NC Future of Nursing Action Coalition BSN Initiative Taskforce

1. NC Future of Nursing Action CoalitionBSN Initiative Taskforce Champions Foundation for Nursing Excellence NC Area Health Education Centers

2. Tracking the NC Future of Nursing Journey 2002-2004 - The NC Institute of Medicine (NCIOM) convened a task force to study the nursing workforce 2004 NCIOM Nursing Taskforce Report Updated – 2007 Included priority recommendation to increase % of BSN-prepared nurses 2010 – Institute of Medicine of the National Academies of Science Report: Future of Nursing: Leading Change, Advancing Health

3. Journey continues……. - April 2011 Summit – Creating the Future of Nursing and Health Care in NC > 200 thought leaders across multiple sectors Identified top 4 priorities for action in NC - 4/11-10/11 - Organizing the NC Future of Nursing Action Coalition - 9/11 - Recognition as an Action Coalition by Future of Nursing Campaign for Action - July/Aug 2011 Edition of NC Medical Journal - Future of Nursing in North Carolina

4. Coalition’s Mission & Values • MISSION: Transforming Nursing for North Carolina’s Health • We VALUE: • the health of North Carolinians • the contributions of every nurse and healthcare provider • nurses as partners with consumers and other members of the health care team • the work of nursing that improves the health and health care of North Carolinians

5. NC Future of Nursing Coordinating Council* Future of Nursing Advisory Committee Policy Development Committee Strategic Communications Committee PRIORITIES FOR ACTION: CHAMPIONS AND VOLUNTEERS Access to Care Taskforce Leadership Taskforce BSN Initiative Taskforce Workforce Data Taskforce *Council Members: Foundation for Nursing Excellence (FFNE), AARP North Carolina, East Carolina Center for Nursing Leadership (ECCNL), North Carolina Board of Nursing (NCBON), North Carolina Nurses Association (NCNA), North Carolina Organization of Nurse Leaders (NCONL) and North Carolina Area Health Education Centers Programs (NC AHEC).

6. GOAL #3: INCREASE THE PROPORTION OF NURSES WITH A BSN OR HIGHER DEGREE TO 80% BY 2020 Major Action Strategies to achieve goal: Implement RIBN statewide by 2016 Promote educational advancement Create a seamless educational progression from LPN/ADN to DNP/PhD Cultivate and promote nurse faculty role

7. Currently….NC Nursing Education Programs (2011) • 59 associate degree programs (ADN) • 55 based in community colleges • 18 pre-licensure BSN programs • 1 pre-licensure MSN program • 2 diploma programs • 19 RN to BSN completion programs • 38 practical nurse education programs

8. Currently…. NC RN Nursing Workforce • Greater than 66% of new graduates are prepared at the associate degree (ADN) level • Only 15.6% of ADNs have completed a BSN or higher degree • Decreasing pipeline for future faculty and advanced practice roles

9. Implement RIBN Statewide by 2016Major Strategy underway…. What is RIBN? • Partnership between community colleges and universities to Regionally Increase Baccalaureate Nurses • Dual Admission Criteria and Curriculum approved by both institutions • Recognized as BSN program by NC Educational Assistance Authority • New Educational Track to BSN degree NOT an RN to BSN program

10. Four Year RIBN Curriculum • Home-based at CC Years 1-3 • Take one university course per semester to maintain admission status and earn credits toward BSN - Most university courses on-line • Year 1 – General education/nursing pre-reqs • Years 2 & 3 - Complete ADN program; eligible for RN licensure • Year 4: Complete BSN courses/degree at university while being eligible to work as RN

11. History of RIBN Across NC • AB Tech & WCU developed model in NC – 1st students admitted 2010; 1st BSN grads -2014 • 5 Regional RIBN Partnerships added in 2010 • Centralina, Eastern NC, Hickory, Rural Piedmont, Wilmington • 5 universities, 13 CCs, 1 private ADN program • Admit 1st RIBN students 2012; 1st BSN grads 2016 • Project 75- 100 new BSN grads/year beginning 2016 • RIBN interest expanding statewide 1/3rd of NC BSN programs and 1/4th NC CCs now involved

12. Regional RIBN Partnerships Hickory Lenoir-Rhyne University Western Piedmont Community College Wilkes Community College Caldwell Community College Catawba Valley Community College Mitchell Community College Eastern North Carolina East Carolina University Lenoir Community College Beaufort Community College Roanoke-Chowan Community College Pitt County Community College Tier One Counties WNC [pilot] Western Carolina University Asheville-Buncombe Technical Community College Alleghany Gates Camden Ashe Stokes Northhampton Currituck Person Warren Surry Rockingham Caswell Granville Vance Hertford Pasquatank Halifax Watauga Wilkes Perquimans Yadkin Orange Bertie Forsyth Mitchell Chowan Avery Franklin Guilford Nash Durham Caldwell Alexander Davie Alamance Edgecombe Yancey Madison Iredell Tyrrell Dare Davidson Martin Washington Wake Burke Randolph Chatham Wilson McDowell Catawba Buncombe Rowan Haywood Pitt Beaufort Johnston Swain Hyde Rutherford Lincoln Lee Greene Cabarrus Montgomery Henderson Graham Harnett Jackson Moore Stanly Wayne Polk Cleveland Gaston Lenoir Craven Cherokee Macon Mecklenburg Transylvania Pamlico Clay Cumberland Jones Richmond Hoke Sampson Union Duplin Anson Onslow Scotland Carteret Centralina UNC Charlotte Gaston College Central Piedmont Community College College of Health Sciences at Carolinas Healthcare System Robeson Bladen Rural Piedmont Pfeiffer University Stanly Community College Pender New Hanover Columbus Wilmington UNC Wilmington Cape Fear Community College Brunswick

13. Expected RIBN Outcomes • Increase proportion of BSN-prepared nurses • Increase access to BSN programs, particularly in rural areas • Increase faculty and APRN pipeline • Resource sharing among RIBN partners – faculty, labs, other learning opportunities • Economically feasible option to achieve BSN

14. Other major strategies to reach goal • Priorities through 2012 • Create a business model to articulate return on investment for increasing the nursing workforce prepared with the BSN degree and above • Promote Educational Advancement for practicing nurses: • Common statewide approved general education and pre-nursing requirements

15. Together we can transform nursing in North Carolina!!! Visit our website at www.ffne.org for more information on the RIBN Project & Future of Nursing Action Coalition