Addressing the Nursing Shortage
Illinois Board of Higher EducationJune 3, 2008 Board Meeting
St. John’s, Springfield
Source: Demand vs. Supply in Selected Occupations - Gap Between Projected Annual Openings 2004-14 and Annual Degrees Produced 2005-06, NCHEMS, March 2008.
-1,900
-937
-855
-737
-431
-333
-204
-142
-125
-81
11
106
509
765
793
1,075
2,710
2,739
-1
-3,000 -2,000 -1,000 0 1,000 2,000 3,000
Mechanical Engineering TechnologyIndustrial Engineering
Medical Lab TechnologyComputer SystemsSpecial Education
Computer EngineeringSecondary & Vocational Education
Nursing
Elementary EducationAccounting & Financial ManagementElectrical Engineering TechnologyIndustrial Engineering TechnologyMedical Radiology TechniciansElectrical EngineeringMechanical EngineeringCivil EngineeringChemical EngineeringCivil 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
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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 1971
2) Nurse Educator Fellowships • $150,000 (15 awards of $10,000)• First fellows in 2007
3) Competitive Nursing School Grants • $1.5 to $1.0 million• First grants in 2007• Expansion and Improvement
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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 Grant2007-2008 & Renewal 2008-2009:
Opportunities for Nursing In Illinois
P. Ann Solari-Twadell RN, PhD, MPA, FAANAssistant 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 GroupsStudents:• “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 ElseManager, Strategic Healthcare Partnerships
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Partnerships & Articulations
Current BSN Completion Agreements
Future ADN - MSN Agreements
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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
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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 LevelIllinois 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
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• Connect SI (Southern Region)• Metropolitan Chicago
Healthcare Council (Northeast Region
Labor Market Supply-Demand Analysis
Demand
1. Determine base year ratesa) Current Occupational
Employmentb) Consensus Occupational
Growth Rate
2. Account for possible adjustmentsa) Consensus Occupational
Replacement Rate
Supply
1. Account for all sources of education and traininga) Create 10-year data baseb) Calculate average annual
supplyc) Use administrative files to
adjust
2. Adjustments for leakage3. Consider local/regional
input to yield “effective supply”
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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
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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
Barriers Northeast 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
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Questions & Answers
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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:
