Addressing the Nursing Shortage Illinois Board of Higher Education June 3, 2008 Board Meeting St. Johns, Springfield

Source: Demand vs. Supply in Selected Occupations - Gap Between Projected Annual Openings and Annual Degrees Produced , NCHEMS, March Mechanical Engineering Technology Industrial Engineering Medical Lab Technology Computer Systems Special Education Computer Engineering Secondary & Vocational Education Nursing Elementary Education Accounting & Financial Management Electrical Engineering Technology Industrial Engineering Technology Medical Radiology Technicians Electrical Engineering Mechanical Engineering Civil Engineering Chemical Engineering Civil Engineering Technology Education Administration More Demand than Supply More Supply than Demand 2,739 Demand vs. Supply 2

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-for- Profit Institutions – Four at Proprietary Institutions 3

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

5 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

IBHE Nursing School Expansion Grant & Renewal : 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

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

13 Partnerships & Articulations Current BSN Completion Agreements Future ADN - MSN Agreements

14 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

15 Community College Consortium for Healthcare - CCC4HC McHenry Moraine Valley Morton College Oakton Community College Prairie State College South Suburban Triton College Waubonsee CC City Colleges of Chicago (7) College of DuPage College of Lake County Elgin Community College Harper College Joliet Junior College Kankakee CC

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 16

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 17 Connect SI (Southern Region) Metropolitan Chicago Healthcare Council (Northeast Region

Labor Market Supply-Demand Analysis Demand 1.Determine base year rates a)Current Occupational Employment b)Consensus Occupational Growth Rate 2.Account for possible adjustments a)Consensus Occupational Replacement 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.Adjustments for leakage 3.Consider local/regional input to yield effective supply 18

Pilots in Two Regions Metropolitan Chicago Healthcare Council

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 21 Program Capacity, Student Progress, & Student Completion Transition of Program Completers to Healthcare Employment Retention of Experienced Nurses Apply to Nursing School Graduate from Nursing School & Pass Licensure Exam Employment

Regional Work Plans Step 1: Estimate Regional Nursing Shortages Step 2: Analyze Baseline Performance at Each Stage of Pipeline Step 3: Identify Root Causes and Potential Solutions (Regional Framework) Step 4: Develop Final Regional Plan--Goals, Strategies and Action Plan

Program Capacity, Student Progress, and Student Completion BarriersNortheast Region Solutions Lack of Prepared Faculty plus Lack of Competitive Funding to Recruit & Retain Public/Private Partnership for Expansion Training for MSN grads Limited Clinicals Online Clinical Scheduling Tool Students Need Additional Support for Success Tutoring & Mentoring Financial Services Build on Existing Models 23

Questions & Answers 24 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) Nursing Panel Presenters: