DIFFERENTIAL PROGRAM FEE PROPOSALS

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1 DIFFERENTIAL PROGRAM FEE PROPOSALS Background At the April 2010 special meeting, the Board adopted provisions authorizing institutions to establish differential program fees under certain circumstances and mandated the Chancellor to develop policies and procedures concerning the implementation of such. The policy authorization provides that programs that can be justified as high cost and/or high demand may be considered for differential program fees. Further, the policy limits the application of such fees to upper-division course work and graduate level programs only. (Title 4, Chapter 17, Section 20) Differential Program Fee Proposals In proposing a differential fee, institutions are required to provide the following information, based on the Board s directive at the September 2010 meeting and out lined in the NSHE Procedures and Guidelines Manual (Chapter 7, Section 6): Indicate how student involvement was obtained and how any concerns raised by students were addressed. Identify all existing special course fees associated with the program, indicating those that will be eliminated. In accordance with Board policy, at the upper-division ( level) and graduate level special course fees for consumables may be continued and continuing special course fees must identify the consumables covered by the fee. An institution may include the cost of consumables in the differential program fee. Special courses fees for lower division ( level) course work may continue. For high demand programs, indicate program demand by including program enrollments for the preceding five years and total number of students wait-listed or denied admission in the program during the preceding five years. For high cost programs, indicate total annual program costs as a function of total revenues and expenditures for the preceding five years. Indicate estimated revenue generated from the proposed program fee based on projected enrollments and how such funds will be expended in support of the program. Based on these guidelines, the following pages include the institutional proposal for differential program fees in Nursing at UNR. (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 1 of 18

2 University of Nevada, Reno Differential Fees Proposal For Orvis School of Nursing Programs (BSN, RN-to-BSN and MSN) 1 (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 2 of 18

3 UNIVERSITY OF NEVADA, RENO DIFFERENTIAL FEES (TUITION) PROPOSAL FOR ORVIS SCHOOL OF NURSING Table of Contents The Orvis School of Nursing. 3 Background Mission Vision Introduction 3 Student Involvement.. 4 Special Course Fees 4 High Demand Programs. 5 High Cost Programs 7 Proposed Differential Fees Plan for Implementation of Differential Fees... 9 Projected Revenues and Expenditures... 9 Distribution of Fees Summary of Planned Use of Projected Revenue Planned Program Outcomes Comparative Program Costs References 14 2 (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 3 of 18

4 UNIVERSITY OF NEVADA, RENO DIFFERENTIAL FEES (TUITION) PROPOSAL FOR ORVIS SCHOOL OF NURSING The Orvis School of Nursing Background: The Orvis School of Nursing (OSN) was founded in 1957 and became the first nursing program in the state of Nevada and the first program to offer a Bachelor of Science in Nursing (BSN) program, a Master of Science in Nursing (MSN) program, and a Registered Nurse (RN)-to-BSN program, which is totally online, for practicing nurses with Associate Degree nursing education. In collaboration with the school of nursing at UNLV, the Orvis School of Nursing also offers a Doctor of Nursing Practice degree. The Orvis School of Nursing remains the only nursing program in northern Nevada to offer baccalaureate and graduate degrees in nursing. In 2012, the Orvis School of Nursing has 8 tenured and tenure-track faculty and 15 non-tenure track faculty. Ten (43%) of the 23 full-time faculty hold a research-focused doctoral degree, and two of the full-time faculty are enrolled in PhD programs. The Orvis School of Nursing student body consists of 200 undergraduate students, 63 master s students and 12 Doctor of Nursing Practice students. As the Orvis School of Nursing has grown in relation to educational programs, growth has also been experienced in relation to scholarship and research. In FY 2012, OSN faculty received approximately $500,000 in external research and program funding, including funding from the NIH-National Institute of Nursing Research (NINR). Mission: The mission of the Orvis School of Nursing at the University of Nevada, Reno is to prepare individuals for both entry-level and advanced nursing roles by providing excellent academic programs integrating recognized educational standards. The curriculum emphasizes nursing care of individuals, families and populations throughout the lifespan, among diverse cultures and beliefs, and across all socioeconomic groups in the context of their environments by providing a strong foundation for evidence-based practice, critical thinking and leadership. In concert with the University s mission as a land grant institution, the Orvis School of Nursing provides service to our local community, to the state of Nevada and to the professional community at large. Vision: The vision of the Orvis School of Nursing at the University of Nevada, Reno is to be a leader in quality nursing education, research and service in partnership with our community of interest, locally, statewide and worldwide. Introduction Implementation of differential fees, effective in January 2014, is proposed for all NURS-prefix courses required in the programs of study for the Bachelor of Science in Nursing (BSN), Registered Nurse (RN)-to-BSN and Master of Science in Nursing (MSN) degree programs offered through the Orvis School of Nursing at the University of Nevada, Reno. The proposed differential fees will be in addition to the existing UNR general fees. In accordance with NSHE Board of Regents guidelines, it is also proposed that, for all courses with differential fees, special course fees for (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 4 of 18 3

