2012 PN Program Review Part I. Quantitative Indicators Overall Program Health: Cautionary Majors Included: PRCN Program CIP: 51.3901 Program Year Demand Health Call 10-1111-1212-13 1 New & Replacement Positions (State) 72 78 70 2 *New & Replacement Positions (County Prorated)7 6 5 3 *Number of Majors 80.5 88 76.5 3a Number of Majors Native Hawaiian 11 8 13 3b Fall Full-Time 58% 54% 74% 3c Fall Part-Time 42% 46% 26% 3d Fall Part-Time who are Full-Time in System 4% 0% 0% 3e Spring Full-Time 78% 66% 77% Unhealthy 3f Spring Part-Time 22% 34% 23% 3g Spring Part-Time who are Full-Time in System 6% 3% 1% 4 SSH Program Majors in Program Classes 1,936 1,917 1,895 5 SSH Non-Majors in Program Classes 87 147 58 6 SSH in All Program Classes 2,023 2,064 1,953 7 FTE Enrollment in Program Classes 67 69 65 8 Total Number of Classes Taught 19 11 12 Demand Indicators Efficiency Indicators Program Year 10-11 11-12 12-13 31.7 37.7 36 86% 94.3% 90.7% 10 10 7 9 Average Class Size 10 *Fill Rate 11 FTE BOR Appointed Faculty 12 *Majors to FTE BOR Appointed 8 8.8 10.9 Faculty 13 Majors to Analytic FTE Faculty 36.2 43.2 38.3 13a Analytic FTE Faculty2.2 2.0 2 14 Not Yet Overall Program Budget Allocation $614,401$628,284 Reported 14a Not Yet General Funded Budget Allocation$548,901$364,912 Reported 14b Not Yet Special/Federal Budget Allocation$0 $0 Reported 14c Not Yet Tuition and Fees$0 $263,372 Reported 15 Cost per SSH $304 $304 Not Yet Efficiency Health Call Healthy Reported 16 Number of Low-Enrolled (<10) 1 Classes *Data element used in health call calculation Effectiveness Indicators 0 0 Last Updated: October 3, 2013 Program Year 10-11 11-12 12-13 Effectiveness Health Call 17 Successful Completion (Equivalent C or 97% 87% 94% Higher) 18 Withdrawals (Grade = W) 17 9 13 19 *Persistence Fall to Spring 82.9%95.5%85.7% 19aPersistence Fall to Fall 8% 20 *Unduplicated Degrees/Certificates Awarded 202 66 72 20a Degrees Awarded0 0 0 20b Certificates of Achievement Awarded76 66 72 20c Advanced Professional Certificates Awarded0 0 0 20d Other Certificates Awarded126 0 0 21 External Licensing Exams Passed 100% N/A 22 Transfers to UH 4-yr 5 1 5 22a Transfers with credential from program0 0 0 22b Transfers without credential from program5 1 5 Cautionary Distance Education: Program Year Completely On-line Classes 10-1111-1212-13 23Number of Distance Education Classes Taught 0 0 0 24Enrollments Distance Education Classes N/A N/A N/A 25Fill Rate N/A N/A N/A 26Successful Completion (Equivalent C or Higher) N/A N/A N/A 27Withdrawals (Grade = W) N/A N/A N/A 28Persistence (Fall to Spring Not Limited to Distance Education)N/A N/A N/A Perkins IV Core Indicators Goal Actual Met 2011-2012 291P1 Technical Skills Attainment 90.00 100.00 Met 302P1 Completion 50.00 88.89 Met 313P1 Student Retention or Transfer74.25 99.01 Met 324P1 Student Placement 60.00 63.64 Met 335P1 Nontraditional Participation 17.00 15.45 Not Met 345P2 Nontraditional Completion 15.25 14.71 Not Met Program Year 10-1111-1212-13 35Number of Degrees and Certificates 72 36Number of Degrees and Certificates Native Hawaiian 11 37Number of Degrees and Certificates STEM 72 38Number of Pell Recipients 58 Performance Funding 39Number of Transfers to UH 4-yr *Data element used in health call calculation 5 Last Updated: October 3, 2013 Part II. Analysis of the Program Demand Indicators. The number of majors reflected in Banner for the final course of PN program in F12 and SS13, was 69. Of those 69, 62 went straight into their ADN year. The number of new and replacement PN jobs woefully under reported, plus the fact that only 7 of the students actually went out into the PN job market, makes this gap completely disappear. Need for Nurses in Maui County The UHMC Nursing Program is the primary source for nurses in all Maui County health care facilities. The Career Ladder format of the nursing program makes it possible for students to work at Nurse Aides, Licensed Practical Nurses while they continue in the Associate Degree Registered Nurse program. It also allows them to accept employment in an agency even if there are not vacant Registered Nurse positions. This advantage has been important over the 20122013 academic years. Employment of the graduates is summarized in the attached table. Several factors have slow the employment of Registered Nurses: The primary employer, Maui Memorial Medical Center has been in discussion with the State Legislator regarding funding and with several organizations about a proposed “Public/Private partnership.” The Affordable Care Act has created confusion in the health care community about numbers of patients and care locations. As a result both acute care and community based care have maintained current staffing until the needs are more clearly identified. Older nurses have remained employed after normal retirement age to support family and ensure benefit. Two factors clearly predict a major increase in need for health care workers at a variety of levels. 