CAPACITY: FACULTY CAPACITY: FACULTY SHORTAGES:SHORTAGES:

UTILIZING HOSPITAL UTILIZING HOSPITAL FACULTYFACULTY

KAREN M. SOLT, MEdKAREN M. SOLT, MEdASSOCIATE DEAN, ASSOCIATE DEAN, HEALTH SCIENCESHEALTH SCIENCES

COLLEGE OF DUPAGECOLLEGE OF DUPAGE

BACKGROUNDBACKGROUND

Health Care Summit, October 2003Health Care Summit, October 2003 Formation of HealthCare Leadership Formation of HealthCare Leadership

Council, February 2004Council, February 2004 Address issues that impact area Address issues that impact area

acute, sub-acute, post-acute and acute, sub-acute, post-acute and long-term care facilitieslong-term care facilities

Nursing shortageNursing shortage

FIRST INITIATIVEFIRST INITIATIVE

Expansion of COD’s nursing programExpansion of COD’s nursing program ADN program was admitting 117 ADN program was admitting 117

students/yearstudents/year High numbers of applicants in 2002 High numbers of applicants in 2002

and 2003and 2003 Accommodate additional qualified Accommodate additional qualified

studentsstudents

FIRST INITIATIVE (con’t)FIRST INITIATIVE (con’t)

Maintain pipeline of nurses for area Maintain pipeline of nurses for area employersemployers

Attempt to address projected future Attempt to address projected future shortages of RNsshortages of RNs

RESOURCE ISSUESRESOURCE ISSUES

Classroom spaceClassroom space Laboratory spaceLaboratory space Adequate numbers of clinical sitesAdequate numbers of clinical sites FACULTY TO TEACH !!FACULTY TO TEACH !! HLC formed sub-committees to HLC formed sub-committees to

address resource issuesaddress resource issues

GOAL & EXPECTED OUTCOMESGOAL & EXPECTED OUTCOMES

Goal: pilot an expansion of the Goal: pilot an expansion of the nursing program by developing a nursing program by developing a model to allow hospital staff to serve model to allow hospital staff to serve as faculty for COD studentsas faculty for COD students

Outcomes:Outcomes:– Outline of programOutline of program– Job description for facultyJob description for faculty– Template contract between hospitals & Template contract between hospitals &

CODCOD

PROPOSED MODELSPROPOSED MODELS

Model #1: Hospital nurses (MSNs) Model #1: Hospital nurses (MSNs) are employed by hospital AND are employed by hospital AND employed by COD. Employee paid employed by COD. Employee paid by both entities (traditional adjunct by both entities (traditional adjunct model)model)

Model #2: College of DuPage Model #2: College of DuPage contracts with hospital to supply contracts with hospital to supply MSNs as facultyMSNs as faculty

MODEL #2 DETAILSMODEL #2 DETAILS

College contracts with hospital to College contracts with hospital to supply MSN facultysupply MSN faculty

Job requirements, job description and Job requirements, job description and orientation definedorientation defined

Nurses remain hospital employees, Nurses remain hospital employees, with current title, rate of pay, benefits, with current title, rate of pay, benefits, etcetc

Hospital provides release time for Hospital provides release time for teachingteaching

DETAILS (con’t)DETAILS (con’t)

Number needed varies by term and Number needed varies by term and needneed

Reimbursement: Reimbursement: – FixedFixed– No variations by employee hourly rates or No variations by employee hourly rates or

organizationorganization– Paid by COD at conclusion of term for Paid by COD at conclusion of term for

actual hours workedactual hours worked– Hospital may pay their employee extra for Hospital may pay their employee extra for

prepprep

RISKS/LEGAL ISSUESRISKS/LEGAL ISSUES

Need to be clearly statedNeed to be clearly stated Hospital vs. college teaching hours Hospital vs. college teaching hours

must be clearly definedmust be clearly defined College will “indemnify and hold College will “indemnify and hold

hospital harmless”hospital harmless” Contracts agreed to with COD and 5 Contracts agreed to with COD and 5

area hospitalsarea hospitals

PILOT PROGRAMPILOT PROGRAM

Impetus to move ahead came about Impetus to move ahead came about with application for and receipt of with application for and receipt of ICCB CSSI grant moniesICCB CSSI grant monies

Partnership among COD, Joliet Junior Partnership among COD, Joliet Junior College and South Suburban College and South Suburban Community College for grantCommunity College for grant

USE OF FUNDSUSE OF FUNDS

Faculty (leased MSNs) salariesFaculty (leased MSNs) salaries Supplies for students lab activitiesSupplies for students lab activities Payment for full-time faculty Payment for full-time faculty

member’s oversight of leased facultymember’s oversight of leased faculty

FIRST STEP: RECRUITMENTFIRST STEP: RECRUITMENT October 2004: Invitation to area nurses: “If October 2004: Invitation to area nurses: “If

You Ever Wanted To Teach” for kick-off You Ever Wanted To Teach” for kick-off receptionreception

75+ RSVPs; 40+ attendees75+ RSVPs; 40+ attendees Presentations:Presentations:

– Faculty and library resourcesFaculty and library resources– Adjunct vs. “leased” optionsAdjunct vs. “leased” options– Course syllabi reviewedCourse syllabi reviewed– TestimonialsTestimonials– EndorsementEndorsement– Q & AQ & A– Sign-upsSign-ups

SECOND STEP: SELECTIONSECOND STEP: SELECTION

Over 30 MSNs signed-upOver 30 MSNs signed-up Telephone pre-screeningTelephone pre-screening 20+ personal interviews20+ personal interviews Many qualified candidates Many qualified candidates ““I want to give back to the I want to give back to the

profession”profession” Began with 10 leased faculty Began with 10 leased faculty

THIRD STEP: PILOT BEGINSTHIRD STEP: PILOT BEGINS

Additional cohort of 27 students Additional cohort of 27 students offered admission in January 2005offered admission in January 2005

10 leased faculty assigned and 10 leased faculty assigned and orientedoriented– Library resourcesLibrary resources– Teaching resourcesTeaching resources– Texts and lecture materialsTexts and lecture materials– Separate sessions for lecture, lab, Separate sessions for lecture, lab,

clinicalclinical

WHERE WE ARE TODAYWHERE WE ARE TODAY

27 students offered admission27 students offered admission 24 accepted24 accepted 21 to graduate in May 200621 to graduate in May 2006 All clinical MSNs remainAll clinical MSNs remain All lab MSNs remainAll lab MSNs remain Highest turnover with Highest turnover with

lecture/classroomlecture/classroom

BARRIERS & CHALLENGESBARRIERS & CHALLENGES

Culture differencesCulture differences Communication Communication Time involved in class preparationTime involved in class preparation Standardization of curriculumStandardization of curriculum Mentoring programMentoring program Increased clinical hours in second Increased clinical hours in second

yearyear

SUCCESSESSUCCESSES

We went ahead and did it !!We went ahead and did it !!

Additional 21 students will graduate Additional 21 students will graduate in Mayin May

Successful modelSuccessful model Partnerships with facilities/working Partnerships with facilities/working

togethertogether

NEXT STEPSNEXT STEPS

Use model to implement Use model to implement evening/weekend program for Fall 06evening/weekend program for Fall 06

Possibly admit additional students to Possibly admit additional students to traditional programtraditional program

Consider same model for LPN Consider same model for LPN programprogram

Questions?Questions?