KAPI'OLANI COMMUNITY COLLEGE COMPREHENSIVE INSTRUCTIONAL PROGRAM REVIEW

ASSOCIATE IN SCIENCE DEGREE

DEPARTMENT OF EMERGENCY MEDICAL SERVICES MOBILE INTENSIVE CARE TECHNICIAN PROGRAM

ASSESSMENT PERIOD: 2006 - 2009

December 10, 2009

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Kapi’olani Community College Mission Statement

KAPI‘OLANI COMMUNITY COLLEGE ... • is a gathering place where Hawaii’s cultural diversity is celebrated, championed and reflected in the students, faculty, staff, administration and curriculum. • is a nurturing workplace of choice for strong and caring faculty, staff, and administrators committed to a shared vision and set of values. • strives to be the first choice for education and training for Hawai‘i’s people. • provides open access, and promotes students’ progress, learning and success with low tuition and high quality instructional programs, student development and support services, and selective areas of excellence and emphasis. • prepares students to meet rigorous baccalaureate requirements and personal enrichment goals by offering a high quality liberal arts program. • prepares students to meet rigorous employment and career standards by offering 21st century career programs. • prepares students for lives of ethical, responsible community involvement by offering opportunities for increased civic engagement. • provides leadership locally, nationally and internationally in the development of integrated international education through global collaborations. • uses human, physical, technological and financial resources effectively and efficiently to achieve ambitious educational goals. • builds partnerships within the university and with other educational, governmental, business and nonprofit organizations to support improved learning from pre-school through college and life long learning. • uses cycles of qualitative and quantitative assessment to document degrees of progress in achieving college goals and objectives.

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Program Mission Statement The Department of Emergency Medical Services is one of three departments within the College’s Health Education Unit. The mission of Kapi’olani Community College’s Health Education Unit is to develop and deliver student-centered health career programs that employ industry standards through partnerships with the healthcare community by:

• offering credit and non-credit programs to provide competent and qualified personnel to meet the needs of the healthcare industry in Hawai‘i;

• providing qualified learning opportunities for maintaining worker competence

and career mobility in a rapidly evolving healthcare field, and delivering friendly, courteous, individualized and student-centered instructional and related support services that promote the likelihood of student success.

Part l. Executive Summary of Program Status Response to previous program review recommendations There are three main issues that have affected the Department from 2003-2006. The issues included budget, space and vacant faculty positions. The budget has not shown any significant increases since the previous review. Equipment and supplies for all island programs continues to come primarily from external funding. Special funding to support the neighbor island programs continues to be the primary support from the State Department of Health. Funding for non-City and County and non-fire service personnel has continued through a special stipend program. Issues related to space requirements have never been addressed. The problem has been compounded by the overall student enrollment on the campus. Faculty vacancies were under control until recent resignations (2009) of two faculty that returned to the mainland due to economic issues related to salary and cost of living issues.

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Part II. Program Description History Emergency Medical Services education in Hawaii began in 1971 with an EMT-A program. In 1973, the first MICT (Paramedic) program began. The training was funded by federal grants through the U.S. Department of Transportation, and provided by the Hawaii Medical Association. In 1979, the State Comprehensive EMS Act (Act 148) was adopted and provided state funding for the continuation of training. In 1981, a gradual transition of transferring training programs from the Hawaii Medical Association to the University occurred. The programs were incrementally transferred to the University of Hawaii-Employment Training Office. In December of 1985, the programs were transferred laterally to Kapi’olani Community College and the Department of Emergency Medical Services was established. Until its arrival at Kapi’olani Community College, the program granted a certificate to those completing EMT and MICT Programs. The Department of Emergency Medical Services Program has four different emphases.

1) Public Safety Education (first Responder and First Responder Refresher), 2) Emergency Medical Technician, EMT – Basic and Intermediate, 3) Mobile Intensive Care Technician, and 4) Continuing Medical Education of Prehospital Personnel.

The Emergency Medical Services Program is designed to be competency-based and offers a career ladder. A Certificate of Completion for Emergency Medical Technician (EMT) and an Associate of Science Degree for Mobile Intensive Care Technician (MICT) are offered. Upon completion of the EMT Certificate Program, students can be employed in the field and may continue their education at Kapi’olani Community College to earn their Associate of Science Degree in Mobile Intensive Care Technician. The Emergency Medical Service Department is coordinated by a Department Chairperson. The program staff includes nine faculty, casual hires and a large contingent of adjunct faculty from the affiliated clinical facilities. Two physicians are compensated for serving as medical directors for the program.

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DEPARTMENT GOALS 1. To provide graduates with the entry-level skills and knowledge necessary for

performing the tasks of an Emergency Medical Technician or Mobile Intensive Care Technician.

2. To upgrade the skills of those currently employed as Emergency Medical

Technicians. 3. To meet community needs by providing all levels of training on all islands as

appropriate. 4. To be an integral part of a statewide comprehensive Emergency Medical

Services system. 5. To maintain a high level of knowledge through professional development. 6. To improve relationships with professional and educational agencies,

nationally, and internationally. 7. To encourage and support self-directed professional development. 8. To develop the Department as an Emergency Medical Services resource

center for the Asian-Pacific region. 9. To incorporate advanced technology in all aspects of prehospital education. Program Student Learning Outcomes A graduate from the University of Hawaii, Kapi’olani Community College, Department of Emergency Medical Service’s MICT Program shall be able to: 1. Accurately identify street names through map reading, correctly distinguish house numbers or business addresses, and navigate an ambulance to a given address; 2. Demonstrate safe operation and navigation of an emergency vehicle with due regard to the safety of others while responding to a prehospital crisis situation; 3. Use critical judgment, prioritize decisions, and act quickly and independently in the best interest of a patient, in a non-structured environment that is constantly changing; 4. Exercise personal judgment in case of interruption in medical direction caused by communication failure or in cases of immediate life threatening conditions; under these conditions, provide such emergency care as has been specifically

