division of nursing’s workforce diversity and health equity agenda mary beth bigley, drph, msn,...
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Division of Nursing’s Workforce Diversity and
Health Equity Agenda
Mary Beth Bigley, DrPH, MSN, ANPDirector, Division of NursingBureau of Health Professions
April 23, 2014
Department of Health and Human ServicesHealth Resources and Services Administration
Bureau of Health ProfessionsDivision of Nursing
Outline1. Overview of HRSA Mission and focus on health
equity2. Present a conceptual model linking health equity,
social determinants of health (SDOH) and nursing workforce diversity (NWD)
3. Describe a Division of Nursing (DN) specific initiative to utilize the SDOH to increase NWD and improve population health equity
4. Conclusions and next stepsHRSA, BHPr, Division of Nursing 2
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 3
Health Equity Attainment of the highest level of health
(includes population health) for all people Valuing every individual 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 Nursing4
Cascading Strategic Initiative on Health Equity
Improve Health Equity
Improve Health Equity
Achieve Health Equity HHS
HRSA
BHPrHRSA, BHPr, Division of Nursing
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DN Structure
Division of Nursing
Nursing Practice and Workforce
Development
Nursing Workforce Diversity
Nurse Education, Practice, Quality and Retention
Advanced Nursing Education
ANE/ANEENAT/AENT
NFLP
HRSA, BHPr, Division of Nursing6
Division of Nursing’s Workforce Diversity and Health Equity Agenda
Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce
Development BranchBureau of Health Professions
April 23, 2014
Department of Health and Human ServicesHealth Resources and Services Administration
Bureau of Health ProfessionsDivision of Nursing
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 Nursing8
Division of 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 9
Nursing Workforce Diversity (NWD) Program
LegislationTitle 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. 111-148
Legislative Definition of DiversityCreate and expand nursing education opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among registered nurses)
HRSA, BHPr, Division of Nursing10
Nursing Workforce Diversity (NWD) Program
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)
11HRSA, BHPr, Division of Nursing
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 methodologiesHRSA, BHPr, Division of Nursing 13
Vision Incorporating Social Determinants of Health
(SDOH) in Workforce Diversity efforts 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 14
Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.
HRSA, BHPr, Division of Nursing 16
Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.
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 HRSA, BHPr, Division of Nursing 20
Social Determinants of Health
Contribute to or detract from health of individuals and communities
Includes a living standard: Health Food Clean water Participation in society Benefits of societal progress
HRSA, BHPr, Division of Nursing 21
SDOH: The Transition from individual-level to multi-level approaches
and strategies…
HRSA, BHPr, Division of Nursing22
SDOH and 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 Nursing23
Nursing in 3D Journal Supplement
Public Health Reports Integration of the 3D’s 15 invited manuscripts
3D Summit presenters HRSA staff
HRSA, BHPr, Division of Nursing25
Towards Health Equity
NWD 2013 and 2014 Funding Opportunity Announcements: 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
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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 Nursing27
Contact Information
Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce Development Branch, Division of Nursing
Bureau of Health ProfessionsOffice: 301-443-1253
Email: swilliams3@hrsa.govwww. http://bhpr.hrsa.gov/nursing/index.html
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