Although it is clear that a growing patient population requires a larger nurse workforce, the nursing shortage Americans face is not just about numbers; it’s about skills for the future. The aging Baby Boomer generation is creating a pressing need for legions of new nurses with expanded skills who can provide the primary and preventive care, chronic care management and care coordination these older Americans need. Further, as more Americans have access to health care through health care reform provisions, more advanced practice nurses, especially those who provide primary