Addressing the Nursing Shortage

1. Addressing the Nursing Shortage Illinois Board of Higher Education June 3, 2008 Board Meeting St. John’s, Springfield

2. Nursing Secondary & Vocational Education Computer Engineering Special Education Computer Systems Medical Lab Technology Industrial Engineering Mechanical Engineering Technology Civil Engineering Technology Chemical Engineering Civil Engineering Mechanical Engineering Electrical Engineering Medical Radiology Technicians Industrial Engineering Technology Electrical Engineering Technology Accounting & Financial Management Elementary Education Education Administration Demand vs. Supply 2,739 More Demand than Supply More Supply than Demand Source: Demand vs. Supply in Selected Occupations - Gap Between Projected Annual Openings 2004-14 and Annual Degrees Produced 2005-06, NCHEMS, March 2008.

3. IBHE Program Approval • IBHE staff expedite the approval process for nursing degree program applications while maintaining standards • 19 Newly Approved Programs • Six at Public Universities • Two at Community Colleges • Seven at Private Not-for-Profit Institutions • Four at Proprietary Institutions

4. Board of Higher Education: Nursing Grants • Health Services Education Grant Act (HSEGA) • $5.4 million for nursing ($17.0 million program) • Only private, not-for-profit institutions • First allocations in 1971 • Nurse Educator Fellowships • $150,000 (15 awards of $10,000) • First fellows in 2007 • Competitive Nursing School Grants • $1.5 to $1.0 million • First grants in 2007 • Expansion and Improvement

5. Nursing School Grants: Expansion • Three Initial Awards of $450,680 ($1.35 M ) for FY2007 • CCC-Harry S Truman College (add 90) • Loyola University of Chicago (add 62) • Northern Illinois Univ., DeKalb (add 85) • Return on Investment • $ 1.35 million in state funds • Plus an estimated $ 2.10 million in institutional contributions • Total of $ 3.45 million for 237 additional students (or $ 14,557 per student) • Three Renewal Awards of $300,000 ($900,000) for FY 2008 • Second year of awards • Lower award because of budget cuts

6. IBHE Nursing School Expansion Grant2007-2008 & Renewal 2008-2009: Opportunities for Nursing In Illinois P. Ann Solari-Twadell RN, PhD, MPA, FAAN Assistant Professor Associate Dean, Undergraduate Program

7. Purpose of the Loyola University IBHE ABSN Grant Mission of Collective Excellence: • Maintaining standards of excellence in the Loyola ABSN nursing program • Enhancing access to care and improved health outcomes in people in Illinois through increased rates of graduation of registered nurses

8. How did the Grant Funding Serve Students? • ABSN Program Director • ABSN Support Staff • Creation of an ABSN Advisory Committee • Simulation equipment • Faculty salaries for clinical teaching, medical-surgical, obstetric, and mental health courses • Clinical Placement Coordinator

9. IBHE Grant Outcomes • Increase in Numbers of ABSN Graduates

10. Evaluation Data-Focus Groups Students: • “The majority of instructors are well prepared and are giving us what we need to know to become a nurse.” • “Exceptional clinical instructors. Even if the clinical placement was frustrating, our clinical instructor tried to make the most of the experience.” • “Clinical instructors shape experiences for individual learning needs. We got the right blend of guidance. Our teacher assumes students are competent to learn.” Challenges/Concerns: • Clinical Placements • Faculty • Administration • Communication • Socialization • Classroom space

11. Value of IBHE Grant Funding • Encouraged creative thinking regarding provision of nursing education. • Provided increased opportunities for utilization of nursing simulation in curriculum. • Increased student participation in decisions. • Facilitated acceptance of larger numbers of nursing students. • Stimulated further exploration of different ways to increase overall student enrollment through different admission options and re-patterning of curriculum.

12. Contributing Solutions to the Nursing Shortage in IL Jeri Lynn Else Manager, Strategic Healthcare Partnerships

13. Partnerships & Articulations Current BSN Completion Agreements Future ADN - MSN Agreements

14. WIA Nursing Program of Study Demonstration Project • Pathway Development Teams (Leads) • College of DuPage • John A. Logan College • Phase 1: Develop Cluster-Level Knowledge and Skills • Phase 2: Develop Pathway-Level Knowledge and Skills(Statewide Nursing Model) • Model Pathway and Nursing Program of Study Developed • Local implementation • Assessment

15. McHenry Moraine Valley Morton College Oakton Community College Prairie State College South Suburban Triton College Waubonsee CC City Colleges of Chicago (7) College of DuPage College of Lake County Elgin Community College Harper College Joliet Junior College Kankakee CC Community College Consortium for Healthcare - CCC4HC

16. Economic Development Subcabinet:Regional Nursing Workforce Initiative Objectives • Reduce nursing shortages in Illinois through a regional public-private approach that aligns state and regional resources to address major causes of shortages at each state of the nursing workforce development “pipeline.” • Demonstrate the regional approach in the Southern and Northeast Regions and expand to other regions. • Apply similar regional sector-based approach to other healthcare occupations

17. Project Management and Coordination State Level Regional Level • Connect SI (Southern Region) • Metropolitan Chicago Healthcare Council (Northeast Region Illinois Center for Nursing • Dept of Financial & Professional Regulation • Dept of Commerce & Economic Development • Dept of Economic Security • State Board of Education • Community College Board • Board of Higher Education • Student Assistance Commission • Housing Development Authority • Dept of Public Health

18. Labor Market Supply-Demand Analysis Demand Supply Account for all sources of education and training Create 10-year data base Calculate average annual supply Use administrative files to adjust Adjustments for leakage Consider local/regional input to yield “effective supply” • Determine base year rates • Current Occupational Employment • Consensus Occupational Growth Rate • Account for possible adjustments • Consensus Occupational Replacement Rate

19. Pilots in Two Regions Metropolitan Chicago Healthcare Council

20. Northeast Region MCHC (Metropolitan Chicago Healthcare Council) is a membership and service organization dedicated to high quality, accessible healthcare for all communities in the Northeast Region. Nursing Workforce Leadership Coalition: Chief Nurse Executives, Chief Human Resource Officers, Deans of Nursing Schools, Program Directors of Nursing, Workforce Boards, and State Agency Partners (including IBHE).

21. Regional Nursing Workforce Pipeline& Higher Education Developing Diverse Qualified Applicant Pool Apply to Nursing School Program Capacity, Student Progress, & Student Completion Graduate from Nursing School & Pass Licensure Exam Transition of Program Completers to Healthcare Employment Employment Retention of Experienced Nurses

22. Regional Work Plans Step 1: Estimate Regional Nursing Shortages Step 2: Analyze Baseline Performance at Each Stage of Pipeline Step 3: Identify Root Causes and Potential Solutions (Regional Framework) Step 4: Develop Final Regional Plan--Goals, Strategies and Action Plan

23. Program Capacity, Student Progress, and Student Completion

24. Questions & Answers Nursing Panel Presenters: Dr. Robert Sheets, Senior Advisor, Illinois Dept of Commerce and Economic Opportunity (DCEO) Dr. Ann Solari-Twadell, Interim Associate Dean, Assistant Professor, Marcella Niehoff School of Nursing, Loyola University Chicago Jeri Lynn Else, Manager of Strategic Healthcare Partnerships and Executive Director of DuPage Area Healthcare Leadership Council, College of DuPage, Mary Anne Kelly, Vice President and Chief Human Resource Officer, Metropolitan Chicago Healthcare Council (MCHC)