5 nonconsumables currently paid by students be eliminated. In addition, 15% of all revenue generated by differential fees will be set aside for financial aid for students in the respective programs. A significant investment of resources is required to educate nursing students to meet the challenges of a rapidly changing healthcare environment. The funds generated from differential fees will be used solely to enhance the quality and growth of the nursing programs, and, hence, to continue to offer rigorous degrees that make our students highly competitive for Nevada s healthcare workforce and fill the evolving and growing needs for nurses in entry-level practice, advanced practice, nursing education and leadership roles. Student Involvement All BSN and MSN students were contacted through face-to-face meetings with Dr. Patsy Ruchala, Director of the Orvis School of Nursing, during the first two weeks of classes in fall semester Since the RN-to-BSN program is a totally online program, RN-to-BSN students were contacted via and meetings were held at two separate times on-campus for the RN-to-BSN students to attend. Students were also encouraged to contact Dr. Ruchala via or personal appointment to discuss the proposed differential fees with her. All students acknowledged that fees at the University are lower than the national average. In particular, students in both the BSN and MSN programs who live in California noted that paying for out-of-state tuition at the University of Nevada, Reno is a better deal than paying in-state tuition at California universities. No students, however, want to pay increased fees, and they indicated that their preferences would be to stagger any increases with implementation only to new, incoming students or to delay implementation for at least one year. Several students indicated that they had planned their academic budgets on current fees and it would be a hardship for them to continue in the program if they were faced with a differential fee increase. Other students, however, indicated that while a fee increase would not be to their liking, they would continue in the program and just find a way to pay the extra fees. Special Course Fees Table 1 lists information on the current special course fees for all courses affected by the proposed differential fees, along with proposed adjustments to assure that all remaining special course fees are for consumables only. Please note that Table 1 shows the Board of Regents approved special course fees (> $50) as well as the campus approved special course fees. All special course fees were reviewed as part of this analysis to assure that the only fees remaining would be for items used ( consumed ) by students during the course of the semester that must be replaced for the next course offering. The special course fees remaining for nursing will cover only consumable items used for nursing skills instruction. For example, undergraduate nursing students use consumable items such as gloves, dressings and bandages, syringes and catheters. (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 5 of 18 4

6 Graduate students use such items as pigs feet to practice suturing, suturing materials, alcohol wipes and connecters for ophthalmoscopes and otoscopes. Table 1: Special Course Fees for NURS 300*-, 400*-, and 700**-Level Courses Board Nursing Course Number of Regents Approved Campus Approved Non- Consumables Portion New/Final Course Fee NURS 301LR $ $10 NURS 318 $ $150 $200 NURS 346 $ $370 $40 NURS 434 $ $150 $5 NURS 454 $ $ NURS 750R $ $300 $75 NURS 756 $ $ *300- and 400-level courses are undergraduate-level courses **700-level courses included in this list are for the master s program only High Demand Programs OSN Program Enrollments (NOTE: Nursing does not use Wait Lists ) Tables 2, 3 and 4 indicate the demand related to total numbers of qualified applicants, numbers of applicants denied admission and subsequent percentage of applicants denied admission to the entry-level BSN program, RN-to-BSN program and MSN program, respectively, over the past five years. As indicated by the tables, all programs offered through the OSN are in much greater demand than our capacity to admit students. Table 2: BSN Program Applicants and Admissions over Past 5 Years Qualified Applicants Wait Listed Denied Admission % Denied Admission FY FY FY FY FY Table 3: RN-to-BSN Program Applicants and Admissions over Past 5 Years Qualified Applicants Wait Listed Denied Admission % Denied Admission FY FY FY FY FY (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 6 of 18 5

