokee

4

9

7Clay

Clinton76

Dallas

114

Des Moines

35

11

Dubuque

80

Emmet

Fayette

Floyd

5

4

Hamilton

38

6

Hardin

9

Henry

Jackson

Jasper

8

Jefferson

Lee

26

Linn

128

1

MahaskaMarion

18

Marshall

21

Page

12

6

8

44

Poweshiek

3

3

Scott

1058

Sioux

Story

27

Union

10

1

Wapello

25

Warren Washington

5

12

Webster

3

Winneshiek

15

77

3

Muscatine

3

11

21

7

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, June 2017


K:DOCUMENT/NP/YE2015/Graphics/NP101.cdrK:DOCUMENT/NP/YE2015/Graphics/NP101.cdr

Plymouth

17

Johnson

312

14

5

7

7

3

3

4

19

2

5

6

5

275

6

14

1

8

6

1 18

24

5

13 4 13

6 7

4

5

2

10

4

3

1

4

4

7

Kossuth

8

20-99 (14)

6-19 (39)

2-5 (32)

1 (6)

KEY:

0 (3)

3

1

100+ (5)4

12

IOWA APNsCommunities with APNs (217)

2016

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,UI Carver College of Medicine, June 2017

Doc\NP\Yearend\2016YE\NP103_Comm

Sheldon(11)

Cresco(7)

Ames(22)

Ankeny(12)

Atlantic(10)

Nevada

LeMars(6)

Bloomfield (11) Keosauqua

Gowrie (2)

Evansdale

Cedar Falls(15)

Cedar Rapids(112)

Postville

Chariton(7)

Cherokee (15)

Kingsley (2)

Clarinda(5)

Bedford (2)

Clear Lake(3)

Garner (2)

Clinton (14)

Clive(18)

Corning(3)

Seymour (2)

Albia(7)

Creston(10)

Underwood

Davenport(72)

Decorah(12)

Denison(7)

Ida Grove(4)

Denver

Des Moines(237)

Dubuque(74)

Ogden(3)

Emmetsburg(3)

Estherville(3)Lake Mills (2)

Fort Dodge(36)

Fort Madison(14)

Greenfield (3)

Audubon (2)Grinnell(4)

Harlan(6)

West PointHamburg(2)

Indianola (4)

Iowa City(295)

Iowa Falls(4)

Osage (3)

Keokuk(11)

Knoxville(5)

Lake View

Spirit Lake(7)

Leon (3)

Manchester(21)

Cascade (2)

Mapleton (4)Maquoketa(4)

Marshalltown(20)

Mason City(47)

Bellevue

Mount Pleasant(9)

Story City

New Hampton(4)

Newton (6)

Hubbard

North Liberty(3)

Vinton

Onawa (2)

Orange City (7)

Shenandoah(6)

Melcher-Dallas

Ottumwa(25)

Waukee (2)

Pella(11)

Dunlap(2)

Janesville(2)

Corydon(3)

Larchwood

Hampton(3)

Red Oak(5)

Milford(2)

Sioux City(73)

Hartley (2)Spencer (17)

Lake Park

Storm Lake(7)

Boone(9)

Tama(4)

Panora (2)

State Center

Reinbeck

Waterloo(110)

Waukon(5)

Webster City(5)

West Burlington(33)

W Des Moines(72)

Mount Ayr(3)

Graettinger(2)

Parkersburg(2)

Richland

Pocahontas (2)

Ireton

SiouxCenter(8)

Burlington

Rockford(2)

Armstrong

Guttenberg (7)

Algona

Muscatine(23)

Okoboji

Coralville(14)

Oskaloosa(17)

Osceola (4)

Lansing

Wesley

Sergeant Bluff (2)

Lake City(2)

Guthrie Center (2)

Manson

Mitchellville(2)

Zearing(2)

Clarion(8)

Winfield

Lamoni

Jefferson(4)

Central City

Carroll (11)

Urbandale(12)

