Tag Archives: nursing shortage

Nurses in a line

Solving The Nursing Shortage

Although there are 2.6 million registered nurses in the United States, by 2020 America will enter a nursing shortfall of more than 1 million nurses.  Growing population and cuts to nursing schools are two main reasons for the shortfall.

However, this infographic from VeterinaryTechnician.com offers solutions to the nursing shortage, along with statistics about the nursing occupation.

Solving the Nursing Shortage Crisis
Via: VeterinaryTechnician.com

Marinello standing in front of a building

CEO Series: Anthony Marinello

Anthony Marinello
CEO, Mountain Vista Medical Center/IASIS Healthcare

What will be the impact of Arizona’s budget cuts on hospitals in particular and the health care industry in general?

All hospitals are going to feel the impact. There are several areas: education, economy, jobs, general medical education; and it’s just going to take a big effect on us. It’s really going to change the way we do things. But we are still going to be here to take care of our patients and give them high quality of care. The cuts this year, that just occurred in March, are going to cost several millions of dollars, which will drastically impact patient care and patient’s ability to come there. But, like we say, we’ll be open and still take care of our patients.

What will be the effect of the recently signed federal health care reform?

I think everybody agrees that we need health care reform. There’s no doubt about it. The key with this will be to continue to build and strengthen relationships with our physicians, who ultimately have the relationships with the patients. It’s so new right now, that I think everybody is trying to grab it and grasp onto what the effects are going to be. You have physicians that are nervous; you have hospitals trying to figure out what (it will mean to them). It’s going to be interesting. The key part we all really agree on is the electronic medical records, which is good for the transparency and being able to avoid duplications of testing and things like that. We are currently, at Mountain Vista, way ahead of the curve on our electronic medical records, and physicians like that. It’s a very good tool to be able to see the records from the hospital or even your office, because it’s Internet based. So it’s been very, very good for us.

We’ve heard much about the nursing shortage in Arizona. Has there been any improvement in that situation?

There will always be a need for nursing. Per se, we haven’t really seen much of a shortage here. We’ve been able to attract a lot of the new graduates coming out. IASIS as a company, since 2005, has been engaged with schools and several universities. We’ve seen about 350 students coming through, which we work with them and eventually employ them, so we have been very, very fortunate in that part. We always have people looking to become a nurse. You have certified nursing assistants that want to go to the next level, so that ability is there where we provide assistance for them.

What are the areas where Arizona’s health care industry is really excelling?

In the short time I’ve been in Arizona, where I’ve seen (the health care industry is excelling in) is education. (Arizona State University) has a health school, (University of Arizona), (NAU), A.T. Still (University), Midwestern University. And actually our facility is partnered up with Midwestern University for the medical student program for physicians, and we’re looking at what the future can be to keep education and future physicians in this area. So we are really proud to be partners with them and just continuing to grow. We just engaged in this last July, so it’s very new to us.

In these changing times, what does a C-level executive need to succeed in the health care industry?

You have to build strong relationships. You have to be a good communicator. You have to be honest. You have to be up front. If something can’t be done, you’ve got to tell it. You can’t just leave things alone. You have to be visible, high visibility. You have to be able to talk to all staff, from your environmental services person to the president of your company to every physician. It’s just very, very important to think outside the box, to listen to what people have to say, because there are a lot of people with good ideas out there. That’s something I’ve prided myself on and the team I work with and our C-level here that our doors are open, we’re always there, we want to hear, we want to listen. The relationship building has been a strength for us here.

Vital Stats: Anthony Marinello

  • Named CEO of Mountain Vista Medical Center in Mesa in 2008
  • Served as CEO of IASIS’ North Vista Hospital in North Las Vegas from 2005 to 2008
  • Served as hospital administrator for Desert Springs Hospital Medical Center in Las Vegas
  • Began career in 1979 as a hospital laboratory manager
  • Received MBA from the University of Phoenix
  • Member of the American College of Healthcare Executives
  • www.mvmedicalcenter.com
Nursing Shortage Still Plagues Arizona’s Health Care Industry

Nursing Shortage Still Plagues Arizona’s Health Care Industry

Arizona’s nursing shortage is a very serious problem and it is not going away any time soon. The state is going to need approximately 49,000 new registered nurses by 2017 to keep pace with population growth, RNs retiring and nurses lost to attrition, according to the Arizona RN Shortage: 2007 Results, a report published by the Arizona Healthcare Data Center. The data center was started by the Arizona Hospital and Healthcare Association (AzHHA) in 2007 to study health professions in Arizona.