7 Table 4: MSN Program Applicants and Admissions over Past 5 Years Qualified Applicants Wait Listed Denied Admission % Denied Admission FY FY FY FY FY Orvis School of Nursing Program Demand: According to the American Association of Colleges of Nursing (AACN, 2012), enrollment in baccalaureate, master s, and doctoral nursing programs increased last year as more nurses answered the call to advance their education. AACN further identified that in the academic year, 255,671 completed applications were received for entry-level baccalaureate nursing programs (a 5.6% increase from 2010) with 159,387 meeting admission criteria and 101,060 applications accepted, translating into an acceptance rate nationally of 39.5%. Nationally and in Nevada, admission to any school of nursing is highly competitive (Benner, Sutphen, Leonard & Day, 2009; RWJF, 2010). The Orvis School of Nursing currently has 724 pre-nursing students along with transfer students, who compete for 48 seats two times per year. Students turn to the for-profit education sector when unable to be admitted to an NSHE nursing program. In Reno, there is one local for-profit nursing program, which confers only an Associate degree in Nursing at a cost of $48,000 for the two-year program. In addition to those students denied admission at the baccalaureate level, AACN (2012) found that across the nation the numbers of applicants also exceeds the capacity for admission to RN-to-BSN, master s and doctoral programs in nursing. In 2010, the Institute of Medicine released its landmark report on The Future of Nursing, which called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% by The Orvis School of Nursing is one of 650 nursing programs across the country (AACN, 2012), and one of three schools within the State of Nevada offering an RN-to- BSN program for nurses prepared with an Associate Degree to further their education. The largest healthcare system in northern Nevada, Renown Health, has only approximately 50% of its nursing workforce minimally educated with a BSN degree. Renown Health s administration is committed to following the recommendations set forth in The Future of Nursing report to increase their baccalaureate-prepared workforce to 80% by In addition, three nursing programs in the Reno and Carson City areas graduate approximately 150 students with Associate Degrees in Nursing annually. Therefore, the Orvis School of Nursing is uniquely positioned to meet the needs of the community to provide baccalaureate-level education to currently practicing nurses. (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 7 of 18 6

8 Nevada has one of the lowest ratios of nurse practitioners per capita in the nation at 15.2 nurse practitioners per 100,000 population, well below the national rate of Nationally, there has been a 10.9% growth in students pursuing master s-level nursing education, and approximately 13,198 qualified applicants nationally were denied admission to master s programs due to faculty and resource constraints (AACN, 2012). At the Orvis School of Nursing there were two to three applicants for every one position for the Family Nurse Practitioner track. In addition, one of the primary reasons indicated for denial of admission of applicants for all levels of nursing education is the lack of qualified faculty (AACN, 2012). Nurses must have a minimum of a master s degree to serve as faculty in nursing programs in Nevada. In addition to its Family Nurse Practitioner and Clinical Nurse Leader tracks, the Orvis School of Nursing also offers a master s-level track for aspiring Nurse Educators. As indicated in the Tables 2, 3 and 4 of this proposal, data for the past five years indicate that the Orvis School of Nursing continually has more applicants for its program offerings than can be handled by the current school capacity. The entry-level BSN and the MSN programs have consistently denied admission to a high percentage of applicants over the past five years. The RN-to-BSN program, for registered nurses who currently are educated at the Associate Degree level, has seen a growing demand beyond our current capacity over the past two years. As the local healthcare organizations begin to comply with the recommendations of The Future of Nursing report (IOM, 2010) and require a higher level of education for nurses in their current workforce, it is projected that the demand for the RN-to-BSN program will continue to increase. High Cost Programs Tables 5 and 6 below provide information regarding the average cost per FTE student (for FY 2012 and for FY , respectively) for the nursing program to the average cost per FTE student for the entire university. The projected total cost information below includes instructional costs and all other projected support costs within the total state budget. Table 5: Nursing Program Cost/FTE Student and Program Cost Rank at UNR (FY 2012) Program Average Cost per FTE Student Program Cost Rank at UNR Institutional Average $12,866 N/A Nursing $21,237 3/40 (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 8 of 18 7

9 Fiscal Year Table 6: Comparison of Average Cost per Nursing Student with Average Cost per non-nursing Student (FY ) UNR Average Percent Over UNR UNR Cost/FTE UNR Average Average Average All For All Cost /FTE Cost/FTE Disciplines Disciplines Nursing All (Nursing (Nursing ($/FTE) Disciplines Excluded) Excluded) Program Cost Rank for Nursing at UNR 2008 $22,509 $15,348 $15, % 5/ $23,213 $15,553 $15, % 5/ $22,248 $13,906 $13, % 3/ $21,683 $13,362 $13, % 3/ $21,237 $12,866 $12, % 3/40 As indicated by the above data, nursing is a high cost academic program and has ranked in the top five most costly programs at the University in relation to average cost per student FTE for the past five fiscal years. Proposed Differential Fees The proposed differential fees for the Orvis School of Nursing are presented in Table 7. Once approved, no changes can be made to these fees (for Academic Year and Summer Terms) unless the changes are approved by the NSHE Board of Regents (for Academic Year and Summer Terms). The differential fees will apply to courses with designators as noted below: Table 7: Proposed Differential Fees (Fees Effective January 1, 2014) Amount Discipline Course Prefix Course Level (per credit hour) Nursing NURS * $ Nursing NURS ** $ *Does not include NURS 300, which is a required pre-requisite course for the nursing major. **Does not include NURS 700-level courses required for the Doctor of Nursing Practice program curriculum (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 9 of 18 8

10 Plan for Implementation of Differential Fees Based on input from current students in the BSN, RN-to-BSN and MSN programs, discussions with Orvis School of Nursing faculty and following the example used by the UNLV School of Nursing for implementation of differential fees at UNLV, the Orvis School of Nursing plans to wait one calendar year after Board of Regents approval of this proposal to implement differential tuition. Therefore, pending approval of the aforementioned amounts proposed for differential fees, the differential fees will be assessed on all required NURS-prefix courses for the BSN, RN-to-BSN and MSN programs for all new and for all continuing nursing students effective January 1, During the calendar year 2013, all new, continuing and prospective nursing students will be notified in a variety of ways (i.e, OSN website announcements, admission letters, personal communication from the OSN Director via and written letters) regarding the amount of differential fees to be implemented for their respective programs and the date for implementation. This plan provides sufficient time for notification of new, matriculating and prospective students about the date of implementation and provides them with an entire year to develop strategies to cover the additional cost for differential fees. Projected Revenues and Expenditures Table 8: Orvis School of Nursing Summary of Projected Annual Revenue and Expenses from Differential Fees (Based on FY12 Enrollment/SCH Data) Projected Revenue Projected Expenditures Program Academic Year Summer Total Program Financial Aid Non- Consumables Special Course Fees Offset Other (Salaries, Fringes, Operating, etc.) Total BSN $626,059 $221,017 $847,076 BSN $127,061 $133,510 $586,505 $847,076 RN-to- $ 75,553 0 $ 75,553 RN-to- $ 11,333 0 $ 64,220 $ 75,553 BSN BSN MSN $190,881 $ 21,555 $212,436 MSN $ 31,865 $ 12,925 $167,646 $212,436 TOTAL $892,493 $242,572 $1,135,065 TOTAL $170,259 $146,435 $818,351 $1,135,065 (NOTE: The estimates above are based on FY 12 enrollment/student credit hour numbers. The implementation of the differential fees program could impact the total number of enrollments and therefore the total incremental revenue.) (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 10 of 18 9

11 Distribution of Differential Fees Using FY 2012 enrollment and student credit hour generation, Table 9 depicts the percentage and dollar amount of differential fees that would be generated for the undergraduate and graduate nursing programs, respectively, for student financial aid and non-consumable course fee offset and the percentage and dollar amount of direct revenue that would be generated by the differential fees for use by the Orvis School of Nursing. Implementation of the differential fee program would impact the total number of enrollments and, therefore, the total incremental revenue. Table 9: Distribution of Differential Fees (Effective January 1, 2014) Upper Division Undergraduate Graduate Nursing (NURS designator) Undergraduate Financial Aid 15.00% of Differential Fees ($138,394) Graduate Financial Aid N/A 15.00% of Differential Fees ($31,865) Non-Consumable Special Course Fees Offset Program direct revenue (%) 15% of Differential Fees ($133,510) 70% of Differential Fees N/A 6.00% of Differential Fees ($12,925) 79.00% of Differential Fees Program direct revenue ($) $650,725 $167, (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 11 of 18

12 Summary of Planned Use of Projected Revenue The plan for use of the projected generated revenue indicated in Tables 8 and 9 is as follows: 15% of all revenue generated by differential fees will be set aside for financial aid for students in the respective programs. Additional operating costs associated with program growth Salaries and fringe benefits for additional faculty and staff (9 full-time and 11 part-time faculty and 2 classified staff) to be added over a three-year period Table 10 indicates the plan for hiring additional nursing faculty and classified staff over a three-year period. Table 10: Summary of Projected Faculty/Staff Hiring over Three-Year Period Additional LOA Faculty or Full-Time Faculty B-Contract Non-Tenure Track Full Time Faculty B-Contract Tenure Track Full Time Faculty A-Contract Non-Tenure Track Increased Undergraduate and Graduate Clinical Course Oversight Classified Staff FY FY FY Total Projected Program Outcomes If the proposed differential fees are approved, outcomes for the Orvis School of Nursing BSN, RN-to BSN and MSN programs will be to: Increase enrollment in the entry-level BSN program by 33% Double enrollment in the RN-to-BSN program Increase enrollment in MSN-Nurse Educator Track In addition, enrollment in the Family Nurse Practitioner (FNP) and Clinical Nurse Leader (CNL) tracks in the MSN program may be increased and additional tracks may be added to the MSN program pending sufficient revenue generation and community need. (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 12 of 18 11

