The UNC Policy Manual 400.1.1.8[G] Adopted 05/06/09 APPENDIX G THE UNIVERSITY OF NORTH CAROLINA REQUEST FOR AUTHORIZATION TO ESTABLISH A NEW DISTANCE EDUCATION DEGREE PROGRAM OR SITE (THROUGH WHICH 50% OR MORE OF A DEGREE PROGRAM IS PROVIDED) INSTRUCTIONS: Fill in the appropriate blanks and expand the electronic version of this form as required to include other more extensive information. Please submit three copies of the proposal to General Administration. As of January 1, 2010 submission of proposals will be electronic. Date: Draft 6-29-11 Constituent Institution East Carolina University CIP Discipline Specialty Title: Medical Informatics CIP Discipline Specialty Number: 51.2706 Level: M Exact Title of the Proposed Program: Master of Science in Health Informatics and Information Management Degree Abbreviation: MS Proposed Date of Initiation: August 2013 Will this program be completely individual access (e.g., online, videocassette)? Yes If “yes,” primary mode of delivery: Internet If cohort-based, length of time to complete the program (e.g., 18 mos., 2 years) N/A List any other UNC institutions that offer similar programs in the same location (if requesting a site-based program) or a similar program online or by individual access (if requesting an individual access program): No other UNC institution offers a similar online program. For the following question, please consult "Guidelines for Alternative, Online, or Distance Education Delivery of approved Degree Programs" from the UNC Policy Manual available on the UNC GA Academic Planning website. Which SACS COC substantive change procedure applies? (SACS policy on substantive change: http://www.sacscoc.org/pdf/081705/Substantive%20change%20policy.pdf) One N/A (prior authorization from SAC; both Appendix F and G should be submitted to COC of SACS by the institution, if applicable) Two N/A (prior notification to SACS; Appendix F should be submitted to COC of SACS by the institution, if applicable) Based on the SACS policy on substantive change, by what date should the campus be notified by UNC-GA of authorization to establish? N/A In 2002, ECU received this notification from SACS “Inasmuch as these degree programs are well established at the institution and given the Commissions’ approval of technology-mediated instruction at ECU, this delivery mode is included within the scope of the institution’s accreditation. No further information is requested.” 1 The following items conform to the information required for SACS Substantive Change Procedure One. 1. Abstract (limit to one page or less) Describe the proposed change; its location; initial date of implementation; projected number of students; description of primary target audience; projected life of the program (single cohort [indicate number of years] or ongoing); and instructional delivery methods. The Master of Science in Health Informatics and Information Management (MS HIIM) is a transdisciplinary academic program at the intersection of the disciplines of computer and information science and technology, health services administration and management, and more importantly the dynamics between the two. The program is designed to prepare individuals to be informaticians as well as information management professionals who can work proficiently with clinicians and health services administrators to develop clear and effective health information strategies for their health care institutions as well as carry out these strategies using a variety of applications. In addition to learning the technical aspects of health care data management, students will learn how to develop strong management skills crucial for planning, designing, implementing and evaluating a variety of system-wide health information systems including electronic health records, clinical decision support system as well as computerized provider order entry systems. The proposed MS in HIIM prepares individuals for managerial, supervisory, executive as well as other leadership positions in health information systems. The program will be delivered via the Internet utilizing Blackboard as the course management system beginning in August 2013. An initial cohort of 15 students is expected and the program will be ongoing. ECU is also committed to increasing access to its educational programs including academic courses, degree programs, and certificate programs, for non-traditional students and lifelong learners. The proposed MS in HIIM will offer two different tracks of study: an RHIA track for individuals who are interested in fulfilling the curricular requirements of earning the RHIA credential and a non-RHIA track for others who do not seek the RHIA credential. Both tracks should appeal to non-traditional learners, including career changers. For example, the MS in HIIM should attract practicing health care and IT professionals who want to acquire skills in health informatics and information management. There will be built-in online components that allow the current workforce to upgrade their knowledge without having to curtail their employment. 2. Background information Provide a clear statement of the nature and purpose of the change in the context of the institution’s mission, goals, and strategic plan; evidence of the legal authority for the change (to be provided by UNC General Administration in authorization letter). For more than sixty years, the mission of East Carolina University (ECU) has included support of courses and degree programs for students located beyond the borders of the campus. Historically, these off-campus programs were offered at specific sites and outreach centers, often involving the placement of university support staff, teaching faculty, and resources at locations such as military bases and community colleges. By 1995, with advances associated with rapidly improving technologies, access to the Internet, and faculty experience in utilizing these resources, the university began a migration from site-based instruction and student support services toward electronically supported academic programs. East Carolina University proactively engaged a variety of resources to establish direction, guiding principles, and support systems required to appropriately respond to the state’s commitment to improved access to higher education. Various campus committees actively pursued establishment of policies, procedures, and practices designed to ensure the development and support of quality programs. 2 Membership of these committees included an appropriate mix of faculty and administrators. Surveys and reviews were conducted to determine existing best practices as well as to determine demand for critical academic programs. One obvious influence emerging from the planning and program development process was the recognition of success in courses and programs that increasingly integrated technology to support the educational process. Major strategies emerging from these planning efforts included: •Commitment to focus on delivery of complete degree and/or certificate programs instead of a random selection of courses •Commitment to use regular campus faculty, not adjuncts, to deliver most courses and student support •Investment in critical support services and faculty services to facilitate development and deployment of academic programs •Investment in critical infrastructure, desktop technologies, and support services to support electronically offered courses •Development of a planning process prior to approving programs to be offered in distance education format •Development of a funding model to provide appropriate support for sustaining ongoing programs and resources to invest in expansion initiatives The proposed Master of Science degree in health informatics and information management (MS HIIM) aligns with the strategic plans of the university and the college. The mission of East Carolina University (ECU) is to serve as a national model for public service and regional transformation. Thus, ECU offers undergraduate and graduate programs that prepare students to compete and succeed in the 21st century and in the global economy. The proposed degree prepares graduates to plan, design, implement, and evaluate health information technologies and systems of the 21st century, in collaboration with fellow professionals with backgrounds either in health care or in information technologies and systems. Moreover, the proposed degree addresses a specific aspect of ECU’s mission: “Saving lives, curing diseases, and positively transforming health and health care” and addresses a component of ECU’s Strategic Directions: “ECU will save lives, cure diseases, and positively transform the quality of health care for the region and state.” Health informatics and information management enhances the ability of health care systems to deliver quality health data and information where and when practitioners need them; thus, supporting this vision and mission. ECU is committed to producing more and better physicians, dentists, nurses and allied health professionals to meet the expanding needs of North Carolina and beyond, lead in the research and development of health care technologies and evidence-based therapies, and improve health care access and outcomes. The proposed master’s degree program in HIIM will provide education and training in the tools and principles necessary for sharing data and information among the fields of biotechnology, medicine, and health care. For example, this includes the development and use of decision support tools for improving decision making in health care delivery. Graduates will help design health information systems that make health data/information available to appropriate users while also ensuring its privacy and confidentiality. They will be advocates for high quality health information as the cornerstone for improvements in health care delivery. In addition, the program will meet the RHIA certification requirements as set forth by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) of the American Health Information Management Association (AHIMA). The University is further committed to producing highly skilled professionals in education and health care and to developing leaders for the business, nonprofit, and government sectors in order to address the needs and challenges of the region. Additionally, ECU will produce more graduates in the science, technology, engineering, and math (STEM) fields to provide the workforce for a new regional economy based on industry/university/government clusters, for example in bioscience, biotechnology, and advanced manufacturing. The proposed master’s degree in HIIM offered by HSIM will target the individual who is looking for formal training in health informatics and information management; this can include practicing professionals from the fields of health care, information technology, and 3 individuals who come from other disciplines and possess a variety of educational backgrounds. The proposed MS in HIIM corresponds to the technology component of STEM fields. Graduates of this program will be information specialists fluent in the application of health informatics and information management principles towards the improvement of health and wellness in North Carolina. As a result of the trans-disciplinary training they will receive, it is expected that they will join the workforce and that some will go on to assume leadership roles in industry, academia, and government. 3. Assessment of need and program planning/approval Discuss the rationale for the change, including intended audience and an assessment of need (include results of surveys or special studies), evidence of inclusion of the change in the institution’s ongoing planning and evaluation processes; and documentation that faculty and other groups were involved in the review and approval of the new site or program. Within the discipline at the national level, there is a progression to graduate education for certification. AHIMA recognizes that the drive to adopt EHR systems requires HIIM professionals who can plan, design, and analyze EHR systems across interlocking and partnering national health care enterprises, state agencies, regional health information exchanges, and federal agencies. In 2007, AHIMA published Vision 2016: A Blueprint for Quality Education in Health Information Management, which explicitly stipulated that the “transformation of HIM to a graduate level profession by 2016” is one of its three key priorities. Concomitantly, the accrediting organization for degree-granting programs in the discipline, the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM), is in the process of adopting accreditation standards for graduate health informatics programs (http://cahiim.org/initiatives.html) and has adopted competencies and standards for graduate health information management programs (http://cahiim.org/applyaccredgrad.html). Eligibility to sit for the national registration examination is dependent upon being a graduate of an accredited program. We expect the students in the program to come from five different sources: 1. Professionals hold at least an undergraduate degree in health sciences or computer and information technologies. Unemployed, underemployed, or working professionals with these degrees may seek upgrades to their skills and knowledge and, thus, expanding their job marketability by receiving a Master’s Degree in Health Informatics. 2. Individuals desiring entry-level positions in health information administration. Since 1968, the BS with a major in HIM has been offered at East Carolina University (formerly medical records administration). Despite the program’s rigor, consistent student interest in the major has resulted in an entering cohort between 15 to 20 students. Since the initiation of the online HIM degree in 2005, entering cohorts have averaged 25 students. The graduates of the program are eligible to take the national Registered Health Information Administrator (RHIA) certification exam. The undergraduate program will be terminated once the Master’s program is established. Therefore, for those students who desire to get the RHIA credentials, the Master’s program, particularly the RHIA option, will be available. 