East Carolina University Program Prioritization Unit Name: _Clinical Laboratory Science __ College/School: _Allied Health Sciences____ Program Data Template Definitional Note: The name of the process being engaged in is program prioritization. However, it is acknowledged that most of the data requested here must be reported at the unit level. In this sense, “units” typically will be academic departments (not necessarily code units). Please make sure that the numbers recorded below represent the unit named above. If units wish to single out particular programs (degrees, minors, certificates, concentrations) for comment, that commentary will occur in Part II of this template. This data template consists of two parts. Part I is quantitatively oriented and organizes a wide range of indicator variables to measure a unit’s program productivity, centrality, and quality. These three sections of Part I are preceded by a contextual program demographic section. Please note that the breadth of measures is intentional and not tailored to the uniqueness of any individual program. As a result, it is quite likely that some entries will not apply at all or be zero. For example, many programs do not have access to licensure or certification examinations. Some of the data requested in Part I of the template are supplied centrally but some of the indicators must be self-reported. If the value of any institutionally provided indicator seems to be at odds with local (unit, college) knowledge, please correct that value and supply a note to that effect indicating the change and the source of the new data. Part II is more qualitative in nature and requests short narratives so that units can express attributes of their program(s) that might escape quantitative expression. In addition, the second section permits synthesis and analysis that yields knowledge of programs unattainable directly from Part I. Part I. Program Data Template, Quantitative Indicators Program (Contextual) Demographics Label FYs 2011, 2010, 2009 (unless noted) NFAC FAC$ NFTF FTF$ NT&TT T&TT$ NSPA SPA$ NEPA EPA$ NNOST NOST$ NGAS GAS$ NNSGA NSGA$ IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR RGS RGS RGS DEPT DEPT Human Resources 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Total Number of Faculty FTE Total Aggregate Salary ($) of Faculty Number of Fixed-Term Faculty FTE Aggregate Salary ($) of Fixed-Term Faculty Number of Tenured & Tenure Track Faculty FTE Aggregate Salary ($) of Tenured and Tenure Track Faculty Number of SPA FTE Aggregate Salary ($) of SPA Number of Non-teaching EPA FTE Aggregate Salary ($) of Non-teaching EPA Number of Non-state Supported Employees FTE Aggregate Salary ($) of Non-state Supported Employees Number of State-supported Graduate Assistants Aggregate Salary ($) of State-supported Graduate Assistants Number of Non-state Supported Graduate Assistants Aggregate Salary ($) of Non-state Supported Graduate Assistants 17. Other ($) State-supported Salary (e.g., administrative stipends) OSAL$ RGS TSOP$ ONE$ CLIN$ DEVEL$ GIVE$ EXTGC$ F&A$ START$ OTH$ RGS RGS HS Adv Adv OGC OGC RGS DEPT Degrees Currently Offered by Unit (list with year established) Number of UNC Institutions Offering These Degrees Minors Offered (list) Certificates Offered (list, including Fellows and Residents) Total SCH Produced (F+S) Total SCH Produced in Summer Terms Proportion of Total SCH, DE Total Undergraduate Majors Enrolled Total Master-level Majors Enrolled Total Majors above Master-level Enrolled Number of Undergraduate Degrees Awarded Proportion of Undergraduate Degrees Awarded, DE Number of Graduate Degrees Awarded (Master's Level) Number of Graduate Degrees Awarded (Above Master's Level) Proportion of Graduate Degrees Awarded, DE DEGREES UNCSYS MINORS CERTS SCHF&S SCHSU DE% NUMAJ NM-MAJ N>M-MAJ NUDGA DEUD% NM-DA N>M-DA DEGD% AA AA AA AA IPAR IPAR IPAR IPAR IPAR IPAR IPAR DEPT IPAR IPAR DEPT Total office space (sq.ft.) assigned to unit Total research space (sq.ft. support and lab) assigned to unit Total classroom space (sq.ft.) assigned to unit Other (non-classroom) space (sq.ft.) assigned to unit Percent Faculty, Terminal Degree Percent Faculty, Clinical Percent Faculty, Graduate Faculty Status Percent Faculty, Part-time Percent Faculty, Female Percent Faculty, Minority Median Age of Faculty Percent Undergraduate Students, Female Percent Undergraduate Students, Minority Percent Graduate Students, Female Percent Graduate Students, Minority OFFSP RESSP CLASP OTHSP TERM% CLINIC% GRAD% PART% FEM% MINOR% MDAGE USFEM% USMIN% GSFEM% GSMIN% IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR IPAR MSCHF MSCH$ MSCHNF MSEM PPC PPC PPC DEPT Monetary Resources 18. 