A Federal Update on Title VIII
Nursing Workforce Development Programs
The Ties That Bind: Creating Partnerships and Collaboratives –
Education, Practice, Interprofessional/Interdisciplinary
Southern Regional Education Board
Council on Collegiate Education for Nursing
November 11, 2012
Julie Sochalski, Director, Division of Nursing
U.S. Department of Health and Human Services
Health Resources and Services Administration
Bureau of Health Professions
Health Resources and Services Administration (HRSA),
U.S. Department of Health & Human Services
Mission:
To improve health and achieve health equity through
access to quality services, a skilled health workforce
and innovative programs.
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Goal II of HRSA’s Strategic Plan
Strengthen the Health Workforce
 Ensure the health workforce is trained to provide high quality
care that is culturally and linguistically appropriate.
 Increase the number of practicing health care providers to address
shortages, and develop ongoing strategies to monitor, forecast
and meet long-term health workforce needs.
 Align the composition and distribution of health care providers to
best meet the needs of individuals, families and communities.
 Ensure a diverse health workforce.
 Support the development of interdisciplinary health teams to
improve the efficiency and effectiveness of care.
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Bureau of Health Professions, HRSA
Mission:
Increase the population’s access to health care by providing
national leadership in the development, distribution and
retention of a diverse, culturally competent health workforce
that can adapt to the population’s changing health care needs
and provide the highest quality of care for all.
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Division of Nursing
Bureau of Health Professions, HRSA
Mission:
Provide leadership on policies and program initiatives that will
promote the supply, skills and distribution of qualified nursing
personnel needed to improve the health of the public.
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Division of Nursing
Bureau of Health Professions, HRSA
Goals:
 Enhance the composition, skills and distribution of
the nursing workforce
 Ensure program accountability through focused
performance and outcomes assessment
 Increase diversity and cultural competence of the
nursing workforce
 Promote effective communication with the public and
stakeholders on nursing workforce development
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History of Title VIII of the
Public Health Services (PHS) Act
 1963-Surgeon General’s report , Toward Quality in Nursing, Needs and Goals1
 Nurse Training Act (NTA) of 1964 (P.L. 88-581)
 Established Title VIII of the PHS Act, first comprehensive federal
support for programs to develop the nursing workforce
 On signing the act, President Johnson noted that the Nurse Training Act of
1964 was the most significant nursing legislation in the history of the
country.2
1
Department of Health, Education, and Welfare, “Toward Quality in Nursing, Needs and Goals.” Report of the Surgeon
General’s Consultant Group on Nursing, Feb. 1963.
2 Lyndon B. Johnson: "Remarks Upon Signing the Nurse Training Act of 1964.," September 4, 1964. Online by Gerhard Peters
and John T. Woolley, The American Presidency Project. http://www.presidency.ucsb.edu/ws/?pid=26484.
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History of Title VIII (cont’d):
 Nursing Education and Practice Improvement Act of 1998
Amended by the Nurse Reinvestment Act of 2002
Amended by the Patient Protection and Affordable Care Act of 2010
 Title VIII authorizes grants to institutions, and scholarships and loans
to individuals, for basic and advanced levels of nursing education and
grants to institutions and health facilities to support nursing practice
and retention.
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Advanced Nursing Education
Geriatric
Care
Supports Enhancement
of Advanced Nursing Education
and Practice
Workforce
Diversity
Section 811
ANE
Title VIII
Programs
Section 846
NELRP/NSP
Nursing
Faculty
Financial Support
for Current Students
and New Graduates
Increasing the Pipeline of Nurses
Recruitment
and Retention
Title VIII Nursing Workforce Development
Fiscal Year (FY) 2012 Funding
$63,925,000
Advanced Nursing Education
Advanced Education and Nurse Anesthetist Traineeships.
$39,578,000
Nurse Education, Practice, Quality & Retention Program
Faculty Development--Integrated Technology into Nursing Ed. & Practice
Nursing Assistant and Home Health Aide Program
Coordinating Center-Interprofessional Education & Collaborative Practice
$15,979,000
Nursing Workforce Diversity
$83,135,000
Nurse Scholarship Program
Nursing Education Loan Repayment Program
$24,801,000
Nurse Faculty Loan Program
$4,530,000
Comprehensive Geriatric Education Program
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HRSA Strategic Priorities and Division of Nursing
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Primary care
Interprofessional education and practice
Innovative practice models
Health care technology
Care coordination
Workforce diversity
Population health and preventive care
Community-based training
Veterans health and health careers
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Patient Protection and Affordable Care Act of 2010
Programs and Policies
• Increased funding for health professions training
• Expanded National Health Service Corps and community
health centers
• Supported service delivery innovations and new models of
care
• Established Centers for Medicare & Medicaid Services
Innovations Center
• Established National Center for Health Workforce Analysis
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National Center for Health Workforce Analysis
• Build on existing sources of data including from professional
associations, states, and federal agencies
• Strengthen national and state capacity for data collection and
analysis including within professional associations and states
• Develop and promote a national uniform minimum data set
• Support research to better understand current and future
workforce needs and dynamics
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Key National Health Workforce Questions
1. Will there be enough nurses, physicians, and other health
care providers to ensure access?
2. What can/should be done to increase the supply, skills and
distribution of the health care workforce?
3. How can we make full use of all health care workers?
4. How can we improve the efficiency and effectiveness of
health care service delivery?
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Drivers of Future Demands for Services
 Population growth: U.S. population to grow
by around 30 million in next decade1
 Medical advances and successes
 Increased incidence of chronic diseases
 Insurance coverage expansion
1
U.S. Census Bureau “Projections of the Population and Components of Change for the United States: 2010 to 2050”
(http://www.census.gov/population/www/projections/summarytables.html,accessed August 10, 2012).
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Recent Trends and Implications
for Future Workforce Development
• Cost pressures and shortages will encourage innovation
and systems redesign
• Primary care will broaden its focus to integrate oral health,
behavioral-mental health and population-focused care
• Role of technology/HIT will continue to grow
• Strong incentives to make better use of current workforce
and allow health personnel to work at top of their license
• Workforce diversity is becoming pathway to improve
access and reduce health disparities
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Contact Information
Julie Sochalski, PhD, RN, FAAN
Director, Division of Nursing
U.S. Department of Health and Human Services
Health Resources and Services Administration
Bureau of Health Professions
301-443-5688
JSochalski@hrsa.gov
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