March 2011 Spring Meeting – Task Force Focus Group Private Schools Avila: Collaboration between CNE’s and Deans – Numerous initiatives Standardized o Clinical orientation o Clinical faculty academy o Background checks o Simulation shared KC Metro H.C. Council (MO Hospital Association) letters of agreement on background checks, bylaws for educators and executives Clinical Faculty Academy: One of 5 funded by Department of Labor and KC HC Council 15 Million Funding Preceptor Academy Stipends for MSN Students Goal: Use expert clinical staff as adjunct 408 have gone through Mission, philosophies, FERPA, managing diff students – certificate Post follow up – authorize to teach and progression on a master’s degree VA: fell apart when key players left VA Academy grant, 5-year project 10 faculty totally paid for by the VA, focuses on 2nd degree students Veteran-centric care across the curriculum Originally VA to hire but pulled back due to the economy Key to sustainability: find a way to become embedded in clinical sites and the work that is going on there 2nd phase: centers for clinical excellence educated interprofessionally and have residency post grad for NP’s Research College of Nursing: doing research – school and hospital work together Core measures projects – present to Research Council Sustainable between UG students and hospital Dream partnerships: Avila University: Mutual needs, solution driven, mutual trust and communication, meet regularly Barriers: Avila University: time, money, ongoing commitment Fairfield University: students participate ex. EBP with staff, show that having students embedded will save on cost, cost out will be driven by economics, mutually open doors to each other “core measures: to look at schools impact on hospital (cost and care.) Have to understand each other’s prospective and impact on each other, consequences and benefits,” in it for the long haul” committed to bumps in the road, executive committees set agendas, proactive vs. reactive, if no jobs, help each other and understand impact Research College of Nursing: EBP, potential job interviews Xavier University: CNL engaged in (CNO’s) centered on CNL, Mercy Health BOT, nurture relationship and not be competitive with local schools, HRSA grant (transform hospital culture) funding hospital employees to work with schools, formalized process, have to move quickly Ideal: grads practice the way we prepare them, higher level of practice throughout hospitals. Hospitals transform to EBP Population? 65+ St Vincent’s in Bridgeport Gerontology curriculum - job in CCU, gerontology certification exam (faculty taught 30 nurses and all 30 joined the national organization) not formed but moving to embeddedness, change the climate, climate change in school of nursing, EBP mentality, CNO’s who are going migrate (certification of nurse executives) 3 credits towards MSN: apply for and pay for course, get grade, goes on transcript, open communication both ways to meet needs of hospital and schools, partner with the city, embed and link to economic outcomes, look at medical school model, VA, weave into structure, have to each get enough out of it to sustain relationship March 2011 Spring Meeting – Task Force Focus Group Public Schools Arrangements: Oakland University: Anesthesia partnership: main clinical site with hospital very close bond for 25 years. Their director sits on University committees, hospital pays school and others with a second degree program. System sponsors cohort, then hire. No written goals, meet as needed SUNY Brooklyn: 1. Academic Health Center: joint appointments. Formal, written. Clinical instruction to full professors ex. Mentors, preceptors, lectures, University pays their salaries 2. CEU: Free CEU’s to nurses in University hospital clinical resource committee – jointly plan nursing research council with research day 3. Community outreach – for community courses (Brooklyn) 4. Written Goals University of Texas Medical Branch: 5 magnets, 15 SON’s everyone partners with everyone. Council of CNO and Deans, Houston and Galveston plus 13 county groups send students to hospitals and individual arrangements with hospital supporting percentage of the program they ask for University of Texas - Houston: Executive nurse leadership program, hospital supports faculty, written agreement, share some vision, missions and goals. Try to promote seamless relationship between hospital and school for academic progress. Dean is VP for Education at the hospital Dreams partnerships: Oakland University: committed clinical faculty preceptors, ownership of faculty, and all hospitals commit staff. Doesn’t care who pays for it. Integration with faculty? Depends on credentials. Goal: clinical opportunities for students. SUNY: Full partnerships on both sides sustaining a challenge. Start from the top, then delegate. Ongoing evaluation of the partnership with specific outcomes. University of Texas Medical Branch: Faculty in didactic and simulation. Agency: clinical. Aligned and in sync regarding mission and values, varying times to graduate – some may take longer. Pilot now with last semester FT clinical CNO onboard. Staff dedicated to the students. Students help! University of Texas –Houston: bring lives together – come to meetings, increase participation. Truly inter-professional education programs (follows residents, nursing students) create approach that inspires, more research collaboration, faculty appointments for clinical staff. Trying to have faculty have appointments in hospital, faculty partnership with unit nurse manager, together work on goals for unit. Barriers: Oakland University: 1. 2. 3. 4. Money. Spending cuts by Gov. starting private medical schools (with public universities) Professional competition (MD to nursing) Not enough jobs for grads, not hiring Survival mode SUNY Brooklyn: State University offered retirement incentive to faculty, 2 schools are paying preceptors ($500 a student) University of Texas Medical Branch: Any barrier can be solved with money, include in eval: how much it costs both Think differently – move out of old thinking Talk different language Work with accreditors on how we conceptualize what we’re doing Look at essential outcomes Time it takes Ed to make decisions Different cultures, different governance Hierarch vs. shared governance Need to be nimble and responsive! What are we giving practice side? Articulation agreement