19. 20. 21. 22. 23. 24. 25. 26. Total $ State Permanent Operating Budget Total $ Received in One-time Distributions Total $ from Clinical Revenues Total Size ($) of Foundation Accounts (corpus) Total $ From Annual Fundraising Total $ External Grant and Contract Awards Total $ in F&A Distribution (Unit + PI) Total $ Received in Faculty Start-up Packages Total $ from Other Revenues (fees, tickets, intellectual property, etc.) Students Served 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. Other 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. PRODUCTIVITY Teaching 57. 58. 59. 60. SCH/Faculty FTE SCH/Operating $ SCH/Non-faculty FTE (SPA + Non-teaching EPA) Annual Semester Hours/Faculty FTE 61. 62. 63. 64. Mean Weekly Instructional Contact Hours/Faculty FTE Number of Undergraduate Majors/Faculty FTE Number of Master's Level Majors/Faculty FTE Number of Majors Above Master's Level/Faculty FTE MCONT MUMAF MM-MAF M>M-MAF DEPT PPC PPC PPC MJUEXF MJUPERF MBOOKF MTEXTF MREFF MPRESF MPATF MEXT$F MNEXTF RGS RGS RGS RGS RGS RGS RGS RGS RGS MPDCF MRRJF MPANF MEDSF MCOMF RGS RGS RGS RGS RGS MCOEDF MOSERF MHRSF RGS RGS HS NFCSCH NPREQ NCREQ NFIIP REG NEXIGA RGS NSAP DEPT NUSED DEPT SOCIETY DEPT MSOIS ECUAF IPAR DEPT TAWARDF REVISE URES% GRES% USERV% DEPT DEPT DEPT DEPT DEPT SISAWF DEPT Scholarship 65. 66. 67. 68. 69. 70. 71. 72. 73. Number of Juried Exhibitions/ T&TT Faculty FTE Number of Juried Performances/ T&TT Faculty FTE Number of Books/ T&TT Faculty FTE (exclude textbooks) Number of Textbooks/ T &TT Faculty FTE Number of Refereed (Articles+Chapters)/ T&TT Faculty FTE Number of Discipline Presentations/ T&TT Faculty FTE Number of Patents/ T&TT Faculty FTE Total External Award $/ T&TT Faculty FTE Number of External Grants/ T&TT Faculty FTE Service 74. 75. 76. 77. 78. Number of Professional or Disciplinary Committees/Faculty FTE Number of Reviews or Referees or Juries/Faculty FTE Competitive Grant Panels/Faculty FTE Journal Board or Editor/Faculty FTE Number of Unit or College or ECU Committee Memberships/Faculty FTE 79. Continuing Education Offerings/Faculty FTE 80. Number of Other Service Activities/Faculty FTE 81. Mean Hrs. of Patient Care/Faculty FTE CENTRALITY 82. Total Foundation Curriculum SCH Produced 83. Number of Other Programs Requiring a Unit's Course(s) 84. Number of Courses in Unit Required by Other Programs 85. Number of Faculty Participating in Interdisciplinary Instructional Programs 86. Number of External Interdisciplinary Grant Awards (across departments) 87. Number of Direct Connections to ECU Strategic Action Plan (1.1.1 - 5.3.3) 88. Instructional, Creative, Research Facilities Used by Other Programs 89. Societal Need and External Demand: BLS or Other Estimate of Job Growth REG REG DEPT QUALITY Teaching 90. Mean Unit SOIS Scores 91. Number ECU Teaching Awards/Faculty FTE (outside unit, college, school) 92. Number External Teaching Awards/Faculty FTE (outside ECU) 93. Number of Significant Curriculum Innovations/Revisions 94. Percent of Undergraduate Students Engaged in Formal Research 95. Percent of Graduate Students Engaged in Formal Research 96. Percent of Undergraduate Students Engaged in Service & Service Learning 97. Number ECU Student Scholarly Awards/Faculty FTE 98. Number External Student Scholarly Awards/Faculty FTE SESAWF DEPT MPACT MCITEF ACTIV% NCOMPET DEPT DEPT DEPT PPC F&A$F EXAWF PERAWF RESAWF OTAWF PPC DEPT DEPT DEPT DEPT REGIONF OFFICF SERAWF LEADF DEPT RGS DEPT RGS ACCRED PASS% 4GRAD% 6GRAD% CONTED% FIELD% NSCHOL MSAT MGRE MGPA ACCEPT% MTGML MTG>ML PODOCS AA DEPT DEPT DEPT DEPT DEPT FAid Adm RGS RGS RGS DEPT DEPT DEPT Scholarship 99. Mean Impact Factor of Journals Published In 100. Mean Number of Citations/ T&TT Faculty