3. Individuals in the post-baccalaureate health informatics certificate at ECU. Since fall 2008, the HSIM department has offered a graduate certificate in health informatics and since then has received more than 150 inquiries from prospective students interested in pursuing this option for graduate study. Currently 41 students are registered in the certificate program and many of them are interested in pursuing further study in this field. A master’s degree program in HIIM would be a natural complement for the certificate graduates. The certificate program graduates will be able to transfer 15 credit hours from the certificate into the MS. Thus, a certain number of students can begin by taking core courses in the certificate and then opt to transfer into the master’s degree program. 4. Baccalaureate health services management (HSM) graduates at ECU. The Department also has an undergraduate program in HSM that graduates approximately 60-70 students annually. Given the transition of health care to a paperless environment, understanding information technology and information systems becomes crucially important for the 4 5. graduates to be well rounded in their managerial practice. These graduates may desire the Department’s internal educational progression. Baccalaureate graduates in information technology and systems (IT&S). These graduates may desire advanced education in health care that would expand their career possibilities. The department is currently collaborating with the Department of Technology Systems to offer a BS in Information Technology with a concentration in Health Care Information Technology. The graduates from the program will also be recruited to the MS HIIM program At the national level, the Bureau of Labor Statistics (BLS) projects a growth rate of 16% for “Medical and Health Services Managers” through 2016 (http://www.bls.gov/oco/ocos014.htm). Separating out the role of health information managers in this section, the BLS states that “Health information managers are responsible for the maintenance and security of all patient records”. According to their analysis of the HIMSS Analytics™ database, Hersh and Wright forecast that approximately 50,000 informatics professionals are needed by 2016 in order to meet the predicted growth in the adoption of electronic health care information systems (http://www.billhersh.info/hit-workforce-hersh.pdf). Recent regulations enacted by the Federal Government require that all health care providers maintain electronic patient records and that these records be secure. As a result, health information managers must keep up with current computer and software technology and with legislative requirements. In addition, as patient data become more frequently used for quality management and in medical research, health information managers ensure that databases are complete, accurate, and available only to authorized personnel. Events at the national level are further driving the need for HIIM graduates. The American Reinvestment and Recovery Act (ARRA) of 2009 included $19 billion to promote the adoption and use of health information technologies, particularly electronic health records. Federal efforts to promote the adoption of EHRs include payment incentives that are tied to their meaningful use. For example, the Obama administration’s emphasis on the national adoption of electronic health records has resulted in the allocation of $110M for Health IT initiatives in the latest proposed federal budget (http://bit.ly/cUDo9S). The deployment of electronic health records by physicians and hospitals in the U.S will require the expertise of professionals trained in health informatics, information management, and electronic health record implementation. Using a portion of the ARRA funds, The Office of National Coordinator for Health Information Technology (ONCHIT) has funded 62 Regional Extension Centers (RECs) nationwide with the mission to assist primary care providers to adopt Electronic Health Records. North Carolina AHEC is the only REC grantee in NC to support statewide EHR adoption. Professionals are needed and will continue to be needed in order to support the operations of REC as well as individual providers. A notable anecdote is that two Quality Improvement Specialists at eastern AHEC REC are graduates from the ECU HIM program. We expect that REC sites will become valued sites where our students can be placed for internship and employment. Each of the University’s distance education programs begins in the academic department. Faculty members work with staff from the Division of Continuing Studies to begin the planning process. Each program has a coordinator that is a full time faculty member. They develop a program design that includes both the instructional requirements and the academic resources available to meet the needs of a widely dispersed group of students. They work to insure that prospective students are made aware of the programs available to them and student services to support these programs are incorporated into the planning process. The Office of Institutional Planning, Assessment and Research insures that university surveys are made available to distance education students and that their participation is encouraged. The proposals are referred to the Academic Program Development Collaborative Team (APDC Team), an advisory body to the Academic Council. The Office of Academic Affairs, Office of Institutional Planning, Assessment and Research, Graduate School, Division of Continuing Studies, Division of 5 Research and Graduate Studies, Division of Health Sciences, Undergraduate and Graduate Curriculum Committees as well as the Faculty Senate Chair are represented. A unit proposing a new degree program begins the on campus review process by presenting the appropriate planning and establishing documents to the APDC Team, which will collaborate with the unit to strengthen the proposal. The APDC Team advises the provost on all new academic program proposal submitted as well as advises the Dean of the Graduate School on graduate programs under consideration. EPPC is informed of those recommendations. The proposal is then reviewed by the Educational Policies and Planning Committee (EPPC), a standing committee of the faculty senate and then referred to the academic council. EPPC oversees the adequacy, balance, and excellence of the University's overall undergraduate and graduate programs; advises the Chancellor on educational policies and organizations, goals, standards and procedures; reviews requests for permission to establish and plan new degree programs. The Academic Council includes the provost and vice chancellor for academic affairs, the vice chancellor for research and graduate studies, and the vice chancellor for health sciences. The Academic Council considers the APDC Team’s and EPPC recommendations on new academic degree program proposal and makes recommendations to the chancellor. Provide projected annual headcount enrollment: Individual access: Years 1) 15 2) 35 3) 49 4) 60 5) 79 Projected total SCHs (all sites): Year 1 Program Category Category I Category II Category III Category IV Year 2 Program Category Category I Category II Category III Category IV Year 3 Program Category Category I Category II Category III Category IV Year 4 Program Category Category I Category II Category III Category IV UG Student Credit Hours Master’s Doctoral UG Student Credit Hours Master’s Doctoral UG Student Credit Hours Master’s Doctoral UG Student Credit Hours Master’s Doctoral 4. Description of the substantive change (as required by SACS) Provide a description of the proposed change, including description of the proposed program, specific outcomes and learning objectives and curriculum and schedule of proposed course offering. 