Health Professions
Nursing Workforce Development
Nurse Education, Practice and Retention
Grants
Authorizing Legislation - Section
831 of the Public Health Service Act.
| |
FY 2006
Actual |
FY 2007
CR |
FY 2008
PB |
Increase
or
Decrease |
| Budget
Authority |
$37,266,000 |
$37,292,000 |
$37,291,000 |
-$1,000 |
FY 2008 Authorization.........................................................................................................Expired
Statement of the Budget Request
- The FY 2008 Budget of $37,291,000 is
a decrease of $1,000 below the FY 2007
CR.
Program Description -
The Nurse Education, Practice and Retention
Program awards grants and enters into
contracts with eligible entities for projects
to strengthen capacity for nurse education
and practice under three priority areas:
education, practice and retention. Nine
separate purposes are clustered under
these three areas. The purposes identified
under the education priority area include:
(1) expanding enrollment in baccalaureate
nursing programs; (2) developing and implementing
internships and residency programs; and
(3) providing education in new technologies.
The purposes identified under the practice
priority area include: (1) establishing
or expanding nursing practice arrangements;
(2) providing care for underserved populations
and other high risk groups; (3) continuing
education to practice in the emerging
health care system; and (4) developing
cultural competencies for nurses. The
purposes identified under the retention
priority area include: (1) promoting advancement
for nursing personnel through career ladder
programs; and (2) improving the retention
of nurses and enhancing patient care directly
related to nursing activities.
The March 2004 National Sample Survey
of Registered Nurses (the most comprehensive
source of data on the nursing workforce
as a whole) and Bureau of Health Professions
September 2004 report on the supply and
demand forecasting model on the nursing
workforce provide the basis for targeted
initiatives designed to address the nursing
workforce supply through support for projects
that specifically address education, practice
and retention issues.
Rationale for the Budget Request
- The FY 2008 Budget of $37,291,000 is
a decrease of $1,000 below the FY 2007
CR The total request will be used to support
targeted initiatives focusing on faculty
development, informatics, baccalaureate
education, and three statutory funding
preference purposes (developing and implementing
internship and residency programs; promoting
career advancement for nursing personnel;
improving the retention of nurses and
enhancing patient care that is directly
related to nursing activities).
Funding will specifically address enhancing
the educational mix and utilization of
the nursing workforce by supporting innovative
approaches to shape the nursing workforce.
Funding facilitates flexibility in meeting
local/regional nursing needs as identified
in the priorities referenced in the legislation,
including enhancing career ladder programs
for career advancement in nursing, expanding
baccalaureate education, supporting internships
and residency programs to facilitate the
transition from student to graduate and
retention initiatives to keep experienced
nurses in the workforce.
Funding levels for the Nurse Education,
Practice and Retention Grant Program during
the last five years reflect this effort
and are as follows:
| FY |
$ |
| 2002 |
26,825,000 |
| 2003 |
31,769,000 |
| 2004 |
36,468,000 |
| 2005 |
37,266,000 |
| 2006 |
37,292,000 |
Outputs:
| |
FY 2006
Actual |
FY 2007
CR |
FY 2008
PB |
| Number
of Baccalaureate Projects Targeting
Expanded Enrollment |
20 |
20 |
20 |
| Number
of Primary Care Encounters |
176,418* |
150,000 |
150,000 |
| Number
of Career Ladder (Mobility) Projects
|
41 |
41 |
41 |
| Number
of Career Ladder Participants
|
2,200 |
2,200 |
2,200 |
| Number
of Internship/Residency Projects |
12 |
12 |
12 |
| Number
of Internship/Residency Participants |
1,000 |
1,000 |
1,000 |
| Number
of Enhanced Patient Care Delivery
System Projects |
28 |
28 |
28 |
* These client encounters are actual
figures from FY 2005 reported in FY 2006
through the HRSA Electronic Handbook (EHB).
There were 2,044 nursing students (undergraduate
and graduate) that rotated through the
Nursing Practice Arrangements (NPA) during
this same period. In FY 2005 there were
11 NPAs and in FY 2006 there were 17 NPAs.
Performance Analysis
- Most of the Health Professions’
Title VII and Title VIII programs were
reviewed as a unit during the FY 2004
budget cycle using the Program Assessment
Rating Tool (PART). This program was included
in that assessment. These programs, in
the aggregate, received a rating of Ineffective.
New performance measures are being established
for the Health Professions program overall.
|
