Presentation on theme: "April 1, 2015 Peg Daw- MHEC Oscar Ibarra-HSCRC Priscilla Moore-MHEC"— Presentation transcript:
1 April 1, 2015 Peg Daw- MHEC Oscar Ibarra-HSCRC Priscilla Moore-MHEC Nurse Support Program II Competitive Institutional Grants Technical Assistance MeetingApril 1, 2015Peg Daw- MHECOscar Ibarra-HSCRCPriscilla Moore-MHEC
2 Nurse Support Programs NSP I- Hospitals NSP II- Higher Education Website:Health Services Cost Review Commission provides stable funding and oversight.HSCRC administers NSP IMHEC administers NSP II
3 Nurse Support Programs NSP- HSCRC began funding Nurses ~~1986NSP I- On July 1, 2001, HSCRC approved hospital revenue for hospital-based initiatives aimed at addressing the short and long term nursing shortage impacting Maryland hospitals. NSP II – On May 4, 2005, HSCRC approved hospital revenue for use in expanding the nursing workforce through increased nursing faculty and nursing program capacity in Maryland.
4 Goals of NSP I and NSP II NURSING FOCUS: Two Aims 1. Increase the number of registered nurses2. Increase the number of nurse faculty
6 NSP II Program Evaluation Types of Program Initiatives (N=41)Community CollegesPrivate UniversityPublic UniversityHistorically Black College or UniversityTOTALSIncrease pre-licensure RN graduates21021801751502607 New RNsIncrease graduate degrees-MSN, DNP142310632 MSN/DNPStudent Retention and Success135135 New RNsIncrease RN to BSN completions275302577 RN-BSNsIncrease statewide resources, faculty, preceptors, simulation474177154805 Faculty/ PreceptorsTotal Graduates27117749413304756
7 Measurement and Evaluation 5800 or 27% total 20,967 pre-licensure graduates attributed to NSP IIIn 2013, 1,726 ADNs (58% increase)In 2006, 1,090 ADNsIn 2013, 1,615 BSNs (43% increase)In 2006, 1,127 BSNs
8 Measurement and Evaluation No known impact on PhD graduatesPhDsPhDs621 new MS and 203 new DNP degrees directly attributed to NSP II219 % Increase in MS degrees from 2006 to 2013
9 INPUTS NSP II Evaluation Resources SITUATION OUTPUTS IMPACT New Faculty- new hiresProject DirectorsInstructional suppliesFunding- grant andIn-kindClinical SimulationExternal ConsultantsProfessional developmentInstructional TechnologyCollaborationsSITUATIONShortage estimatesAssociated hospital costFaculty shortageTurned away studentsOUTPUTSNew/Expanded Programs5 + MSNs, 2+ DNPs2+ BSN, 3+ RN-BSNAccelerated Programs3 + ADN cohorts, 2 + WETechnology/ Development4+ Simulation labs5+ Online-4+ Faculty DevelopmentIMPACT27% of New RNsRenewed (5 yrs)$75 million5 New Initiatives-Related to IOM GoalsEvaluation & DisseminationOUTCOMES2237 ADNs 621MSNs505 BSNs 190 DNPs577 RN-BSNs 245 NNFF51 NEDG GNF805 Certificates
10 HRSA Workforce Evaluation 2012 2025 ProjectedStateSupply & DemandDemandSupplyDifferenceMaryland60,60072,00059,900 -12,100Virginia69,90087,300106,700+19,400Pennsylvania145,000152,600178,400+25,800Delaware10,60012,50016,200+3,700 West Virginia 20,600 21,100 29,000 +7,900US2,897,0003,509,0003,849,000 + 340,000Source: HRSA (2014).The Future of the Nursing Workforce: National and State Level Projections, Notes: Projections assume demand and supply are equal in 2012 and nurses remain in their state of training.