1. The recent funding of the West Maui Hospital and Medical Center predicts a major need in late 2016-2017 (see attached email from Brian Hoyle, Developer, Newport Hospital Corp president). “Acute Care Hospital: 35 RNs, 9 LPNs, 8 NAs, 11 OR Tech” “Skilled Nursing/Assisted Living Facility 7 RNs, 10 LPNs, 20 NAs” See Appendix pp. 1-2. 2. The major increase in the number of individuals with health insurance due to implementation of the Affordable Care Act in 2014. Statewide predications are an increase in the State of Hawaii of 43,400 in 2014. Projected increase in insured patients in Maui County is 4,947 based on Maui being 11.4% of the State’s population (See attached email from Beth Giesting, Healthcare Transformation Coordinator, Office of the Governor). It is anticipated that the increase will require additional Primary Care Providers (MD, NP), to RNs, LPN, NAs, Community Health Workers, and medical office staff.While the goal of the ACA is to increase community based care and avoid acute care, the large visitor industry in Maui County will result in a continued need for acute care.Currently 40% of patients at MMMC are visitor who injury themselves or experience a medical emergency while on vacation. UHMC Allied Health Department Program Offerings State of Hawaii Registered Nurses Licensed Practical Nurses Nursing Assistants Dental Hygienists Dental Assistants Pharmacy Technicians Medical Assistants Total Jobs 588,210 10,060 Median Salary $36,350 $85,200 1,270 $44,490 5,080 1,010 1,640 1,260 3,190 $30,190 $69,610 $31,750 $36,780 $34,830 Jobs Explorer, Looking at Occupations in Hawaii by Median Salary http://www.uhero.hawaii.edu/static/dashboard/jobs.html May 2012 State Occupational Employment and Wage Estimates Hawaii The volatility of hiring in the Health Care environment is demonstrated by the recent Honolulu Advertiser announcement. “Queen's to recruit more than 200 workers at 2 job fairs By Star-Advertiser staff 10/25/2013 Queen's Health Systems will host two job fairs to recruit more than 200 workers for its West Oahu and downtown Honolulu campuses. The company anticipates many current employees to transfer to the Queen's Medical Center-West Oahu and intends to fill positions at both facilities. The openings are in nursing, clinical/technical and support services and will include full-time, part-time and call-in positions. The company will be accepting applications at the University of Hawaii-West Oahu (91-1001 Farrington Highway) on Nov. 2 from 9 a.m. to 2 p.m. and at Manoa Elementary School (3155 Manoa Road) on Nov. 9 from 9 a.m. to 1 p.m. Resumes required. Applicants also can apply online at www.queens.org. Effectiveness Indicators. The persistence from fall to fall must be measured by counting how many of the 69 graduating PNs went directly into the ADN year: 62. This is a 90% persistence rate for these cohorts. Response to CASLO Summary Report 2013 In the PN CASLO Summary Report for Written Communication, 100% of reviewers said the "minimally passing" writing sample demonstated student achievement at the level of skill appropriate for the degreee. See Appendix pp.3-5. Major Writing Assignments in Nursing Programs AY 2012-13 Goal for AY 2013-14 is to discuss and consider development of common Rubrics for WI writing in the Nursing Program Practical Nurse Program Course N210 WI Assignment Course yes Created/Reviewed Assignments Health Across the Lifespan Modifications Created Fall 10 Health Fair Written Assignment* Determinants of Health UHMC Student –Directed Portfolio Adult Health Promotion Case Study reviewed each semester Created Fall 10 reviewed each semester Created Fall 10 reviewed each semester Created Fall 10 Created template for data Created template & hyperlink model Draft submitted at Midterm Template using Doenges reviewed each semester Created Fall 10 reviewed each semester Child Health Promotion Case Study N211 N212 N220a Professionalism in Nursing I Pathophysiology Health & Illness Ia N230 Health & Illness Ib Concept Map & Brief Paper Clinical Immersion Concept Map Thanatology Scholarly Paper Revise concepts Sp 14 no no no To be introduced Sp 14 Concept Paper N220b Health Patterns no Created Sp 11 no Created SS 11 Created SS 11 Discontinued F13 Created SS 11 Lifelong Learning Revised SS 13 Evidence Based Practice EBP add to assignment+ Part III. Action Plan “University of Hawaii Maui College is