Maine Nursing Practice Consortium Review of Statewide Nursing Initiatives in Maine April 2012 Lisa Harvey-McPherson, RN, MBA, MPPM EMHS Vice President Continuum of Care

Maine’s Nursing Community is Very Active!!! Maine Healthcare Sector Training Grant Maine Minimum Data Set Bi-annual Update Status of Maine’s Nursing Education Programs HRSA Strategic Plan for Nursing in Maine DOL Healthcare Industry Advisory Council Grant Future for Nursing “Campaign for Action” Coalition RWJ Partners in Nursing Grant Project

Healthcare Sector Training Grant The Maine Health Care Sector Grant (HC Grant) is a $4.9 million grant awarded to the Maine Department of Labor (MDOL). The HC Grant is funded by the Employment & Training Administration of the United States Department of Labor (USDOL) through the American Recovery and Reinvestment Act (ARRA). The goal of the project is to increase the training, education and employment of credentialed health care workers in Maine by February 1, Grant objectives included training 100 ADN and BSN nurses; increasing the number of qualified clinical instructors; increasing the availability and flexibility of clinical training facilities; and training clinical instructors in the use of simulation equipment.

Healthcare Sector Nursing Projects Project TitlePartnersTrainees TargetedDescriptionStatus/Update of Project Clinical Expansion Software Maine Health Maine Partners in Nursing Education and Practice Statewide Initiative Nursing students that require clinical placement in Maine Hospitals and Nursing Schools to earn their credentials Clinical expansion software that was developed in Mass. and resulted in a 60% expansion of clinical placements there. Maine Health began phase I of the pilot project n March 2012; includes 8 nursing schools and 10 Maine Health hospitals. Phase II - Applications directed toward all other Maine Hospitals and nursing schools will be solicited in May 2012 to join the program in September 2012 BSN Nurse Residency/ Apprenticeship Program Maine General Hospital University of Maine Augusta Kennebec Valley Community College Maine Apprenticeship Program Region 3 Initiative Associate degree incumbent nurses Incoming nursing students The innovative partnership between industry, education, and apprenticeship is designed to increase the number of clinical rotation opportunities for nursing students, develop long term solutions to training capacity issues and increase the level of education for nurses through an innovative nurse specialty Residency/Apprenticeship program. Apprenticeship standards developed Program manager hired in November Trainees began program in 2012 MGH provided an additional clinical instructor to UMA this semester Nurse Residency Project Mid Coast Hospital Region 4 Initiative Recent nursing graduates Mid Coast Hospitals Nurse Residency Program is an enhanced orientation and training program designed for new grad nurses. The goal of the program is to build expert clinicians in a nurse specialty area and to decrease attrition of new grad nurses from the workforce due to “reality shock.” The program provides an example of an innovative partnership between industry and workforce developments On the Job Training (OJT) program. OJT contract in place Program began in July 2011 with the enrollment of 7 newly employed nurses Nurse Educator Certificate Program Maine Medical Center University of Southern Maine Region 4 Initiative BSN prepared incumbent trainees interested in becoming nurse educators and beginning the pursuit of their master’s degrees 3 course, 9 credit program designed to provide experienced nurses with the tools they need to be successful as clinical nursing instructors. Beginning in the fall of 2011, 1 course will be held each semester; concluding in December of students enrolled Coursework began in Sept. 2011

Nursing Project, continued Accelerated BSN Program Maine Medical Center University of Southern Maine Region 4 Initiative Individuals with bachelor’s degrees in non-nursing fields Individuals with non-nursing bachelor’s degrees will earn their BSN degrees and be guaranteed employment as nurses in an accelerated 15 month program. The program will address the industries increased and future need for a highly skilled and prepared nursing workforce Program is underway, healthcare grant is paying $1000 each toward the purchase of books for 21 nursing students involved in pilot. Trainees will graduate with BSN degrees in May, Train the Trainer Program Husson University Region 2 Initiative Incumbent nurse educators employed at nursing schools 2 day workshop designed to enhance teaching capabilities of nurse educators using simulation equipment First workshop was held in August, 2011 – positively received Additional workshop to be held in August of 2012 Online Nurse Educator Certificate Program University of Maine, Orono Campus Region 2 Initiative BSN prepared incumbent trainees interested in becoming nurse educators and beginning the pursuit of their master’s degrees 3 course, 9 credit certificate program; mostly online curriculum designed to provide experienced nurses with the tools they need to be successful as clinical instructors for nursing students. 1 course will be held each semester beginning in the fall of 2011 and conclude in December of students enrolled, 11 grant funded. Coursework began in September, 2011 Grant funds are currently being used to advance the credentials of 194 nurses in Maine:

