1. The Massachusetts Centralized Clinical Placement System©
Building a Statewide Nursing Education Framework November 11, 2011
Maine Partners in Nursing

2. Plans for Today’s Session
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Plans for Today’s Session
Overview of the Massachusetts CCP Model.
Review components of the MCCPS© Web Site
Plans for Expansion

3. Mass Centralized Clinical Placement System
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Mass Centralized Clinical Placement System
Established in 2005.
Goals of the MCCPS© are to:
Facilitate the efficient placement of nursing students into clinical sites.
Expand the number of clinical sites for nursing students.
Clinical Placement Process:
Nursing programs request a clinical placement;
Health care organizations accept or reject that request.

4. Overview Where Massachusetts began
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Overview Where Massachusetts began
2005 DHE 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.

5. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
The Research
Following Partnership Survey, the DHE commissioned a Report of National Current Best Practices in Centralized Clinical Placements.
Used a structured interview process to gain an in-depth understanding of each model.
Four models in the country were operational:
Arizona
Oregon
San Diego, California
San Francisco Bay Area, California

6. 19 States / Regions Developing CCP Programs
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
19 States / Regions Developing CCP Programs
Alabama
Colorado
Florida
Hawaii
Idaho
Kansas
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Ohio
Oklahoma
Oregon
Tennessee
Texas
Utah
Washington
Wisconsin

7. Research Findings: A Set of Common Goals
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Research Findings: A Set of Common Goals
Ensure adequate supply and quality of clinical placements.
Streamline the process and decrease the stressors of requesting and approving clinical placements for both schools of nursing and health care agencies.
Implement an operating framework that based on collaboration, cooperation and teamwork.
Ensure that established relationships are maintained. 7

8. Research Findings: A Set of Common Practices
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Research Findings: A Set of Common Practices
Regionally Based
Schools propose or request a clinical placement
Health care agencies accept or reject the request
Use specific data-collection templates & forms.
Web-based
Defined Operating Principles for:
Decision making
Conflict resolution
Regulatory requirements
Contracts
Report found at: 8

9. Sharing the Research in Massachusetts
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Sharing the Research in Massachusetts
Focus Group of principal stakeholders convened to:
Share the Report
Gain feedback/reaction
Enlist their participation to develop Massachusetts model
Stakeholders Included:
Massachusetts Board of Registration in Nursing
Department of Higher Education
Massachusetts Center for Nursing
Deans & faculty from nursing programs – 2 and 4 year
Nurse Executives
Clinical Placement Directors & Coordinators from hospitals

10. Research to Reality Stepping Stones
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Research to Reality Stepping Stones
Statewide Approach
Northeast-Central region as pilot
4 regions operational by 2008 (NH added 2009)
Participation is voluntary
Regional groups involving all participating healthcare organizations and nursing programs in the region.
Role of the Regional Groups:
Decision making body for the regional CCP model.
Reviews & implements operating framework for the region.
Populates & implements database component of MCCP©
Develops regional enhancements as determined by Group.
Expand the number of clinical sites for nursing students.

11. Mass Centralized Clinical Placement System©
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Mass Centralized Clinical Placement System©
Current Staffing for the CCP Project
Project Leader
Assistant Nurse Coordinator
Technical Support
5 Regions now fully operational
Boston
Northeast/Central
Southeast
West
New Hampshire

12. Mass Centralized Clinical Placement System ©
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Mass Centralized Clinical Placement System ©
System Includes:
An operating structure that supports collaboration, cooperation & teamwork.
RN, LPN and CNA programs
In and out-of-state nursing program partners
Acute, post-acute, long-term care & outpatient placements
Group & preceptorship clinical placements
Online Orientation Program for students and faculty
Password-protected, searchable database; web-based communication.

13. Outcomes to Date MA – 3,532 placements
2,686 are filled & 846 are open
Managing 22,554 student- placements
90 health care facilities and 72 nursing programs
66% increase in open placements (2008 – 2010)
Using the Online Orientation system
NH placements
416 are filled and 56 open
Managing 3,294 student-placements
13 health care organizations and 19 nursing programs
25% increase in total placements listed (2010 – 2011)
Began using the Online Orientation system Aug. 1, 2011
Will remain on MA system

14. Overview of the Online Orientation Program
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Overview of the Online Orientation Program
Implemented to:
Increase amount of time students spend in the patient care setting by decreasing amount of time spent in repetitive orientation sessions.
Decrease administrative burden associated with providing the orientation.
Provide comprehensive and consistent orientation to students and faculty.