a learning-centered institution that provides affordable, high quality credit and non-credit educational opportunities to a diverse community of life-long learners.” The Career Ladder Nursing Program provides these educational opportunities in health care, affording the graduates of the program a lifelong career with meaningful contribution to the health of our community, and an above average income for them and their families. The strategic action plans for the Associate Degree in Nursing Program in 2011 and progress during 2012: Continue Implementation of the HSNC curriculum in collaboration with UHM, Kauai and Kapiolani CC. We have done much internal analysis, but the funding for the faculty to gather at UHM with all the faculty teaching the statewide curriculum was unavailable. Hence, course groups from UHMC and Kauaui CC were unavailable to consult with the course groups from UHMN and Kapiolani. The department chairs attended and communicatied the high level issues, but the specific shared expereince teaching each course was lost. Though we have more expereince with this curriculum on our own campus, the synergy of numerous perspectives was lost. This has resource implications. Standardize course documents throughout the program. Syllabi and learning guides have been templated, as have the clinical remediation documents. This year we are aiming at Laulima standardization. Mentor faculty in concept based teaching, and testing and evaluation. Measurable strides have been made in all categories. We have integrated concepts into the learning guides, and we are integrating them into the test blueprints. The standardized testing and the course level testing have both been more closely linked with the program and course SLOs so we can more clearly identify areas of strength and weakness. This is an ongoing process involving categorizing exam questions and blue printing exams maps to achieve objective evaluation of each category. It is an additional workload item that can only be accomplished by the faculty with expertise in the topic being tested. The faculty has been firmly supportive of the project and the department is clear about keeping expectation realistic. By the end of 2014, we should have the project well in hand. There are big resource implications to license the software tools to do this. Grow the simulation program in step with local and national best practices and regulatory initiatives. We have developed several new simulations that address areas highlighted in last year’s employer evaluations: communication, prioritization and organization. We will pull this through this year and have alrady expanded to another course. We also acquired a educational electronic medical record for the simulation lab. Staff training and beginning student training was accomplished in spring and summer 2013. This year we will roll it out progressivesly so the student in simulation lab will have a bedside computer with all the required pateint data embedded to care for a patient expereincing a crisis. It will also be used to teach and practice documentation, and for clinical preparation. This is resource heavy. Part IV. Resource Implications Funding for the faculty to travel to UHM once per semester is dearly needed. We are pioneers in the whole country with what were are doing as a state with nursing education, and not to be at the table is a huge loss. We still need specific funding for a lab coordinator. It is either lecturer funds or overload for teaching faculty. In 2012, we centralized all supplies and standardized the ordering procedures. The financial analysis is not complete, but we are able to take full advantage of superquotes, have saved valuable faculty time in securing needed supplies for the labs and simulations, and all inventory for 5 labs is accounted for so there are no wasted supplies. The implementation of the educational Electronic Medical Record (EMR) has been very exciting, and absolutely essential, but costly. The amount of “at the elbow” support required for both faculty and students is measurable and mission critical. We have gotten grant money from 4 different sources to employ a nurse informaticist to get students and faculty quickly up to a working knowledge of the softwares, so they can concentrate on the teaching and learning! We have gotten $33,000 donated for this from May 2013-June 2014. This role needs a permanent funding source. The licensing of the EHR is about $50 per student per semester, for a program cost of ~$12,000 per academic year. The standardized testing package which includes 9 exams mapped to NCLEX and benchmarking our students with the performance of the rest of