1. The Vision for the Future of Nursing and Role of the Business Officer Across the Span Patrick R. Coonan, Ed.D, RN Dean and Professor Adelphi University School of Nursing Garden City, NY 8/15/20151 BONUS Annual Meeting 2009

2. What can the past tell us about the future? Registered nursing shortages are not new. This is the third nursing shortage cycle since 1950. Registered nursing shortages are not new. This is the third nursing shortage cycle since 1950. The U.S. Bureau of Labor Statistics estimates that about 233,000 additional jobs for registered nurses will open each year until 2016. That's in addition to the 2.5 million existing positions. The U.S. Bureau of Labor Statistics estimates that about 233,000 additional jobs for registered nurses will open each year until 2016. That's in addition to the 2.5 million existing positions. Is this what it looks like today? Is this what it looks like today? 8/15/20152 BONUS Annual Meeting 2009

3. WHAT WILL NURSING LOOK LIKE? Pat’s Opinion 8/15/20153 BONUS Annual Meeting 2009

4. What It Looks Like- It’s Not The Same as 8 months Ago Rapid Economic Change Rapid Economic Change RN Jobs harder to get (geographic shortages) RN Jobs harder to get (geographic shortages) Enrollment questions Enrollment questions School Closings- Budgets School Closings- Budgets Nursing Is Expensive (+/-) Nursing Is Expensive (+/-) 8/15/20154 BONUS Annual Meeting 2009

5. The Dean & The Business Officer What is your relationship? What is your relationship? Scope of responsibility? Scope of responsibility? Who does what? Who does what? How often do you talk? How often do you talk? Reports- Who, What, Where, When, Why Reports- Who, What, Where, When, Why Follow through Follow through 8/15/20155 BONUS Annual Meeting 2009

6. Business Skills of Deans- What’s that got to do with you? If I am not good at it – You better be! If I am not good at it – You better be! Decide early and often- which one of you has needed skills. Decide early and often- which one of you has needed skills. What does your school demand? What does your school demand? Structure of University/College forces function. Structure of University/College forces function. 8/15/20156 BONUS Annual Meeting 2009

7. Role and Function of The Business Officer. Finance/Budget? Finance/Budget? Facilities? Facilities? Secretaries? Secretaries? Contracts, Purchasing? Contracts, Purchasing? Business Plans? Business Plans? New business development? New business development? Other? Other? 8/15/20157 BONUS Annual Meeting 2009

8. Why Deans Need Business Officers. Time Time Skills Skills Availability Availability Details-Details-Details Details-Details-Details Are you the CFO of the unit? Are you the CFO of the unit? Forecasting and Program Development Forecasting and Program Development 8/15/20158 BONUS Annual Meeting 2009

9. What about the Deans Secretary? Leave them out of this! Leave them out of this! In some places- they are you In some places- they are you Do they have the skills?, Time? Do they have the skills?, Time? Could they be you? Could they be you? 8/15/20159 BONUS Annual Meeting 2009

10. How’s Your Negotiation Skills? May be primary negotiator for the unit. May be primary negotiator for the unit. Who do you deal with everyday? Who do you deal with everyday? Finance Dept.Finance Dept. Clinical AgenciesClinical Agencies PersonnelPersonnel VendorsVendors Are you kidding? No Way! Are you kidding? No Way! 8/15/201510 BONUS Annual Meeting 2009

11. How’s Your Project Mgmt. Skills We need to expand this place! We need to expand this place! How much will it take to…? How much will it take to…? OK- you handle it- and I want it done by next week. OK- you handle it- and I want it done by next week. And we’re building a new school And we’re building a new school And we’re expanding program to another County And we’re expanding program to another County 8/15/201511 BONUS Annual Meeting 2009

12. What About Business Plans? Want something- better have a plan! Want something- better have a plan! Do you know how to write one? Do you know how to write one? If you have a plan- you stand a good chance of success. If you have a plan- you stand a good chance of success. Its not just a bunch of numbers and dates on a piece of paper. Its not just a bunch of numbers and dates on a piece of paper. 8/15/2015 BONUS Annual Meeting 2009 12

13. What is Your Role and Responsibilities? 8/15/201513 BONUS Annual Meeting 2009

14. WHAT ARE YOU GOING TO LOOK LIKE? Pat’s Opinion 8/15/201514 BONUS Annual Meeting 2009

15. What Should Your Role Be? Let’s talk… Help school fulfill mission Help school fulfill mission Be Dean’s associate- provide data. Be Dean’s associate- provide data. Business direction and budget info. Business direction and budget info. Facility Manager Facility Manager 8/15/201515 BONUS Annual Meeting 2009

16. Financial Concerns- Going Forward Lower enrollments Lower enrollments Less grant and gov’t money Less grant and gov’t money What if the shortage goes away? What if the shortage goes away? University says- nursing expensive! = program closure University says- nursing expensive! = program closure Continuing faculty shortages- maybe Continuing faculty shortages- maybe 8/15/201516 BONUS Annual Meeting 2009

17. Personnel Management- The Challenges… Faculty $$ Faculty $$ Staff cuts- remember! Staff cuts- remember! nursing= expensive nursing= expensive How about you? How about you? Maintaining control Maintaining control Unions? Unions? 8/15/201517 BONUS Annual Meeting 2009

18. Adelphi University- Case Study The Dean & Business Mgr. =Partners 5 years= triple growth in program- 5 years= triple growth in program- 460 > 1400460 > 1400 Triple growth in faculty. 13 >39 Triple growth in faculty. 13 >39 Triple growth in staff Triple growth in staff Double facility size Double facility size Triple Budget Triple Budget Expansion to major campus + off site Expansion to major campus + off site 8/15/201518 BONUS Annual Meeting 2009

19. Thank You Questions? 8/15/2015 BONUS Annual Meeting 2009 19