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June 19, 2009

June 19, 2009. North Texas Region Organizational Meeting. Agenda. Introduction to the Texas Team The State’s Challenges Why Regionalization Matters The State Strategic Plan Establishing Graduation Targets Funding to Support Targets Future Activities. Who is the Texas Team?.

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June 19, 2009

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  1. June 19, 2009 NorthTexas Region Organizational Meeting

  2. Agenda • Introduction to the Texas Team • The State’s Challenges • Why Regionalization Matters • The State Strategic Plan • Establishing Graduation Targets • Funding to Support Targets • Future Activities

  3. Who is the Texas Team? • Texas Team Leadership appointed by the Governor in response to a call to action by RWJ Foundation and AARP in Summer 2008 • Representatives from multiple stakeholder entities

  4. Who is the Texas Team? • You & your school are part of the team! • Team members will be expanded to include many different partners who are committed to addressing the shortage of nurses in TX

  5. Texas Team “Connectors” for NorthTexas Region • Beth Mancini RN, PhD, FAAN • Sondra FlemmingRN, MSN • NorthTexas Region “Liaison” – your region needs to determine who will represent the region on the Leadership Team • Send name of liaison to alexia.green@ttuhsc.edu by June 22

  6. Strategic Plan for State of Texas to Meet Nursing Workforce Needs of 2013 http://www.dshs.state.tx.us/chs/cnws/default.shtm

  7. The Challenge: increasing the number of initial licensure graduates to meet need by 2020

  8. Traditional Pipeline

  9. Optimal Pipeline

  10. Nursing Education Regions • initial licensure programs + limited resources + short time to increase graduates to meet statewide targets = “Regionalization”

  11. Vermont Indiana Delaware Hawaii South Dakota Alaska Wyoming Maryland Nevada West Virginia Utah State’shealth regions have populations comparable to those of many states

  12. Regional Profiles (2007)

  13. NorthTexas Region • Key characteristics of region – Strong history of working together • Unique challenges – metro area • Best Practices – clinical simulation, innovative strategies

  14. Components of Strategic Plan Goal 1: Support Growth and Accountability Goal 2: Develop Regional Academic Partnerships Goal 3: Leverage New Partnerships

  15. Regional Strategies • Programs within regions share: • Curriculum • Faculty & faculty development efforts • Clinical simulation instruction • Clinical placement & scheduling • Administrative & academic functions • Clinical & community resources

  16. Regional Strategy #1 • Sharing Curriculum/Curriculum Redesign • the “epicenter” for all other regional sharing • enhances transfer / pipeline issues • eases sharing of best practices Models: Oregon, California, North Carolina

  17. Regional Strategy #2 • Sharing Faculty & Faculty Development Efforts • minimizes nursing faculty shortage • encourages “grow your own” planning • promotes academic specialization Model: North Carolina

  18. Regional Strategy #3 • Sharing Clinical Simulation Instruction • reduces equipment costs • consolidates faculty, technical expertise • reduces number / use of clinical sites Model: South Carolina

  19. Regional Strategy #4 • Sharing Clinical Placement & Scheduling • maximizes administrative efficiency and availability of sites Model: Gulf Coast and Central Texas programs

  20. Regional Strategy #5 • Sharing Common Administrative & Academic Functions • reduces costs of common functions (applications, admissions) • enhances development of tracking systems Model: West Texas and East Texas programs

  21. Regional Strategy #6 • Develop Clinical and Community Resources and Partnerships • expands resources for student financial aid and clinical faculty • promotes work-study opportunities Model: NIGP grants and West Texas programs

  22. Graduation Targets • Statewide Targets • 7,800 new nurses in 2008 • 15,000 by 2013; 25,000 by 2020 • “Your Share” • defined by the state, your region, and your community and its support • Reaching “share” requires changing paradigm of nursing education

  23. Graduation Targets • Template of Spreadsheet (separate) • Orders program by region • Historical data shows progress! • Setting future targets • Part of Plan (Goal 1, Strategy 2) • Meeting targets must not rely solely on State funding

  24. Graduation Targets • Team Texas will send out draft targets later in June • Based in part on PNSRP funding • Regions & individual programs will need to refine targets • Discuss among stakeholders • Return thru regional liaison in July

  25. Graduation Targets Group Discussion

  26. State Funding Initiatives • Professional Nursing Shortage Reduction Program - $49.7 million • Nursing Innovation Grant Program - Min. $5 million • Hospital-based Nursing Education Grant Program - $5 million

  27. Professional Nursing Shortage Reduction Program (PNSRP) • $49.7 million in 3 distinct programs • $14.7 m for new graduates (all degrees) • “old” program; back-end funding • $30 m based on 2008 graduation rates • $5 m for UT-A regional simulation center • New; one-time, special use

  28. New $30 million program • Funding based on 2008 graduation rates • Initial licensure programs only • Application process (individual or joint submissions) • HB4471 outlines use of funds • Refund unearned funds

  29. New $30 million program • 70% + Group ($20.5 million) • Based on increased enrollments • Requires 12% increase in 2009 and additional 6% (18% total) in 2010 • Distribution of funds to be determined • $10,000 per new enrollee/ per year (two yrs max)

  30. New $30 million program • Below 70% Group and Others (Up to $9.5 million) • Based on projected new graduates • Programs set benchmarks of graduates • Distribution of funds to be determined • Optimal distribution • 1-yr program graduates= $10,000 • 2-yr program graduates= $20,000

  31. New $30 million program • Tentative Coordinating Board Timeline • July 2009 • Emergency rules considered by CB • Application form distributed • August 2009 • Programs prepare & submit applications • Funds distribution as early as September

  32. Nursing Innovation Grant Program Competition • 3-year grants • Min. $5 million available • Max indiv. award of $2.25 million • One grant per region • Align project with Goal 2 strategies • Focus: Curriculum/Faculty Sharing • Emphasis: quantitative results

  33. Nursing Innovation Grant ProgramCompetition • Proposed Timeline for Programs • July-November 2009 Solidify regional activities and goals Inventory resources & best practices • December 2009 – January 2010 Write grant proposal under lead nursing program • April or July 2010 – grants awarded

  34. Hospital – based Nursing Education Grant Program • Max. 3-year grants • Hospitals as grantee will partner with nursing programs • ADN, BSN, MSN-Educator programs • $5 million • Max. award of $2.25 million • No timeline established yet

  35. Texas Workforce Commission/Department of Labor Funding Initiatives • Workforce system training programs and funding opportunities • Workforce Investment Act • American Reinvestment & Recovery Act • Webinar to discuss these funding opportunities on June 29, 2009 – 2-3PM • More info to come on how to connect

  36. Future Activities • Appoint liaison to Texas Team • Discuss draft targets with key stakeholders. Confirm needed support • Submit final targets thru liaison • Continue regional assessment by inventorying resources/best practices • Develop grant proposals

  37. Texas Team • Thank you for being a part of the Texas Team – Together we can do it! • Next Webinar or conference call for • NorthTexas Region: • July – TBA • August - TBA

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