UNIVERSITYOF NEVADA, LAS VEGAS DIFFERENTIAL FEE PROPOSAL FOR UNLV S SCHOOL OF NURSING

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1 UNIVERSITYOF NEVADA, LAS VEGAS DIFFERENTIAL FEE PROPOSAL FOR UNLV S SCHOOL OF NURSING Response to Specific Board Policy Questions: 1. Student Involvement: Students have been contacted via , meetings and in classroom settings. They all acknowledged the tuition at UNLV is lower than the national average and several felt raising the tuition may actually increase the stature of the program. However, it is important to note that no students embrace paying higher fees, and for many they would prefer any impact was after they complete the program. The students do understand, however, that differential fees is being proposed as an alternative to possible program elimination. It is estimated that 20% of the current upper division (3 rd and 4 th year) students would be adversely affected by an increase in tuition. Nursing students recognize that local private schools charge at least 4 times the current UNLV tuition. They are willing to pay extra to ensure that the program continues year round so that they can complete it in 16 months, rather than 2 academic years. Students also expressed concerns regarding the speed of the increases (somewhat mitigated now by deferring the start of differential fees from Fall 2011 to Spring 2012) and that increased perception of program quality would have to keep pace with increases. 2. Special Course Fees. Listed below is information on the current courses fees for all courses impacted by differential fees, along with the proposed adjustments to assure that all remaining course fees are for consumables only. Please note we are showing the Board approved course fees (>$50) as well as the campus/president approved fees. All fees were reviewed as part of this analysis to assure that the only fees remaining would be for items consumed during the course of the semester by students. Board Campus Non-"Consumables" New/Final Approved Approved Portion Course Fee NURSING NURS 305 $60 $0 $60 NURS 306 $50 $0 $50 NURS 307 $60 $0 $60 NURS 308 $50 $0 $50 NURS $300 $180 $120 NURS 320 $50 $0 $50 NURS 329 $300 $180 $120 NURS 338 changed to eliminated NURS 340 $50 $0 $50 NURS 342 $300 $180 $120 NURS 410 $10 $0 $10 NURS $300 $180 $120 NURS 418 $50 $0 $50 NURS 419 $50 $0 $50 NURS 423 $50 $0 $50 NURS 424 $50 $0 $50 NURS 425 $300 $180 $120 NURS 427 $50 $0 $50 NURS 703 $10 $0 $10 NURS 706 $40 $0 $40 NURS 713 $40 $0 $40 NURS 731 $10 $0 $10 NURS 752 $40 $0 $40 NURS 755 $40 $0 $40 NURS 769 $50 $0 $50 (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 7 of 26 7

2 NURS 770 $40 $0 $40 NURS 785 $40 $0 $40 NURS 797 $40 $0 $40 Does not include NURS 140 or 299, both of which are pre-nursing open to all students, and with no clinical component. Note: NURS 319 was changed to 401; NURS 415 was changed to 313 and NURS 319 and NURS 415 will be eliminated after Spring semester NURS 401 and NURS 313 will be offered Spring 2011 as well, as the one semester overlap is due to the phasing in of the new curriculum (and fees will be assessed to all four courses). The course fees remaining for Nursing will cover the following consumables: At the undergraduate level these lists have consisted of the linen for the hospital beds, patient gowns, washcloths & towels; bandages, gloves, fake blood, fake medications, needles, syringes, gauze, alcohol wipes, soap, all sorts of tubes and catheters, tongue depressors, connectors for opthalmoscopes and otoscopes, batteries, oxygen administration. At the graduate level, nursing course fees cover the following: Lab supplies like linen for the hospital beds, patient gowns; bandages; gloves; gauze; alcohol wipes; soap; the semester software license for a database used to track the student's clinic and course requirements; and the HESI standardized exam in preparation for National Boards. 3. High Demand Programs. Nursing Program Enrollments Annual FTE Standing FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 Lower Division Upper Division Masters Doctoral Total Student s (Note: Nursing does not use Wait Lists ) Bachelor of Science in Nursing Applicants Wait Listed Denied % Denied FY % FY % FY % FY % FY % Master of Science in Nursing Applicants Wait Listed Denied % Denied FY % FY % FY % FY % FY % (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 8 of 26 8

3 Ph.D. In Nursing Applicants Wait Listed Denied % Denied FY % FY % FY % FY % FY % School of Nursing Program Demand: Gaining a seat in any school of nursing is highly competitive. Acceptance rate to a SON is 42.3% according to the American Association of College of Nursing (AACN, 2010). Across the nation 42,000 qualified students were turned away from baccalaureate programs alone due to space limitations in schools of nursing. UNLV currently has 565 prenursing students who will compete for 48 seats three times a year. Students will turn to the for-profit education sector if this is not offered at UNLV or will seek a lower level of education in order to pursue a BSN and be qualified to be licensed as an RN. In Las Vegas, the costs for a two year associate degree at a for-profit institution can be up to $52,000. A review of salaries for beginning BSN graduates in the Las Vegas area found that the starting salary range is $52,000 to $59,000. These salaries do not reflect shift differentials or benefits and these can drive up the actual take home pay of RNs. Nationally, the salaries range from $46,852 to $67,451 (Payscale, 2010). For the Masters of Science in Nursing program, Nevada has one of the lowest ratios of nurse practitioners per capita in the nation (15.2 nurse practitioners per 100,000 population, well below the national rate of 33.7). Nationally, there has been a 10.9% growth in MSN students and approximately 5,902 qualified applicants were turned away due to faculty and resource constraints. At UNLV, there were three applicants for every one position for the Family Nurse Practitioner Program. A review of salaries for beginning FNP graduates in the Las Vegas area found that the starting salary range is $90,000 to $110,000. For MSN Nurse Educators, the salary depends upon the academic institution for which they work. It is often below a full time clinical nursing salary. In the Nursing PhD program: Approximately 1,002 qualified applicants were turned away from doctoral programs across the country. UNLV has the only PhD in Nursing in the state and has approximately 30 enrolled students. Thirteen out of 18 applicants were accepted for Fall UNLV PhD in Nursing graduates have almost all gone into academia. These salaries depend upon the academic institution for which they work. While these salaries are significantly lower than those that can be earned in the clinical setting, Nursing faculty are eligible for loan forgiveness programs. 4. High Cost Programs. The information below compares the average cost per FTE student (for FY10) for the differential fee program to the average cost per FTE student for the entire institution. The projected total cost information below includes instructional costs and all other projected support costs within the total state budget. Program Average Cost per AAFTE Program Cost Rank at UNLV Institutional Average $11,833 Nursing $19,063 6 th out of 62 (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 9 of 26 9