Marion(5)

Fontanelle

Waverly(15)

Arlington

Independence(4)

Oelwein (5)

Sumner(2)

Grimes

Sigourney(3)

New Sharon

Centerville (8)

Marengo

Altoona(3)

Hiawatha(10)

Lineville

Britt (3)West Union

Kalona(2)

Prairie City

Eagle Grove

Sloan

Manning (2)

Moville

Belmond(2)

Johnston(5)

Monticello

Winthrop

Fairfield (6)

Winterset

Charles City(3)

Wellman

Washington (2)

Humeston

Sac City (2)

Carlisle

Tipton(2)

Shell Rock(3)

Clarksville

North English

Toledo

Dayton

Windsor Hgts(2)

Sanborn

Earling

Malvern

Villisca

New London

Humboldt(3)

Rockwell City(3)

Colfax

Ackley(2)

Allison

Montezuma (2)

West Liberty

Peosta

Clarence

Calmar (2)

Adair

Shelby

Strawberry Point

DysartTraer

Grundy Center(3)

Wayland

Polk City

Stuart

Woodbine

Madrid

Kanawha

Edgewood

Elkader (2)

Bettendorf(26)

OssianHawarden

Norwalk

Council Bluffs(43)Oakland

Glenwood(3)

Tabor(2)

Mediapolis

Exira

Marcus West Bend

Buffalo Center

Lime Springs

Amana

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 APNsFamily Nurse Practitioners (1025)*

2016

159

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

2

3

Black Hawk

77

Boone

Bremer

11

Buchanan

1

Cass

5

Cerro

Gordo

21

13

Cherokee

4

3Clay

Clinton44

Dallas

34

Des Moines

14

9

Dubuque

40

Emmet

Fayette

Floyd

3

2

Hamilton

26

5

Hardin

6

Henry

Jackson

Jasper

5

Jefferson

Lee

13

Linn

63

1

MahaskaMarion

9

Marshall

7

Page

11

5

5

12

Poweshiek

4

3

Scott

435

Sioux

Story

12

Union

3 1

Wapello

19

Warren Washington

4

6

Webster

3

Winneshiek

8

34

1

Muscatine

3

10

11

5

Crawford

Montgomery

Dickinson

Appanoose

Iowa

Wright

Kossuth

Calhoun

O'Brien

Monona

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsCarver College of Medicine, June 2017

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsCarver College of Medicine, June 2017

K:Doc/NP/YE/2016/Graphics/np110.cdr

Plymouth

12

Johnson

81

9

5

5

3

5

7

2

3

5

164

6

6

5

13

24

8

3 6

4

5

2

4

*50% of Iowa’s advanced practice nurses

20+ (9)

KEY:

6-19 (32)

2-5 (48)

1 (6)

0 (4)

6

12

3

1

7

6

1 3

3

6

8

2

2

6

2

1

4

3

2

14

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 (330)

2016

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

Black Hawk

Boone

Bremer

Buchanan

Cass

Cerro

Gordo

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 ProgramsUI Carver College of Medicine, June 2017 K:DOCUMENT/NP/YE/2016/Graphics/CRNA-Cty.cdrK:DOCUMENT/NP/YE/2016/Graphics/CRNA-Cty.cdr

Plymouth

Johnson

2

1

5

33

4

1

137

2

7

8 16

1

2

3

2

2 69

5

1

37

71

1

6

5

3

41

9

4

2

3

5

2

24

5

7

Des Moines

2 1

4 2

1

1

1

1

2

211

1

1

3

KEY:

>11 (6)

(8)

(15)

(28)

(42)

6 - 10

3 - 5

1 - 2

0

CRNAs Counties

1

1

1

2

1

15

IOWA APNsCommunities with CRNAs (60)

2016

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,UI Carver College of Medicine, June 2017

K:Don\NP\YE\2016\NP103-CRNA_Comm.CDR

Sheldon (5)

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 (28)

Dubuque (16)