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authorized by approved standing orders; 5. Remain calm and focused while working in difficult, stressful and/or adverse circumstances, while assuming the leadership role inherent in carrying out the functions of the position; 6. Communicate effectively with patients (e.g., develop patient rapport, interview hostile patients) from diverse multicultural groups and ages within those groups; 7. Communicate verbally and non-verbally with multicultural patients, healthcare professionals and the public; communicate in writing through report writing and completion of the ambulance report forms; 8. Concisely and accurately describe to a dispatcher and other concerned staff, one's assessment of a patient's condition; 9. Communicate effectively via the telephone or radio dispatch for coordination of prompt emergency services; 10. Administer appropriate, life-saving medications at the appropriate time and dosage to mitigate a life-threatening situation; 11. Administer drugs legally, ethically, and responsibly -- using correct precautions and techniques while observing the effects of the drugs; 12. Provide advanced life support emergency medical services to patients. Safely and accurately (without jeopardizing health and safety) perform all advanced life support procedures as listed in Board of Medical Examiners rules for Emergency Ambulance Personnel; 13. Document precisely and accurately the treatments and effects of drugs; 14. Report all relevant patient data, including, as needed, a detailed narrative on extenuating circumstances or conditions following federal guidelines for patient privacy; 15. Enter data on a computer from a laptop in the ambulance; 16. Participate in continuing education activities for self improvement and for the education of others within the field, including following up on selected cases for education and quality assurance; 17. Initiate and continue emergency medical care under medical control including the recognition of presenting conditions and initiation of appropriate invasive and non-invasive treatments for surgical, medical, cardiac and psychiatric emergencies; trauma; and airway and respiratory problems; and

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18. Take a leadership role with ambulance, first responder, and other personnel to ensure the safety and care of the patient. EMERGENCY MEDICAL SERVICES CAREER OPTIONS /ACADEMIC OPTIONS Emergency Medical Technician: Certificate of Completion – Emergency Medical Technician - Intermediate (20 credits) Mobile Intensive Care Technician Associate in Science - Mobile Intensive Care Technician (86-89 credits) EMERGENCY MEDICAL TECHNICIAN PROGRAM Program Description: The purpose of the Emergency Medical Technician – Intermediate (EMT-I) Certificate of Completion program is to prepare students to provide basic and advanced life support to patients in the pre- hospital emergency care setting. Special Admission Requirements for Emergency Medical Technician – Intermediate: Non-program courses must be completed prior to admission to the EMT-I program. After acceptance to the college, applicants to the Emergency Medical Technician- Intermediate (EMT-I) program will be evaluated based on a point system that includes exam scores, letters of recommendation, and an interview. Interviews will be scheduled for applicants with the highest total scores in rank order, highest to lowest, until the admission quota is reached. Total qualifying scores for the Emergency Medical Technician program are based on the following criteria: • English placement test (minimum placement of ENG 100); • Mathematics placement test (minimum grade of “C” or higher in both BIOL 130 and BIOL 130L or the four courses ZOOL 141, ZOOL 141L, ZOOL 142 and ZOOL 142L; • A grade of “C” or higher in HLTH 125; • Letters of recommendation; • Interview scores; • Cardiopulmonary Resuscitation (CPR) certification (current card)/First Aid; • Prior related work experience; and

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• Cumulative GPR for college course work. Admissions Deadlines: Admission to the Emergency Medical Technician - Intermediate program is open each fall and spring semester. Application to the Emergency Medical Technician - Intermediate program is open December 1 – April 1, and June 1 to October 1. Preparation for EMT Program: All students admitted to the EMT-I program must: • Have current First Aid and Basic Cardiac Life Support (BCLS) cards; • Submit a satisfactory health clearance form and two step TB clearance to the departmental office by departmental deadline; and • Purchase professional liability insurance at registration. MOBILE INTENSIVE CARE TECHNICIAN (PARAMEDIC) ASSOCIATE IN SCIENCE DEGREE (86-89 SEMESTER CREDITS) Program Description: The Associate in Science degree in Mobile Intensive Care Technician is a 86-89 credit program offered through Kapi‘olani Community College, Department of Emergency Medical Services. It prepares students to function as healthcare providers in the prehospital setting. The program is divided into two levels which include the EMT and the MICT. In addition to the EMT and MICT courses, students must complete the following: BIOL 130/130L (or ZOOL 141/141L and ZOOL 142/142L); HLTH 125 - Medical Terminology; ENG 100; MATH 100 or higher level mathematics course; A.S. Humanities course (100 level or higher); FAMR 230. Special Admission Requirements for Mobile Intensive Care Technician: The deadline for applications to the Mobile Intensive Care Technician (MICT) program is October 1. The acceptance review period is November 1 - November 30. Applicants to the MICT program are required to have a current State of Hawaii Emergency Medical Technician (EMT) License and Healthcare Provider card. Additional information is listed in the “special requirements for programs in health career education” section. After acceptance to the college, applicants to the Mobile Intensive Care Technician program will be evaluated based on a point system that includes exam scores, letters of recommendation, EMT work and coursework. Interviews will be scheduled for applicants in rank order, highest to lowest, based on the highest total scores on exams, letters of recommendation, EMT work and coursework, until the admission quota is reached. The total qualifying score for the MICT program is based on the following criteria: 1. A valid reading level of 74 or higher on the compass placement test or a grade of “C” or higher in ENG 100 or higher level English course taken within the past 10

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years; 2. A valid math placement score of 24 or higher on the compass placement test or a grade of “C” or higher in MATH 100 or higher level mathematics course taken within the past 5 years; 3. Completion of A.S. degree support courses; 4. EMT knowledge exam scores; 5. Letters of recommendation; 6. Grade for EMT course; 7. A minimum of 200 documented advanced life support (ALS) ambulance calls. The 200 documented ALS calls may be accomplished through EMT 110V or through work experience as an EMT; and 8. Interview scores. ASSOCIATE IN SCIENCE CURRICULUM, MOBILE INTENSIVE CARE TECHNICIAN (86 - 89 CREDITS) General Education Requirements (17 - 20 credits) ENG 100 Composition I 3 credits MATH 100 or MATH 100H or higher level mathematics Survey of Mathematics Math for Health Sciences 3 credits FAMR 230 Survey of Human Growth and Development 3 credits KCC AS/AH A.S. Arts & Humanities Elective (100 level or higher) 3 credits BIOL 130 BIOL 130L or ZOOL 141 ZOOL 141L ZOOL 142 ZOOL 142L Anatomy and Physiology 4 credits Anatomy and Physiology Laboratory 1 credits Human Anatomy and Physiology I 3 credits Human Anatomy and Physiology I Laboratory 1 credit Human Anatomy and Physiology II 3 credits Human Anatomy and Physiology II Laboratory 1 credit Support Courses (21 credits) EMT 100 EMT-Intermediate 16 credits EMT 101 Practicum for EMT-Intermediate 4 credits HLTH 125 Survey of Medical Terminology 1 credits Mobile Intensive Care Technician Courses (44 credits) MICT 150 Pre-Hospital Assessment and Treatment I 12 credits MICT 160 Pre-Hospital Assessment and Treatment II 5 credits MICT 200 Advanced Pre-Hospital Assessment and Treatment 5 credits