6 The proposed Master’s Degree in Health informatics and Information management (MS HIIM) is an interdisciplinary program at the intersection of the disciplines of information science, computer science, health care, and management. It will take advantage of existing strengths in the HSIM department. The department offers two graduate certificate programs (health care administration and health informatics). Therefore, the majority of the cognate courses for the master’s degree in health informatics and information management (HIIM) curriculum will be modeled on courses offered by the two existing graduate certificate programs. In addition, core courses in biostatistics, software engineering and management of information systems will be included and taught by faculty from the relevant departments. Graduates of the program will be able to: 1. Plan, develop, and manage health information systems consistent with the clinical, fiscal, administrative, ethical, and legal requirements of health care institutions. 2. Analyze, design, implement, and evaluate health information systems. 3. Understand and apply principles of management and business functions to a variety of health care settings including private and institutional practice. 4. Interact and communicate with other health care professionals, administrators, and staff to provide health care data for patient care, research, quality improvement, strategic planning, reimbursement, and related managerial functions. 5. Evaluate the strategic and operational relevance and robustness of clinical information resources of the health care industry and of the public health sector. 6. Support research that advances the body of knowledge and standards associated with the management of health information and information systems in the electronic health environment. Successfully pass the registration examination in order to become credentialed as a registered health information administrator (RHIA) by the American Health Information Management Association (AHIMA). 7 Describe and provide rationale for any differences in admission, curriculum, or graduation requirements for students enrolled online or at the new site(s), or any special arrangements for grading, transcripts, or transfer policies. N/A Describe administrative oversight to ensure the quality of the program or services to be offered. Academically qualified persons participate in all decision making concerning curriculum and program oversight. Permanent faculty members of ECU are responsible for presentation, management, and assessment of all electronically- offered degree programs. A program coordinator is assigned for each degree program, whether offered on campus or electronically. Each program coordinator is a fulltime ECU faculty member. An assessment team representative from the academic discipline coordinates assessment of all on-campus and electronically offered degrees in the discipline. Assessment of distance learning is fully integrated into the university-wide assessment program. Faculty and administrators within academic units oversee all distance education programs to ensure quality and content. Academically, there is no distinction between courses taught on campus and those taught via distance education. All participants must meet the same course objectives and demonstrate the same learning outcomes. The curriculum and evaluation of DE courses, however delivered, are conducted under the same procedures and personnel as on-campus courses. The academic unit establishes the intended learning outcomes, the means of assessment, and the criteria for success, and carries out the assessment activities for both the campus and DE programs. 5. Faculty and support staff Please Provide: Number of faculty expected to deliver instruction: full-time faculty 9 part-time faculty 0 A complete roster (using the SACS “Roster of Instructional Staff” form) of those faculty employed to teach in the program, including a description of those faculty members’ academic qualifications and course load in the proposed program, as well as course work taught in other programs currently offered; ROSTER OF INSTRUCTIONAL STAFF Name Most Advanced Degree Other Degree Dr. Xiaoming Zeng PhD, Health Information Management, University of Pittsburgh, 2004 MD, Peking Union Medical College, 1997 Dr. Elizabeth Layman PhD, Higher Education, 1995, Georgia State University Dr. Paul D. Bell PhD, Educational Research and Policy Analysis, 2006, NCSU Ed. D, Instructional Design and MA, Organizational leadership,1989, College of St. Catherine Post baccalaureate certificate in Health Information Administration, 1989, College of St. Scholastica Post baccalaureate certificate in Medical Record Administration, 1988, College of Health Related Professions, SUNY Downstate Medical Center Dr. Robert Campbell Courses Taught HIMA 6060 (formerly HIMA 5060) COHE 6440 *COHE 6490 COHE 6000 COHE 6420 COHE 6000 M.L.S. Library and Information COHE 6410 Science, 1989, University of Pittsburgh. COHE 6430 CEPHR, Certified professional in *COHE 6470 8 Dr. Tom Ross Dr. Michael H. Kennedy Dr. Robert Kulesher Dr. Susie Harris Dr. Leigh Cellucci Dr. Patricia Royal technology, 1999, University of Pittsburgh PhD, Economics, 1995, St. Louis University PhD, Decision Sciences and Engineering Systems, 1992, Rensselaer Polytechnic Institute PhD, Urban Affairs and Public Policy, 2003, University of Delaware PhD, Rehabilitation Studies, 2008, ECU PhD, 1989, Sociology, University of Virginia EdD, 2006, Administration in Higher Education, East Carolina University electronic health record, 2008 *COHE 6480 MBA in Finance and Accounting, University of Cincinnati, 1981 *COHE 6630 Master’s Health Administration, 1985, Baylor University COHE 6450 COHE 6310 Master’s Health Administration, 1977, Washington University COHE 6000 COHE 6600 MBA with Health Care Administration option, 1997, ECU BS, Health Information Management, 1989, ECU MBA, 2002, Idaho State University COHE 6000 *COHE 6460 MSW, 1998, Social Work, East Carolina University COHE 6000 COHE 6600 *COHE 6510 Evidence that adequate number of faculty members are assigned to support the program; Impact of the initiative on faculty workload; and The discontinuation of the HIM program will release 3.4 FTEs. Eight new courses are proposed for the MS HIIM program. The termination of the undergraduate HIM program will release 7 courses. We expect all faculty members will teach the same course load (credit hours) after the establishment of the MS HIIM program. Our plans include recruiting adjunct faculty members to teach lower division (undergraduate HSM program) courses. Number and responsibilities of support staff (e.g., program coordinator). The Department of Health Services and Information Management will be responsible for the oversight, administrative and academic functions of the program. There will be a MS HIIM program director that will be responsible for the program’s day-to-day operation. The program director reports to the Chair of the Department of Health Services and Information Management. 