iowa advanced practice nurse tracking … reyes, dnp, agnp, rn associate director of practice and...
TRANSCRIPT
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%
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\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%
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017
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
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
Taylor Van BurenWayne
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
Taylor Van BurenWayne
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
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
Taylor Van BurenWayne
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
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, June 2017
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education ProgramsUI Carver College of Medicine, June 2017
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
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017
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
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017
*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
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\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
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017
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
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs, UI Carver College of Medicine, June 2017
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
IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 2016
Net Gain/Loss Summary
K:Graphics/Powerpoint/IA Workforce/ALL-HP-2016/Gain-Loss
Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 2017
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
IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 2016
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
IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 2016
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
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/NPS106-All Provider Types
56% Increase
9% Decrease
6% Increase
COMMUNITIES WITH PA, APN OR PHYSICIAN 1999 - 2016
36