Board of Regents. Chancellor

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1

2 Board of Regents Chancellor

3 NSHE Health Sciences Program Enrollment Medicine 235 Medical Students 263 Residents/Fellows 152 Basic Science Grad. Students Nursing 5,564 Students Public Health 453 Students NSHE Health-Science Enrollment 15,313 Students ALL Dental Health 1,021 Students Health Professions 4,022 Students Mental Health/ Chemical Dependency/ Social Work 3,603 Students Fall 2008 Statistics

4 The Opportunity: Many Opportunities for Promoting Internal Collaboration, Integration and Program Enhancement The health care related AA degree and certificate programs at the two year colleges include: College of Southern Nevada (CSN) Env. Health & Safety (AAS/CA) Developmental Services Tech (CC) Mental Health Services Tech (CC) Mental Health Services (AAS/CA) Deaf Studies/Interpreter (AAS/CA) Surgical Technology (AAS)/CA Cardiorespiratory Services (AAS) Pharmacy Technician (CA) Paramedic Medicine (AAS/CA) Medical Office Assistant (CA) Medical Office Practice/Coding (CC) Medical Transcription (CA) Medical Laboratory Technology (AAS) Medical Laboratory Assistant (CA) Emergency Med. Technology (CC) Health Information Technology (AAS) Dental Hygiene (AS/BS) Dental Assisting (CA) Massage Specialist (CA/CC) Diagnostic Medical Sonography (AAS) Nursing (AAS) Occupational Therapy Assistant (AAS) Physical Therapist Assistant (AAS) Ophthalmic Technology (AAS) Radiation Therapy Technology (AAS) Veterinary Technology (AS/CA) Phlebotomy (CC) CSN cont d Psychology (AA) Biological Sciences (AS) Truckee Meadows EMT (Cert) Radiologic Tech (AAS) Paramedic (Cert) Dietary Tech/Nutrition (AS) Nursing (AAS/Cert) Dental Assistant (AAS) Dental Hygiene (AS) Dev. Disability Tech (AS) Substance Abuse Counselor (AS) Mental Health Services (AAS) Mental Health Technician (AS) Medical Imaging Technology (Cert) Psychology (AA) Veterinary Technology (AS/Cert) Great Basin Nursing Assistant (CNA) Nursing, (AS, RN to BSN) Radiology Technology (AAS) Emergency Medical Services Substance Abuse (CA) Medical Transcription (CA) Diagnostic Medical Sonography (CA) Human Services (AAS) Ultrasound (CA) Western Nevada College Phlebotomy (CC) Nursing Assistant (CC) Nursing (AAS) Deaf Studies (AA) American Sign Language (CA) Surgical Technician (CA) Biological Sciences (AS) Emergency Medical Services (CC)

5 The Opportunity: Many Opportunities for Promoting Internal Collaboration, Integration and Program Enhancement The health care related programs at the four year colleges/universities include: UNLV Nursing (BSN, MS, PhD) Clinical Laboratory Sciences Health Physics Kinesiology Nuclear Medicine Nutrition Sciences Dentistry Pediatric Dentistry Orthodontics Residency Human Services Human Services Counseling Gerontology (Cert) Biomedical Engineering Crisis and Emergency Management Exercise Physiology Health Physics Health Promotion Health Sciences Health Care Administration Physical Therapy Psychology Public Health Radiochemistry Comprehensive Medical Imaging UNLV (cont d) Social Work Radiologic Technology Sports Injury Management Athletic Training Fitness & Sports Management Health Education Counseling Counselor Education Biotechnology Addiction Studies (Cert) Family Nurse Practitioner (Cert) Marriage & Family Therapy (Cert) Nursing Education (Cert) UNR Nursing (BSN, MS) Health Ecology Social Work (BS, MSW) Speech Pathology Audiology Nutrition Veterinary Science Psychology Environmental Science & Health Human Development & Family Studies Public Health Social Psychology Biotechnology Biomedical Engineering UNR (cont d) UNSOM Residencies: family medicine, internal medicine, pediatrics, emergency medicine, OB/GYN, plastic surgery, general surgery, psychiatry Fellowships: child/adolescent psychiatry, geriatrics, hospice & palliative medicine, surgical critical care, acute care surgery, sports medicine, medical oncology, family medicine obstetrics, hand & microsurgery, trauma surgery, orthopedic trauma MD/PhD MD/MPH MD/MBA BS/MD Nevada State College Nursing (BS) Speech Pathology (BS/MA) Biology/Health Promotion concentration (BS) Psychology (BA/BS) Occupational Sci. (BS)

