1. Addressing the Nursing Shortage UAA School of Nursing April 2005

2. Weve Only Just Begun. Gap in U.S. predicted at about 500,000 by 2020

3. A Picture of Shortage in the U.S.

4. And In Alaska (2002)

5. Alaskans Over 65

6. Alaska Jobs in Health Care

7.

8. Preliminary Results Facility Vacancy Survey 31 facilities reporting in both 2003 and 2004 (100% of beds) ASHNHA working with hospitals on preceptor training for new grads 177 209 # New Grads Per Year 46 17% 53 22% # of Vacancies that Can be Filled by New Grads 12 Worse/ 17 Better/ 2 Same Baseline Vacancy Rate Worse/ Better 9% Range 0-46% 8% Range 0-63% Vacancy Rate 272 245 # Vacancies 3057 3042 # of RN Positions 2004 2003

9.

10. UAA Nursing School Expansion

• 2002 University/Industry Task Force primary recommendation was to double the capacity of School of Nursing by 2006

• UAA SON was graduating less than 100 per year; Weber State about 10-20 more in Alaska

• Projected need for about 220-240 new graduate positions available annually in the state (survey in Summer 2003)

• Doubling capacity has since become a goal for nursing schools nationally

11.

• GRADUATE PROGRAM

• • Grow our own faculty

• • • Develop Masters in Nursing Education track and certificate

• • • Improve distance delivery of MSN/Nurse Practitioner programs

• • • Collaborate with OHSU to offer their doctoral program in nursing

• BACCALAUREATE PROGRAM

• • Expansion of the bachelors program was planned in three ways:

• • • Increase the size of each admission cohort from 32 to 40 in Anchorage

• • • Increase the number of admission cohorts from two to three per year

• • • Enhance the RN->BSN track for distance delivery

• ASSOCIATE DEGREE PROGRAM

• • Expansion of the associate degree program outreach and articulation:

• • • Expand the number of communities where the program is delivered

• • • Implement LPN articulation and AVTEC LPN agreement

• • • Add an additional cohort in Anchorage in the future

• PRACTICAL NURSE PROGRAM

• • Expansion to new sites (e.g. Bethel, Fairbanks, Ketchikan, Valley):

• • • Continue one-year vocational program

• • • Use distance delivery format for didactic; on-site clinical instruction

• • • Deliver in sites that request it in the future

• • • Improved articulation with UAA AAS program

Capacity-Building in the SON

12. AAS Program Outreach Schedule

• Outreach students

• begin in January;

• Anchorage students

• in August

• Anchorage and

• Fairbanks admit every year; other sites ~ every other year

15 Barrow, Dillingham, Nome, Petersburg TBD 11 Homer, Kotzebue, Mat-Su AY06 8 Kenai, Sitka AY05 6 Bethel, Juneau, Ketchikan AY04 3 Fairbanks, Kodiak AY01 1 Anchorage AY00 # Sites Sites Year

13. Getting Results Projected

14. In the Pipeline (currently 732 pre-nursing students in Anchorage alone) 1998-99 2003-04 102 27 0 0 Pre-Clinical Clinical RRANN Students 207 461 668 143 224 367 AAS BS Identified Pre-Nursing Students In Anchorage 16 16 0 0 Anchorage Distance PN Students 62 191 71 324 41 163 0 204 Anchorage-AAS Anchorage-BS Distance Basic RN Students 50 53 Graduate Students

15. Students Enrolled in Health Programs At the University of Alaska Fall 2004 75 Cert Health Information Management Certificates 17 AAS Health Information Management 69 Courses Medical Insurance/Coding 66 Cert/AAS Medical Assistant 10 BS Physician Assistant Completion 10 MD Physician - WWAMI 64 MS Advance Practice Nursing 34 Cert/AAS Disabilities Services 74 Cert Rural Human Services 225 AAS/BHS Human Services 57 MS/MA Clinical/Community Psychology 217 BS/BA/MSW Social Worker 13 MS Psychiatric Nurse Practitioner 308 AAS/BS Professional Nursing 43 Cert Pre-Nursing Qualification 22 Cert Practical Nursing 95 Cert Certified Nurse Assistant 14 Cert Personal Care Attendant Number Degree Program

16. Students Enrolled in Health Programs At the University of Alaska Fall 2004 Cont. Total 2451 18 Credits Dietary Manager 327 Cert/AAS Culinary Arts 30 Courses Project Success 20 Cert Community Wellness Advocate 14 Courses Gerontology 22 AAS Health Sciences 106 Cert/AAS Community Health 20 Cert Pharmacy Technician 125 EMT/ETT Emergency Medical/Trauma Technician 70 AAS Paramedic/Fire Science 57 AAS Radiologic Technology 24 AAS Dental Hygienist 72 Cert/AAS Dental Assistant 13 BS Medical Technology 16 AAS Medical Laboratory Technology 40 Cert Phlebotomy/Clinical Assistant 6 MSN Health Care Administration/Community Health 3 MPA Public Administration - Health 55 MPH Public Health Number Degree Program

17. Alaska Students Enrolled in Outside Colleges for Health Care Programs (WICHE/WUE AY 2003-04) Total 101 10 Other 1 BS Pre-Physician Assistant 3 NA Pre-Physical Therapy 9 NA Pre-Pharmacy 1 NA Pre-Occupational Therapy 24 Cert/AS/BS Pre-Nursing 4 BA/BS/PD Pre-Medicine 1 AAS Physical Therapy Assistant 3 BS Pharmacy 1 AAS Paramedic 21 AAS/BS Nursing 2 Cert Nurse Aide 1 BS Medical Technology 1 BS Health Sciences 2 AAS Health Information Technician 13 BA/BS Health Education and Exercise 1 BS Health Care Administration 3 BS Dental Hygiene Number Degree Program

18.

• The University and Health Care Industry share expansion costs

• • Industry $3 million to date

• • University about $4 million

• Industry Partners 2005:

• • Alaska Native Tribal Health Consortium

• • Alaska Regional Hospital

• • Bartlett Regional Hospital

• • Fairbanks Memorial Hospital

• • Ketchikan General Hospital

• • Providence Alaska Medical Center

• • Valley Hospital

• • Yukon-Kuskokwim Health Corporation

University/Industry Partnership

19. Continued Expansion Challenges

• Sufficient capacity to address influx of applicants

• Faculty recruitment, retention and workload

• • 18% vacancy rate

• Clinical sites utilization

• Available jobs for graduates; distribution of jobs

• Sustainable funding for the expansion

• Logistics of expansion; space, infrastructure, staff and other resource needs

• Financial aid for students

• Curricular evolution

20. SON Strategic Planning - 2005

• Projects Identified:

• • Sustainable Funding

• • Improved Communications

• • Responsiveness to Students

• • Faculty Recruitment/Retention

• • Faculty Development

• • Cohesive Vision

• • B.S. Completion On Line Program

• • Clinical Site Expansion Completed

21. Website Expansion/Strategic Plan

• http://nursing.uaa.alaska.edu/growth