Budget Briefing: College of Nursing

1. Budget Briefing: College of Nursing J. Shaver, Dean & CEO J. Sagun, Director Resources Management - COO

2. The UIC College of Nursing • Who we are: • Nearly 750 students — BS (350), MS (305) & PHD (83) in nursing science • 99 instated & over 300 adjunct faculty leaders • Over 80 staff associates • Over 8500 alumni • 16 faculty — American Academy of Nursing members

3. UIC CON – Undergraduate Options • Upper division professional education • UIC pre-nursing • Transfer from other schools • RN-BSN completion • Cohorts from health systems • Individuals • Planning graduate entry program (GEP) • For students with degree in another field (400 on waiting list) • complete professional education for RN licensure eligibility in 15 mo. – enter MS(N) program.

4. UIC CON Departments & Advanced Practice Nursing (Masters of Science) Options • Department of Women, Children & Family Health (Maternal-Child Nsg) • Nurse Midwifery (Certified Nurse Midwife) • Women’s Health Care or Pediatric Nurse Practitioner (NP) • Pediatric or Perinatal Clinical Nurse Specialist (CNS) Department of Biobehavioral Sciences (Medical-Surgical Nsg) • Acute Care (adult) or Geriatric NP • Acute care CNS (specialty concentrations in Cardiopulmonary, Critical Care, General Acute Care, Neuro-cognitive) Department of Health Systems & Behavior Sciences (PMA Nsg) • Family Nurse Practitioner (FNP) • Occupational Health Nursing (may be combined with FNP) • School Nursing (may be combined with FNP) • Administrative Nursing (may be combined with MBA) • Community Nurse Specialist (may be combined with MPH) • Mental Health Clinical Nurse Specialist

5. Doctoral Study • PhD program • Designed to prepare next generation of faculty – research-intensive • Planning Practice Doctorate • Migrate advanced specialty practice masters to doctoral degree – DNP or DrNP • Designed to prepare next generation of primary and acute care clinician leaders – practice & systems evaluation intensive

6. The UIC CON: What we stand for: • Teaching/Learning Leadership & Excellence • Top 10 college of nursing— national ranking by reputation • Largest & top-ranked College of Nursing in Illinois • Research Leadership & Excellence • 3rd ranked in NIH nursing research funding (FY 2002/03) • Professional Practice/Service Leadership & Excellence (Outreach) • UIC Institute for Healthcare Innovations (professional continuing education, health care consulting, policy & practice initiatives) • Global Health Leadership & Excellence • WHO Collaborating Center (1st in USA) - for Nursing & Midwifery Advancing Nursing Leadership for Health in Illinois and Beyond

7. CON Faculty Resources 2003 (FTE) Total = 99

8. Top Nursing Research Schools - student/faculty ratio Message: UIC CON is top ranked in research among nursing schools in spite of challenging student/faculty ratio

9. Environmental Scan – UIC CON • Largest & highest national, reputation ranked CON in Illinois • 3 academic health center (AHC) nursing programs (UIC, Loyola, Rush) • About 100 AHC nursing programs in U.S. • 34 programs in Illinois that grant BN/BSN or higher • About 645 programs in U.S. that grant BN/BSN or higher Message: UIC CON has risen to the top ranking in a field with an extraordinarily HIGH level of competition!

10. NIH Research Funding - Nursing • UIC CON 3rd ranked for nursing in NIH research funding for second consecutive year Message: UIC CON ranked with schools at very top tier universities in producing new knowledge through research

11. NIH Research Funding - Nursing Message: UIC CON ranked with schools at very top tier universities in producing new knowledge through research

12. Trend - Sponsored Projects (in 000’s)(OVCR)(Award $- 2002 = $12,501,456 - 2001 = $8,170,622)

13. Trend – expenditures (in 000s) (OBFS) % 00-01 = 35% 01-02 = 30% 02-03 = 33%

14. Five-year trend – State Appropriation (in 000’s)

15. Trend – State & Award $$

16. Last Year - Sources of Funding (total = $16 million)

17. This year - Sources of Funding (total = $18.7 million)

18. Budget Strategies for Impending Shortfall • Increasing outside income • Shifting to less costly activities or innovating to create niche • Increasing efficiencies to reduce costs • Staying flexible • Creating Visibility

19. Increasing outside income • Increase in sponsored research $$ • up 33% in past year • Higher salary replacement amounts • more F & A (ICR) • Federal grants to support education & student scholarships • acquisition of $1,046,94 in non-research grants this year (mostly from HRSA)

20. Increasing outside income: • Reinforce standard: faculty goal to generate 40% of income – practice or research • Strengthen NIH-type research supports– office of research facilitation, guide faculty salary support written into grants, think tanks, mock reviews, mentoring teams, grant information broker

21. Increasing outside income: • Market cohort educational degree programs • RN-BSN program – on-site – U of Chicago • Administrative Nursing leadership certificate – Advocate Good Samaritan, U. of Chicago, ++ • School nurse certificate program • Post-masters NP certificate • Market professional development education & consulting products through the CON Institute for Healthcare Innovation • E.g. Academy for frontline nursing manager