FTE 101. Percentage of Creative/Research Active Faculty (T & TT only) 102. Number of Competitive Research Grant Awards/Faculty FTE (e.g., NIH, NSF) 103. Total $ F&A/ T&TT Faculty FTE 104. Exhibition Awards/ T&TT Faculty FTE 105. Performance Awards/ T&TT Faculty FTE 106. Research Awards/ T&TT Faculty FTE 107. Other Scholarly Awards/ T&TT Faculty FTE Service 108. Regionally Engaged Service Activities/Faculty FTE 109. Number of Professional or Disciplinary Offices Held/Faculty FTE 110. External Professional or Disciplinary Service Awards/Faculty FTE 111. Number of Other Service Leadership Positions Held/Faculty FTE Other 112. Program Accreditation (indicate available, achieved) 113. Pass Rate on Licensure or Certification Examinations 114. Undergraduate (4 year) Graduation Rate 115. Undergraduate (6 year) Graduation Rate 116. Percent Undergraduates to a Graduate or Professional Program 117. Percent Graduates to Job Within Field 118. Number of Undergraduate Students with Academic Scholarship 119. Mean SAT of Undergraduate Majors 120. Mean GRE/MAT (standardized exam) of Graduate Students 121. Mean Undergraduate GPA of Graduate Students 122. Graduate Acceptance Percent (# admit/# apply)*100 123. Mean Time to Graduation (Master's Level) 124. Mean Time to Graduation (Above Master's Level) 125. Number of Post-docs Engaged in Unit Part II. Program Data Template, Short Narratives Part I of the Program Data Template provides important quantitative indicators of program productivity, centrality, and quality. Some of those numbers are provided institutionally while other indicators are self-reported. The effective prioritization of programs also requires knowledge about units and their programs that might not be well represented in summary statistics. Part II of the Template is explicitly intended for programs to concisely shed additional light on the productivity, centrality, quality, and future possibilities not captured in Part I of the Template. The maximum page limit for all requested narratives is four (4) pages total (with at least 11 point font and normal margins). In addition, no individual narrative of the four requested (Productivity, Centrality, Quality, Opportunities) should exceed 1.5 pages. Given the importance of these documents, they are expected to contain compelling evidence and to be very well written. You are encouraged to use bulleted lists whenever possible. (A) Productivity. Please provide evidence that program(s) contained within the unit are highly productive. You may highlight and synthesize information from Part I. You may qualify numbers contained in Part I that require additional context. You may emphasize qualitative aspects about the unit’s programs that are not captured in Part I. You may compare the productivity of the unit’s programs with those of benchmark programs (if that is attempted, please indicate the benchmark set). As is the case with other healthcare programs, the clinical laboratory science program is a rigorous one that requires a student to learn four independent bodies of knowledge (Clinical Chemistry, Hematology, Microbiology and Immunohematology) in order to become a competent practitioner. CLS faculty spend significant amounts of time outside normal classroom hours with CLS students to help them acquire the cognitive, psychomotor and affective skills required for the profession. The annual average number of contact hours/FTE for CLS is 472.5. Please also see the narratives that follow. (B) Centrality. Please provide evidence that program(s) contained within the unit are essential to achieving the university’s mission and contribute significantly to the Strategic Action Plan, 201013. The connectivity of programs to key instructional, creative and research, and service directions is an essential aspect of this analysis. Any statement concerning societal needs (e.g., the growth of external demand) should be situated here. Description of the Clinical Laboratory Science Profession (from www.naacls.org) Clinical laboratory professionals perform, develop, evaluate, correlate and assure accuracy and validity of laboratory information; direct and supervise clinical laboratory resources and operations; and