6 NSHE Health Sciences System (HSS) Mission Promoting Efficiency & Effectiveness Promoting an Internal Collaboration and a Systems Approach Promoting External Collaboration Promoting Development and Program Growth

7 Mortality Per 100,000 Population Nevada U.S. Nevada State Rank Heart Disease Cancer Stroke Death by Firearm Suicide All Causes Sources: National Center for Health Statistics, National Vital Statistics, 2006, 2007 Data (Published 2008)

8 Nevada s Health Indicators NV RANKING HEALTH CARE FINANCING AND EXPENDITURES 43 Population uninsured 49 Children uninsured 48 Public health funding 50 Adults enrolled in Medicaid 51* Children enrolled in Medicaid NV RANKING HEALTH CARE WORKFORCE 46 Primary care physicians (per 100,000) 50 Registered nurses (per 100,000) 47 Dentists (per 100,000) 46 Psychiatrists (per 100,000) 46 Rate of residents in core and specialty programs (per 100,000) 46 Paramedics NV RANKING HEALTH CARE ACCESS AND CAPACITY 45 Community hospital beds (per 100,000) 46 Geographic disparity of health outcomes (as a differential percentage) 38 Persons lacking access to primary care 51* Adults with a usual source of care 50 Children with a medical home 47 Adults who visited a doctor in the past two years 40 Adults who visited a dental clinic in the past year 50 Children who received medical and dental preventive care NV RANKING HEALTH CARE QUALITY 38 Mortality rate of cases amenable to health care (per 100,000) 50 Medicare readmissions after 30 days (of admissions) 45 Medicare patients who gave a best rating for health care received in past year 45 Hospital patients who received recommended care for acute myocardial infarction, congestive heart failure, or pneumonia 46 Adult diabetics who received recommended preventive care NV RANKING MATERNAL & CHILD HEALTH 39 Mothers receiving late or no prenatal care 50 Children immunized NV RANKING MINORITY HEALTH DISPARITIES 1 (worst) Diabetes death rate among Blacks (per 100,000) 40 Preterm births among Hispanics 41 Preterm births among Blacks NV RANKING HEALTH & WELL-BEING 41 Years of life lost due to premature death (per 100,000) 48 Age-adjusted death rate by suicide (per 100,000) 42 Heart disease death rate (per 100,000) 31 Breast cancer death rate (per 100,000 women) 50 Colorectal cancer death rate (per 100,000) 51 * Adults reporting poor mental health

9 Nevada s Health Ranking Source: America s Health Rankings, United Health Foundation, 2008

10 Nevada ranks lower for health determinants than for health outcomes, indicating that overall healthiness may decline over time.

11 Nevada System of Higher Education efforts What has been done

12 NSHE University of Nevada School of Medicine

13 Celebrating 40 years: 1969 to full-time faculty 73 part-time faculty 157 classified staff About 800 volunteer faculty

14 Who We Are: Students, Residents and Fellows 235 medical students 151 basic science graduate students 263 residents and fellows

15 Medicine Increased medical student class size from 52 to 62 Increased Graduate Medical Education (GME) trainees from 222 to 280 Increased faculty from 272 to 300

16 Western Schools of Medicine: class sizes UNSOM (1969) U. Arizona (1964) U. Utah (1942) U. N. Mexico (1961) 0 class size

17 College of Osteophatic Medicine Class size 135

18 New combined degree programs: M.D./M.P.H., M.D./Ph.D., M.D./MBA and B.S./M.D. The B.S./M.D. accelerated path began at University of Nevada, Reno in 2008 and will start at University of Nevada Las Vegas in fall 2010

19 Professional education for rural Nevada 70 courses annually; more than 1,050 participants at 18 rural sites Telemedicine 12 clinical specialties across 49 rural sites 240 patients seen remotely since Jan. 2008

20 In 2010 the University of Nevada School of Medicine was recently named as a top 10 allopathic medical school contributing the most to the pipeline of family physicians. This honor, awarded by the American Academy of Physicians The University of Nevada School of Medicine graduated 15.8 percent of its students who chose to enter family medicine over the last three years.