22. Shifting to less costly initiatives • Higher cost = generic UG program (downsize) – expand to graduate entry (waiting list = 400 students) • Lower cost = RN-BSN program (revitalize) • Higher cost = advanced practice nurse (NP, CNS, CNM) master’s program (right-size) • Lower cost = systems specialists master’s program (health informatics, administrative leadership) (up-size) • Shift to clinical practice doctorate (cost neutral)

23. Increasing efficiencies to reduce costs • Partnering for cost sharing: • Practice: UI Nursing & Healthcare Associates deliver primary care at site where members come to receive rehab care for persistent mental illness (do not have overhead) • Teaching: Negotiate with health systems to provide practicum supervision • Creating core – e.g., across master’s emphases – to reduce redundancies • with other colleges & schools

24. Staying flexible • Diversifying: - mix of tenured/able, research and clinical professorial ranks • Avoid lock-ins - Hire assistant professors or faculty outside of tenure rank • Integrating teaching, research & practice: e.g., hire part-time on state & find opportunities for position $$ supplement – practice, research, or professional development activities through the IHI – (consulting, CE, direct practice contracting)

25. Creating Local Visibility • Future Nurses of America club recruiting - UHP • Power e-mail recruiting (2x increase in applicants) • Team recruitment at key scientific meetings • CON Institute for Healthcare Innovation • Power of Nursing Leadership Annual Event – 800+ attendees in 2003 • Consulting – HIPPA, back pain health, pain management, accreditation readiness, curriculum design, etc.

26. Environmental Scan – 2/12/04 • Washington, DC – U.S. Bureau of Labor Statistics (BLS) announced yesterday that RNs top the list of the 10 occupations with the largest projected job growth in the years 2002-2012. • Will be more than 2.9 million RNs employed in the year 2012, up 623,000 from the nearly 2.3 million RNs employed in 2002 • Total job growth & net replacement of nurses will be > than 1.1 million

27. Environmental Scan – 2/12/04 • Earlier this month, President Bush’s fiscal year 2005 budget proposal was $147 million for nursing workforce development programs including the Nurse Reinvestment Act • increase of more than $5 million over the 2004 funding level • includes $32 million for student loan repayments and scholarships, • $21 million for nursing diversity programs • $8 million for geriatric nurse education and nurse faculty loan-repayment programs.

28. Creating Local Visibility • Strategic Partnerships • Strengthening workforce • Nurse retention – Advocate Health Care – HRSA ($1.5 mil) • PH nursing workforce improvement – HRSA ($868K) • Comprehensive Geriatric Education – HRSA ($637K) • Mental health workforce improvement – IDHS ($110K) • National nsg. edn. ventures group asking to partner • Health Care Innovations • Integrated Health Care – integrating primary & mental health care • Nominated for Baselon Center for Mental Health Law award • Raised $2.4 mil for this project – from 300+ to 27 projects in Round 2 - (16-18 to be funded) by RWJ Foundation

29. Creating Global Visibility • Global Health Leadership – WHO Collaborating Center for Nursing & Midwifery – helping communities build capacity for reducing HIV/AIDS • Completed Swaziland project (Bristol-Meyer-Squibb, Cabrini Foundation) • Continuing NIH/Fogarty Malawi project • Beginning China educational project (Chinese gov’t.)

30. Goals • Continue Nursing Workforce Development Plan • Expand generic UG applications and improve student caliber • Create and market graduate entry program (GEP) • Plan and implement a clinical practice doctorate • Revitalize RN-BSN program • Expand UI OnLine course development • Advance Center for Clinical Learning Excellence • Build faculty capacity - balance faculty resources to demands • Build Research Infrastructure and Capacity • Expand Development Activities

31. Goals & Budget Requests (2005/06) • Continue Nursing Workforce Development Plan • increase UG enrollment (N = 16) • request 2 faculty positions to (this represents 2 practicum sections) = $150K • implement GEP program (N = 32) • request 1 faculty position as coordinator = $75K • revitalize RN-BSN program (online) • request instructional design technologist = $70K • Build Faculty Capacity • Informatics faculty (to connect with AHS & UIMC (advance virtual reality/telehealth initiatives & write federal grants) • request Senior Faculty & Seed $$ package in = $90K Total = $385K

32. 2006/07 • Continue Nursing Workforce Development Plan • Request funding for 2 faculty positions ($170,000) • increase enrollment in GEP to 48 or 64 (from 32) • Implement practice doctorate – transition from M.S (nursing) to DNP (Dr. of Nursing Practice) – cost neutral • Advance Center for Clinical Learning Excellence • Request Director Salary and Venture Capital ($340K) • Director salary - $90K • Venture Capital = $250K - Partner with AHC – biovisualization to do virtual learning modules

33. Capital Requests