1. NC Future of Nursing Action Coalition BSN & Higher Degree Taskforce Champions Foundation for Nursing Excellence NC Area Health Education Centers

2. Currently…. NC Nursing Education Programs (2011) 59 associate degree programs (ADN) –55 based in community colleges 18 pre-licensure BSN programs 1 pre-licensure MSN program 2 diploma programs 19 RN to BSN completion programs 38 practical nurse education programs

3. Currently…. NC RN Nursing Workforce Greater than 66% of new graduates are prepared at the associate degree (ADN) level Only 15.7% of ADNs have completed a BSN or higher degree Decreasing pipeline for future faculty and advanced practice roles

4. Tracking the NC Future of Nursing Journey 2002-2004 - The NC Institute of Medicine (NCIOM) convened a task force to study the nursing workforce 2004 NCIOM Nursing Taskforce Report Updated – 2007 Included priority recommendation to increase % of BSN-prepared nurses 2010 – Institute of Medicine of the National Academies of Science Report: Future of Nursing: Leading Change, Advancing Health

5. Journey continues……. - April 2011 Summit – Creating the Future of Nursing and Health Care in NC > 200 thought leaders across multiple sectors Identified top 4 priorities for action in NC - 4/11-10/11 - Organizing the NC Future of Nursing Action Coalition - 9/11 - Recognition as an Action Coalition by Future of Nursing Campaign for Action - July/Aug 2011 Edition of NC Medical Journal - Future of Nursing in North Carolina

6. Coalition’s Mission & Values MISSION: Transforming Nursing for North Carolina’s Health We VALUE: –the health of North Carolinians –the contributions of every nurse and healthcare provider –nurses as partners with consumers and other members of the health care team –the work of nursing that improves the health and health care of North Carolinians

7. Access to Care Taskforce NC Future of Nursing Coordinating Council* Future of Nursing Advisory Committee Strategic Communications Committee Policy Development Committee Policy Development Committee PRIORITIES FOR ACTION: CHAMPIONS AND VOLUNTEERS Leadership Taskforce BSN Initiative Taskforce Workforce Data Taskforce *Council Members: Foundation for Nursing Excellence (FFNE), AARP North Carolina, East Carolina Center for Nursing Leadership (ECCNL), North Carolina Board of Nursing (NCBON), North Carolina Nurses Association (NCNA), North Carolina Organization of Nurse Leaders (NCONL) and North Carolina Area Health Education Centers Programs (NC AHEC).

8. BSN & Higher Degree Taskforce Goal Statement North Carolina is committed to increasing the proportion of nurses with a baccalaureate or higher degree to 80% by 2020 to: improve health outcomes for North Carolinians through a higher educated nursing workforce;

9. Goal Statement……….. expand consumer access to primary care through an increased number of advanced practice nurses; and increase the critical pipeline of faculty to prepare an adequate nursing workforce for the future.

10. Strategies to Achieve Goal Implement RIBN statewide by 2016 Promote educational advancement Create a seamless educational progression from LPN/ADN to DNP/PhD Cultivate and promote nurse faculty role

11. Implement RIBN Statewide by 2016 Major Strategy underway…. What is RIBN? Partnership between community colleges and universities to Regionally Increase Baccalaureate Nurses Dual Admission Criteria and Curriculum approved by both institutions Recognized as BSN program by NC Educational Assistance Authority New Educational Track to BSN degree NOT an RN to BSN program

12. Four Year RIBN Curriculum Home-based at CC Years 1-3 –Take one university course per semester to maintain admission status and earn credits toward BSN - Most university courses on-line Year 1 – General education/nursing pre-reqs Years 2 & 3 - Complete ADN program; eligible for RN licensure Year 4: Complete BSN courses/degree at university while being eligible to work as RN

13. Expected RIBN Outcomes Increase proportion of BSN-prepared nurses Increase access to BSN programs, particularly in rural areas Increase faculty and APRN pipeline Resource sharing among RIBN partners – faculty, labs, other learning opportunities Economically feasible option to achieve BSN

14. RIBN Journey In NC History in the making….. 2008-10: AB Tech & WCU developed model –1 st students admitted 2010; 1 st RIBN BSN grads - 2014 (PIN & TDE grants) 2010: Added 5 Regional RIBN Partnerships –5 universities, 13 CCs, 1 private ADN program 2010: IOM Future of Nursing Report Reinforced need to increase education of nursing workforce 2011: Received funding from TDE & PIN grant to support RIBN Expansion

16. RIBN Journey into the Future….. 2012: ~ 94 RIBN students to be admitted in 4 Regional Collaboratives (+ 23 at WNC RIBN) 2016: >85 new RIBN BSN grads/year beginning 2016 RIBN option statewide Challenges/Opportunities: Building strong working relationships with partners Having all faculty informed and committed to RIBN Keeping RIBN students focused on achieving BSN Funding expansion of RIBN 1/3 rd of NC BSN programs and 1/4 th NC CCs now involved

17. Other major strategies to reach goal Priorities through 2012 –Create a business model to articulate return on investment for increasing the nursing workforce with BSN and higher degrees –Promote Educational Advancement for practicing nurses: Common statewide approved general education and pre-nursing requirements Next Steps……

18. Together we can transform nursing in North Carolina!!! Visit our website at www.ffne.org for more information on the RIBN Project & Future of Nursing Action Coalitionwww.ffne.org