21 Resources

22 Center for Molecular Medicine 100,000 square foot state-of-the-art research building Health Sciences Education Building 50,000 square foot building for inter-disciplinary health sciences students education UNSOM has the capital facilities to expand the class to 100 but resources are needed to support the necessary faculty/staff

23 Eight residencies: family medicine, internal medicine, pediatrics, emergency medicine, OB/GYN, plastic surgery, general surgery, psychiatry Eight fellowships: child/adolescent psychiatry, geriatrics, palliative medicine, surgical critical care, acute care surgery, sports medicine, FM OB/GYN, medical oncology

24 Adding training programs in neurology, otorhinolaryngology, gastroenterology and pathology

25 UNSOM s current model is a distributed model with slightly over half of graduate medical education provided at University Medical Center in Las Vegas. Additional GME relationships include VA Medical Center: Renown in Reno: Sunrise in Las Vegas: Internal Medicine, Family Medicine, Psychiatry, Surgery Internal Medicine, Family Medicine, Psychiatry Pediatrics

26 The Western States GME programs Sources :ACGME, AOA

27 Western States and Universities: GME Residencies

28 Western States and Universities: GME Fellowships

29 Local Partnership with hospital and health care facilities State Funding for GME Federal Medical Residency Caps

30

31 Nursing Statistics

32 Nursing Statistics

33 Nursing Statistics

34 NSHE Nursing Programs

35 NSHE has nursing programs in each educational unit and offers a full range of nursing programs including In Southern Nevada: UNLV RN BSN RN to BSN MSN Doctorate College of Southern Nevada LPN RN AAS Nevada State College RN BSN RN to BSN 35

36 NSHE has nursing programs in each educational unit and offers a full range of nursing programs including In Northern Nevada: UNR RN BSN RN to BSN MSN Great Basin College RN AAS RN BSN Truckee Meadows Community College RN AAS Western Nevada College LPN RN AAS 36

37 Several new RN training programs have been developed in Nevada over the past several years Touro University BSN RN-BSN MSN Doctorate in Nursing Practice Apollo College - Associate of Applied Science in Nursing (ADN Degree) National University - Associate of Science in Nursing (ASN Degree) Kaplan College - LPN program University of Southern Nevada - BSN Source: Nevada State Board of Nursing website, accessed May 30, 2010.

38 Nursing In 2006 NSHE programs doubled the enrollment in undergraduate nursing

39 Nursing: NSHE Enrollment NSHE Nursing Degrees Number of Graduates Program 07/08 PHD - UNLV 2 MSN-UNLV 38 MSN-UNR 17 BSN-NSC 98 BSN-UNLV 136 BSN-UNR 107 BSN-GBC 3 AAS-CSN 170 AAS-GBC 15 AAS-TMCC 64 AAS-WNC 49 LPN-CSN 25 LPN-WNC 1 TOTAL 725 Source: NSHE Data Warehouse & IPEDS

40 NSHE s doubling of nursing enrollment between 2000 and 2005 and development of private nursing schools, have resulted in a significant increase in the number of Nevada nursing graduates Graduates from Nevada Nursing Programs In (approx. 84% are from NSHE programs) / / / / / / / / / / /2008 Sources: Nevada State Board of Nursing, Annual Report

41 Nevada s neighboring states have significant shortages of nursing professionals, suggesting that there is limited opportunity to attract nurses from surrounding states to Nevada Registered Nurses State Per 100,000 Rank California Utah New Mexico Nevada Arizona National Average 824 Source: Kaiser State Health Facts, accessed May 5, 2009; 2007 data from Bureau of Labor Statistics and U.S. Census Bureau

42 Nursing Growth: Critical Elements Clinical Training Capacity Recruitment of Nurses from Health Care Facilities Nursing Enrollment Nursing Grads Passing NCLEX Nurses Practicing in Nevada Qualified Student Pipeline Increasing Pass Rate Increases Nurses Adapted from NHA issue brief Nurse Shortage 2008

43

44 System-wide Nursing Collaboration Implementation of common application process Establishment of common admission requirements for all NSHE pre-licensure nursing programs Development of common student graduate survey Extension of articulation agreements amongst NSHE programs

45 Joint Public Health PhD Program (UNLV and UNR approved December 2008) Joint Doctor in Nursing Practice (DNP) Program (UNLV and UNR approved December 2009)

46 Shadow Lane Campus: Nevada State College, UNLV, UNR State-of-the-art labs, seminar rooms and smart classrooms 31,500 square feet Sharing of resources Training side by side

47 The Nevada Nursing Education and Practice Alliance (NNEPA) has been formed and has identified a work plan to be executed through three work groups: Leadership Education Work Place Redesign Early projects the group has focused on include: An electronic student clinical placement system A standardized student orientation program

48 In addition to educational benefits NSHE provides direct benefits to Nevadans through direct clinical services

49 Direct Care Provided: $16,607,962 Supervised Indirect Clinical Care While Pursuing Degree: 2,047,076 hrs

50 Nevada is suffering a significant shortage of health care professionals and has poor health indicators These are the results of the inability of the state to keep up with the fast growth in population of the past 20 years The solutions of these problems are complex (and are made more difficult by the current financial situation) and require a multi-strategy approach that will require investment from the state, from the private sector, and establishment of public and private partnerships

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