collaborate in the diagnosis and treatment of patients. They have the requisite knowledge and skills to educate laboratory professionals, other health care professionals, and others in laboratory practice as well as the public. The responsibility to act as consultants to other members of the healthcare team is a critical one, as more non-laboratory professionals are now performing laboratory tests at point of care (for example the ER, the ICU, and OR). These healthcare professionals do not have the same command of the body of knowledge of laboratory medicine, and are not as familiar with important concepts such as sample collection techniques, quality control testing to validate patient results, troubleshooting lab instrument problems, and recognizing and resolving discrepant patient results. The following incident serves as an example of this difference between laboratory and non-laboratory healthcare professionals: A patient was seen in a clinic at a local hospital in Eastern North Carolina recently. Blood collected for a complete blood count gave a critically low result for Hemoglobin. There were two healthcare professionals working in the lab at the clinic that day, a radiology technician and a medical laboratory scientist. The radiology technician analyzed the sample, but did not realize how critically low the hemoglobin result was. When the medical laboratory scientist saw the result, she immediately sought out the patient’s doctor and informed her of the critically low result. The doctor ordered the patient transferred immediately to the local hospital’s emergency room, where the patient went into cardiac arrest on arrival. Fortunately the patient survived, in large part due to the timely actions of the medical laboratory scientist. Another example of the need for collaboration between the laboratory and other healthcare professionals can be found at: http://articles.mcall.com/2011-0615/news/mc-allentown-lehigh-valley-hospital-p20110615_1_blood-sugar-transplant-patient-fataldose/2. As a program in the College of Allied Health Sciences, the Clinical Laboratory Science (CLS) program plays a part in the College’s mission to provide allied health care practitioners to healthcare institutions in Eastern North Carolina and the rest of the state. Since 2001, 68% of ECU CLS graduates have filled vacancies at hospital and group practice laboratories in Eastern North Carolina. It is estimated that 70-80% of medical diagnoses are made on the basis of clinical laboratory test results. The large volume of laboratory testing required to produce these results is conducted primarily by clinical laboratory professionals, like the graduates of ECU’s CLS program. In its 2011 wage and vacancy survey (available in the April 2011 issue of Laboratory Medicine) the American Society for Clinical Pathology (ASCP) reported that 11-23% of hospitals stated that vacant positions for clinical laboratory professionals were taking more than a year to fill. The overall vacancy rate for staff clinical laboratory scientists (B.S. degree professionals)ranged from 8.62- 11.6%. By comparison, the current national vacancy rate of nurses ranges from 5 – 7.5% (http://www.nsinursingsolutions.com/Files/assets/library/retentioninstitute/NationalHealthcareRNRetentionReport2011.pdf). A 2009 survey of NC hospital laboratories performed by ECU CLS faculty found vacancy rates for B.S. degree clinical laboratory professionals and supervisors of 6.1-10.3%. This shortage is projected to increase as laboratory professionals begin retiring (the median age of lab professionals in the U. S. is approximately 50 years old). ASCP’s survey projects that between 14.2 and 17.9% of lab professionals in the U.S. will retire within the next five years. In addition, the Bureau of Labor Statistics predicts that employment for clinical laboratory scientists will increase by 12% from 2008 to 2018. The CLS program contributes to ECU’s Strategic Action Plan in the following ways: ECU Strategic Action Plan CLS Contribution Initiative 1.4.5 - Increase the number of Dual B.S. in CLS and Biology in collaboration with Department of students who enter and succeed Biology. in the science, technology, engineering, mathematics (STEM), and health science disciplines. Between 2007 and 2011, 21% of the 93 applicants to the CLS program were students who already had B.S. degrees in Biology. 