Estherville

Fort Dodge (5)

Fort Madison (5)

Grinnell (3)

Ida Grove

Hamburg

Iowa City (69)

Iowa Falls (2)

Grundy Center

Knoxville (2)

Spirit Lake (2)

Mount Ayr

Manchester (8)

Marshalltown (7)

Mason City (13)

Mount Pleasant (3)

Newton (2)

Onawa

Orange City (2)

Pella (5)

Hampton

Red Oak (2)

Cresco (2)

Sioux City (24)

Spencer (7)

Storm Lake (3)

Boone (7)

Waterloo (5)

Waukon (2)

West Burlington (11)

W Des Moines (13)

Guttenberg

Muscatine (6)

Oskaloosa (3)

Lake City

Clarion (5)

Carroll (3)

Waverly (3)

Manning

Harlan (2)

West Union

Winterset

Charles City (2)

*Locum Tenens

Osage

16

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* (122)

2016

Polk

Woodbury

Pottawattamie

VistaBuena

Carroll

Black Hawk

Boone

Bremer

Buchanan

Cass

Cerro

Gordo

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



K:DOC/NP/YE/2016/Graphics/PsychNP.cdrK:DOC/NP/YE/2016/Graphics/PsychNP.cdr

Plymouth

Johnson

CAP/PSNP

KEY*

CAP/CCAP/PSNP

CAP-16; PSNP-103; CCAP-3

CAP-1

PSNP-10

PSNP

CAP

CAP-1

PSNP-1

CAP-1

CAP-1

CCAP-1

PSNP-6

PSNP-2

PSNP-7

CAP-2

CAP-1

CAP-1CCAP-1PSNP-7

CAP-3

PSNP-25

CAP-5

CCAP-1

PSNP-12

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

PSNP-7

PSNP-2

PSNP-1

PSNP-3

PSNP-1

PSNP-1

PSNP-1

PSNP-6

PSNP-1

PSNP-2

PSNP-1

PSNP-1

PSNP-1

PSNP-2

PSNP-1

PSNP-1

PSNP-1

17

K:Doc\NP\YE\2016\Graphics\NP108.cdr

IOWA APNs50 and Over2016

— Age —

Source: Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, June 2017Iowa 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

2/3

3/6

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

2/4

4/8

Hancock

Wright

Winnebago

CerroGordo

AdamsMills

Lee

2/4

3/55/10

9/16

7/11

4/5 2/11 76/169

5/7

1/1

11/21

4/6

10/17

1/1

18/25

= 0 APNs (3)

> 50% age 50and over (24)

< 50% age 50and over (72)

Jasper

4/8

Johnson

1/2

1/2

5/9

8/14

4/5

3/5

18

ACTIVE IOWA APNs 1999 - 2016

2047

1969

1176

1087

1044

997

930

907

872

804707

633

1260

1353 1500

16171738

1883

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16

K:/Doc/NP/YE/2016/Graphics/NP102.PPT

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017

223% Increase

19

IOWA APNs Net Gain/Loss 1999 - 2016

525456585

105125145165185205225245265

Entering 130 96 121 88 72 96 124 92 104 144 132 149 230 225 245 266 256 237Leaving 11 22 24 20 37 73 57 45 61 55 48 56 83 108 124 121 167 159Net Gain/Loss 119 74 97 68 35 23 67 47 43 89 84 93 147 117 121 145 89 78