Maine Minimum Data Set Data set project began in 2001, published in two year data set cycles data published in January 2012 Original response rate 74% now down to 26.9% of licensed nurses Actively looking at participation with national on line nursing data set project to improve response rates

Nursing Factoids MSBON reports 24,549 licensed nurses - Dec 2011 Average age in Maine 51 vs. 47 nationally Mean age of nursing faculty is % female, 6.2% male 86.7% employed in nursing 67.5% of employed nurses plan to work in nursing for the next 5 years Primary reason licensed nurse is not working is retirement 34.5% followed by family responsibilities 16.7%

Update on Maine’s Nursing Education Programs Project led by USM, data collection and report every two years for Maine’s 13 nursing education programs Data collected winter/spring 2012 Report will be presented at the May 22 meeting of the Maine Partners in Nursing & Education and Practice hosted at Maple Hill Farm in Hallowell

HRSA Strategic Plan for Nursing in Maine HRSA Grant Award - $148,000 - Sept Aug 2011 Project, no cost extension thru Aug 2012 Unique project design to gather ideas for innovative approaches to develop and maintain an adequate nursing workforce 5 forums hosted across the state with a Call to Action engaging nursing professionals and interested parties to discuss innovative ideas in a coffee conversation format IOM Future of Nursing Report served as a foundation for our future vision Over 300 creative ideas for education and retention reform were gathered and themes included in the overall strategic plan

HRSA Strategic Planning Grant Strategic Plan will be released at the MPNEP May meeting Will identify 6 Goals and Strategic Actions Major Findings Include –Inadequate supply and demand data to make workforce projections –Maine has an aging workforce –Maine experiences educational challenges –While a great deal of work is underway, Maine’s broad nursing community is not engaged and projects are not always aligned

Maine Department of Labor Healthcare Industry Advisory Council Maine DOL has submitted a grant proposal to create a Healthcare Industry Advisory Council Council will address all sectors of the healthcare industry including nursing Vehicle to address Maine’s Supply/Demand Data Gap Muskie School will staff the work of the Council.

Maine Nursing Action Coalition National Future for Nursing “Campaign for Action” Coalition to Advance Institute of Medicine Future of Nursing Recommendations Center to Champion Nursing in America National Partners Include: IOM, RWJ Foundation and AARP February 2012 OMNE Nursing Leaders of Maine Became One of 36 State Based Action Coalitions

OMNE Action Coalition Project Goals Expand Opportunities for Nurses to Lead Collaborative Improvement Efforts Ensure Nurses’ Lifelong Learning Prepare Nurses to Lead Change to Advance Health Collect & Analyze Interprofessional Data Increase Proportion of BSN Nurses to 80% by 2020 Double Percentage of Nurses with Doctorate Degree by 2020

Maine Partners in Nursing Education & Practice RWJ – Northwest Health Foundation National Initiative Maine is one of 50 Partners in Nursing “PIN” projects in the country Two year project Sept 2010-August 2012 (looking at no cost extension) Project advances nursing competencies for the future adding geriatrics to the Massachusetts competency model

Maine’s PIN Project Five priorities for Maine include: 1.Develop and implement nursing core competencies for the Nurse of the Future 2.Create paths for innovation in nursing education 3.Re-imagine nursing education and practice as we reflect on future patient needs 4.Involve a broad coalition of stakeholders 5.Build bridges and partnerships between education and practice to develop models for entering and re- entering nursing practice

Maine Added Geriatrics to the Future of Nursing Competencies

Project Overview Winter/Spring Data Collection Gap Analysis Surveys & Focus Groups –Academic Institutions –Practice Settings –Preceptors –New Graduate Focus Groups Across the State May 2011 Findings Released at MPNEP Statewide Meeting. Moving from Good to Great –Competencies Integrated into Education Curriculum –Geriatric Competencies –Entry into Practice –Preceptor Education & Support –Clinical Placement Capacity Innovative Pilot Projects to Test New Models Facilitating Central Clinical Placement Project

Maine’s Innovative PIN Pilot Projects Ten Winning Innovative Projects for Funding Home Healthcare Curricular Integration Initiative Innovative Support Groups for New Graduates A Senior Clinical Practicum Exploring Safety during Transitions in Care for the Geriatric Surgical Patient Nursing Education Project Dedicated to Geriatric Nursing Clinical Learning Collaborative Immersion Model Comprehensive Clinical Nurse Instructor/Preceptorship Training Program Millennial Preceptor Program: Preparing for the Future New Graduate Nurse Orientation Utilizing H-Works Program New Graduate Nurse Orientation Program Strengthening the Preparation of Psychiatric Charge Nurses

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