1.2 - Prepare students to define and achieve successful civic, professional, and personal lives. Since 2005, 75- 100% of the CLS graduates have begun their careers in the clinical laboratory within one month after graduation. 1.16- Graduate students who are proficient in information technology appropriate for their discipline. CLS students take CLSC 4803, Introduction to Laboratory Information Systems (LIS), and gain LIS experience in clinical rotations. In CLSC 4801, students learn how to identify and access databases to review the professional literature in lab medicine and apply the results to the development of research projects or innovations in clinical practice. CLSC students take CLSC 4801 and 4802, Professional Practice Issues course. Students carry out research projects and receive instruction in healthcare ethics in the clinical laboratory. Students also collaborate in role playing simulations to apply their knowledge and practice making informed, ethical decisions regarding lab test results, budgets and personnel matters. CLS faculty conduct an annual workshop for Nurse Midwives program students that teaches them the principles of microscopy and provides experience in performance and evaluation of basic laboratory tests performed by these professionals. 1.23- Develop each student’s ability to locate, evaluate and communicate knowledge; to make informed decisions; and to recognize the ethical dimensions of decisions. 3.43- Launch a model for interprofessional education in selected health sciences areas. (C) Quality. Please provide evidence that the program(s) contained within the unit are of the highest quality. Here, the greatest concern is for the quality of outcomes (not inputs). The nature (significance, volume) of recognitions for faculty, students, and alumni that originate from outside the university is important. Indicators of innovation and impressive outcomes within instructional, research, and service programs should be evidenced here. You may compare the quality of program outcomes with those of benchmark programs (the same set used in narrative A). 1. Success of ECU CLS Graduates: a. Jason Ezzelle, (1997) is now Deputy Director of Pharmaceutical Product Development at PPDI in Wilmington, NC. Jason began with PPDI as a clinical trials coordinator and traveled all over the world helping laboratories participating in HIV vaccine trials to maintain compliance with federal regulations regarding laboratory testing. Jason credits the rigor of the CLS program with regard to its writing intensive focus for his current success. b. Christian Williams, (2001) is now a practicing physician in South Carolina c. Bridget Ledford, (2010) entered a Ph.D. in CLS program at Catholic University of America in fall 2010 on a full scholarship. Prior to this, Bridget was awarded ECU’s Patriot Scholarship (Ms. Ledford is a military veteran), and a scholastic achievement award by the American Society for Clinical Pathology. d. Samantha Rudd, (2008) was awarded an Emerging Infectious Diseases Advanced Laboratory Training Fellowship by the Centers for Disease Control (CDC) in Atlanta. Ms. Rudd was one of the few B.S. degree professionals awarded this honor. This fellowship provided Ms. Rudd with an opportunity to work with the Mycotic Diseases Branch of the CDC, doing research on new diagnostic tests for fungal diseases. 2. Certification of CLS Program by the National Accrediting Agency for the Clinical Laboratory Sciences (NAACLS) – certification by this agency qualifies graduates of the CLS program to take the Board of Certification (BOC) exam given by the American Society for Clinical Pathology (ASCP). Employers often require prospective employees to be certified, or be certification eligible to qualify for positions in the clinical laboratory. The ECU CLS program is certified by NAACLS. The last re-accreditation site visit in 2006 resulted in the program being awarded the maximum accreditation period of seven years. 