1. Centralized Clinical Placements Processes and Practices Nursing Initiative Advisory Committee Update April 10, 2007

2. Overview BHE Nursing Education/Practice Partnership Survey Clinical Placements identified as significant issue in improving the quality of nursing education across the state. Time in arranging and managing clinical placements was seen as burdensome to facilities and schools of nursing. Statewide, there is an inadequate number of clinical sites in Pediatrics, Obstetrics and Behavioral/Mental Health. The competition for sites between schools of nursing was a major issue in every region of the state.

3. Initial CCP Database Launched CCP database and web site July 2006 Data from: –1 region – Northeast-Central 26 Hospitals/Hospital Systems 18 Nursing Programs Started with 668 clinical placements All were RN placements All placements were in hospitals

4. Expanding CCP Database Expanded Northeast-Central region to include: –LPN programs At colleges and technical/vocational schools –Rehabilitation and long-term care facilities –Boston-based nursing programs with clinical placements at participating health care organizations

5. Summary CCP Database Today, the database includes: 31 Health care organizations 23 Nursing Programs 922 clinical placements –RN and LPN students –All 4 terms Fall; Winter; Spring and Summer Group and preceptorship clinical placements Have added 254 placements for a 38% increase in placements since launch.

6. The CCP Database Expansion Expanded to include 2 additional regions Southeastern Mass –44 health care organizations –20 nursing programs Western Mass –20 healthcare organizations –8 nursing programs

7. Expanded Participation in CCP In next few months, as expansion completed: Health Care OrgsNursing Programs LPN, ADN, BSN Northeast-Central3123 Southeastern Mass4422 Western Mass208 TOTAL9553

8. Additional CCP Web Site Components Shared Documents –Student Clinical Passport – in use –Faculty Clinical Passport – in use Additional Shared Documents Suggestions –Online Clinical Orientation for Students –Unified Clinical Placement Contract

9. Ongoing Efforts and Development Pre Assessment and Post Implementation Evaluation Web Site Enhancements –Simplify process of updating placement data –Reduce the possibility of data errors –Give users better visibility and control of change process –Facilitate communication between clinical sites, nursing programs & nurse coordinator –Prevent unauthorized/duplicate placement requests and submissions

10. Ongoing Efforts and Development Attracting National Attention for the Massachusetts CCP model –Presentations of the Massachusetts CCP model : National Professional Nurse Educators’ Conference, October 2006 Greater Metropolitan Chicago Hospital Council, December 2006 Rhode Island Hospital Association, May 2007 Dartmouth Hitchcock/St. Anslem’s Annual Conference for Nurse Educators in Practice and Education, May 2007

11. Ongoing Efforts and Development Long-term Sustainability –Are discussing regional approaches for ongoing funding to support continued development and expansion of the CCP model.