4 Nursing Instruction Program Costs 1 Non Instruction Pro Rated General Fund Costs 2 Total General Fund Program Costs State General Fund Portion of Registration Fees Pro Rated General Fund Revenue Total State Supported Revenue % of Total GF of Total Revenue Collected Tuition FY 07 4,707,683 2,343,271 7,050,954 1,170,444 1,810,112 4,070,398 7,050, % FY 08 5,562,449 3,398,131 8,960,580 1,359,272 1,736,767 5,864,540 8,960, % FY 09 6,089,721 3,737,387 9,827,108 1,546,318 1,605,992 6,674,798 9,827, % FY 10 6,044,272 3,840,679 9,884,951 1,543,248 1,456,726 6,884,977 9,884, % FY 11 6,085,810 3,157,754 9,243,564 1,651,144 1,568,004 6,024,415 9,243, % 1 2 Accounts for Programs were identified by the Provost Office and the Budget Office Gathered Expense Data for the identified accounts from Advantage. This is a per AAFTE calculation using the department's AAFTE to appropriate the non instructional functions to the department's expenses. 5. Projected Revenues and Expenditures. Summary of Projected Annual Revenue from Differential Fees (NOTE: The estimates below are based on FY10 enrollment numbers. The implementation of the differential fee program could impact the total number of enrollments and therefore the total incremental revenue). Projected Revenue Distribution Acad Year Summer Total Program Fin aid Dpt/Course Total Nursing $1,085,735 $543,814 $1,629,549 $1,279,457 $244,432 $105,660 $1,629,549 Summary of use of Program Funds noted above: Help fund professional staff that assist in skills and simulation training. Help fund clinical faculty and PTI s. If funding allows, hire a clinical coordinator to assist with clinical placements. Contribute to the purchase and operation of a state-wide student clinical placement system. (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 10 of 26 10

5 Distribution of Fees and Tuition Differential Fees UNLV School of Nursing The following fee distribution for the University of Nevada, Las Vegas, Nursing designated courses (based on the course designator noted below) has been approved by the Board of Regents: Fees Effective January 1, 2012 Upper Division Graduate Undergraduate Nursing (NURS designator) Undergraduate Financial Aid 15% of Diff Fee N/A Graduate Financial Aid N/A 15 % of Diff Fee Non-Consumable Course Fee 10.1% of Diff Fee 0% of Diff Fee Offset Program direct revenue 74.9 % of Diff Fee 85 % of Diff Fee WUE Student: Would pay 1.5 times the differential fee increment. Good Neighbor: Would pay the full differential fee rate, in addition to the Good Neighbor rate Distance Ed Rates: Would reflect the same differential fee increment. 6. Proposed Fee. DIFFERENTIAL FEE LEVELS EFFECTIVE SPRING 2012 ACADEMIC YEAR AND SUMMER 2012: The differential fee rates for these three programs will remain as noted below unless changes are approved by the Board (for Academic Year and Summer Terms). The differential fees will apply to courses with designators as noted below: Fees Effective January 1, Discipline Course Pre-Fix Course Level Amount (per credit hour) Nursing NURS $ Nursing NURS 500 and above $ (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 11 of 26 11

6 Comparative Program Costs: The information provided below shows current comparisons for the program costs for Nursing compared with other programs locally offered in the Las Vegas Area, through private institutions. Total Program Cost Comparisons (Does not include any mandatory fees, for UNLV or the local private institutions) Current Registration Proposed Differential Compare to Fees Fee Structure Fee Structure at Local Pvt. Univ. UNLV Nursing 9.4k 18.8k 34.7k (16 mo. Prgm) (60 SCH s) (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 12 of 26 12

7 PROPOSED REVISIONS P&G MANUAL CHAPTER 7, SECTION 7 (in part) UNLV - Nursing Special Course Fees Additions appear in boldface italics; deletions are [stricken and bracketed] University of Nevada, Las Vegas.... NURS 305, Patient Centered Care: Basic Principles NURS 307, Health Assessment of Diverse Populations NURS [319] 401, Nursing Care of Older Populations NURS 329, Physical Assessment Skills NURS[ 338] 342, Fundamental Nursing Skills NURS [415] 313, Nursing Care of the Acutely III Populations NURS 425, Managing Complex Nursing Care in Diverse Population $60.00/course $60.00/course Revisions effective January 1, 2012 (BOARD OF REGENTS' AGENDA 12/02/10 & 12/03/10) Ref. BOR-11, Page 13 of 26 13

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