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MICT 301 Pre-Hospital Assessment and Treatment Clinical Experience 4 credits MICT 302 Pre-Hospital Assessment and Treatment Internship I 4 credits MICT 350 Pre-Hospital Assessment and Treatment Internship II 14 credits TOTAL 86-89 The issuance of an A.S. degree requires that the student must earn a G.P.R. of 2.0 or higher for all courses applicable toward the degree. A list of KCC AS/AH electives are in the “Degree and Certificate Programs” section. Please note: For the MICT A.S. degree a grade of “C” or higher must be maintained in all required courses. CREDENTIALS, LICENSURES OFFERED Upon completion of the Emergency Medical Technician Program the student meets the criteria to sit for the Emergency Medical Technician – Basic and the Emergency Medical Technician –Intermediate (I-85) National Registry Examination. Both examinations include cognitive and skills testing. Completion of the KCC EMT program and successful passing the National Registry Examination qualifies the graduate for licensure at the EMT-Basic level through the Department of Commerce and Consumer Affairs. Graduates from the Mobile Intensive Care Technician Program are qualified to sit for the National Registry of Emergency Medical Technician – Paramedic National Examination. The examination is includes both cognitive and skills testing. After passing the examination the graduate can apply for a Paramedic license through the State of Hawaii Department of Commerce and Consumer Affairs. FACULTY Regular Faculty Barbara Brennan, B.S.N., Assistant Professor (Oahu) Robert Brumbley, M.D., Instructor (Oahu) Chris Crabtree, B.S., Instructor (Oahu) James Gray, MICT, Assistant Professor (Hawaii) Edward Kalinowski, M.Ed., Dr.P.H., Professor (Oahu) Jeffrey Zuckernick M.B.A., Professor (Oahu) Stacey Oho, MICT, Instructor (Kauai/Oahu)

Hawaii– vacancy Maui – vacancy Oahu - vacancy

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Medical Directors Dale Oda, M.D., Medical Director Robert Bonham, M.D., Medical Director Casual Hires REGULAR Randal S. Tanaka, MICT (Oahu)

Kim Williams MICT (Oahu) Alan W. L. Young, MICT (Oahu) Chris Gilbert, MICT (Maui)

Andrew Akana (Oahu) AS NEEDED Aamondt, Christopher Aiona, William Ahyo, Carol Akim, Kristy Altomare, Anthony Andrade, Terrrence Anka, Lydia Anzai, Wesley Araki, Kurry Arakaki, Roy Armstead, Alfonzo Arthur, Patricia Asano, Douglas Austin, Sonya Awong, Derek Azuma, Russell Barbieto, Douglas Bell, Kaioni Bigler, Jeff Bowen, John Blank, Jessica Brigoli, Michael Brown, Keoki Brennan, Keavy Cannon-Salis, Lori Carvalho, Christopher Char, Elizabeth Chock, Korey Ching, Kendall

Chiavetta, Eric Conrad, Robert Conte, Vincent Cornette, Nancy Daniels, David David, Carter Demello, Gavin Demotta, Wayne Domingo, Stacy Duhaylonsod, Joseph Ebersole, Jesse Edwards, Mark Elvenia, Sherryann Fernandez, Troy Ferreira, Bruce Farnsworth, Alexandra Farmer, Steven Fuentes, Mario Gabriel, Paul Gerber, Randall Gilbert, Christopher Gomes, Chris Gannon, Scott Garrard, Sarah Grace, Laurie Gragas, Patrick Greenwood, Jane Gresham, Sandra Gutierrez, Peter Hahn, Michael

Hathaway, Marie Hanagami, Jason Hara, Vern Hay-Roe, Scott Hayashi, Guy Hayashida, Michael Hayashida, Shawn Heath, Sarah Heazler, Ccynthia Hieneman, Kimberly Hill, Edward Hirae, Michael Hisashima, Daimen Hockridge, Ken Hoopai, Jacob Honda, Chris Ichinose, Christine Igawa, Jay Iida, Erwin Inaba, Alson Imada, Keith Ireland, James Irei, Jjeralyn Ishizu, Michael Iwaishi, Louise Iyo, Dennis Johnson, Falcon Jones, Patricia Juliano Jr., Felimon Jutsum, Cristina

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Kahili, Johnson Kakazu, Judy Kam, Mitchell Kanae, Kilipaki Kanaulu, John Kane, Jon Kaneshiro, Ernest Kay, Dawn Keolanui, Melanie Keomalu, Laura Keopuhiwa, Bran Kim, Garrett Kim, Monn El King, Christopher King, Richard Kingdon, David Kinningham, Russell Kitagawa, Doreen Kiyota, Heather Kodama, Sharyn Kojima, Bennett Kojima, Alan Komata, Matthew Komatsu, Garret Kosaki, Gerald Kouchi, Justin Kreps, Ryan Kubota, Yvette Kurashige, Palani Kurano, Leslie Laeha, Keith Lam, Michael Lai Hipp, Dennis Lahm, Candace Lau, Chad Lau, Karly Lau, William Lavens, Richard Lebel, Robert Lebeau, Nathaniel Lee, Belinda Lee, Curtis Lee, Paris Lewis, Joseph Love, Crista Lyden, John

