FY 2014 Final FY 2015 Enacted FY 2016 President’s Budget FY 2016 +/- FY 2015 BA $15,641,000 $15,343,000 $15,343,000 --- FTE 1 1 1 ---
Authorizing Legislation: Section 821 of the Public Health Service Act, as amended by the Affordable Care Act
FY 2016 Authorization ... Such Sums as Necessary Allocation Method ... Competitive Grant/Contract Program Goal and Description: The Nursing Workforce Diversity (NWD) program helps create a more diverse nursing workforce by increasing nursing education opportunities for individuals from disadvantaged backgrounds, including racial and ethnic minorities underrepresented among registered nurses. The program supports: student stipends and scholarships, pre-entry preparation, advanced education preparation, and retention activities. The program helps meet the increasing need for culturally competent, quality health care for the nation’s rapidly diversifying population and help close the gap in health disparities.
Need: A diverse health care workforce with diverse leadership is necessary to help meet the needs of a diverse population and reduce health disparities and inequities. An HHS Office of Minority Health report identifies 20 strategies for improving minority health equity, including the recommendation for health care professional schools and the health care workforce to
represent and reflect the diverse communities.110 A 2013 HRSA report on the nursing workforce
shows that only 24 percent of the Registered Nurses come from racial/ethnic minority groups compared with 30 percent of the working-age population.111
Eligible Entities: Accredited schools of nursing, nursing centers, academic health centers, State or local governments, and other private or public entities, including faith-based and community based organizations, and tribes and tribal organizations.
110 U.S. Department of Health and Human Services, Office of Minority Health, (April, 2011). National Partnership
for Action to End Health Disparities. National Stakeholder Strategy for Achieving Health Equity, Available at: http://minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286
111 Health Resources and Services Administration (October 2013) The U.S. Nursing Workforce: Trends in Supply
and Education, Available at:
http://bhpr.hrsa.gov/healthworkforce/supplydemand/nursing/nursingworkforce/nursingworkforcefullreport.pdf
Designated Health Professions:
Targeted Educational Levels: Program Activities:
• Registered Nurses (RNs)
•Pre-Entry Preparation - certified nursing assistants - licensed practical or
vocational nurses
•Diploma or Associate Degree RNs
•RNs who matriculate into accredited bridge or degree completion program within the three-year project period.
•Baccalaureate degree
•Use academic, social and financial supports to support basic
preparation and educational
advancement of disadvantaged and minority nurses for leadership positions within the nursing profession and the health care community.
•Support pre-entry academic advising, mentoring, and enrichment activities.
•Prepare diploma or associate degree RNs to become baccalaureate-prepared RNs. Program Accomplishments: In Academic Year 2013-2014, (FY 2013) the focus of the Nurse Workforce Diversity program continued to reflect a higher emphasis on students and graduates of diploma and college-level nursing programs over those at the elementary/secondary levels. Changes in the focus of the program were made in an attempt to ultimately increase the number of nursing graduates eligible to take the licensing exam. As a result, FY 2013 performance targets regarding the number of program participants at the elementary/secondary levels were not met; however the number of college and pre-entrynursing program participants was 3,295, and this exceeded the performance target of 1,300.
Results showed that number of nursing program students trained was 6,691—exceeding the target of 3,350 by 51 percent. Furthermore, 2,419 nursing students graduated from nursing programs and this also exceeded the program target of 950 by over 100 percent. Analysis of performance data for FY 2013 revealed that grantees of the NWD program provided scholarships to 1,416 students—exceeding the program’s performance target of 735 by 93 percent.
Grantees of the NWD program partnered with over 1,000 different training sites during the academic year to provide clinical training to over 14,000 trainees across all training programs during the academic year. Further analyses of data about the characteristics of training sites showed that 54 percent of training sites were located in a medically underserved community. Performance measures and related targets for FY 2015 and beyond will be adjusted to reflect modifications in the focus of the NWD program so as to better capture appropriate outputs and outcomes.
Funding History FY Amount FY 2012 $15,819,000 FY 2013 $14,984,000 FY 2014 $15,641,000 FY 2015 $15,343,000 FY 2016 $15,343,000 Budget Request
The FY 2016 Budget Request is $15,343,000. The FY 2016 Budget is the same as the FY 2015 Enacted level. This request will fund the education of nursing students to become registered nurses and the preparation of participants for entry into a professional nursing program through pre-entry preparation, retention and stipend/scholarship program activities. In FY 2016, the program will continue to encourage grantees to support diverse students to overcome structural and systematic factors that inhibit health equity in order to succeed.
The funding request also includes costs associated with the grant review and award process, follow up performance reviews, and information technology and other program support costs. Outcomes and Outputs Tables
Measure
Year and Most Recent Result /Target for Recent
Result (Summary of Result)112 FY 2015 Target FY 2016 Target FY 2016 +/- FY 2015
Percent of program participants who are underrepresented minorities and/or from disadvantaged backgrounds
--- 95% 95% Maintain
Percent of program participants who completed pre-college preparation training and intend to apply to a nursing degree program
--- Set
Baseline TBD --- Percent of program participants who
received academic retention support and maintained enrollment in a nursing degree program
--- Set
Baseline TBD --- Percent of underrepresented minority
students
51% Target: 70% (Target Not Met)
N/A113 N/A ---
Percent of white disadvantaged 39% N/A114 N/A ---
112 Most recent results are for Academic Year 2013-2014 and funded in FY 2013. 113 Measure will be discontinued in FY15.
177
Measure
Year and Most Recent Result /Target for Recent
Result (Summary of Result)112 FY 2015 Target FY 2016 Target FY 2016 +/- FY 2015 students/participants Target: 27% (Target Exceeded) Number of nursing program students 6,691
Target: 3,350 (Target Exceeded)
N/A115 N/A ---
Number of post high school, college, and pre-entry nursing students
3,295 Target: 1,300 (Target Exceeded) N/A116 N/A --- Number of K-12 students/participants 4,592 Target: 5,900 (Target Not Met)
N/A117 N/A ---
Number of nursing students graduating from nursing programs
2,419 Target: 950 (Target Exceeded)
N/A118 N/A ---
Number of nursing students expected to receive scholarships
1,416 Target: 735 (Target Exceeded)
N/A119 N/A ---
Grant Awards Table
(whole dollars) FY 2014 Final FY 2015 Enacted FY 2016 President’s Budget Number of Awards 45 45 45 Average Award $333,500 $316,000 $316,000 Range of Awards $137,500-$567,000 $135,000-$528,000 $135,000-$528,000
114 Measure will be discontinued in FY15. 115 Measure will be discontinued in FY15. 116 Measure will be discontinued in FY15. 117 Measure will be discontinued in FY15. 118 Measure will be discontinued in FY15. 119 Measure will be discontinued in FY15.
178