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JWT INSIDE HEALTH CARE NEWSLETTER   

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Week of  May 12, 2008
*California
California to graduate many more RNs, report finds
The California Labor and Workforce Development Agency on Friday released a report suggesting that the state will graduate roughly 10,400 RNs this year, a 68 percent increase from 2004, the San Francisco Chronicle reports. The study attributes much of the increase to the state's California Nurse Education Initiative, which has helped create 23 new nursing education programs since its launch in 2005. In addition, funding from the five-year, $90 million initiative has helped community colleges, which train 70 percent of nurses statewide, expand enrollment at 74 locations, contributing to a 24.7 percent increase in nursing students across the state. According to the study, California currently has 647 RNs per 100,000 people and will likely surpass the national average of 825 RNs per 100,000 people by 2022 if it sustains current nursing education expansion efforts. However, one expert contends that it is premature to suggest that the critical nursing shortage is ending, noting that 30 percent of enrollments are paid for with grants and donations that are not necessarily renewable. (RJWF News Digest, 05/12/08; Colliver, San Francisco Chronicle, 5/10/08; California Labor and Workforce Development Agency release, 5/8/08)

*Colorado
Report offers solutions to Colorado's health professions shortage
A new publication explores promising strategies to strengthen health professions training in Colorado by:
                         - Creating awareness and readiness among students
                         - Supporting and expanding training opportunities
                         - Promoting employer efforts and community partnerships to recruit and retain health professionals
Preliminary findings from the Colorado Trust's Health Professions Initiative Evaluation indicate that these three components contribute toward a long-term solution to the shortage of health professionals. A copy of the report is available HERE.  (Health Care Careers e-Letter, 05/08/08)

*Iowa
Iowa nurses to see pay raise with increase in Medicaid
The Iowa Legislature has agreed to give medium and large hospitals a 1% increase in Medicaid money, which hospitals have promised to use to increase nurses' salaries. According to a 2006 federal survey, Iowa ranks 52nd in nurses' pay among the 54 states and territories. (Chicago Tribune, 05/12/08)

*Massachusetts
Repaying student loans helps MA health centers get staff
Ordinarily, health centers serving the poor aren't in a great position when it comes to competing for the services of nurse practitioners and physicians. The centers, which serve largely lower-income patients, typically pay much less than other healthcare settings. However, a new program that repays medical student loans has turned things around for centers in Eastern Massachusetts. The program, which offers $25,000 in loan repayment per year for three years, has helped community health centers in the region place 35 physicians and 12 nurse practitioners at 23 health centers, a huge success given that the centers might otherwise have spent years recruiting to bring in even a single physician. This group includes six current staffers who agreed to stay two or three years. The program is funded by a $5 million grant from Bank of America, with additional funding coming from the state of Massachusetts and a handful of health plans. (The Boston Globe, 05/12/08)

*New Jersey
Groups protest proposed charity care cuts in NJ
A broad coalition of groups representing health care providers, consumers and employees rallied at the New Jersey State House to protest a proposed $143 million cut to the charity care program that funds hospital care for the uninsured. AARP State President Sy Larson said the cuts “could endanger local access to health care services,” while Medical Society of New Jersey officials said the cuts would “result in diminished care for New Jersey’s medically indigent patients.” Ann Twomey, president of Health Professionals and Allied Employees, said, “Now is not the time to cut funding to our hospitals, but it is time to find new ways to provide health coverage to all of our communities.” Betsy Ryan, president-designee for the New Jersey Hospital Association, noted that 30% of the state’s hospitals have closed in the past 15 years and nearly half of the remaining 76 hospitals are losing money. (AHA News Now, 05/12/08)

*New York
New York lawmakers to consider nurse recruitment, retention legislation
New York lawmakers this week called for legislative action to address the state's nursing shortage, the Empire State News reports. The series of five bills, which were discussed Tuesday at a press conference in Albany, call for educational and financial incentives designed to attract and retain nurses. For example, a bill introduced by Assemblyman Jim Bacalles (R,C,I-Schenectady-Saratoga), would establish the New York state nursing recruitment incentive and retention program and offer student loan reimbursements for practicing nurses. In addition, the bill would require the State University of New York and City University of New York to cover the cost of tuition for any student who agrees to work in New York state as an RN. The bill is expected to be debated in the Assembly Higher Education Committee this week.  (RWJF News Digest, 05/14/08; Empire State News, 5/13/08; Grant, Legislative Gazette, 5/13/08)

*Ohio
Cleveland Clinic to pay tuition for medical school students
The 32 students entering the Cleveland Clinic Lerner College of Medicine at Case Western Reserve University will have their tuition covered by the Clinic. The program will be funded by Cleveland Clinic's endowment and hospital operations. The aim is to free students from the feeling that they have to choose high-paying specialties to pay off medical school debt, rather than going into academic and research oriented medicine, according to Clinic representatives. Other medical schools have already greatly reduced their tuition costs, freeing up students who may want to practice in fields that are lower-paying but greatly needed. (HealthLeaders Media Daily News, 05/15/08); Cleveland Plain Dealer, 05/15/08)


RECENTLY PUBLISHED
Lots of jobs but costly housing for nurses in U.S., study shows
Health-care workers may be in demand, but in many U.S. cities they aren't able to afford a median-price home, a recent report suggests. Licensed practical nurses were priced out of the average home in 187 of the 202 metropolitan areas studied, according to the report, Paycheck to Paycheck: Wages and the Cost of Housing in America, released by the Center for Housing Policy. The report looked at how workers in more than 60 different occupations handle housing costs. The situation wasn't much better for registered nurses; they couldn't afford a median-price home in 115 of the cities studied.  Physical therapists in 104 of the areas were priced out. The full study is available online at http://www.nhc.org/chp/p2p/.  (Ottawa Citizen, 05/14/08)

 
Beth A. Brooks, PhD, RN, FACHE  
Senior Partner, Health Care
P: 800.775.4550
E: beth.brooks@jwt.com

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