Lyons, Julie Lyons, Samuel Machigashira, Pierce Malknecht, Roland Makimoku, Jordan Makaimoku, Aaron Masaoka, Eldon Matias, Roger Matsuki, Patrick McAfee, Kevin McDanniel, Elijah McKnight, Ryan McLaughlin, William Mendonca, Richard Medeiros, Van Mendonsa, David Mento, Joanne Miller, Matthew Mizukami, Dean Mochida, Mark Monji, Scott Moriguchi, Gregg Moritsugu, Nadine Morrison, James Moses, Jason Mosher, Dale Mower, David Nakata, Kyle Namohala, Deborah Obenchain, Jeffer Octavio, Zachary Okumura, Lorrin Okutsu, Brent Oishi, Curt Otani, James Park, Michael Paulos, Shane Peshkin, Charles Pinell, Roger Pitt, Aaron Ponce, Marie Powers, Alan Rapozo, Gregory Rhodes, Daniel Rhody, Steve Ringsven, Sharon

Robello, Jason Rosario, Darren Rose, Chris Rothbaum, Lindsey Rowland, Jimmy Ryan, Christopher Sagadraca, Danny Sale, Peggy Salis, Victor Samuel, Dwight Sasaki, Gabrielle Schendel, Kathryn Schmidt, Troy Schumm, Stephen Shimabuku, Lee Ann Shimamura, Brandon Shimaoka, Darren Simooka, Reyn Sheldon, Drake Shinsato, Bryce Shiraki, Melinda Shirota, Chad Slavish, Susan Smith, Gary Smith, Naomi Laura Smith, Ian Springer, Patrick Stevens, Michael Sukekane, Chester Sutherland, James Suzuki, Reese Taboniar, Michael Takemoto, Winstin Takara, Don Takara, Nathan Takehara, David Takushi, Darcel Tallet, Paul Tamura, Sean Tanaka, Colleen Theison, Rebecca Thurston, Robert Toma, Kyle Tomas, Racheal Toyomura, Chad Trainer, Jeffrey

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Trueman, James Tsuda, Joy Tuulima, Puanani Tuzon, Seth Uchida, Lance Uchida, Michael Ueda, Kendall Velis, Patrick Villanueva, Arnold Volpe, Daniel Wall, Craig Wall, Robert Walpole, Timothy Wells, Richard Whitworth, Christopher Williams, Kim

Wills, David Wilson, Wiliam Wilson, Nathan Wirtz, Mark Wolf, Ronald Woodruff, Kelley Wong, Bradley Wung, David Yagi, Alan Yamagishi, Evan Yamamoto, Colin Yamamoto, Justin Yamamoto, Loren Yamamoto, Spencer Yamamoto, Kelley Yanagi, Tracy

Yata, Donald Yawata, Ralph Yeager, Mark Yee, Linton Yoshikawa, Stacy Yoshioka, Neil Young, Alan Young, Anthony Young, Derrick Young, James Young, Lynette Yurong, Dennis Yurong, Helen Yui, Whitney

EXTERNAL FUNDING

Department of Health: EMS Planning and Development of Distant Learning on Maui, Kauai and Hawaii

Year Amount Allocated FY2005 $ 342,408.00 FY2006 $ 47,350.00 FY2007 $ 209,818.00 FY2008 $ 214,140.00 FY2009 $ 207,795.00

Department of Health: Establish and Implement Emergency Pediatric Care Course –EMSC SPECIAL FUNDING

Year Amount Allocated

FY2009 $ 59,385.00

Department of Health: EMS Stipend Program

Year Amount Allocated

FY2007 $ 200,000.00 FY2008 $ 156,000.00 FY2009 $ 240,000.00

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FACILITIES

Oahu 4 classrooms (Kapiolani Community College) Maui 1 classroom (refurb. house MCC campus) Kauai 1 classroom (double trailer Kauai Community College) Hawaii 1 classroom (Hilo Community College)

AFFILITATION AGREEMENTS

Hospital Expiration Date

Hawaii Health Systems 6/30/2013

American Medical Response Current

Kaiser Permanente Pending

Hawaii Pacific Health

Kapiolani Medical Center 7/31/2010

Pali Momi Medical Center 7/31/2010

Straub Clinic 7/31/2010

Wilcox 7/3/2010

Kauai Medical Clinics 7/31/2010

Kuakini Medical Center Pending

Queen's Medical Center Pending

St. Francis Medical Center No Exp. Date

St. Medical Center West No Exp. Date In addition, an agreement between the City and County of Honolulu that was approved by the City Council. The agreement does not have an expiration date.

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PART III. Quantitative Indicators for Program Review

CautionaryAcademic Year

08-091 13

2 73 25 Demand Health4 912 Healthy5 846 9967 338 6

Academic Year08-09

9 16.010 87%11 7.012 3.6 Efficiency Health13 42.2 Cautionary

13a 0.614 C/P

14a C/P14b C/P15 C/P16 0

Academic Year08-09

17 79%18 519 10%20 38 Effectiveness Health

20a 38 Cautionary20b 020c 020d 3821 0

21a 021b 0

C/P denotes that the measure is provided by the college, if necessary.Data current as of: 8/19/2009 - 3:30:PM

Academic Year08-09

22 023 024 0%25 026 0

270%

Goal Actual Met28 90.00 100.00 Met29 44.00 83.72 Met30 55.00 78.26 Met31 50.00 0 Did Not32 5P1 Nontraditional Participation 25.00 0 Did Not33 25.00 0 Did Not

Successful Completion (Equivalent C or Higher)Withdrawals (Grade = W)

4P1 Student Placement

5P2 Nontraditional Completion

Persistence (Fall to Spring Not Limited to Distance Education)

Perkins IV Core IndicatorsPerkins IV Measures 2007-2008

1P1 Technical Skills Attainment2P1 Completion3P1 Student Retention or Transfer

Distance EducationCompletely On-line Classes

Number of Distance Education Classes TaughtEnrollment Distance Education ClassesFill Rate

Other Certificates AwardedTransfers to UH 4-yr

Transfers with degree from programTransfers without degree from program

Unduplicated Degrees/Certificates Awarded

Number of Degrees AwardedCertificates of Achievement Awarded

Academic Subject Certificates Awarded

Effectiveness IndicatorsSuccessful Completion (Equivalent C or Higher)Withdrawals (Grade = W)

Persistence (Fall to Spring)

General Funded Budget AllocationSpecial/Federal Budget Allocation

Cost per SSHNumber of Low-Enrolled (<10) Classes

Majors to FTE BOR Appointed Faculty

Majors to Analytic FTE Faculty Analytic FTE Faculty

Overall Program Budget Allocation

Efficiency IndicatorsAverage Class SizeFill RateFTE BOR Appointed Faculty

SSH Non-Majors in Program ClassesSSH in All Program ClassesFTE Enrollment in Program ClassesTotal Number of Classes Taught