9 Describe means by which the institution will provide support services for students enrolled at the site(s) or online (e.g., admissions, skills assessment, course registration, academic advising, counseling, etc.). From admission to graduation ECU provides a system of support services that acknowledge the challenges students away from the campus have in meeting the responsibilities of their families and careers in order to be successful in their academic endeavors. DE students are an integral part of the mission of the university beginning with the university’s motto Servire, to serve. Rather than develop alternative systems for DE students, ECU has developed web based processes that support all students, both DE and campus. Careful planning and dedicated resources have permitted ECU to move from paper-based processes to a system where all ECU students can interact with the university in the same manner. The University has made a commitment to provide an online interface for services that all students can access anytime https://onestop.ecu.edu/onestop . The ECU OneStop portal allows users (students, faculty, staff,) to personalize a single interface for access to internal campus resources. Students log in to OneStop using a PirateID and passphrase. Through the OneStop web portal, students can access advising and registration information, their course schedule, grades, course catalog, course description, a GPA calculator, university events and announcements, and a myriad of other services. Tools available in OneStop include student course registration and tuition payment, faculty access to class rosters and submission end-of-semester grades, and a campus-wide discussion board. Students can also access OneStop from a variety of mobile devices. The Division of Continuing Studies (DCS) serves as a bridge between the student at a distance and the academic and administrative units of the university. The division respects and understands the unique demands of distance learning and is committed to assuring quality, accessible programs and services. The division conducts its activities in partnership with the academic and administrative units of the university. DCS is charged with assisting ECU students away from the campus by identifying the nature of their concerns and marshalling the resources of multiple offices to bring that concern to a successful conclusion. The needs and challenges of DE students are more complex and their expectations in regard to service are at a professional level demanded each day in their career settings. Successful distance education programs require commitment, collaboration and cooperation from all facets of the university. Our mission guides us to assess each individual situation and not to simply direct students elsewhere to address their needs, but to insure a successful resolution. These services provide a safety net for DE students as they make progress in online programs. The division provides a dedicated email address and a toll free number staffed by student service specialists who can reassure students and assist in navigating the online resources available to them. They can assist with general program information, procedural issues, as well as link them to resources across the campus. They provide a single point of contact for ECU students who are unable to come to the campus. ECU has a comprehensive communication plan of email messages to students with information, available services and reminders of important dates, registration reminders, and reassurances that we are available to help. Communication to prospective DE students begins with their initial inquiry in the Distance Education PiratePort http://www.ecu.edu/admissions/Pirate_Port.cfm . A series of emails begin to provide information regarding services and programs. Once admitted they continue to receive information to assist them in beginning their academic career at ECU. New students receive a welcome “You’ve got Mail” post card to direct them to our web resources and support services. 10 The Options website www.options.ecu.edu provides a central repository for services and information for DE students. Orientation and online tutorials are available to assist new and current DE students. “Options for Adult Learners”, a semi-annual newspaper insert is distributed in newspapers across North Carolina. The undergraduate office of admissions and the graduate school have developed systems that allow both campus and DE students the opportunity to apply, interact and monitor their progress via a web based system. Registration, drops, withdrawals, graduation applications and transcripts can all be accomplished online in the password protected environment housed in OneStop. CAPP Degree Evaluation (Curriculum Advising Program Planning), ECU’s online degree evaluation, interactively matches courses completed at East Carolina University and transfer courses with undergraduate or graduate degree requirements. Students and advisors can assess degree evaluations from their Banner Self Service account on OneStop. The CAPP evaluation lists the degree requirements, summarizes progress based on your academic record, and assists in selecting courses. Students and advisors can view an existing evaluation or generate a new evaluation. The mission of the Office of Student Financial Aid is to offer a comprehensive financial aid program that attempts to meet the total financial needs of all university students, utilizing aid programs from all sources for which students are believed to be eligible, designing financial aid packages in ways which assist students in achieving a quality education and support their academic objectives. Students are encouraged to apply online and information, forms and access to key personnel is available at http://www.ecu.edu/financial/ eBill notifications for tuition statements are sent to students and/or authorized user(s) by email. Paper bills are no longer mailed. Students can set up authorized users to access their account information, recent statements, and make payments. Students can log into ONESTOP at anytime to view current account information, recent statements, and make payments. All registered students are mailed an ECU Higher One Card (Debit MasterCard) for refund preference selection. Student refunds can include Financial Aid or credits for dropping class. The Division of Continuing Studies also maintains a Business office that can assist DE students with financial matters related to the university. The ECU DE Proctoring Center is an approved site in the UNC Online Proctoring Network. This site serves distance education students who need to make an appointment to take proctored exams, and faculty members who need to set up proctored exams for distance education courses. It serves faculty and students throughout the UNC system. Information about the UNC Online Proctoring Network is available at http://services.northcarolina.edu. 6. Library and learning resources Describe library and information resources to support