“I think people are tired of hearing about the nursing shortage,” says Bernadette Melnyk, dean of ASU College of Nursing and Healthcare Innovation. “They don’t understand the adverse effects until they or a family member is hospitalized and they see for themselves the effect it has on the health and safety of people they love.”

Of the approximately 49,000 RNs that will be needed by 2017:

  • 20,000 will be needed to keep pace with the state’s growing population, as well as to close the gap between Arizona’s current average of 681 RNs per 100,000 residents and the U.S. average of 825 RNs per 100,000 residents.
  • 10,000 nurses will be required to replace retiring RNs. More than one-third of Arizona’s current RNs are older than 55 and will retire over the next five to 10 years.
  • 19,000 RNs, or 3.5 percent annually, will be needed to account for the profession’s attrition rate.
  • Twelve of Arizona’s 15 counties also fall below the national average of RNs per 100,000 people, according to the Health Resources and Services Administration (HRSA). The national average is 3.3 RNs per 100,000 people, and Arizona has 1.9 RNs per 100,000 people. The three counties that exceed the national average — Coconino, Pima and Yavapai — still face shortages of RNs.

    Adda Alexander, RN, MBA, former executive vice president of AzHHA, says Arizona colleges have increased their capacity and are graduating more nurses, but it is not enough. Arizona’s nursing programs need to graduate an additional 2,235 students per year just to keep pace with the state’s population growth.

    To help address the nursing shortage, Arizona hospitals contributed $57 million between 2006 and 2007 to the state’s education programs in the form of tuition reimbursements, loan forgiveness programs and in-kind giving (providing space for nursing education programs, sponsoring faculty salaries and tuition reimbursement). In 2005, the Arizona Legislature passed the Arizona Partnership for Nursing Education (APNE) bill, which provided $20 million over five years to double the capacity of Arizona’s college and university nursing education programs by increasing the number of nurse education faculty. As a result of the APNE funding, the estimated number of additional nursing graduates in 2010 will be 1,242. Alexander said APNE was a crucial step in helping the nursing shortage, but it sunsets in 2010 and the funding stops.

    According to Annual Reports from Nursing Education Programs, 2007, Arizona Board of Nursing, there were 41 vacancies for full-time Arizona nursing faculty in 2006, which was a 13 percent increase from the previous year. In addition, there were 38 vacancies for part-time nursing faculty in 2006, which represented a 600 percent increase in vacancies from 2005.

    The report also indicated that due to the lack of capacity, more than one-third of nursing students are wait-listed each year by Arizona nursing programs even though they have met all course prerequisites.

    Joey Ridnour, executive director of the Arizona State Board of Nursing, contends that the lack of clinical space also contributes heavily to the nursing shortage. Thus, many states are looking at using simulations in combination with clinical experience to teach students.

    “This may be a good combination to consider in the future, but faculty needs to figure out how to maximize it so students get a good education,” Ridnour says. “When I was a student, I would have valued doing some of the procedures through simulation rather than on live patients. It would have given me a better understanding and more confidence.”

    Melnyk believes the state has to hit the nursing shortage from two angles: (1) produce more nurses and (2) help them feel satisfied and empowered in their role. She says between 35 and 60 percent of new graduates leave their positions in the first year due to stress from staffing shortages and patient acuity levels.

    “I think nurses get out in the real world and don’t expect their jobs to be so stressful,” she says. “People in hospitals are very sick and oftentimes what the nurses are expected to juggle is too much for them to handle.”

    Melnyk also thinks nurses and other health care providers should be educated in evidence-based practice (EBP), a problem-solving approach that integrates the best evidence from research studies and combines it with patient preferences and the clinician’s expertise.A number of medical studies show that when nurses, physicians and other health care providers deliver care in an evidence-based manner, the quality of care is substantially better and patient outcomes improved.

    “Studies also show that nurses practicing EBP are more satisfied with their role, feel more empowered and make less medical errors,” Melnyk says. “A lot of people don’t realize that 99,000 patients die annually in the U.S. due to medical errors. That’s a staggering number of patients.”