New & Replacement Positions (State)

New & Replacement Positions (County Prorated)Number of Majors

SSH Program Majors in Program Classes

Annual Report of Program Data for Emergency Medical ServiceKapiolani Community College Program Major(s): EMT

Overall Program Health

Demand Indicators

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Fall of Year2005 2006 2007

1 New & Replacement Positions (State) C/P C/P 92 New & Replacement Positions (County) C/P C/P 9

3 Number of Majors 18 22 21Demand Health

4 SSH Program Majors in Program Classes 312 368 3765 SSH Non-Majors in Program Classes -20 56 06 SSH in All Program Classes 292 424 376

7 FTE Enrollment in Program Classes 19.47 28.27 25.07

8 Number of Sections Taught 2 4 4

Fall of Year2005 2006 2007

10 Average Class Size 14.00 9.25 9.2511 Fill Rate 70.00 52.11 88.10

12 FTE BOR Appointed Faculty 0.00 0.00 7.2513 Majors / FTE BOR Appointed Faculty 0.00 0.00 2.90 Efficiency Health14 Majors / Analytic FTE Faculty 13.53 8.24 7.87

15 Program Budget Allocation C/P C/P C/P16 Cost per SSH C/P C/P C/P

17 Number of Low-Enrolled (<10) Sections 0 1 2

2005 2006 200719 Persistence (Fall to Spring) 5.56 13.64 14.29

20a Number of Degrees Earned * 0 0 020b Number of Certificates Earned * 5 13 021 Number Transferring (to UHM, UHH, UHWO) 0 2 1

Perkins - Campus Actual **

22 1P1 Academic Achievement N/A N/A 10023 1P2 Vocational Achievement N/A N/A 10024 2P1 Completion N/A N/A 0 Effectiveness Health25 3P1 Placement Employment/Education N/A N/A 10026 3P2 Retention Employment N/A N/A 10027 4P1 Non Traditional Participation N/A N/A N/A28 4P2 Non Traditional Completion N/A N/A N/A

Perkins - State Standards **

22 1P1 Academic Achievement 81.81 81.92 81.8723 1P2 Vocational Achievement 90.00 90.00 90.4224 2P1 Completion 36.00 37.33 38.1725 3P1 Placement Employment/Education 71.00 71.72 71.0726 3P2 Retention Employment 90.00 92.00 92.0027 4P1 Non Traditional Participation 14.81 14.60 14.6028 4P2 Non Traditional Completion 12.86 12.73 12.19

*All degrees and certificates are counted based on fiscal year.

** Perkins data are for CTE programs only. From report on 2006-2007 Perkins activity year

C/P denotes that the measure is provided by the college, if neccessary.

Effectiveness Indicators

Overall Program Health

Annual Report of Program Data for Emergency Medical ServiceKAP CC Program Major(s): EMT

Demand Indicators

Efficiency Indicators

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CautionaryAcademic Year

08-091 13

2 53 18 Demand Health4 674 Healthy5 176 6917 238 6

Academic Year08-09

9 15.310 93%11 2.012 8.8 Efficiency Health13 10.7 Healthy

13a 1.614 C/P

14a C/P14b C/P15 C/P16 0

Academic Year08-09

17 80%18 519 14%20 2 Effectiveness Health

20a 2 Unhealthy20b 020c 020d 021 0

21a 021b 0

C/P denotes that the measure is provided by the college, if necessary.Data current as of: 8/19/2009 - 3:30:PM

Academic Year08-09

22 023 024 0%25 026 0

270%

Goal Actual Met28 90.00 100.00 Met29 44.00 13.64 Did Not30 55.00 47.06 Did Not31 50.00 100 Met32 5P1 Nontraditional Participation 25.00 0 Did Not33 25.00 0 Did Not

Successful Completion (Equivalent C or Higher)Withdrawals (Grade = W)

4P1 Student Placement

5P2 Nontraditional Completion

Persistence (Fall to Spring Not Limited to Distance Education)

Perkins IV Core IndicatorsPerkins IV Measures 2007-2008

1P1 Technical Skills Attainment2P1 Completion3P1 Student Retention or Transfer

Distance EducationCompletely On-line Classes

Number of Distance Education Classes TaughtEnrollment Distance Education ClassesFill Rate

Other Certificates AwardedTransfers to UH 4-yr

Transfers with degree from programTransfers without degree from program

Unduplicated Degrees/Certificates Awarded

Number of Degrees AwardedCertificates of Achievement Awarded

Academic Subject Certificates Awarded

Effectiveness IndicatorsSuccessful Completion (Equivalent C or Higher)Withdrawals (Grade = W)

Persistence (Fall to Spring)

General Funded Budget AllocationSpecial/Federal Budget Allocation

Cost per SSHNumber of Low-Enrolled (<10) Classes

Majors to FTE BOR Appointed Faculty

Majors to Analytic FTE Faculty Analytic FTE Faculty

Overall Program Budget Allocation

Efficiency IndicatorsAverage Class SizeFill RateFTE BOR Appointed Faculty

SSH Non-Majors in Program ClassesSSH in All Program ClassesFTE Enrollment in Program ClassesTotal Number of Classes Taught

New & Replacement Positions (State)

New & Replacement Positions (County Prorated)Number of Majors

SSH Program Majors in Program Classes

Annual Report of Program Data for Mobile Intensive Care TechKapiolani Community College Program Major(s): MICT

Overall Program Health

Demand Indicators

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Fall of Year2005 2006 2007

1 New & Replacement Positions (State) C/P C/P 92 New & Replacement Positions (County) C/P C/P 9

3 Number of Majors 21 20 21Demand Health

4 SSH Program Majors in Program Classes 144 140 162 Healthy5 SSH Non-Majors in Program Classes 0 0 146 SSH in All Program Classes 144 140 176

7 FTE Enrollment in Program Classes 9.60 9.33 11.73

8 Number of Sections Taught 2 2 3

Fall of Year2005 2006 2007

10 Average Class Size 18.00 17.50 13.0011 Fill Rate 90.00 87.50 72.22

12 FTE BOR Appointed Faculty 0.00 0.00 2.0013 Majors / FTE BOR Appointed Faculty 0.00 0.00 10.50 Efficiency Health14 Majors / Analytic FTE Faculty 39.62 37.74 14.29 Healthy