11 Nurse Support Program II Evaluation In 2014, at the conclusion of ten years of funding, the HSCRC and MHEC staff, with the help of a 7 member Advisory Group completed the program evaluation.Many stakeholders provided letters of support: 15 schools- MHA and MNAHSCRC renewed NSP IIfor 5 more years ~ $75 mil on1/14/15NSP II Workgroup provided guidance and new RFA released 3/13/15Nurse Support Program II Evaluation
12 IOM Goals = NSP II Goals #4- Increase RNs to 80% BSN by 2020 #5- Double the # of RNs with Doctorates 2020#6- Ensure lifelong learning for RNs#7- Enable RNs to lead changeThe Future of Nursing: Leading Change, Advancing Health (2010)
13 NSP II- New Goals & Metrics NSP II Workgroup Members:Dr. Steve Jencks- HSCRC CommissionerAdvisory Group- NSP II Project Directors &NSP I Nurse LeadersChief Nursing Officers at HospitalsMaryland Board of NursingMaryland Hospital AssociationMNA, MONE, MDAC, MHEC, HSCRC
16 Initiative #1 Increase Nursing Pre-licensure enrollments and graduates Academic Progression-Dual EnrollmentTo meet IOM Goal #4, need community colleges nurse educators working alongside university and hospital nurse educators to prepare future RN workforce
17 Initiative #2Advance the education of students and RNs to BSN , MSN and Doctoral levelPrograms approved by MHEC/MBONRN-BSN & RN-MSN (online-hybrid-onsite)MSN ( entry level, 2nd degree, MS)Doctorates (DNP or PhD)To meet IOM Goals #4, 5, 6 & 7
18 Initiative #3 Increase the number of doctoral prepared nursing faculty DNP, PhDNursing Faculty CareersMBON and MHEC program approvalsTo meet IOM # 5, 6 & 7
19 Initiative #4Build collaborations between education and practice that develop new models that promote a patient centered continuum of carePrepare RNs to lead change in hospitalsUtilize NSP I and NSP IIAcademic/Practice LeadershipIncrease primary care- APRNs, NPsTo meet IOM Goals # 4, 5, 6 & 7
21 Equivalents (Total FTEs) Data Tools- FacultyMandatory Data Table for all Proposals and all Future Interim Annual and Final ReportsFACULTY for current AY ( )Equivalents (Total FTEs)FTPTTotal NumberNursing faculty with PhD in NursingNursing Faculty with PhD - OtherNursing Faculty with DNPNursing Faculty with EdDNursing faculty with MSNClinical nursing faculty with BSNClinical nursing faculty with MS
22 Data Tools- StudentsAcademic Year/Session for Indicated Program- Describe Program TypeProgram Capacity (new students only)Number of qualified applicantsQualified but not admittedAdmitted who registeredGraduation RateRetention Rate# Graduates per academic year (as appropriate)GraduatesADNBSNMaster EntryRN-BSNRN-MSNMSDNPPhD
23 Data Tools- Diversity Underrepresented Groups in Nursing Ethnic/Racial Minority% White% Non-WhiteTotal NumberNursing faculty (Full Time)Clinical or part-time facultyNursing studentsUnderrepresented Groups in NursingGenderFemaleMaleTotal NumberNursing faculty (FT)Clinical or part-time facultyNursing students
24 Data Tools- Geographic Can we answer the question: Where do our RNs ( students/Faculty) work and live?In-State or Out of StateState of ResidenceMarylandGeographic Neighbors (VA,DE, DC, PA, West VA)Other StatesTotal NumberPercent In StateNursing faculty (FT)Clinical or part-time facultyNursing students
25 Findings- MONE Hospital Survey Maryland Hospital CNOs reported:Top 3 hard to fill departments:ED(71%), ICU(68%) and OR(58%)Most difficult to fill RN roles:RN Manager (63%), Director(50%), Educator(47)In 2015, 53% CNOs creating new RN jobs:Care navigator(64%), Documentation RN(64%),Care coordinator(50%), Quality/Safety RN(50%)Hospital Educator- Professional Development Specialist- often misnamed Clinical Nurse Specialist (8 titles)
26 NSP II Faculty Survey (n=389) 86% of 79 Faculty with Doctorates (PhD, DNP, EdD) are over age 54 (n=68)Younger Faculty- more diverse/less education/ less opportunityPreference for Doctorates/Experience50% all Faculty retiring in 10 yrs.70% all Faculty retiring in 15 yrs.
27 5 NSP II Nurse Faculty Resources Faculty Survey-7/28-10/31/14389 Respondents245 NNFFRecruit/retain88% retention51 NEDG awards forDoctoral CompletionsLeadership ConsortiumSimulation ConsortiumHal and Jo Cohen GNF
28 Implications No research has been identified that provides a direct or indirect relationship between a state’sinvestment in Nursing faculty or nurses and the cost oroutcomes of the state’s health care system…….Without a strategic framework, model of changeand outcomes criteria………….one solution will appear to be as good as any other ……….Kowalski & Kelley (2013)
29 NSP II Return on Investment Research is needed:Evidence based faculty strategiesInnovative education initiativesROI to fund nurse faculty & workforceNurse’s impact on patient outcomes/costNSP II funded programs need to be evaluated and disseminated through peer-reviewed publications.REQUIRED: Data Tables ( see pg. 6 & 18)Dissemination meetings ( see pg. 18 & 20)
30 NSP II Expectations Rigorous Reporting & Accountability Embed Retention, Simulation & IPECollaboration among Project DirectorsCurricular Change/ AgreementsSeamless Academic ProgressionWell Executed Programs/InnovationsHospital Leaders and Education LeadersProgram Evaluation and Improvements
31 NSP II Evaluation 2019 Measure Progress and Impact NSP I and NSP II Goals for RNs INCLUDE:1. Statewide strategies for the workforce2. Right RN skills/mix =Triple Aim/WaiverNext NSP II Evaluation Due 2019
32 ReferencesInstitute of Medicine, (IOM) 2010 report, The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press.Kowalski, K. & Kelley, B.M. (2013). What’s the ROI for resolving the nursing faculty shortage? Nursing Economics, 32(2),Nurse Support Program II. Accessed atNurse Support Program II Faculty Survey, completed October 31, 2014, released at NSP II Advisory Group meeting on November 19, 2014.
