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Nursing
Workforce Development
Nurse
Education, Practice and Retention
|
FY
2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
BA |
$37,291,000
|
$36,640,000
|
$37,291,000
|
$651,000
|
Authorizing
Legislation: Section 831 of the Public Health Service
Act.
FY
2009 Authorization |
Expired |
Allocation
Method |
Competitive
Grant/Contract |
Program
Description and Accomplishments
The
purpose of the Nurse Education, Practice and Retention
(NEPR) Program is to provide Federal funding to 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 NEPR Program
was established in 1998. Eligible applicants must
select one of the nine purposes under the three clusters.
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. Grants and contracts are awarded to eligible
institutions to strengthen the capacity for registered
nurse education, practice and retention to address
the registered nursing shortage.
The
NEPR Program provides grant support for academic,
service and continuing education projects designed
to strengthen the nursing workforce and improve nurse
retention and quality of patient care. This program
directly serves eligible applicants such as schools
of nursing, academic health centers, State or local
governments, and other private or public entities
determined appropriate by the Secretary. Schools of
nursing must be accredited by a national nurse education
accrediting agency or State approval agency recognized
by the Secretary of the U.S. Department of Education.
Project participants impacted by this program are
nursing students, nursing personnel and registered
nurses.
In
FY 2007, the NEPR Program funded 134 competitive and
non-competitive continuation grants. This is consistent
with previous Fiscal Years 2006 and 2005 with 138
and 141 funded grants respectively. The NEPR Program
impacted 21,145 nursing students and registered nurses
engaged in the 134 grant project activities. This
program specifically addresses enhancing the educational
mix and utilization of the nursing workforce by supporting
innovative approaches to shape the nursing workforce.
The NEPR Program 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, expanded 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.
Also,
in FY 2007, the NEPR Program entered into a contract
to evaluate the Internship and Mentor purpose grants.
This evaluation will hopefully identify the parameters
that will lead to improved recruitment and retention
of graduate nurses in their first professional roles,
RNs changing nursing specialties and RNs re-entering
nursing practice.
Most
of the Health Professions Title VII and Title VIII
PHS Act programs were reviewed as a unit in 2002 using
the Program Assessment Rating Tool (PART). This program
was included in that assessment. See Summary of the
Request.
Funding
includes costs associated with grant reviews, processing
of grants through the Grants Administration Tracking
and Evaluation System (GATES) and HRSA’s electronic
handbook, and follow-up performance reviews.
Funding
History
FY
2004 |
$31,769,000 |
FY
2005 |
$36,468,000 |
FY
2006 |
$37,266,000 |
FY
2007 |
$37,291,000 |
FY
2008 |
$36,640,000 |
Budget
Request
The
FY 2009 Request of $37,291,000 is an increase of $651,000
above the FY 2008 Enacted level. The increase will
support 3 additional Career Ladder Projects benefiting
27 additional participants. The total request will
support 33 new Baccaluareate nursing students, 2,585
additional primary care encounters in nurse practice
arrangements, and 39 internship and residency nurse
participants. 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 and; 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.
# |
Key
Outputs |
FY
2004 Actual |
FY
2005 Actual |
FY
2006 |
FY
2007 |
FY
2008
Enacted |
FY
2009
Est. |
Out-Year
Target |
Target |
Actual |
Target |
Actual |
|
Number
of Baccalaureate Projects Targeting Expanded Enrollment |
23 |
17 |
NA |
20 |
NA |
21 |
21 |
21 |
NA |
|
Number
of BSN Student Participants |
960 |
1,000 |
NA |
1,020 |
NA |
1,623 |
1,590 |
1,623 |
NA |
|
Number
of Primary Care Encounters |
100,000 |
150,000 |
NA |
176,418 |
NA |
128,485 |
125,900 |
128,485 |
NA |
|
Number
of Career Ladder (Mobility) Projects |
32 |
48 |
NA |
41 |
NA |
31 |
28 |
31 |
NA |
|
Number
of Career Ladder Participants |
450 |
2,700 |
NA |
2,200 |
NA |
1,322 |
1,295 |
1,322 |
NA |
|
Number
of Internship/Residency Projects |
20 |
25 |
NA |
12 |
NA |
10 |
10 |
10 |
NA |
|
Number
of Internship/Residency Participants |
210 |
2,088 |
NA |
1,000 |
NA |
1,901 |
1,862 |
1,901 |
NA |
|
Appropriated
Amount ($ Million) |
$31.769 |
|
$36.486 |
|
$37.291 |
|
$37.291
|
$36.640
|
$37.291
|
NA – Not Applicable
|