the country, the NCLEX prepartion course, case studies used through out the program and numerous practice tests, is ~$145 per student each semester, for a total program cost of ~$35,000 per academic year. At the same time, we cancelled our contract with Kaplan Testing , which saved the program ~$38K annually. We have also spent $50/student for Exam soft, or $8000 per year. This was for 160 licenses. We have now decreased our admission class to 30 (from 40) so we will only need 120 licenses. In addition, the rest of the HSNC is adopting ExamSoft spring 2014, and our price will drop to $35/student as a part of that, bringing our annual cost down to $4200. In the future, we may need to pass these costs back to the students (~$235 per semester in addition to tuition, books and a $500 a semester professional fee) but for the F13/Sp14 AY, these are department costs. Passing the costs to the students may be at odds with our mission: “University of Hawaii Maui College is a learning-centered institution that provides affordable, high quality credit and non-credit educational opportunities to a diverse community of life-long learners.” Comprehensive Review Information [edit] Please provide some information about the last comprehensive review for this program. Web address to the on-line location of the last comprehensive review: http://www.acenursing.us/accreditedprograms/programsearch.asp Last comprehensive review completed: February 2007. The written report is in the Nursing Office. Next review will be Spring 2015. Description Graduates of the University of Hawai’i Maui College Career Ladder Second Level (ADN) nursing program are educated to provide nursing care in agencies that provide appropriate orientation, on-going staff development opportunities, and professional guidance. They are primarily educated to function as members of the multidisciplinary health care team in direct nursing care roles with adult and pediatric clients on general medical/surgical, obstetrical, newborn nursery and psychiatric nursing units. They have been introduced to the concepts of nurse leader/manager and the role of the Registered Nurse in the physician’s office, clinics, long term care facilities and home health. Graduates are eligible to take the National Council for Nursing Licensure Examination for Registered Nurses (NCLEX-PN), and upon demonstration of satisfactory performance, will be awarded a license to practice as an R.N. The University of Hawai’i Maui College Career Ladder is a member of the Hawai’i State Nursing Consortium (HSNC). This is a standardized statewide curriculum which allows our graduates automatic admission to UH Manoa to complete their BSN year from here on our campus. We utilize a concept-based approach to teaching and learning, as well as employ practice level information systems and simulations to support preparation for practice. The PN graduate will assume responsibility for maintaining current evidence-based practice, ongoing professional growth, and life-long learning. Assessed? Program Student Learning Outcomes Was this PSLO assessed this year? To change, click The description of the P-SLO on the "Yes/No" boxes below 1 YesWritten Communication 2 YesEthics 3 YesLeadership 4 No Clinical Judgment/Critical Thinking 5 No Evidenced Based Practice 6 No Oral communication 7 No Quantitative Reasoning 8 No Information Retrieval 9 No Health Care Systems 10 No Relationship-Centered Care 11 No Collaboration with members of the healthcare team 12 No Reflection on Practice Actions Re-order, edit, or remove the PSLO Add P-SLO Evidence of Industry Validation Of the 68 students who earned the certificate as an Practical Nurse last year, all but 4 of them went on the the ADN program. As such, there is no specific PN employer evaluations. the students are evaluated by employers upon their hire as RNs. The RN evaluations for this program year are as follows: Employer Surveys EXCELLENT ABOVE AVERAGE AVERAGE Please rate the graduate in the following 4 3 2 % excellent o above average areas: Ability to 1. Apply the nursing process 11% 78% 11% 89% 2. Communicate effectively 27% 64% 9% 91% 3. Demonstrate professional attitude 33% 50% 17% 83% 4. Work effectively as a team member 18% 73% 9% 91% 5. Problem solve/Think critically 9% 73% 18% 82% 6. Provide basic care 25% 58% 17% 83% 7. Perform clinical assessments 12% 63% 25% 75% 8. Perform clnical skills 11% 67% 22% 78% 9. Administer medications 22% 56% 22% 78% 10. Document care 9% 73% 18% 82% 11. Organize care 18% 73% 9% 91% nursing programs, please rate this UHMC 14% 71% 14% 85% Compared to new graduates from other Graduate’s preparation. Expected Level of Achievement HSNC Nursing