3. First-time pass rate on the American Society for Clinical Pathology’s Board of Certification exam- The ECU CLS first time pass rate was 100% for 6 out of 9 graduating classes from 2001 through 2009 (not all of the 2010 and 2011 graduates have taken the exam yet), and an average of 95% for all graduating classes for that time period (total number of students taking the BOC exam = 62; number of students who passed on the first attempt = 59). The average pass rate for comparable CLS programs in the U.S. during this time period was 81.6%. 4. Employment after graduation – Since 2005 75-100% of CLS graduates have been employed at graduation or within one month of graduation. The department often receives requests from employers to send out recruiting announcements to the program’s graduates. 5. Requests from Eastern Area Health Education Center (EAHEC) for continuing education (CE) for NC lab professionals- ECU CLS faculty provide at least one annual CE program for laboratory professionals in Eastern NC each year. (D) Opportunity Analysis. Most of the analysis involved in program prioritization, whether quantitative or qualitative, is necessarily historic in nature. With a vision for the future, how might the unit’s program(s) be re-purposed or re-configured to achieve higher levels of productivity, or centrality, or quality? The focus here should be on a realistic statement of potential program adaptation. Given the circumstances, this should not be a simple request for additional funding. If there are potential benefits from program consolidation or new partnerships (on or off campus) this is the time to hear about them. Future directions for the ECU clinical laboratory science program include: 1. Education of students in other ECU healthcare degree programs in the principles of lab testing: As previously discussed, clinical laboratory professionals possess a unique body of knowledge in laboratory medicine that must be shared not only with clinical laboratory science students, but with students in other programs at ECU that have any involvement in laboratory testing. Laboratory testing is regulated by the federal and state governments wherever it is performed, and testing personnel need to be aware of and comply with these regulations. The clinical laboratory science program can provide education and laboratory experiences to students in nursing and physician’s assistant programs and also for any degree program at ECU that requires its students to perform any clinical laboratory tests, such as fingerstick glucose or urine tests. The program does provide a annual workshop on clinical microscopy, wet preps and urine testing to students in ECU’s Nurse Midwives program. This would support ECU’s Strategic Plan initiative 3.3- Strengthen academic programs that support health and health sciences, and 3.43- Launch a model for inter-professional education in selected health sciences areas. 2. Online (DE) MLT to MLS program: Medical laboratory technicians often desire to complete the requirements for a B.S. degree in their profession, but are prevented from doing so because they are working full time. Clinical laboratory education programs in the U.S. have addressed this need by creating distance education programs that allow the student to take didactic courses online and complete their internships in the laboratories where they are employed. The CLS program at ECU has received numerous requests for this type of program from medical laboratory technicians who work in Eastern North Carolina. The laboratory administration at Pitt County Memorial Hospital has also made this request for its MLT staff, in order to continue working with the program at East Carolina University. This is a way to increase enrollments in the CLS program without incurring significant additional expenses, in addition to addressing a need for this type of program in this area. The only program of this type in North Carolina is at Winston-Salem State University. This would support ECU’s Strategic Plan initiative 3.3Strengthen academic programs that support health and health sciences, and 3.3.1- Remain responsive to a changing health environment by providing an innovative education experience for future healthcare providers.