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16

AP

Ns

K:\DOCUMENT\NP\YearEnd\2016\Graphics\NP168.pptm


20

IOWA APNs Age Distribution Comparison

1999 vs. 2016 782

535442

288

159 152

21

280

050

100150200250300350400450500550600650700750800

Under 40 40-49 50-59 60 and Over

Year Total APNs Average Age Median Age 2016 2047 45 43

K:Doc\NP\YE\2016\Graphics\170.PPT


*Includes 21 unknown

1999 633* 45 45

21

IOWA APNs Working in Communities of <15,000

1999 – 2016

633

1087

1260

1500

1738

1969

198 219

382 405 458 498 535 582 612 648

997930

10441176

804907

707

872

1353

1617

1883

2047

357323318258 289274271248

100300500700900

110013001500170019002100

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16

All APNs <15,000 Comm


K:/DOC/NP/YE//2016\Graphics\Comm15KNP102.ppt

22

IOWA APNs Towns With at Least One APN

1999 - 2016

211

185

164158

151

217

214209

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 '16

Tow

ns

wit

h A

PN

s

Year K:/DOC/NP/YE/2016/Graphics/NPS106.ppt Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,

UI Carver College of Medicine, June 2017

61% Increase

23

135

143

151155

158155

164

172 174178 179

185

205211

208211

214

217

239233 232 231 230 230 229

232229

225221 219 217

214 212 213 214

211

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 16

Com

mun

itie

s

Year

IOWA APNsCommunities with APN or Physician

1999-2016

Towns 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, June 2017 K:Doc/NP/YE2016/NPs106w PHY

61% Increase

12% Decrease

24

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

2006 - 2016

1044

1176

1353

1617

1883

2047

566649

749

9401087

1260

1500

1738

1969

1019

854

688606

1279

12051125

0200400600800

1000120014001600180020002200

'06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16

Nur

ses

APNs Primary Care APNs

K:Doc/NP/YE/2016YE/Graphics/PrimaryCareTrend 16.ppt

*Primary Care: ANP, FNP, & PNP

Source: Office of Statewide Clinical Education Programs, UI Carver College of Medicine Iowa Health Professions Tracking Center, April 2017

Primary Care APNs* 126% Increase (13% per year)

APN Supply 96% Increase (10% per year)

25

IOWA APNs CRNA - Gender

1999 - 2016

136

214

266285

300

334 330321

285286

167149

178161

246

209189

207

165

161152144

101

148

114 119122 133116

133

106

135149 162 163

156

169

160148141

35 43 47 51 59 67 74 76 79 97 104123

137

174

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 '16

All CRNAs Male Female


K:Doc\NP\YE\2016YE\Graphics\CRNA-Gender.PPT

26

Year Retirement Relocation Death Health Training Inactive Locum Tenens

Military Misc/UNK Total

2010 9 13 - 1 - 6 - - 27 56

2011 21 19 - - - 3 - - 40 83

2012 19 21 2 1 - 9 1 - 55 108

2013 20 29 - 2 1 8 1 63 124

2014 22 35 1 2 1 3 5 - 52 121

2015 33 38 3 - 1 8 3 - 84 170

2016 25 20 - 1 3 4 4 - 102 159

Total 149 175 6 7 6 41 14 0 423 821

Annual Average 21.3 25.0 0.9 1.0 0.9 5.9 2.0 0.0 60.4 117.3

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs K:Document\NP\YE2016\Workforce142 University of Iowa Carver College of Medicine, June 2017

IOWA APNsAttrition Analysis

1996-2016

27

RELOCATION OF IOWA APNs IN US (20)*

2016

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI College of Medicine, June 2017

K:\Document\NP\YE2016\USMap171.ppt

1

2 1

2

2

2 1

1

1

2

1 1

*4 unknown

28

IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 2016

K:Doc\NP\YE2016\Summary-All-HP


Physicians 5852

Pharmacists 2950

Dentists 1530

Nurse Practitioners

Physician Assistants

2047

883

29

IOWA HEALTH PROFESSIONS INVENTORY 2000-2016

4830 4974 50025196

5417 5597 5770 5821 5852

2453 2502 2567 2656 2761 2865 2920 2927 2950

1425 1444 1447 1463 1467 1517

1556 1557 1530707 872 930

1044 1176 1353

16171883

2047

480 538 583 630 682 736 810 873 883

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

00 02 04 06 08 10 12 14 16

Physicians 21% Increase

Dentists7% Increase

PAs84% Increase

Pharmacists 20% Increase

APNs 189% Increase

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, June 2017 K:Graphics\Powerpoint\IA Workforce\ALL‐HP‐2016\Trendline