Competencies: 1st Level 1. A competent nurse’s professional actions are based on core nursing values, professional standards of practice, and the law. 2. A competent nurse develops insight through reflective practice, self-analysis, and self care 3. A competent nurse engages in ongoing self-directed learning and provides care based on evidence supported by research 4. A competent nurse demonstrates leadership in nursing and health care 5. A competent nurse collaborates as part of a health care team 6. A competent nurse practices within, utilizes, and contributes to the broader health care system 7. A competent nurse practices client-centered care 8. A competent nurse communicates effectively 9. A competent nurse demonstrates clinical judgment/critical thinking in the delivery of care of clients while maintaining safety Courses Assessed The PN SLOs were evaluated in NURS 230: Clinical Immersion I. This is the final PN course and represents exit level performance. Assessment Strategy/Instrument Below is the program assessemnt schedule. Academic Year 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 NCLEX Clinical Results Judgment X X all clinical courses X X all clinical courses X X all clinical courses X X all clinical courses X X all clinical courses General Education Nursing PLO HSNC Benchmark 5, 7 Collaborates, Standard 3 Relationship Centered Information Care Retrieval N256L ADN grads Employer evaluations Standard 2 Quantitative HSNC Benchmark 2 Reasoning Reflective Practice N210, 230 & N230 & N360 N360 HSNC Benchmark 3, 8 Standard 5 Evidenced Based Care, Critical thinking Communication N210 & N362 N360 Standard 1 HSNC Benchmark 1, 4 Written Ethics, Leadership Communication N230, N360 N210 & N362 Employer Evaluation HSNC Benchmark 6, 9 Standard 4 Broader Health Care Oral System, Clinical Communication Judgment N210 and N362 N210 & N360 To evaluate the PN SLO's of ethics and leadership, the NURS 230 Clinical Evaluation Tool is used. For a student to pass the class and be eligible to take the NCLEX PN, they must earn a score of 2 or higher in every category. To take the NCLEX PN and be able to move into the ADN year, the must score 3 or higher. The categories below related to the specific SLOs. Scoring Guide 1 2 3 4 Students must receive a level 3 or better in all categories to move on to 320, or a score of 2 or better in all categories to pass the course. A 1(one) in any category represents unsafe practice and a fail for the course. 3.RESPONDING Unsatisfactory includes but is not limited to the following: Novice Developing Proficient Generally Except in simple Is tentative in the displays and routine leader’s role; leadership and situations is reassures confidence, able stressed and clients/families in to control/calm disorganized, lacks routine and relatively most situations; control, making simple situations, but may show stress clients and families becomes stressed in difficult or Calm, Confident anxious/less able to and disorganized complex Manner cooperate. easily. situations. Has difficulty communicating; Shows some Generally explanations are communication communicates confusing, ability (e.g.) giving well; explains directions are directions): carefully to unclear or clients, gives contradictory, communication with clear directions clients/families are clients/families/team to team; could made be more members is only confused/anxious, partly successful; effective in Clear not reassured. displays caring but establishing Communication rapport. not competence. Lacks insight into the client’s best interests, and rarely demonstrates commitment to supporting those interests, or Beginning to demonstrate insight into the client’s best interests, may be In most cases demonstrates insight into the client’s best interests, tentative in making a commitment to commitment to supporting those Exemplary Assumes responsibility: delegates team assignments, assesses the client and reassures them and their families. Communicates effectively: explains interventions; calms/reassures clients and families; directs and involves team members, explaining and giving directions; checks for understanding. Demonstrates insight into the client’s best interests, and demonstrates commitment to supporting those interests disregards, and does not support the client’s interests. support(ing) those interests. interests. Being Caring Even when prompted evaluations are brief, cursory, and not used to improve performance; justifies personal decisions/choices Evaluation/Selfwithout Analysis evaluating them. Appears uninterested in improving performance or is unable to do so; rarely reflects; is Commitment to uncritical of self, Improvement