33 ReferencesNurse Support Program II (NSP II) Outcomes Evaluation FY FY 2015 and Recommendations for Future Funding
34 AddendumDuring the NSP II Technical Assistance Meeting, many questions arose. The program is essentially the same; however, many participants had specific questions about the new data requirements and items that might be allowed.Afterwards, some who did not attend requested more assistance, so the followingQ & A Session slides were developed!
35 Q & A Session Can we write more than one grant proposal? Can we write a grant for more than 1 initiative?No, please address one major initiative per proposal.Yes, there is no limit on the number of good proposals that a school can submit.
36 Q & A Session Can we ask for funding for pre-nursing students? Can we write grants for equipment?Can we ask for funding for pre-nursing students?Probably not, we did not have any of these discussions in the Workgroup and are not familiar with how to measure actual RN graduates within a grant’s time frame.No, there is an option for instructional technology, but it is not the main focus/funding of a proposal that measures progress in nurse graduates.
37 Q & A SessionDo we have to complete the enrollments listed on pg 16?Is the Cover sheet and data tables part of our 15 page limit?Yes, that is background information- include in the narrative a snapshot of the program’s enrollments- in addition to the required data set.No- they are not counted in your narrative section.Please number all pages!
38 Q & A Session What are Dissemination Activities? Do we have to include funds for faculty to attend the Maryland Action Coalition meetings?Yes- the MDAC is our lead organization reporting on movement towards IOM Nursing Goals.Conferences, meetings, & activities to share best practices and progress on successful programs on IOM Goals – national, state, local- for Maryland’s RNs.
39 Q & A Session Where do I find the data required? How did you decide on these data?The Workgroup consulted with Deans/Directors of Nursing Programs.Consult with yours.Deans and Directors/ Nursing Programs report standard, readily available data to the MBON and Accreditation Boards.These data are defined and consistent.
40 Q & A Session What is the deadline for the electronic files? Do we have to submit the hard copies by 4/24?The Deadline for submission is 4/24.All items- electronic proposals and excel budget with hard copies are due in MHEC’s offices- 10th Floor.YesThe Receptionist leaves at 4pm, therefore, proposal packages can be hand delivered up until that time.
41 Q & A Session What are Statewide Initiatives? Can schools apply for the Statewide programs?Faculty Focused Funded ProgramsNot part of the Competitive Institutional GrantsListed for informationNo- these are faculty focused initiatives guided by a Nursing Dean/ Director nomination process- available to faculty in nursing programs.
42 Q & A Session Can hospitals apply for NSP II? Why did the Workgroup emphasize Hospitals and Higher Education collaboratives?NoHospitals have NSP I funds. However, nursing schools and hospitals are encouraged to partner and share NSP I and NSP II Funded programs/ initiatives.It is a natural fit- they share the same end goals- a highly educated RN workforce that meets the needs of Maryland’s Waiver & the Triple Aim- better care & better health/ patient experience at lower cost.
43 Q & A Session What about Nurse Residency Programs? What about the NSP II Simulation and Leadership Consortiums?Nurse Residency could be considered as an aspect of an NSP II Education Focused program, i.e.: Academic credits for Residency CoursesHospital Nurses/ Leaders are eligible, as well as Nurse Faculty. The CNO or designee can nominate participating hospital RNs/ educators and Deans/Directors can nominate faculty.
44 Q & A Session What is the abstract? What if we need to have more pages to explain our proposal and funds request?The panel may have 27 proposals to review. They are RNs or hospital professionals and well informed.Please make sure you deliver a clear, concise proposal.Answer anything a potential reviewer would question.State the case in the first 1-2 pages- then build it.Use addendum for job descriptions, etc.A well written abstract – 1-2 paragraphs- less than 200 words.It briefly describes the program- may be included verbatim in future outlines/ or on the
45 Q & A Session Electronic copies- PDF signed budget- with narratives What about the budget pages?How do I deliver the budget?The budget needs to be completed on a single budget sheet for each year.In addition, all years of the grant proposed should be submitted in Excel.Electronic copies-PDF signed budget- with narrativesExcel format bySend signed hard copy with copies of proposal
46 Q & A Session What about the Evaluation Plan? HSCRC and MHEC expect the evaluation to be clear, well considered and easy to follow.Recommended: prepare a Logic Model for your program proposal. Sample templates at
47 NEW Mandatory Requirements Data TablesPage 7, 8 & 9Appendix A behind Cover SheetFormat & Data requiredDissemination ActivitiesPart of the Evaluation PlanFunded in the BudgetActivities reported within Annual and Final Reports
48 Location of MHEC Offices Maryland Higher Education Commission6 N. Liberty St., 10th FloorBaltimore, MarylandLocated in MSDE/ Nancy Grasmick BuildingAcross from the First Mariner’s -on the corner of W. Baltimore and Liberty St.Questions: Contact Priscilla Moore at or at