15. The Online Orientation Program
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
The Online Orientation Program
Online Orientation Modules valid 1 year: 8/1/2011 – 7/31/2012.
Students/clinical faculty re-certify starting August 1 each year.
Conduct annual review of online material
Dec – Jan: review/post updates to National Patient Safety Goals.
February - May:
Ask users for suggestions during February CCP meetings.
Review feedback gathered from those who complete online orientation.
Review content of the centralized modules.
Share proposed updates with users during spring meetings.
Review post-test questions; add 2 new questions to each module and retire 2 “old” questions to the Online Orientation Test Bank.
Ask HCOs to post updates to their facility-specific by July 31.
Post updated content to site for August 1.

16. Module 1: Basics of Student Placements
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Module 1: Basics of Student Placements
Student Role & Responsibility
Patient Rights
Patient Confidentiality & HIPAA Education
Providing Culturally Competent Care
Detecting and Reporting Abuse
Workforce Violence
National Patient Safety Goals
Providing Population Competent Care
Documentation
Post-test link

17. Introduction to Module Post-Tests
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Introduction to Module Post-Tests
Use content in the modules to answer the questions.
Able to save & return to post-test.
Must score 100%.
May retake a test to achieve 100%.
Only the incorrectly answered questions will display for correction.

18. Module 2: Infection Control and Prevention
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Module 2: Infection Control and Prevention
OSHA Bloodborne Pathogens Standard
Human Immunodeficiency Virus (HIV)
Hepatitis
Tuberculosis
H1N1 Influenza Virus
Transmission-based Precautions
Blood &/or Body Fluid Exposure Accidents
Personal Protective Equipment
Hand Hygiene

19. Module 3: Environment of Care
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Module 3: Environment of Care
Fire Safety
Electrical Safety
Medical Waste
Emergency Codes
Emergency Preparedness
Hazardous Communication
Latex Allergy
Needlestick or Sharp Injuries

20. Clinical Assignment Ticket - Participating HCO
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Clinical Assignment Ticket - Participating HCO
Participating HCO Ticket includes:
Your name, nursing program and clinical assignment.
Confirmation of module completion; HIPPA and Confidentially Statement, and that certification is valid.

21. Clinical Assignment Ticket - Generic Ticket
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Clinical Assignment Ticket - Generic Ticket
Generic Ticket includes:
Your name, nursing program and
Student or faculty entered HCO’s name (circled in red).
Confirmation of module completion; HIPPA and Confidentially Statement, and that certification is valid.

22. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Viewing the Site 22

23. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Questions?

24. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Conclusions
Number of open & filled clinical placements have increased.
Majority of respondents say:
Valuable to their work
Is preferred approach
Has saved time
Is easy to use
Behavioral health, pediatric and obstetrical placements difficult to secure.
Transitioning to MCCPS does require orientation
Straddling 2 systems can be difficult
Comfort level with technology varies, users are working to incorporate MCCPS into daily practice.

25. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Next Steps and Plans
Increase number of participating clinical sites.
Plan for sustainability.
Fee based on capacity or utilization
Lesser of two fees
$6.50 is multiplier
$400 minimum
The value of the system is found in the efficiencies and outcomes.

26. Massachusetts CCP Operating Principles & Guidelines
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Massachusetts CCP Operating Principles & Guidelines
Decisions
Made by consensus of the Group members, rather than majority rule.
Members who are unable to attend a meeting may register their opinion by ing the Convener prior to the meeting.
A region may elect to use a regional negotiation meeting to review and finalize its clinical placements.
Conflicts
Resolved on a case-by-case, issue-by-issue basis.
Process is one of discussion and consensus. All parties work to find an acceptable solution for each other.

27. CCP Operating Framework and Guidelines
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
CCP Operating Framework and Guidelines
The Clinical Placement Request Process
Nursing programs request a clinical placement
Health care organizations accept or reject that request.
Contracts
Each nursing program has a contract with each health care organization that they utilize.

28. Massachusetts CCP Operating Principles & Guidelines
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Massachusetts CCP Operating Principles & Guidelines
Meeting Regulatory & Educational Requirements
Shared Documents allow Group members a way to discuss and then standardize the collection of necessary student and/or faculty data and implement student and/or faculty pre-clinical education programs.
Adding a New Organization
As new organizations are entered into the system, existing placements and/or relationships remain intact.

29. Massachusetts CCP Operating Principles & Guidelines
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Massachusetts CCP Operating Principles & Guidelines
Access to Placements
All have access to clinical placement opportunities. Health care organizations accept or reject requests.
Clinical Placement Opportunities
There is no informal arranging of placements. Placements need to be listed in the database.
System Reports
The system allows users to generate reports for the faculty or health care facility manager.

30. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
MCCPS Home Page© 30 30

31. MCCPS© Placement List Page
MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
MCCPS© Placement List Page 31 31

32. MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION
Placement List 32