the program, including staffing and services in place to support the initiative. Describe cooperative agreements with other institutions and include a copy of such agreements in the appendix. Relative to electronic resources, describe how students and faculty will access information, training for faculty and students in the use of online resources, and staffing and services available to students and faculty. The library houses and provides access to a physical collection of over 1.9 million volumes, over 48,000 serials (print and online), over 500,000 e-books, more than 24,000 items in its digital collection and one million federal documents (print and online). The library provides access to more than 400 electronic databases made available through several consortia and its own subscriptions. All together, the electronic database collections provide access to over 76,000 full-text journal titles. Resources can be access through the library web site at http://www.ecu.edu/lib. 11 Other collection features include: a non-book media collection with over 32,000 items in various formats, a teaching, resources and curriculum materials collection, a collection dedicated to North Carolina materials, a Special Collections Department that houses over 11,000 linear feet of manuscripts, university archival materials, and a rare book collection. The library has also established an institutional repository which includes electronic theses and dissertations of ECU students and the scholarly output of both ECU students and faculty members. The library is open 111.5 service hours per week during the semester, with extended hours during the final exam period and abbreviated schedules of approximately 83.5 hours during summer sessions and 50 hours during breaks. Access to collection, circulation of library materials, reference assistance, consultation, and library instruction are the core services offered to ECU students, faculty and staff during operating hours. Students enrolled at East Carolina University as distance education students are provided special services to ensure access to the library’s physical and electronic collections. A Distance Education Coordinator is employed to facilitate the delivery of library services and plays an active role in shaping services to distant users. Many librarians and staff members within the library work directly with distance students as services are provided. Information about distance education services can be found at http://media.lib.ecu.edu/DE/DE_Home.cfm The following services are available for distance students: Checking Out Books and Obtaining Articles: Students enrolled in distance education courses may check out books from The library as well as obtain articles. Further information about obtaining materials through the Document Delivery service is available at http://www.ecu.edu/cs-lib/accesssrv/ill/docdel.cfm. Off-Campus Access to Services: The library provides off-campus access to its resources and services through a proxy server. The students are authenticated using their ECU Pirate ID and passphrase. Further information regarding this service is available at http://media.lib.ecu.edu/reference/howdoi/display.cfm?id=46.0. Joyner Library’s Interlibrary Loan software streamlines the process for submitting and receiving ILL, Document Delivery, and Pull and Hold requests. The link to this service is http://illiad.lib.ecu.edu/illiad/logon.html. Information for first time users of the service is provided. The library currently subscribes to more than 400 databases containing indexes to journal and magazine articles. Many of these resources offer full-text access to individual articles. A listing of these resources may be found at http://media.lib.ecu.edu/erdbs/. If students wish to check and see if the library has full-text access to a particular journal title, they may use the E-Journal/E-book Portal at http://jw3mh2cm6n.search.serialssolutions.com/. If the library does not have electronic access to a journal article, students may obtain the article through Interlibrary Loan. The web-based forms for Interlibrary Loan are located at http://illiad.lib.ecu.edu/illiad/logon.html . For items owned by Joyner Library, Distance Education students may obtain the materials through the document delivery service. Information about this service is located at http://www.ecu.edu/cs-lib/accesssrv/ill/docdel.cfm. Librarians conduct orientation and instruction sessions to distance education students using a variety of methods. Distance courses at ECU are taught both online and at cohort sites. The Distance Education Coordinator provides open orientation sessions to students via web conferencing software. Site visits are made to cohorts at the request of teaching faculty members. Orientation sessions are also offered to faculty members to provide information about library services which can be passed along to students in their distance sources. Library instruction sessions are provided via pre-recorded video, online web conferring software, embedding resources in the course management system, and in-person at the request of the teaching faculty member. 12 The library also provides online tutorials, videos, and research guides, LibGuides, which introduce services to distance students and instruct them in the use of specific library research tools. These resources are available 24 hours a day 7 days a week and can be located at: http://media.lib.ecu.edu/DE/Tutorials.cfm (tutorials) http://media.lib.ecu.edu/DE/tutorial/deservices.html (video) http://libguides.ecu.edu/ (LibGuides) The library offers reference services to support ECU’s distance learning students in the use of library resources for learning and research. Reference services have been expanded to include online options as well as more traditional means of communication. Assistance is provided through instant messaging, text messaging, e-mail, telephone, or in-person. Distance Education students may also request one-on-one consultation services provided through instant messaging, phone, or in-person. The Distance Education Coordinator is available to provide additional assistance when needed. Instant messaging and text messaging reference services are available 97 hours per week during fall and spring semester, 82 hours per week in summer, and approximately 59.5 hours during breaks. Students may request assistance using the “Ask a Librarian web page at http://www.ecu.edu/cslib/reference/ask_a_librarian.cfm. 7. Physical resources Describe physical facilities and equipment to support this initiative. Assess the impact that the proposed change will have on existing programs and services. The classrooms in the Health Sciences Building feature state-of-the-art technology. All the classrooms in the building are equipped with Smart Classroom with MediaSite streaming and capturing capability to broadcast face-to-face class to distance education students. The College of Allied Health Sciences is served by an in-house instructional technology team as well as the University’s Information Technology and Computing Services (ITCS). Distance Education students will need to have online access to software packages and other information recourses. ECU has a long history providing state-of-art online education. The official course management system at ECU is Blackboard, which recently was upgraded to version 9.0. Other course management systems available to faculty members include Sakai and Moodle. Additional online instructional tools are available to faculty members to enrich the learning experiences of the students. These tools include: 1) Webinar system – Centra. Allow faculty to meet with students online in real time. 2) Blogging system – Wordpress. Allow students to publish their writings online 3) Wiki system – Confluence. Allow students to collaborate on preparing documents online. 