30


Net Gain/Loss Summary

K:Graphics/Powerpoint/IA Workforce/ALL-HP-2016/Gain-Loss


Entering % Leaving % Net % Total

Physicians 368 6.3% 354 6.1% 14 0.2% 5852

Pharmacists 153 5.2% 158 5.4% -5 -0.2% 2950

Dentists 75 4.9.% 92 6.0% -17 -1.1% 1530

Nurse Practitioners 237 11.6.% 159 7.8% 78 3.8% 2047

Physician Assistants 65 7.4% 69 7.8% -4 -0.5% 883

31


Gender

Male

%

Female

%

Total

Physicians 4069 1783 5852

Physician Assistants 259 624 883

Dentists 1107 423 1530

Pharmacists APNs

1067

247

1883

1800

2950

2047

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017 K:Graphics/Powerpoint/IA Workforce/All-HP-2016/GENDER.PPT

29%

70%

72%

36%

71%

28%

88%

30%

12%

64%

32

Physicians

Physician Assistants

Dentists

Pharmacists

APNs

<40

1383 24%

411 47%

498 32%

1279 43%

782 38%

40-49 1576 27%

213 24%

301 20%

742 25%

535 26%

50-59 1541 26%

166 19%

321 21%

521 18%

442 22%

> 60

1352 23%

93 10%

410 27%

408 14%

288 14%

Total 5852 883 1530 2950 2047 Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs,

UI Carver College of Medicine, June 2017 K:Graphics/Powerpoint/IA Workforce/ALL-HP-2016/AGE

IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce – 2016

Age

33


Retirement Summary

K:Doc/NP/YE2016/Retirement/ALL-HP-2016 Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017

Average Average Retired % Leaving Age Retirement Age Physicians 86 24% 354 51 67

Pharmacists 46 29% 158 50 67

Dentists 42 46% 92 53 68

Nurse Practitioners 25 16% 159 45 65

Physician Assistants 9 13% 69

43 62

34

IOWA HEALTH PROFESSIONS INVENTORY Distribution by Community Size

2016

Community Population

Number of

Communities With Providers

Number of Providers

% of Providers

APNs Phys PA APNs Phys PA APNs Phys PA

< 1,000 37 15 22 43 21 22 2.1% 0.4% 2.5%

1,000- 4,999

105 116 77 264 410 125 12.9 7.0 14.2

5,000- 9,999

37 42 36 232 507 109 11.3 8.7 12.3

10,000-49,999 28 28 25 390 1147 147 19.1 19.6 16.6

50,000-99,999 8 8 8 767 2558 314 37.5 43.7 35.6

> 100,000 2 2 2 351 1209 166 17.1 20.7 18.8

Total

217 211 170 2047 5852 883 100%

Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017 K:Graphics/Powerpoint/IA Workforce/All-HP-2016/CommDist-NP-PA-Phys

35

135143

151155 158 155

164

172

174178 179

185

205211 208 209

214

217

239233 232 231 230 230 229 232 229

225221 219 217 214 212 213 214

211

161165

160 156162

168

166

165161 159

165 167 165 167 169 169 167 170

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 '16

Co

mm

un

itie

s

Year

Towns With At Least One APN

Towns With At Least One PHY

Towns With At Least One PA


K:/DOC/NP/YE/2016/Graphics/NPS106-All Provider Types

56% Increase

9% Decrease

6% Increase

COMMUNITIES WITH PA, APN OR PHYSICIAN 1999 - 2016

36

IOWA ADVANCED PRACTICE NURSE TRACKING … Reyes, DNP, AGNP, RN Associate Director of Practice and...

Documents

Transcript of IOWA ADVANCED PRACTICE NURSE TRACKING … Reyes, DNP, AGNP, RN Associate Director of Practice and...