15 Program Budget Allocation C/P C/P C/P16 Cost per SSH C/P C/P C/P

17 Number of Low-Enrolled (<10) Sections 0 0 1

2005 2006 200719 Persistence (Fall to Spring) 80.95 80.00 85.71

20a Number of Degrees Earned * 6 3 620b Number of Certificates Earned * 0 0 021 Number Transferring (to UHM, UHH, UHWO) 0 0 0

Perkins - Campus Actual **

22 1P1 Academic Achievement N/A N/A 10023 1P2 Vocational Achievement N/A N/A 10024 2P1 Completion N/A N/A 8 Effectiveness Health25 3P1 Placement Employment/Education N/A N/A 100 Healthy26 3P2 Retention Employment N/A N/A 10027 4P1 Non Traditional Participation N/A N/A N/A28 4P2 Non Traditional Completion N/A N/A N/A

Perkins - State Standards **

22 1P1 Academic Achievement 81.81 81.92 81.8723 1P2 Vocational Achievement 90.00 90.00 90.4224 2P1 Completion 36.00 37.33 38.1725 3P1 Placement Employment/Education 71.00 71.72 71.0726 3P2 Retention Employment 90.00 92.00 92.0027 4P1 Non Traditional Participation 14.81 14.60 14.6028 4P2 Non Traditional Completion 12.86 12.73 12.19

Healthy*All degrees and certificates are counted based on fiscal year.

** Perkins data are for CTE programs only. From report on 2006-2007 Perkins activity year

C/P denotes that the measure is provided by the college, if neccessary.

Effectiveness Indicators

Overall Program Health

Annual Report of Program Data for Mobile Intensive Care TechKAP CC Program Major(s): MICT

Demand Indicators

Efficiency Indicators

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PART lV. Assessment Results Chart for Program SLO’s Judgement Program Name: MOBILE INTENSIVE CARE TECHNICIAN PROGRAM Date: June 1, 2009 Program SLOs Evidence of

Industry Validation

Assessment Strategy/instrument

Results of Program

Assessment1

Plan for Improvement2

3. Use critical judgment, prioritize decisions, and act quickly and independently in the best interest of a patient, in a non-structured environment that is constantly changing.

Graduates of the program are evaluated for ability to demonstrate critical clinical judgment during an initial probationary period at the time of hire by state EMS agencies. EMS industry acceptance rate is very high, with all graduates passing the probationary period in most years.

Students in MICT 150 and 200 are presented with clinical scenarios and evaluated on their ability to list possible diagnoses, how they would evaluate the patient to narrow the list of possible diagnoses, and describe how they would treat the patient in order to properly address the possible diagnoses. Students in MICT 202 and 250 are subjected to practice in provision of patient care with escalating levels of responsibility and expected performance. Levels of responsibility and acceptable performance are specifically defined (see included “MICT Internship Evaluation Guidelines”).

About 85-90% of students in each class perform to acceptable levels and are graduated.

Methods of teaching field practice, precision in defining levels of responsibility and markers of success in demonstrating critical clinical judgment are continually being reviewed and refined. Field preceptors are involved in continuous review of their teaching and evaluation process with annual workshops to improve precision and uniformity.

1 Results of program assessment: % of students who met the outcome(s) and at what level they met the outcome(s) 2 Plan for Improvement: what will the program do to improve the results?

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Department of Emergency Medical Services Program Learning Outcomes The learning outcomes for our program are evaluated the day the student enters the program. Outcomes are reinforced at each level of the program. The process is a progressive learning environment with didactic, clinical and internship phases. Because of the importance of the responsibilities of our graduates, it is necessary to emphasize and reinforce the programs outcomes in multiple environments. Program Learning Outcomes: A graduate from the University of Hawaii – Kapiolan’i Community College – Department of Emergency Medical Service’s MICT Program shall be able to:

1. Accurately identify street names through map reading, correctly distinguish house numbers or business addresses, and navigate an ambulance to a given address;

2. Demonstrate safe operation and navigation of an emergency vehicle with due

regard to the safety of others while responding to a prehospital crisis situation;

3. Use critical judgment, prioritize decisions, and act quickly and independently in the best interest of a patient, in a non-structured environment that is constantly changing;

4. Exercise personal judgment in case of interruption in medical direction caused

by communication failure or in cases of immediate life threatening conditions; under these conditions, provide such emergency care as has been specifically authorized by approved standing orders;

5. Remain calm and focused while working in difficult, stressful and/or adverse

circumstances, while assuming the leadership role inherent in carrying out the functions of the position;

6. Communicate effectively with patients (e.g., develop patient rapport, interview

hostile patients) from diverse multicultural groups and ages within those groups;

7. Communicate verbally and non-verbally with multicultural patients, healthcare

professionals and the public; communicate in writing through report writing and completion of the ambulance report forms;

8. Concisely and accurately describe to a dispatcher and other concerned staff,

one's assessment of a patient's condition;

9. Communicate effectively via the telephone or radio dispatch for coordination of prompt emergency services;

21

10. Administer appropriate, life-saving medications at the appropriate time and dosage to mitigate a life-threatening situation;

11. Administer drugs legally, ethically, and responsibly -- using correct precautions

and techniques while observing the effects of the drugs;

12. Provide basic and advanced life support emergency medical services to patients. Safely and accurately (without jeopardizing health and safety) perform all basic and advanced life support procedures as listed in Board of Medical Examiners rules for Emergency Ambulance Personnel;

13. Document precisely and accurately the treatments and effects of drugs;

14. Report all relevant patient data, including, as needed, a detailed narrative on

extenuating circumstances or conditions following federal guidelines for patient privacy;

15. Enter data on a computer from a laptop in the ambulance;

16. Participate in continuing education activities for self-improvement and for the

education of others within the field, including following up on selected cases for education and quality assurance;

17. Initiate and continue emergency medical care under medical control including

the recognition of presenting conditions and initiation of appropriate invasive and non-invasive treatments for surgical, medical, cardiac and psychiatric emergencies, trauma, and airway and respiratory problems; and

18. Take a leadership role with ambulance, first responder, and other personnel to

ensure the safety and care of the patient.