4) Multimedia broadcasting – Mediasite. Record lectures and make them available to students. 5) Portfolio system – iWebfolio. Allow students to generate the portfolio of their academic works and share it with faculty and potential employers. ECU also maintains a virtual computing lab environment that allows Distance Education students to access a virtual computer desktop with preinstalled software. Several HSIM specific software packages have already been installed on the virtual computing lab environment for DE students to use remotely. These specific software tools include: 1) DecisionTools Suite, 2) 3M encoder, 3) SQL server, 4) MicroSim Inhospital, and 5) Exsys rule based decision tool. Additional tools needed for teaching Health Informatics and Information Management curriculum will be added as needed. In collaboration with the College the Nursing, the College of Allied Health Sciences purchased an educational EHR system – NeehrPerfect. NeehrPerfect is based on a public domain EHR system that 13 allows students to have hands-on experiences to use different functions of an EHR system. It is a webbased system so online students will be able to access it remotely. Developing and deploying a laboratory environment that simulates an electronic health record is essential to meeting the training needs of our students. Therefore, we anticipate continuing to access the American Health Information Management Association (AHIMA) Virtual Lab that was established in March 2006. This internet-based software lab and lesson repository was developed with contributions from software venders, educators, and Health Information Technology professionals. Software packages included in the AHIMA Virtual Lab include: Master Patient Index Encoder Abstracting system EDMS/Document imaging Deficiency Analysis Chart tracking Release of Information Registration/ADT system Transcription Speech Recognition For off-campus facilities: N/A Name of the agency or organization that is providing the space Rental, lease, or other arrangements involved in obtaining use of this space including rates. Describe any agreements or understandings with the organization providing the space. 8. Financial support Describe financial resources to support the change, including the budget for the first year of the proposed program. Include projected revenues (including tuition and fees receipts, state appropriations based on projected SCHs, grants, etc.) and expenditures, as well as amount of resources going to institutions or organizations for contractual or support services. Student credit hours (SCHs) delivered to non-North Carolina residents receiving instruction outside the boundaries of North Carolina are not eligible for State-provided enrollment funding and these SCHs should not be reported on the funding matrix. The institution must set the rate charged for these SCHs at a level sufficient to cover the cost of instruction, which should be at least double the official in-state tuition rate. Indicate the average number of SCHs per semester that will be delivered to non-NC residents receiving instruction outside the boundaries of NC and the tuition that will be charged per-SCH for this instruction: SCHs per semester delivered to non-NC residents receiving the instruction outside of NC boundaries: __________ . Per-SCH charge, tuition and fees, for this out-of-state instruction to non-NC residents: $693.00 If a site-based degree program is to be offered out of state, a more detailed justification is required. Please provide the rationale for offer the program out-of-state and the how resources will be secured to support the program, and indicate whether any State-supported resources will be used in the program. N/A 9. Evaluation and assessment Describe the means used by the institution to monitor and ensure the quality of the degree program and off-campus site(s). 14 Summarize procedures for systematic evaluation of instructional results, including the process for monitoring and evaluating programs at the new site, as well as using the results of evaluation to improve institutional programs, services, and operations. The principles of academic program review, established at ECU, are the following: 1. Quality enhancement is an integral component of all ECU programs and is an expected outcome of program review. 2. Program review is an ongoing process that contributes to refining ECU’s directions and program priorities, which then shape resource allocations and other governing decisions. 3. Every effort has been made to ensure that the key performance indicators used in program review are clearly stated, uniform, and disseminated with sufficient lead-time so that program faculty and administrators are aware of them before the review process starts. Program faculty may develop additional criteria that are unique to an individual program. 4. Program review is intended to provide helpful information through a process that is designed to be thorough yet not excessively burdensome to faculty and administrators. In this light, all programs within an academic unit would ideally be reviewed at the same time and the data collected and reported in the academic program review process will be that which has been collected in a systematic and routine manner and specifically for the purpose of this report. 5. A university-wide organizational framework for program review has been developed and will be consistently implemented. Program review is an integral part of each program and plays a major role in the university’s ongoing assessment and strategic planning processes. The unit academic program review consists of a self-study conducted by each program, followed by a review by a committee comprised of academicians from both within and outside the university. The usual outcomes for such reviews are the identification of program strengths and weaknesses with a determination of overall program quality and specific recommendations for improvement. Peerreview, when properly done, is a very effective way to maintain and improve program quality if the university responds to the recommendations for improvement as suggested by the Review Committee. In addition, the periodic review could be used as a basis for a more effective allocation of resources by using the program quality metrics as indicated by the review. All undergraduate and graduate programs are subject to the review process, although it is recognized that some programs and/or academic units at East Carolina University hold specialized accreditation. In these instances, the accreditation review process will