1. MMC - NMC Joint Appointment Process Jean Rokos, Northwestern Michigan College Bill Brundage, Munson Medical Center

2. Northwestern Michigan College  4,200 academic enrollment  2,000 post associate degree enrollment  1,400 corporate training enrollment  10,000 extended education enrollment

3. Munson Medical Center  3000+ Employees  391 Beds  Top 100 Hospital, nine times  Magnet Award for Nursing Excellence  Top 100 Hospital Cardiovascular Services, four times  Level II Trauma Center

4. Munson Healthcare System  Consists of:  Munson Medical Center – Traverse City  Paul Oliver Memorial Hospital – Frankfort  Home Health – 32 counties  North Flight – air & ground services  Management Contracts  Mercy Hospital Grayling, Mercy Hospital Cadillac, Kalkaska Memorial Health Center  Partnering Hospitals  West Shore Medical Center – Manistee and Otsego Memorial Hospital – Gaylord

5. Munson Medical Center Now a Magnet Hospital  Northwestern Michigan College facilitates advanced nursing degrees through University Center

6. NMC - MMC Joint Appointments  Positive aspects:  adjunct faculty and manager agree on release hours from staff position  adjunct faculty have time to teach while preserving full-time benefits at MMC  adjunct faculty grow and develop new skills  NMC does not experience a clinical faculty shortage  NMC students have instructors who are current practitioners  adjunct faculty have established relationship with MMC nurses  some adjunct faculty teach in addition to clinical duties

7. NMC - MMC Joint Appointments  Process: the staff nurse  discusses joint appointment possibility with manager  determines release time schedule if needed  interviews for and secures an adjunct faculty position  communicates release hours to the Director of Nursing Programs at NMC

8. NMC - MMC Joint Appointments  Process: the administration  verification form sent from NMC director of nursing to MMC manager before contract is set up  verification form identifies  instructor  specific course  dates of instruction  hours of release  salary amount

9. NMC - MMC Joint Appointments  Process: the administration  each course carries a college salary amount  any release time paid by MMC is at the instructor’s normal hourly rate  NMC reimburses MMC for the release time amount and subtracts it from the contract amount  any remaining course salary amount is paid directly to the instructor

10. NMC - MMC Joint Appointments  Problematic aspects:  can be more expensive for the college if the college must pay for benefits in addition to the hourly rate  can result in over or under payment to adjunct faculty member if process is not followed

11. Questions  What factors in your region would cause or allow hospitals and colleges to form joint appointment arrangements?  How would you maximize the positive aspects and minimize the negative aspects of a joint appointment arrangement?  What questions do you have for us?

12. Contact Us  Jean Rokos, Northwestern Michigan College  jrokos@nmc.edu  231-995-1248  Bill Brundage, Munson Healthcare  wbrundage@mhc.net  231-935-6492