22

Part V. Curriculum Revision and Review All EMS courses have been reviewed and are up to date. The next review will need to occur in 2011. EMT 100 EMT-Intermediate HE EMS 200810 EMT 101 Practicum for EMT-Intermediate HE EMS 200810 EMT 110V EMT Internship HE EMS 200630 MICT 150 PreHosp Assessment/Treatment I HE EMS 200730 MICT 160 PreHosp Assessmnt/Treatment II HE EMS 200730 MICT 200 Adv PreHosp Assessmnt/Treatmnt HE EMS 200730 MICT 201 PreHosp Assmt/Treatmt Clin Exp HE EMS 200730 DELETED MICT 202 PreHosp Assmt/Treatmt Intern I HE EMS 200730 DELETED MICT 250 PreHosp Assmt/Treatmt Intrn II HE EMS 200730 DELETED MICT 301 PreHosp Assmt/Treatmt Clin Exp HE EMS 200940 MICT 302 PreHosp Assmt/Treatmt Intern I HE EMS 200940 MICT 350 PreHosp Assmt/Treatmt Intrn II HE EMS 200940

23

PART Vl. Survey Results A Employer Satisfaction Survey was completed January 2008 to assess if the quality of our students met the employer needs during a time of high demand for personnel. The two primary employers AMR and the City and County of Honolulu EMS services completed the survey. The results are: AMR Response 1 2 3 4 5 6

1 Strong

ly Agree

Generally Agree

Neutral acceptable

Generally Disagree

Strongly Disagree

2

A. are able to define his or her role and scope and that of an EMT in the State of Hawai'i.

0 1 100.0% 14.29% 14.29%

0 0 0

3 B. have general medical knowledge appropriate to his/her level of training.

0 1 100.0% 14.29% 14.29%

0 0 0

4 C. are able to interpret pertinent patient data effectively.

0 1 100.0% 14.29% 14.29%

0 0 0

5

D. are able to recognize presenting signs and symptoms for: respiratory emergencies, cardiovascular emergencies, neurological emergencies, musculoskeletal emergencies, obstetrical emergencies, trauma, shock, and psychiatric emergencies.

0 1 100.0% 14.29% 14.29%

0 0 0

6

E. have the knowledge to recommend appropriate treatment for respiratory emergencies, cardiovascular emergencies, neurological emergencies, musculoskeletal

0 1 100.0% 14.29% 14.29%

0 0 0

24

emergencies, obstetrical emergencies, trauma, shock, and psychiatric emergencies at his/her

7 F. use sound judgment while functioning in the healthcare setting.

0 1 100.0% 14.29% 14.29%

0 0 0

8

G. are able to use a sequential and critical thinking process to gather the appropriate data, appraise its significance, take action, and evaluate the effects of that action upon the patient.

0 1 100.0% 14.29% 14.29%

0 0 0

Total responses: 1 * Sequence of numbers in a cell:

Count Column percent Row percent Total percent

25

The Graduates as a whole: 1 2 3 4 5 6

1 Strong

ly Agree

Generally Agree

Neutral (acceptable

)

Generally Disagree

Strongly Disagree

2 A. have all clinical skills appropriate to their level of training.

0 1 100.0% 12.5% 12.5%

0 0 0

3

B. possess the skills to perform accurate and efficient patient assessment.

0 1 100.0% 12.5% 12.5%

0 0 0

4

C. are able to document in writing and on the electronic patient care record the details related to the patient's emergency care and the incident.

0 1 100.0% 12.5% 12.5%

0 0 0

5

D. are able to demonstrate assessing the emergency situation, which includes obtaining a basic history and physical examination and managing emergency care, including extricating the patient at his/her appropriate level.

0 1 100.0% 12.5% 12.5%

0 0 0

6

E. are able to initiate and continue emergency medical care including the recognition of presenting conditions and initiation of appropriate non-invasive and invasive treatments for: respiratory emergencies, cardiovascular emergencies, neurologic

0 1 100.0% 12.5% 12.5%

0 0 0

7 F. are able to assign 0 1 0 0 0

26

priorities for emergency treatment to a patient or group of patients.

100.0% 12.5% 12.5%

8

G. are able to perform IV cannulation appropriately and competently.

0 1 100.0% 12.5% 12.5%

0 0 0

9

H. are able to perform defibrillation on a patient appropriately and competently.

0 1 100.0% 12.5% 12.5%

0 0 0

Total responses: 1 * Sequence of numbers in a cell:

Count Column percent Row percent Total percent

The Graduates as a: whole: �

1 2 3 4 5 6

1 Strongl

y Agree

Generally Agree

Neutral (acceptable

)

Generally Disagree

Strongly Disagree

2 A. communicate effectively in the healthcare setting.

0 1 100.0% 14.29% 12.5%

0 0 0

3 B. conduct themselves in an ethical and professional manner.

0 1 100.0% 14.29% 12.5%

0 0 0

4 C. function effectively as a member of the pre-hospital team.

0 1 100.0% 14.29% 12.5%

0 0 0

5

D. accept supervision and works effectively with supervisory personnel.

0 1 100.0% 14.29% 12.5%

0 0 0

6 E. are self-directed and responsible for his/her actions.

0 0 0 1 100.0% 100.0% 12.5%

0

27

7 F. arrive to work prepared and on time.

0 1 100.0% 14.29% 12.5%

0 0 0

8

G. contribute to a positive environment at the unit and in the department.

0 1 100.0% 14.29% 12.5%

0 0 0

9

H. communicate effectively with patients (e.g., develop patient rapport, interview hostile patients) from diverse multicultural groups and ages within those groups.

0 1 100.0% 14.29% 12.5%

0 0 0

Total responses: 1 * Sequence of numbers in a cell:

Count Column percent Row percent Total percent

City and County of Honolulu The Graduates as a whole: 1 2 3 4 5 6

1 Stron

gly Agree

Generally Agree

Neutral (acceptabl

e)

Generally Disagree

Strongly Disagree

2

A. are able to define his or her role and scope and that of an EMT in the State of Hawai'i.

0 1 100.0% 20.0%

14.29%

0 0 0

3

B. have general medical knowledge appropriate to his/her level of training.

1 100.0

% 100.0

% 14.29

0 0 0 0

28

%

4 C. are able to interpret pertinent patient data effectively.

0 1 100.0% 20.0%

14.29%

0 0 0

5

D. are able to recognize presenting signs and symptoms for: respiratory emergencies, cardiovascular emergencies, neurological emergencies, musculoskeletal emergencies, obstetrical emergencies, trauma, shock, and psychiatric emergencies.

