Minnesota’s Nurse Practitioners
Thursday, March 18th, 2014
Office of Rural Health and Primary Care
Minnesota Department of Health
Nurse Practitioner (NPs) Facts
Advanced Practice Registered Nurse Scope of Practice
Minnesota law (MS 148.171) defines the scope of practice
Nurse Practitioner – Within the context of a collaborative management agreement:
• diagnosing, directly managing, and preventing acute and chronic illness and disease
• promoting wellness including providing non-pharmacological treatment
• Nurse Practitioners (NPs) account for 53 percent of all renewing APRN licenses
• 96 percent of Minnesota-based NPs were female
• The median age of Minnesota-based NPs in 2010 was 49
• 36 percent of Minnesota-based NPs were 55 years of age or older in 2010
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
35
Minnesota Nurse Practitioners Age Distribution
32%
30
26%
25
22%
20
15
15%
10
4%
5
0
Less than 35 Years
35 - 44 Years
45-54 Years
55-64 Years
65 or More Years
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
Rural Urban
Commuting
Areas (RUCAs)
90
80
Minnesota Nurse Practitioner Mailing Addresses
by Rural-Urban Commuting Area (RUCA)
79%
70
60
50
40
30
20
10%
10
5%
6%
Small Rural
Isolated Rural
0
Urban
Large Rural
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
Practice Settings of Minnesota’s Nurse Practitioners
Other
12%
Education
7%
Long Term Care
6%
Clinic
48%
Hospital
27%
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
120
100
Nurse Practitioner Settings by Rural-Urban
Commuting Areas (RUCAs)
12%
8%
4%
16%
10%
5%
7%
77%
76%
Small Rural (N = 48)
Isolated Rural (N = 41)
6%
80
7%
12%
14%
4%
60
10%
31%
40
56%
44%
20
0
Urban (N = 923)
Clinic
Large Rural (N = 107)
Hospital
Long Term Care
Education
Other
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
Regional Distribution of NP Practice Locations
Southwest
6%
Southeast
14%
Central
6%
Northwest
5%
Northeast
8%
Seven County
Minneapolis - Saint
Paul
61%
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
70
Nurse Practitioners Intended Duration of Practice
65%
60
50
40
30
20
21%
14%
10
0
0-5 Years
6-10 Years
More than 10 Years
“Minnesota’s Advanced Practice Registered Nurses, 2010.” Office of Rural Health and Primary Care: Workforce Analysis Program.
Minnesota Department of Health. April 2011. Print.
Minnesota’s Primary Care Workforce
Profiles the nurse practitioner (NP) component of Minnesota’s primary care workforce
It defines primary care NPs as nurse practitioners certified in one or more of the following
specialties:
• adult health
• family health
• gerontology
• pediatrics
• women’s health
Using this definition, Minnesota had 2,447 primary care NPs in 2011-2012.
NPs are one type of Advanced Practice Registered Nurse, or APRN, which is one segment of
the registered nurse (RN) workforce.
Nurse Practitioners comprise more than half (58 percent) of the APRNs in Minnesota.
Primary care NPs represented 43 percent of all APRNs in the state.
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Primary Care NPs in Minnesota by Specialty
Gerontological
9%
Women's
Health
9%
Pediatrics
15%
Family Medicine
48%
Adult Medicine
19%
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Work Settings of Minnesota Primary Care NPs
Hospital
23%
Long Term Care
8%
School/College
5%
Retail
3%
Clinic
54%
Other
5%
Urgent
/Emergency Care
2%
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Age Distribution of Primary Care Providers, by Profession
41%
31%
30%
24%
29%
26%
31%
27%
20%
16%
13%
12%
Physician Assistants (N = 1565)
Nurse Practitioners (N = 2447)
34 and younger
35 to 44
45 to 54
Primary Care Physicians (N = 5063)
55 and older
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Gender of Primary Care Providers, by Profession
95%
69%
58%
42%
31%
5%
Physician Assistants (N = 1556)
Nurse Practitioners (N = 2447)
Male
Primary Care Physicians (N = 5064)
Female
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Primary Care NPs in Minnesota, by Age and Gender
97%
95%
94%
95%
Male
5%
Female
95%
3%
34 and younger
6%
5%
35 to 44
45 to 54
Female
5%
55 and older
Male
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Race and Ethnicity of Primary Care NPs in Minnesota
Hispanic
0.8%
White
94.0%
Asian
1.8%
Black
1.7%
Other
1.2%
Multiple Races
0.8%
American Indian
0.4%
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Academic Training of Minnesota Primary Care NPs, by Age
100%
94%
94%
89%
90%
87%
80%
70%
60%
Bachelor's
50%
Master's
40%
Doctorate
30%
20%
10%
0%
1%
5%
34 and younger
2%
3%
35 to 44
4%
7%
45 to 54
9%
4%
55 and older
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Urban-Rural Distribution of Minnesota’s Primary Care NPs
79%
70%
10%
Urban
13%
Large Rural
Nurse Practitioners
5%
7%
Small Rural
6%
10%
Isolated Rural
MN Population
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Minnesota’s Primary Care Provider’s Future Plans
(Intent to Continue Practice)
69%
64%
52%
12%
20%
16%
20%
22%
13%
Physician Assistants
Less than 6 Years
Nurse Practitioners
6 to 10 Years
Primary Care Physicians
More than 10 Years
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.
Minnesota’s Primary Care NPs Future Plans
83%
83%
77%
77%
72%
72%
40%
31%
19%
40%
29%
29%
19%
10%
34 and younger
7%
13%
10%
15%
10%
10%
10%
6%
4%
35 to 44
Less than 6 years
19%
45 to 54
6 to 10 years
55 and older
More than 10 years
Urban
Large Rural
Less than 6 years
Small Rural
6 to 10 years
Isolated Rural
More than 10 years
“Minnesota’s Primary Care Workforce, 2011-2012.” Office of Rural Health and Primary Care: Workforce Analysis Program. Minnesota
Department of Health. September 2013. Print.