or overly critical (given level of development): is unable to see flaws or need for improvement. Even when prompted, briefly Evaluates /analyzes Independently verbalizes the personal clinical evaluates/analyzes most obvious performance with personal clinical evaluations; minimal prompting; performance, notes has difficulty primarily major decision points, imagining events/decisions; key elaborates alternative decision points are alternatives; choices; is self- identified and accurately evaluates protective in alternatives are choices vs. evaluating considered. alternatives. personal choices. Demonstrates awareness of the need for ongoing improvement Demonstrates Demonstrates a desire and makes commitment to to improve nursing some effort to performance; reflects learn from ongoing on and evaluates experience and improvement; reflects experiences; improve on/critically evaluates identifies performance nursing experiences; strengths/weaknesses; but tends to accurately identifies could be more state the strengths/weaknesses; systematic in obvious and develops specific evaluating needs external plans to eliminate weaknesses. evaluation. weaknesses Occasionally does not demonstrate Frequently Consistently eagerness to learn demonstrates demonstrates or take initiative eagerness to learn eagerness to learn to enhance and takes initiative and takes initiative learning. Not to enhance to enhance consistently learning. Minimal learning, Always cooperative. Much to moderate cooperative. Selfguidance needed guidance in aware. Anticipates in new/stressful new/stressful stress and plans situations. Does situations. Does for it. Does not consistently improve after improve after improve after feedback. feedback. feedback. Frequently Consistently Is not truthful in Is not truthful in truthful in truthful in verbalizations and verbalizations and verbalizations and verbalizations and behaviors, and behaviors, and behaviors, and behaviors, and shows shows shows shows unprofessional unprofessional professional professional communication communication communication communication and demeanor. and demeanor. and demeanor. and demeanor. Negative Negative Positive Positive relationships relationships relationships relationships reported by staff, reported by staff, reported by staff, reported by staff, others or observed others or observed others or observed others or observed by instructor. by instructor. by instructor. by instructor. Moderate disruption when under stress. Defensive when offered Initiative/Feedback constructive suggestions and does not take responsibility for own actions. Does not improve after feedback. Communication Results of Program Assessment The NCLEX PN pass rate is 98%. The F12 and SS13 N230 students performed excellent in their clinical evaluation tools. 31 of 33 students passed with 3 or 4s in fall 2012, and 33 of 35 passed with the same standard in summer session 2013. In the writing evaluation done jointly through the CASLO committee and our department, the conclusion was that the "minimally passing" writing sample demonstrated the student's achievement in writing at the level appropriate for a practical nurse. Other Comments UHMC-Allied Health Department Community Engagement: According to Campus Compact, a national coalition of almost 1,200 college and university presidents committed to fulfilling the civic purposes of higher education, public and community service assists and develops students’ citizenship skills, helps campuses forge effective community partnerships, and provides active experiences in integrating civic and communitybased learning while meeting community and student needs. UHMC-Nursing program recognizes the positive outcomes in its relationship with our community and our students as engagement builds community capacity and assists our students in broadening their communication, education, and service skills. Our program engages in the community in three significant ways of service; by providing trained volunteers to provide free or low cost health screening services to individual agencies and special events, by hosting public health events and sharing important disease prevention information with community members, and by seeking out vulnerable populations and addressing their health care concerns through culturally sensitive and appropriate activities and health fairs. Tracking of agency requests and volunteer hours and the nursing skills provided is being monitored more carefully thorough the UHMC nursing program volunteer coordinator. When community agencies request assistance for health screening, first aid, or other health related services they are placed into contact