0 1 100.0% 20.0%

14.29%

0 0 0

6

E. have the knowledge to recommend appropriate treatment for respiratory emergencies, cardiovascular emergencies, neurological emergencies, musculoskeletal emergencies, obstetrical emergencies, trauma, shock, and psychiatric emergencies at his/her

0 0 1 100.0% 100.0% 14.29%

0 0

7 F. use sound judgment while functioning in the healthcare setting.

0 1 100.0% 20.0%

14.29%

0 0 0

8

G. are able to use a sequential and critical thinking process to gather the appropriate data, appraise its significance, take action, and evaluate the effects of that action upon the patient.

0 1 100.0% 20.0%

14.29%

0 0 0

Total responses: 1

29

* Sequence of numbers in a cell:

Count Column percent Row percent Total percent

The Graduates as a whole: 1 2 3 4 5 6

1 Strong

ly Agree

Generally Agree

Neutral (acceptable

)

Generally Disagree

Strongly Disagree

2

A. have all clinical skills appropriate to their level of training.

1 100.0

% 100.0

% 12.5%

0 0 0 0

3

B. possess the skills to perform accurate and efficient patient assessment.

0 1 100.0% 20.0% 12.5%

0 0 0

4

C. are able to document in writing and on the electronic patient care record the details related to the patient's emergency care and the incident.

0 0 1 100.0% 50.0% 12.5%

0 0

5

D. are able to demonstrate assessing the emergency situation, which includes obtaining a basic history and physical examination and managing emergency care, including extricating the patient at his/her appropriate level.

0 1 100.0% 20.0% 12.5%

0 0 0

6 E. are able to initiate and continue emergency medical care including

0 1 100.0% 20.0% 12.5%

0 0 0

30

the recognition of presenting conditions and initiation of appropriate non-invasive and invasive treatments for: respiratory emergencies, cardiovascular emergencies, neurologic

7

F. are able to assign priorities for emergency treatment to a patient or group of patients.

0 1 100.0% 20.0% 12.5%

0 0 0

8

G. are able to perform IV cannulation appropriately and competently.

0 1 100.0% 20.0% 12.5%

0 0 0

9

H. are able to perform defibrillation on a patient appropriately and competently.

0 0 1 100.0% 50.0% 12.5%

0 0

Total responses: 1 * Sequence of numbers in a cell:

Count Column percent Row percent Total percent

The Graduates as a whole: 1 2 3 4 5 6

1 Strong

ly Agree

Generally Agree

Neutral (acceptable

)

Generally Disagree

Strongly Disagree

2 A. communicate effectively in the healthcare setting.

0 1 100.0% 16.67% 12.5%

0 0 0

3 B. conduct themselves in an ethical and professional manner.

0 1 100.0% 16.67% 12.5%

0 0 0

4 C. function effectively as a member of the pre-hospital team.

0 1 100.0% 16.67% 12.5%

0 0 0

31

5

D. accept supervision and works effectively with supervisory personnel.

0 1 100.0% 16.67% 12.5%

0 0 0

6 E. are self-directed and responsible for his/her actions.

0 1 100.0% 16.67% 12.5%

0 0 0

7

F. arrive to work prepared and on time.

1 100.0

% 50.0% 12.5%

0 0 0 0

8

G. contribute to a positive environment at the unit and in the department.

1 100.0

% 50.0% 12.5%

0 0 0 0

9

H. communicate effectively with patients (e.g., develop patient rapport, interview hostile patients) from diverse multicultural groups and ages within those groups.

0 1 100.0% 16.67% 12.5%

0 0 0

Total responses: 1 * Sequence of numbers in a cell:

32

Part VII. Analysis of Program Assessing the graduate’s performance against the established SLO’s is of primary importance to the faculty. The course content is in a constant state of evaluation to determine the best model for student comprehension. It appears that nationally the programs content is appropriate and has resulted in positive outcomes. National Testing Performance

NATIONAL REGISTRY PERFORMANCE January 2, 2006 - November 2, 2009

Pass 1st Attempt National

EMT - Basic 92.40% 67% EMT - I85 85% 69% Paramedic 100% 66%

Although student performance on both the written and skills examinations have been positive, employment for the paramedic students is high priority. To date, all graduates have been hired out of the Paramedic program. Hiring out of the EMT program has been problematic due to the creation of the EMS Academy established by the City’s EMS Department. Personnel needs are being met. Since the Academy has been established there has been little to know discussion about personnel shortages. Any public discussion would reflect negatively on the cost and efficiency of the City’s academy. The department continues to survive on external funding. Both short term and long term funding will be scrutinized due to the state’s current economic status. At this point in time the funding stream remains in tact. During 2009, the department managed to finally hire a full time faculty with special funding from the Department of Health. The Instructor will be responsible for the continuing education needs for Kauai and will work with MICT Program Director to cover the clinical and internship needs for the most current Oahu class. On September 14th 2009, Kapi’olani Community College and University of Hawaii West Oahu signed a Memorandum of Agreement establishing two Bachelor of Arts

33

degrees for Emergency Medical Services personnel interested in obtaining a higher-level degree. The degrees are a Public Administration with a concentration in Disaster Preparedness and Emergency Management or Health Care Administration. Part Vlll. Action Plan

• Post-graduation in spring of 2010 reassess student performance to determine any deficiencies in achieving the program’s SLO’s.

• Work with Institutional Research to develop an employer satisfaction survey

that reflects the SLO’s.

• Begin the accreditation process for the Paramedic program. In 2011 accreditation will be required for all National Registry Paramedic programs.

• Continue to seek external funding to keep the program viable.

• Revamp the EMT program into smaller credit courses to improve workload

issues and review content of current curriculum in relation to workload. Part lX. Budget Implications The current annual budget allocation is insufficient to support the department. External funding is absolutely required. The only additional required cost to the department will be for accreditation. Equipment repair and replacement will be subject to additional external funding. Comp 06-09 Program Rev final.doc