Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation’s healthcare system transforms and more services are provided outside the hospital walls, nurses must be educated for these opportunities and challenges. A life-long learning approach is required for nurses to stay current, which includes higher levels of education and continual learning beyond the academic setting. Given the great need for registered nurses (RNs), including Advanced Practice Registered Nurses (APRNs), and nurse faculty in a newly reformed healthcare system, it is crucial to maximize funding for professional nursing education and research. Below are state-specific data that policy makers must consider as they make funding decisions to support America’s nursing workforce, nursing science, and the patients they care for. Congress must consider longterm financial planning in these areas — not doing so would place the health of our nation in jeopardy. New York Nursing Education at a Glance, Fall 2015 In 2015, nursing schools in New York enrolled 29,281 students in Baccalaureate and Graduate programs in nursing and produced 8,875 graduates across program levels.1 Baccalaureate and Graduate Nursing Student Diversity by Program Level1 Baccalaureate Master's PhD DNP All Programs Minority* 38% 44% 31% 34% 39% Men 14% 11% 8% 17% 13% Total 20,933 7,556 322 470 29,281 Additionally, there were 5,685 nursing students studying to become APRNs, including 5,290 Nurse Practitioners, 143 Certified Registered Nurse Anesthetists, 161 Clinical Nurse Specialists, and 91 Certified Nurse-Midwives.1 Elevating the role of nursing science for healthcare advances is more critical than ever. As the nation works to ensure adequate nursing capacity in high need areas, nurses with research-focused doctorates (PhD) will be essential to creating the evidence that will inform and support contemporary nursing practice, improvements in patient care, and reductions in health disparities. 10 Years of PhD Enrollments New York 218 237 233 268 283 314 332 334 10 Years of PhD Graduates New York 331 45 322 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 34 25 32 23 28 33 38 47 38 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 1 Understanding the Faculty Shortage1 A shortage of faculty is a primary obstacle to expanding the nation’s nursing workforce and meeting care demand. In 2015, AACN reported that over a thousand qualified applicants were not offered admission to doctoral (1,941) programs due to a faculty shortage as well as other resource constraints. According to AACN’s Survey on Vacant Faculty Positions for Academic Year 2015-2016, most open faculty positions either require (58.9%) or prefer (31.8%) doctorally-prepared faculty members. Of the schools surveyed, approximately two-thirds report insufficient funding as one of the biggest obstacles to hiring additional faculty. The problem will exacerbate as many faculty reach retirement age in the next decade. According to AACN's report on 2015-2016 Salaries of Instructional and Administrative Nursing Faculty in Baccalaureate and Graduate Programs in Nursing, the average ages of doctorally-prepared nurse faculty holding the ranks of professor, associate professor, and assistant professor were 62, 57, and 51 years, respectively. An increased focus and investment must be placed on educating more doctorally-prepared nurses for faculty positions. 10 Years of Faculty Vacancies New York Average Age of New York Nurse Faculty 67 50 40 28 25 33 38 45 57 YEARS 52 10 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 51 AACN Member Schools in New York (By Congressional District) Stony Brook University (NY-1) Briarcliffe College (NY-3) Long Island University LIU Post (NY-3) New York Institute of Technology (NY-3) Adelphi University (NY-4) Molloy College (NY-4) Hofstra North Shore-LIJ (NY-4) York College of CUNY (NY-5) Saint Francis College (NY-7) Long Island University (NY-8) Medgar Evers College of CUNY (NY-9) SUNY Downstate Medical Center (NY-9) Teachers College (NY-10) College of Staten Island (NY-11) Wagner College (NY-11) American University of Beirut (NY-12) Hunter College of CUNY (NY-12) New York University (NY-12) The Graduate Center of the City of New York (NY-12) Columbia University (NY-13) Lehman College (NY-13) College of Mount Saint Vincent (NY-16) College of New Rochelle (NY-16) Concordia College New York (NY-16) Dominican College of Blauvelt (NY-17) Mercy College (NY-17) Nyack College (NY-17) Pace University (NY-17) Mount Saint Mary College – New York (NY-18) Hartwick College (NY-19) Excelsior College (NY-20) SUNY Empire State College (NY-20) The Sage Colleges (NY-20) Plattsburgh State University of New York (NY-21) Binghamton University (NY-22) SUNY Institute of Technology at Utica/Rome (NY-22) Utica College (NY-22) Alfred State College (NY-23) Elmira College (NY-23) Keuka College (NY-23) Le Moyne