substitute for the ECU Academic Program Review process outlined in this document for each accredited program. The unit academic program review at ECU consists of two interrelated activities. The first is the onsite program review, which occurs approximately every seven years for each program. The second is outcomes assessment, which is conducted on an ongoing basis. Collection and analysis of data related to outcomes, as well as resulting program changes, are reported to the program units. These two forms of program review are interrelated in two ways: (1) a description of the outcomes assessment plan and a summary of findings from previous assessments are included in the self-study for the onsite review and (2) in each report, faculty in the program are asked to record progress in implementing the action plan from the most recent on-site review. The review process is comprised of six major components: (1) Self-Study prepared by the unit’s undergraduate and graduate faculty (2) On-site review by a Review Committee (3) Review Committee’s evaluative report and recommendations (4) Program faculty’s response to that report with prioritized resource needs (5) Negotiation with the college/school to attain necessary resources 15 (6) Action plan that provides the focus for a post-review meeting of the program chair, college/school, Graduate School, and university administrators Outcomes Assessment: Three questions frame the work of the assessment program, which is evidence-centered. This approach provides a rich context and conceptual framework for considering assessments of student learning outcomes and for asking important questions about the types of claims that can be made based on assessments. 1. Claim: What do the faculty want or need to say about the student in the academic program? 2. Evidence: What does the student have to do to prove that he or she has the knowledge and skills claimed by the academic program? 3. Assessment Activities and Tools: What assessment tools and/or activities will elicit the evidence that the program needs about students knowledge and skills? At the core of the Mission of the university is excellence in student learning. The Office of Institutional Planning, Assessment and Research coordinates the assessment of student learning outcomes in academic degree programs. A standard format for reporting goals, criteria for success, results, and use of results has been implemented and an assessment coordinator for academic affairs has been working with an assessment team, consisting of representatives from all academic units. In 2009, ECU invested significant resources to purchase TracDat, an SCT software product that is being used to help manage the institutional planning and assessment process, allowing faculty and administrators to enter program and departmental strategic plans, including assessment plans, assessment methods, and outcomes, and to vertically and horizontally align their goals to other departmental, divisional, and college-wide goals. The templates assure a uniformity of reporting that simplifies collection, review, management, and utilization of data. TracDat holds all assessment plans and reports which include student learning and administrative outcomes, assessment methods, criterion for success, results and actions steps. Concise reports can be generated within the system to assist with planning and program improvement. The following measures to be used to evaluate the program. 1) GPAs and scores of standardized tests by the applicants and admitted students. 2) GPAs of the graduates. Number of graduates from the program. Graduate survey 3) Number of students who take the internship class being successfully placed at different health care organization. 4) Number and percentage of students who are employed or continue graduate study six months after their graduation. The data will be acquired via alumni survey. 5) Number and percentage of students who pass the RHIA national certification exam the first time. 6) Number and percentage of students who successfully defend their thesis if they choose the thesis options Operational planning for the university incorporates procedures to evaluate the extent to which educational goals and objectives are being achieved. During this phase, units formalize major objectives for the next planning cycle and indicate the manner in which progress toward those objectives will be measured. Superimposed upon the short-term analysis are longer-term records of unit performance with regard to students served, graduates from degree programs, levels of research/creative productivity, grantsmanship, and service. Longer-term records are, in turn, derived from compiling standard, day-to-day evaluative measures of teaching, research, and service. These activities are systematically documented via annual reports, and data are then compiled and analyzed by individual units. The Student Opinion of Instruction Survey (SOIS) is administered in the fall and spring semesters to all classes with enrollment of more than five students. Results of those surveys are delivered to individual faculty members and to their respective unit heads. Information from those surveys is 16 used to contribute ideas to curriculum revision, for annual evaluations of faculty members, and for merit pay considerations for those faculty members. Likewise, the unit head has the opportunity to use the information from the survey results to effect changes in instruction or in assignment of individual courses to instructors. Faculty members frequently consider altering their courses based on feedback received from SOIS scores and accompanying student comments. In accordance with accreditation requirements, the institution will ensure that the student who registers in a distance education course or program is the same student who participates in and completes the program and receives the academic credit. ECU has adopted web based authentication with a user ID or user name, the PirateID, along with a passphrase, to log on to ECU's network, the e-mail system, OneStop, Blackboard and most other electronic systems at ECU. The Graduate Admissions Office sends PirateID account information to new students. The Graduate Admissions Office, in a separate mailing, sends the default passphrase. Once the PirateID and the passphrase information are both received, students register with the ECU passphrase maintenance system and update the default passphrase to something unique and secure. After changing the default passphrase, students also choose the security questions that will allow them to reset their passphrase in the event of lock out or expiration. 10. Attachments Attachments may include items such as (1) vitae of key faculty; (2) selected letters of support; (3) copies of library and other cooperative agreements, etc. Name, title, telephone, and e-mail of contact person to respond to questions: Paul David Bell, PhD, RHIA, CTR Professor Tel: 252.744.6171 E-Mail: bellp@ecu.edu This request to establish a new distance education degree program (or program site) has been reviewed and approved by the appropriate campus committees and authorities. Provost and Vice Chancellor for Academic and Student Affairs 17