Thank you for continuing to tell the NMNEC story! “Representing NMNEC” Info for Presenters When you represent NMNEC through a written publication or in person, you are required to adhere to the NMNEC Branding Standards http://www.nmnec.org/uploads/FileLinks/933875ef41ef4474b4e844f09423bbef/Repres enting_NMNEC_1.15.16_flier_2.pdf NMNEC Stylesheet/Colors/Logos NMNEC Stylesheet PowerPoint Slide Tip Sheet for Large Rooms http://www.nmnec.org/uploads/FileLinks/933875ef41ef4474b4e844f09423bbef/Power Point_Slide_Tips_for_Large_Rooms_2.pdf Questions? Becky Dakin, NMNEC Program Manager, 505-272-1964, bdakin@salud.unm.edu. Becky can help with editing, content, data, etc. Please email your final presentation to the NMNEC office for our historical records and reporting purposes. Thank you for continuing to tell the NMNEC story!

New Mexico Nursing Education Consortium NMNEC New Mexico Nursing Education Consortium Thank you for coming. We are here to talk about the New Mexico Nursing Education Consortium. We will learn what it is, what it has accomplished, and how it affects you.

INSTITUTE OF MEDICINE REPORT 2016 You will recall that the IOM, the Institute of Medicine, produced a monumental nursing report in 2016 titled, “The Future of Nursing: Leading Change, Advancing Health.” This was a thorough examination of how nurses’ roles, responsibilities and education should change to meet the needs of an aging, increasingly diverse population and to respond to a complex, evolving health care system. The recommendations in the report focused on the critical intersection between the health needs of patients across the lifespan and the readiness of the nursing workforce. These recommendations were intended to support efforts to improve health care for all Americans by enhancing nurses’ contributions to the delivery of care. The goals of the New Mexico Nursing Education Consortium were propelled forward by this report.

Overview of NMNEC Collaborative of all 18 state-funded pre-licensure nursing programs Primary Goals Increase number of BSN-prepared nurses Build partnerships between Universities and Community Colleges to expand the BSN Increase workforce diversity by offering the BSN in rural New Mexico In a nutshell, the consortium, that I will refer to as NMNEC (Nem-neck), is a collaborate of every state-funded pre-licensure nursing program. It’s goals are to increase the number of BSN-prepared nurses Build partnerships between universities and community colleges to expand the BSN AND to increase workforce diversity by offering the BSN in rural New Mexico

Unique Features of NMNEC Statewide Concept-Based Curriculum Partnerships/MOAs between Community Colleges and Universities (co-enrolled) Seamless Articulation and Transferability ADN/BSN share same curriculum; students sit side-by-side in classes; ADN track is 4 terms while BSN track is 5 terms with additional classes embedded Co-enrolled students receive both their ADN and BSN upon graduation at the end of the 5th term/level and sit for the NCLEX Through a multi-year collaborative process, nursing faculty from across the state built a common ADN and BSN curriculum that formed the foundation to be able to form partnerships through Memorandums of Agreement where the University BSN is offered on the partnering community college campus. These students are co-enrolled in both the university and the community college. The common curriculum has built the pathway providing seamless articulation and transferability among the participating NMNEC schools. The ADN has approx. one year of pre-requisites while the BSN requires approx. two years of pre-requisites. Once accepted into a nursing program, the ADN and BSN students sit side-by-side. The ADN track is four semesters while the BSN is five semesters with additional classes embedded. The Co-Enrolled students, the student earning his/her BSN degree at the community college earns their ADN from the community college and BSN from the university at the same time, often at the same ceremony, upon graduation.

Funding sources NMNEC initiative has been grant/donor-funded since 2009 Dr. Nancy Ridenour New Mexico Board of Nursing Robert Wood Johnson Foundation NM Higher Education Dept This statewide effort has been ongoing since 2009. To date, the efforts have been donor and grant funded. These funds have provided meeting expenses, travel expenses, salaries, and workshops.

NMNEC Article “Answering the Call for a Bachelors-Prepared Nursing Workforce: An innovative Model for Academic Progression JPN, Nov/Dec 2015, Giddens, Liesveld, Keller http://www.nmnec.org/uploads/FileLinks/933875e f41ef4474b4e844f09423bbef/JPN_Answrng_Call_fo r_BSN_Workforce_Giddens__Liesveld__Keller_Dec_20 15.pdf This is a great resource that gives a very in-depth overview of the consortium and the statewide initiative.

This is a graphic depiction of the NMNEC Model This is a graphic depiction of the NMNEC Model. Let’s take a look at this. The dark-blue pool on the left depicts the common statewide curriculum which is made up define pre-requesites and nursing courses. This common curriculum has three pre-licensure degree options. One is the BSN at a university. One is the ADN at a community college. The “Big Deal” is the middle option with the star – this is the Co-Enrolled option where the student earns his/her BSN degree in partnership with a university. The other portion of the model depicts the pathway for continued education after the ADN or BSN degree is conferred. As you see, this educational model is NOT a step-out program; The student chooses the ADN track or the BSN track from the get-go.