College (NY-24) SUNY Upstate Medical University (NY-24) Nazareth College (NY-25) Roberts Wesleyan College (NY-25) Saint John Fisher College (NY-25) The College at Brockport (NY-25) University of Rochester (NY-25) Daemen College (NY-26) D’Youville College (NY-26) University at Buffalo– SUNY (NY-26) Niagara University (NY-27) 2 Federal Nursing Funding Facing state budget cuts and the reality of recent economic conditions, our schools and the students they educate depend on federal dollars. In particular, the Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act (42 U.S.C. 296 et seq.) and the National Institute of Nursing Research (NINR) are essential to nurse workforce stability and health care quality. The Title VIII grants are awarded to colleges and universities within each state and provide financial assistance to both nursing education programs and individual students. For over 50 years, the Title VIII programs have been instrumental in supporting the pipeline of registered nurses, advanced practice registered nurses, and nursing faculty. As one of the 27 Institutes and Centers at the National Institutes of Health, the NINR supports research that examines health and illness across the lifespan and establishes the scientific basis for quality patient care. Through grants, research training, and interdisciplinary collaborations, NINR addresses health promotion and disease prevention, quality of life, health disparities, and endof-life care. NINR also helps train the next generation of nurse researchers, who serve as faculty in America’s nursing schools. 10 Years of Funding in New York2 TITLE VIII NINR FY2006: FY2007: FY2008: FY2009: FY2010: FY2011: FY2012: FY2013: FY2014: FY2015: $7,853,092 $7,121,974 $6,902,771 $8,174,837 $10,229,359 $11,859,508 $9,538,622 $9,942,837 $9,157,591 $7,678,867 Total Grant Funding by Congressional District NY-4: $703, 487 FY2006: FY2007: FY2008: FY2009: FY2010: FY2011: FY2012: FY2013: FY2014: FY2015: $5,402,725 $8,385,734 $9,036,727 $9,401,823 $9,366,862 $7,940,015 $7,457,117 $7,026,167 $7,056,248 $7,882,569 Total Grant Funding by Congressional District NY-12: $2,404,245 NY-6: $221,530 NY-13: $3,945,254 NY-9: $16,665 NY-12: $1,413,015 NY-25: $1,533,070 NY-13: $845,571 NY-15: $223,151 NY-20: $1,849,392 NY-21: $50,014 NY-22: $400,247 NY-24: $91,244 NY-25: $377,388 NY-26: $1,469,724 NY-27: $17,439 3 Summary of Fiscal Year 2015 Title VIII Grants by New York Congressional District Program Congressional Total Grant Funding District Nurse Faculty Loan Program NY-4 $225,864 Nurse Faculty Loan Program NY-4 $129,253 Nursing Workforce Diversity NY-4 $348,370 Nursing Workforce Diversity NY-6 $221,530 Nurse Anesthetist Traineeships NY-9 $16,665 Advanced Nursing Education Grants NY-12 $374,995 NSL - Baccalaureate Nursing Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice Nurse Faculty Loan Program NY-12 $140,556 NY-12 $499,983 NY-12 $47,497 Nursing Workforce Diversity NY-12 $349,984 Advanced Education Nursing Traineeship NY-13 $332,640 Nurse Anesthetist Traineeships Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice Advanced Education Nursing Traineeship NY-13 $33,839 NY-13 $479,092 NY-15 $223,151 Advanced Education Nursing Traineeship NY-20 $349,500 Advanced Nursing Education Grants NY-20 $366,038 NSL - Graduate Nursing Nurse Education, Practice, Quality and Retention - Veterans’ Bachelor of Science in Nursing Program Nurse Education, Practice, Quality and Retention - Veterans’ Bachelor of Science in Nursing Program Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice NSL - Baccalaureate Nursing NY-20 $14,747 NY-20 $347,612 NY-20 $330,130 NY-20 $441,365 NY-21 $50,014 Advanced Education Nursing Traineeship NY-22 $349,284 NSL - Baccalaureate Nursing NY-22 $50,963 Nurse Faculty Loan Program NY-24 $91,244 Advanced Education Nursing Traineeship NY-25 $335,235 NSL - Baccalaureate Nursing NY-25 $42,153 Advanced Education Nursing Traineeship NY-26 $337,480 Advanced Education Nursing Traineeship NY-26 $348,945 Advanced Nursing Education Grants NY-26 $373,084 NSL - Baccalaureate Nursing NY-26 $31,310 Nurse Anesthetist Traineeships NY-26 $28,958 Nursing Workforce Diversity NY-26 $349,947 NSL - Baccalaureate Nursing NY-27 $17,439 4 Summary of Fiscal Year 2015 NINR Grants by New York Congressional District Congressional District Total Grant Funding NY-12 $131,085 NY-12 $18,080 Epigenetic Markers Of Age And Diurnal Levels Of Fatigue During Chemotherapy NY-12 $252,374 Program To Improve Care In Complex Chronic Disease NY-12 $111,375 Sepsis Survivors' Post-Acute Outcomes: Impact Of Early Home Health And Md NY-12 $594,630 Symptom Management For Irritable Bowel Syndrome Constipation (Ibs-C) NY-12 $549,126 Taxi Health Access Interventions For Linkages And Lifestyle (Haill) NY-12 $747,575 Comparative And Cost-Effectiveness Research Training For Nurse Scientists NY-13 $152,215 NY-13 $459,050 NY-13 $263,151 Iphone Helping Evaluate Atrial Fibrillation Rhythm Through Technology (Iheart) NY-13 $388,000 'Multi-Drug Resistant Infections And Isolation Precautions In Nursing Homes' NY-13 $28,153 New York City Hispanic Dementia Caregiver Research Program (Nhirp) NY-13 $66,582 New York City Hispanic Dementia Caregiver Research Program (Nhirp) NY-13 $529,336 Prevention Of Nosocomial Infections And Cost Effectiveness In Nursing Homes NY-13 $657,941 Reducing Health Disparities Through Informatics NY-13 $242,293 NY-13 $16,167 NY-13 $364,365 Training In Interdisciplinary Research To Prevent Infections (Tiri) NY-13 $291,005 Video Information Provider For Hiv-Associated Non-Aids (Vip-Hana) Symptoms NY-13 $486,996 Managing Sleep Symptoms And Modifying Mechanisms Of Traumatic Stress NY-25 $372,237 Neurophysiological Aspects Of Vision-Based Speed Of Processing Cognitive Training In Older Adults With Mild Cognitive Impairment NY-25 $513,459 Peer-Led Asthma Self-Management For Adolescents Plasma A Multi-Site Study NY-25 $612,798 Teens Experiences Of Asthma Self Management Across Life Contexts NY-25 $34,576 Project Title Adherence Connection For Counseling; Education; And Support (Access): A Proof Of Concept Study Dietary Intake; Inflammation;Glycemia; & Bp In T2 Diabetes: Examining Disparities Health Information Technology To Reduce Healthcare-Associated Infections: Hit-Hai Improving Hiv Care With Mhealth Tools: An App To Detect Neurocognitive Impairment Secondary Bacteremia In Patients With Catheter-Associated Urinary Tract Infection The Impact Of Hospice Preferred Practices On Patient Outcomes And Hospice Costs The American Association of Colleges of Nursing (AACN) represents over 760 schools of nursing offering a mix of baccalaureate, graduate, and post-graduate programs at institutions nationwide. For more information on AACN or higher nursing education, visit www.aacn.nche.edu or contact us at 202-463-6930. 5 New York Nursing Workforce at a Glance 3,4 Access to Primary Care in New York 5,6,7 Access to primary care providers is critical to maintaining a healthy population and reducing the rising cost of health care. Medically Underserved Areas/Populations (MUA/Ps) are areas/populations the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) has designated as facing barriers to accessing health care. There are 133 MUA/Ps in New York. Health Professional Shortage Areas (HPSAs) are designated as having shortages of primary medical care, dental or mental health providers and may be geographic, population, or facilities (federally qualified health center). There are 179 HPSAs that face primary care provider shortages. Rural Health Clinics (RHCs) are federally designated health clinics certified to receive special Medicare and Medicaid reimbursements. There are 9 RHCs in New York. 1 American Association of Colleges of Nursing. (2016). 2015-2016 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing; 2015-2016 Salaries of Instructional and Administrative Nursing Faculty in Baccalaureate and Graduate Programs in Nursing and 2015 Faculty Vacancy Survey, Washington, DC. 2 U.S. Department of Health and Human Services Health Resources and Services Administration and National Institutes of Health. (2015). AACN compilation of Title VIII and NINR grant funding awarded in FY2015. Retrieved October 1, 2015 from http://datawarehouse.hrsa.gov and https://projectreporter.nih.gov/reporter.cfm 3 New York State Office of Professions. (2016). License statistics. Retrieved March 3, 2016 from http://www.op.nysed.gov/prof/nurse/nursecounts.htm. 4 National Council of State Boards of Nursing. (2016). Number and percent of first-time passing candidates education in member board jurisdictions 1/1/2015 through 12/31/2015. Retrieved January 7, 2016 from https://nursing.iowa.gov/sites/default/files/NCLEX%20RN%20results%20Q4%202015.pdf 5 United States Department of Health and Human Services Health Resources and Services Administration. (2015). Medically Underserved Areas/ Populations (MUA/P) State Summary of Designated MUA/P. Retrieved January 1,2016 from http://datawarehouse.hrsa.gov/topics/shortageAreas.aspx. 6 U.S. Department of Health and Human Services Health Resources and Services Administration. (2015). Designated Health Professional Shortage Areas Statistics. Retrieved January 1, 2016 from http://datawarehouse.hrsa.gov/topics/shortageAreas.aspx 7 Centers for Medicare and Medicaid Services. (2015). Medicare certified rural health clinics. Retrieved on January 1, 2016 from http://www.cms.gov/ MLNProducts/downloads/rhclistbyprovidername.pdf. * Minority Enrollment includes African American, American Indian or Alaskan Native, Asian, Hispanic or Latino, Native Hawaiian or Pacific Islander, and Two or more races. 6 ** NCLEX takers include graduates of Associate’s, Bachelor’s, and Master’s degree programs in nursing. March 2016