Addressing the Nursing Shortage

Illinois Board of Higher Education June 3, 2008 Board Meeting St. Johns, Springfield

Demand vs. Supply

Nursing Secondary & Vocational Education Computer Engineering Special Education Computer Systems Medical Lab Technology Industrial Engineering Mechanical Engineering Technology
-1 -81 -125 2,739 2,739 2,710 1,075 793 765 509 106 11

More Demand than Supply

More Supply than Demand

-431 -737 -855 -937 -1,900

-142 -204 -333

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

-3,000

-2,000

-1,000

1,000

2,000

3,000
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Source: Demand vs. Supply in Selected Occupations - Gap Between Projected Annual Openings 2004-14 and Annual Degrees Produced 2005-06, NCHEMS, March 2008.

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-forProfit Institutions Four at Proprietary Institutions

Board of Higher Education: Nursing Grants

1) 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 2) Nurse Educator Fellowships $150,000 (15 awards of $10,000) First fellows in 2007 3) Competitive Nursing School Grants $1.5 to $1.0 million First grants in 2007 Expansion and Improvement
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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 5

IBHE Nursing School Expansion Grant 2007-2008 & Renewal 2008-2009: Opportunities for Nursing In Illinois

P. Ann Solari-Twadell RN, PhD, MPA, FAAN Assistant Professor Associate Dean, Undergraduate Program

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

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

IBHE Grant Outcomes

Increase in Numbers of ABSN Graduates
Number of ABSN Graduates
140 125 120 100

80
60 40 20 0 2005 52

68
58

2006

2007

2008

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

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.

Contributing Solutions to the Nursing Shortage in IL

Jeri Lynn Else Manager, Strategic Healthcare Partnerships

Partnerships & Articulations

Current BSN Completion Agreements

Future ADN - MSN Agreements

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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

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Community College Consortium for Healthcare - CCC4HC

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

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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
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Project Management and Coordination

State Level
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

Regional Level
Connect SI (Southern Region) Metropolitan Chicago Healthcare Council (Northeast Region

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Labor Market Supply-Demand Analysis

Demand 1. Determine base year rates
a) Current Occupational Employment b) Consensus Occupational Growth Rate

Supply 1. Account for all sources of education and training

a) Create 10-year data base b) Calculate average annual supply c) Use administrative files to adjust

2. Account for possible adjustments

a) Consensus Occupational Replacement Rate

2. Adjustments for leakage 3. Consider local/regional input to yield effective supply

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Pilots in Two Regions

MCHC

Metropolitan Chicago Healthcare Council

MCHC

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).

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

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Regional Work Plans

Step 4: Develop Final Regional Plan--Goals, Strategies and Action Plan
Step 3: Identify Root Causes and Potential Solutions (Regional Framework) Step 2: Analyze Baseline Performance at Each Stage of Pipeline

Step 1: Estimate Regional Nursing Shortages

MCHC Program Capacity, Student Progress, and Student Completion

Barriers Lack of Prepared Faculty plus Lack of Competitive Funding to Recruit & Retain Limited Clinicals Students Need Additional Support for Success

Northeast Region Solutions Public/Private Partnership for Expansion Training for MSN grads

Online Clinical Scheduling Tool Tutoring & Mentoring Financial Services Build on Existing Models
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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)
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