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ANAC Report. Louise Timmer, EdD, msn, rn Past president, 2005-2010 AB 661 Community College Districts : Baccalaureate Degree Pilot Program. Objectives. History of Baccalaureate Education in CC systems CC IMPAC Project 2000-2006 National Health Care Law 2010 Nursing Practice Changes
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ANA\C Report Louise Timmer, EdD, msn, rn Past president, 2005-2010 AB 661 Community College Districts:Baccalaureate Degree Pilot Program.
Objectives • History of Baccalaureate Education in CC systems • CC IMPAC Project 2000-2006 • National Health Care Law 2010 • Nursing Practice Changes • Nursing Education Changes • Impact on California Nursing Workforce • Implications for California nursing education
History of Baccalaureate Education in CC Systems 1998: CC systems began to grant baccalaureate degrees in response to: • increased demand by nontraditional students who are time- and place-bound; • increased labor market demand in specialized fields (e.g., health care and education); • increased demands in specific geographic areas; • demands for new kinds of baccalaureate degrees in applied and technical fields; • overcrowding on many four-year campuses, with demands exceeding capacity; and • limited higher education resources and pressures to reduce costs.
Community College Baccalaureate Assoc. • Formed in 1999: • to promote the development and acceptance of the community college baccalaureate degree as a means of addressing the national problems of student access, demand, and cost. • Mission statement: • to promote better access to the baccalaureate degree on community college campuses. • to serve as a resource for information on various models for accomplishing this purpose. • Website: www.accbd.org • 2011: 16 states offer BA degrees in CC system
CC Interdisciplinary Major Preparation Articulation Committee Project (IMPAC) • 2000-2006 CC Chancellor $1.75 million dollar grant • Purpose: All CC, CSU, UC disciplines meet to discuss articulation agreements for CC transfer students. • Nursing Discipline met to discuss feasibility of transfer agreements between CC and CSU students for BSN degree. • Conclusion: CSU unable to accommodate 5,000 CC nursing graduates or transfer students into 17 CSU nursing programs/year.
Affordable Health Care Act 2010 • 2010 Affordable Health Care Act offers health care to all citizens by 2014. • 60 million persons without health care insurance. • 1 in 4 persons (9 million) without health care insurance CA.(pop: 37 million citizens). • 300,000 RNs in California, shortfall of 43,000 (50th in nation of RNs/100,000 population). • Preventive Health Care Model calls for more advanced practice RNs at MSN and Doctoral levels.
Nursing Practice Changes • 2008: American Assoc. of Colleges of Nursing (AACN): • Recommended offering baccalaureate nursing degrees in the CC systems. • 2010 IOM Report: • Nurses should achieve higher levels of education and training through an improved education system that promotes a seamless academic progression from associate nursing degree to the doctorate. • Recommends more master and doctoral prepared nurses to meet the nursing demands as the health care system transitions to a preventive model. • 2010 Carnegie Report: • Recommends increase in the number of Bachelor of Science in Nursing (BSN) programs. • 2010: All national nursing associations support the need for more BSN graduates.
Nursing Education Changes • Need for more baccalaureate nursing programs • 2010 BRN school report: 138 RN programs • BSN 37 (CSU/UC = 19, Private = 18) • ELM 16 (CSU\UC = 9, Private = 6) • Enrolled: BSN: 10,242 ELM: 1,466 27.6% • Total BSN graduates/year: 3,157 +665 = 3,822 • ADN programs: (77 programs) graduates/year =6,707 71.4% • LVN to RN programs: (8 programs) graduates/year = 983 1% • Total RN graduates: 11,512 • Need more MSN and Doctoral prepared RNs • NPs, Clinical Nurse Specialists, Nurse Midwives, nurse anesthetists • Nursing faculty and in-service nurse educators • Required MSN prepared nurse educators for all nursing programs • Require Doctoral degree for university nursing programs • 197 faculty vacancies 2010
Impact on California Nursing Workforce • 2010 BRN census: 300,000 RNs in California • 2008: CA: 542 RNs /100,000) U.S.: 780/100,000 • 2020 CA Census projected: 40 million citizens • 2015 RN shortage: 80,000 RNs • 2010 RN graduates = 11, 512 RNs • Estimate need: 14,000 new RN graduates/year • Increase need for MSN and doctoral prepared RNs. • Increase need for more BSN nurses eligible for graduate study • HRSA estimate: 2014-2018 one million RNs retire
Implications for California Nursing Education Most pressing nursing education needs: • Access to baccalaureate education • Access to masters and doctoral education Solutions: • Access to BSN degree in 77 CC campuses with ADN programs. • Nursing and GE Faculty are qualified to teach upper division courses • AB 661 Pilot programs in Southern California for 8 years. • Access to DNP programs on CC campuses.
AB 661 Community College Districts:Baccalaureate Degree Pilot Program. Introduced by: Assemblyman Marty Block, Chair, Higher Education Committee • Bill authorizes the establishment of a baccalaureate program per campus for: • San Diego Community College District, • Grossmont-Cuyamaca Community College District, • San Mateo County Community College District • Pilot Program is set for 8 years. • A report is due on the 7th year. • Increased fees will be charged for upper division coursework.