ARIZONA FACT SHEET 2013 ARIZONA ACTION COALITION (AZAC) The Arizona Action Coalition was established in March, 2012 to guide the implementation of the recommendations of the Institute of Medicine’s Future of Nursing Report. Significant projects include: A self-study of Arizona’s current nursing climate Aligning nursing curriculum with practice expectations Plan to establish an AZ Healthcare Workforce Center ARIZONA DEMOGRAPHICS Arizona has a much higher proportion of Hispanic or Latino citizens and lower proportion of Black or African Americans than other states. Arizona has the largest American Indian population among the United States. Over the next decade, the average age of Arizona’s population will rise. By 2020, one-fourth of all Arizonans will be over the age of 60. Approximately onesixth of the population of Arizona qualifies for Medicaid. ARIZONA NURSES Approximately 84% of nurses in Arizona are Caucasian with the next highest ethnic category being Hispanic at approximately 5-6 %.(CHIR, 2009). The ratio of RNs employed in nursing to 100,000 residents increased from 748 in 2000’s to 934 in 2011 (CHIR, 2012). The percent of currently licensed RNs educated at the baccalaureate in nursing or above is below the national average at 37%. Approximately 32% of working nurses are age 55 and older. ADVANCED PRACTICE NURSES Nurse practitioners and certified nurse midwives enjoy numerous privileges in Arizona including independent practice and full prescribing. Certified registered nurse anesthetists lack full prescribing privileges and must administer anesthesia in the presence of a physician. Clinical nurse specialists lack prescriptive privileges. NURSING EDUCATION AZ hosts seven practical nursing programs, 24 associate-degree RN nursing programs, eight baccalaureate entry nursing programs and one master’s entry nursing program. Registered nursing program graduates have increased 165% in the last 10 years from 1074 to 2852. (Randolph, 2012). Baccalaureate degrees were earned by 33% of Arizona RN graduates in 2013 (AZBN, 2013). AZ has embraced a concurrent AD/BSN enrollment model to increase the proportion of BSN prepared nurses. RN to BSN, Master’s and Doctorate programs have all more than doubled graduates in the last 5 years. NURSING RESIDENCIES Less than half (46%) of a sample of employed newly licensed nurses reported that their employer offered a residency program in 2012. Ninety-three percent of those whose employer offered a residency program worked in acute care settings; 3% worked in long-term care. The most common length of the hospital residency programs was 2-3 months (31%). (Randolph, 2012) 1 Arizona Action Coalition www.futureofnursingaz.com Nursing Statistics in AZ (May 10, 2013) Registered Nurses 74.516 Licensed Practical Nurses 11,013 Nurse Midwives 211 Clinical Nurse Specialists 201 Nurse Anesthetists 640 Nurse Practitioners 4,205 Nurse practitioners and certified nurse midwives enjoy numerous privileges in Arizona including independent practice and full prescribing. PRIMARY CARE IN AZ According to the Association of American Medical Colleges, Arizona needs 700 more primary care physicians to meet the national average. In 2010, Arizona ranked 43rd in number of primary care physicians per 100,000 people with 68 as opposed to the national average of 79. At the root of this shortage is a lack of residency programs that can attract and retain primary care physicians in the state. ARIZONA MEDICAID Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements. HELP IMPROVE HEALTH IN ARIZONA All Arizonans are affected by health care (whether as a patient, provider, family member or friend) and all have a stake in how care is delivered. By joining the Arizona Action Coalition you have an opportunity to be part of a movement that is striving to increase access to care and advance the health of Arizona residents through the advancement of nursing. WE NEED STAKEHOLDERS TO: Choose a committee of interest to you (Finance, Practice, Education, Leadership, Communication and Outreach and Workforce) that is working on the eight recommendations from the IOM report Provide the AZAC with connections and resources that can help increase advocacy efforts and sustain longevity of the coalition Provide funding Increase networking possibilities by recruiting other entities to join the coalition and solicit their support/create a Arizona Action Coalition presence at business events CO-LEAD ORGANIZATIONS & CONTACTS Pamela Randolph (prandolph@azbn.gov ) Greg Vigdor (gvigdor@azhha.org) Robin Schaeffer (robin@aznurse.org) Marie Fredette (info@azhomecare.org ) 2 Arizona Action Coalition www.futureofnursingaz.com