The Common Curriculum, known as the NMNEC Curriculum is concept-based. This is a graphic depiction of the NMNEC Concepts. We refer to this as the concepts map. This, and all of these documents can be found on the NMNEC website which is nmnec.org

Statewide NMNEC Procedures NMNEC Grading Scale NMNEC Admission Criteria NMNEC Progression Policy NMNEC Selection Requirements Recommended NMNEC Student Transfer Procedures

NMNEC Curriculum NURSING COURSES Level 1 Intro to Nurs Concepts (3) Prin of Nurs Practice (4) Evidence-Based Practice (3) Level 2 Health & Illness I (3) Health Care Participant (3) Pharmacology (3) Assessment & Health Promotion (4) Level 3 Health & Illness II (3) Prof Nurs Concepts I (3) Care of Pts with Chronic Conditions (4) Nursing Elective (3) Level 4 Health & Illness III (3) Clinical Intensive I (4) ADN Capstone (2-6) Clinical Intensive II (4) Nursing Elective (3) Level 5 Concept Synthesis (3) Prof Nurs Concepts II (3) Clinical Intensive III (4) Capstone (4) ADN Total credits=65-69 BSN Total credits= min 128 (30 credits must be from the university) Here is a look at the Nursing Courses in the NMNEC Curriculum. The “blue” courses are the ADN courses where they sit side-by-side the BSN students. The “red” courses are the additional courses for the BSN students. The ADN degree is a total of 65-69 credits, The BSN degree is a minimum of 128 credits of which 30 credits must be university courses.

NMNEC Student Skills by Level What can the students do in the clinical setting in each semester? NMNEC Skills by Level Many of you may be wondering how this concept-based curriculum equates to skill level in the clinical setting. This document outlines that in detail. Clinical sites work closely with the Nursing Program Director and Faculty at each school to best coordinate the clinical education of students.

Increase BSN enrollment Before 2014 Pre-licensure BSN was offered in two locations Current - 2017 Pre-licensure BSN is offered in ten locations 2018+ Will add 7 more locations This busy graphic shows you where the participating schools are located. In 2014, you could receive your pre-licensure BSN at two state-funded schools; UNM and NMSU. Today, you can receive your pre-licensure BSN in ten locations in New Mexico. That’s a 400% growth rate! In the future years, NMNEC hopes to increase that with seven additional schools. The Solid turquoise blue lines = Current partnership established with UNM to offer the BSN on the community college campus Broken turquoise blue lines = Future partner with UNM Solid maroon lines = Current partnership established with NMSU to offer the BSN on the community college campus Light maroon line = NMSU and SFCC have discontinued their partnership and are teaching out the remaining BSN students Purple broken line = Future partnership with WNMU No line = NMNEC Curriculum and BSN Partnership TBD

Increase BSN enrollment 2015: BSN growth by 122% 32% increase with community college partnerships Number of community college partners: 2 (at 3 locations) 90% increase in enrollment in university seats 2016: 357 BSN students are currently in BSN track Number of community college partners: 4 (at 6 locations) Added another pre-licensure university 2017 – 2018+: Adds seven more community colleges with university partnerships As you can see, the exponential growth of the pre-licensure BSN students in New Mexico continues to grow. We see a tremendous growth each year as we add more BSN programs in the community colleges.

Outcomes of BSN program growth Demand for BSN degree programs is increasing WNMU admitted last ADN cohort Fall-2016 SFCC BSN cohort is 90%+ of their seats Other programs are 50/50 BSN/ADN seats Employers report, “You train em, we’ll hire them!” Magnet Status Lower death rates, lower re-admittance, lower accident rates, increased opportunity for leadership Demand/growth is slower in rural, socioeconomic areas Demand for BSN degree programs is increasing WNMU admitted their last ADN cohort Fall-2016 because of the increased demand for the BSN degree option. 90% of students at SFCC have chosen the BSN option Other programs are 50/50 BSN/ADN seats Employers report, “You train em, we’ll hire them!” Magnet Status requires a high-level of BSN-prepared nurses There is quite a lot of literature that shows the benefits of a BSN-prepared nursing workforce showing lower death rates, lower re-admittance, lower accident rates, increased opportunity for leadership Demand/growth is slower in rural, socioeconomic areas

NMNEC as a Model for Higher Ed Common Course Numbering NMNEC held as the statewide goal Common numbering (currently crosswalked) Common naming Common descriptions Common outcomes New Mexico Higher Education Department is challenging academia to duplicate the NMNEC Model and build common curriculums as a pathway for partnerships. This is being considered in engineering, EMT programs, PT, and OT programs.

Impact of NMNEC on Healthcare in New Mexico BSN education: Faster Track to Advanced Practice Implementation of ACA increases provider need Advantages to BSNs in rural areas: Students take courses in home community Pay CC tuition rates for ADN/BSN shared courses Increases provider diversity: American Indian Populations Hispanic/Latino Populations The NMNEC Curriculum is designed to produce a BSN-prepared graduate with only ONE additional semester of school. (Yes, the BSN student must have an additional year of pre-requisites.) Implementation of the Affordable Care Act has increased the need for more providers. Higher level providers are needed. Primary Care nursing is growing. The Co-Enrolled Student earning their BSN degree at the community college will pay 50% less tuition than at a university. NMNEC now offers the BSN degree in TEN locations, of which, FIVE are in very rural, ethnically-diverse areas of New Mexico.

NM BSN-Prepared Nurses Take a look at the orange lines that show us the number of RNs with a BSN. In 2013 we had approximately 750. In 2014, and 2015 you see significant growth. Take a look at 2016. We have doubled our numbers, plus some. The New Mexico Nursing Education Consortium has built a successful model that does, indeed, produce more BSN-prepared nurses while preserving the ADN degree program as well. The entire nation has their eyes on New Mexico. Kansas has reproduced our model and many other states are attempting to follow. (This data was received from the NMBON. Raw numbers are available at NMNEC.)

Questions?