with the volunteer coordinator. Direct contact and collaboration with the coordinator helps meet the community agency needs and ensures that volunteer requests are safe, appropriate and meaningful for the students. Post volunteer evaluations are sent out to the student volunteers and also the requesting agencies ensure that the experience has been successful for both parties. During the past year the feedback obtain from the agencies and students indicate that UHMC nursing program volunteer experiences are a positive learning experience and community engagement opportunity. During the past year, the nursing program has engaged with over thirteen agencies throughout Maui County. Another way that the Allied Health department engages with the community is through the UHMC-Health Center. The health center is a free-standing and grant funded health clinic that outreaches to community residents through flu clinics, screenings to various businesses, hotels, Maui police departments, and county government agencies. The health clinic also provides Nurse Practitioner provider healthcare to non-student individuals of the community on a fee service scale basis. Once every semester the nursing program invites Advisory Board members and employers of the healthcare community agencies to meet and articulate their perspective of the quality of nursing graduates and their viewpoint of the nursing program in the community. The last Advisory Committee Meeting was held on April 29th, 2013. Feedback received from the committee members included the following; the quality and skill noted and held by nurse graduates, successful hiring and retention of nurse graduates of UHMC, future hiring numbers of nurse graduates. Volunteer Activities: 2012-13 Agencies served by the nursing department alone include; Habitat for Humanity Build-A-Thon 2013 Maui Memorial Medical Center March of Dimes Walk Car Show Auto Fest 2013 National Kidney Foundation of Maui, Hawaii (Da Kidney Da Kine) Camp Imua and the Kahului Canoe club 2013 Maui Marathon 2013 Lions Club- White Cane Walk NAPA Golf Tournament Kiwanis Track Meet Tween Camp (along with UHMC Health Center NP) County Fair First Aide station South Maui Children & Youth Day in Kihei Flu Shot and Clinic Services Administered by the UHMC-Health Clinic: 2012-13 Maui News Kalama Heights Hale Mahaolu-Elu Wailuku Police Department Lahaina Police Department Ka’anapoli Beach Hotel County of Maui Roselani Maui Adult Day Care- Oceanside and Kahului (Kihei and Lahaina adults included) DMV Kahului TSA (AM and PM shift) Dollar Rent-A Car Senior Citizen Fair GoodFellow Brothers Company Tween Camp Next Steps The steps for the Acamenic Year 2013-2014 include: 1. Implementation of the Quality and Safety Education in Nursing (QSEN) Informatics standards 2. Produce qualitiative and quantitative data by which to evaluate this project. 3. Prepare self-study document for 2015 ACEN Accreditation. INFORMATICS Definition: Use information and technology to communicate, manage knowledge, mitigate error, and support decision making. Knowledge Skills Attitudes Seek education about how information is managed in Appreciate the necessity for all Explain why information and care settings before health professionals to seek technology skills are essential for providing careApply lifelong, continuous learning of safe patient care technology and information information technology skills management tools to support safe processes of care Identify essential information that Navigate the electronic Value technologies that support health recordDocument and clinical decision-making, error must be available in a common plan patient care in an database to support patient prevention, and care electronic health record careContrast benefits and coordinationProtect limitations of different confidentiality of protected communication technologies and Employ communication health information in electronic their impact on safety and quality technologies to coordinate health records care for patients Respond appropriately to Describe examples of how clinical decision-making technology and information supports and alertsUse management are related to the Value nurses’ involvement in information management quality and safety of patient design, selection, tools to monitor outcomes of careRecognize the time, effort, and implementation, and evaluation care processes skill required for computers, of information technologies to databases and other technologies support patient care Use high quality electronic to become reliable and effective sources of healthcare tools for patient care information http://qsen.org/competencies/pre-licensure-ksas/#informatics