13 Comparative Program Costs The table below provides cost comparisons for tuition for all courses taken within the respective program nursing major only (no cost for prerequisite courses are included) in baccalaureate programs in nursing in Nevada and other Mountain West states. Tuition costs are based on rates for the academic year. Table 11: Baccalaureate Program Cost Comparisons: Total Nursing Major Tuition Costs in Baccalaureate Programs in Nursing in State Universities in Nevada and Selected Other Mountain West States Institution University of Nevada, Reno (Current Fees) Arizona State University Boise State University Program Tuition Per Student (Undergraduate) In State Does Institution have Differential Fees for Nursing? Comments $10, No Additional fees = $1, total for program $12, No Additional fees = $7, total for program $14, No Additional fees = $2, total for program California State- $14, No Sacramento University of Utah $15, Yes Differential tuition included in total program costs Montana State University University of Nevada, Reno (Proposed Fees Costs) University of Washington University of Nevada, Las Vegas University of Colorado $16, No Additional fees = $2, total for program $19, Proposed Proposed differential fees included in projected total program cost; Proposed additional fees for supplies considered consumables for skills labs = $ $19, No $20, Yes Differential tuition included in total program costs; Additional fees for supplies considered consumables = $1, $22, Yes Differential tuition included in total program costs (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 13 of 18 12

14 The table below provides cost comparisons for tuition for all courses taken within the respective program nursing major only (no cost for prerequisite courses are included) in master s programs in nursing in Nevada and other Mountain West states. Tuition costs are based on rates for the academic year. Table 12: Master s Program Cost Comparisons: Nursing Major Tuition Costs in Master s Programs in Nursing in State Universities in Nevada and Selected Other Mountain West States Program Tuition Per Student (Graduate) In State Does Institution have Differential Fees for Nursing? Institution Comments University of $9, $14, No Additional fees = Nevada, Reno $ total for (Current Fees) program University of Utah $16, Yes Differential tuition included in total program costs University of Nevada, Reno (Proposed Fees Costs) University of Nevada, Las Vegas University of Washington $17, $27, Proposed Proposed differential tuition included in projected total program cost; Proposed additional fees for supplies considered consumables for skills labs = $75.00 $19, $24, Yes Differential fees included in total program costs; Additional fees for supplies considered consumables = $ $30,360 No Arizona State University $39,060 No 13 (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 14 of 18

15 References American Association of Colleges of Nursing (2012) Enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: Author Benner, P., Sutphen, M., Leonard, V., and Day, L. (2009). Educating nurses: A call for radical transformation. San Francisco: Jossey-Bass. Institute of Medicine (2010). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press. Robert Wood Johnson Foundation (2010). Expanding America s capacity to educate nurses: Diverse, state-level partnerships are creating promising models and results. Princeton, NJ: Author (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 15 of 18 14

16 PROPOSED REVISIONS P&G MANUAL CHAPTER 7, SECTION 7 Differential Fees Additions appear in boldface italics; deletions are [stricken and bracketed] Section 7. Differential Program Fees The following differential program fees have been reviewed and approved by the Board of Regents. Rates are assessed in addition to registration fees. Program Course Prefix Course Level Amount Effective Date University of Nevada Las Vegas Architecture AAD, AAE, ABS, AAL, LAND, $156.75/credit Spring 2012 AAI, AAP Architecture AAE, AAD $239.50/credit Spring 2012 Business MBA, FIN, MKT, MGT $100.00/credit Spring 2012 Nursing NURS $156.75/credit Spring 2012 Nursing NURS $239.50/credit Spring 2012 Physical DPT $239.50/credit Spring 2012 Therapy Social Work SW 700 $125.00/credit Fall 2012 Urban UBL 700 $150.00/credit Fall 2012 Leadership University of Nevada, Reno Business ACC, BADM, BUS, ENT, GAM, $100.00/credit Fall 2011 FIN, IS, MGT, MKT [Engineering] [BME, ENGR, CHE, CEE, CPE, [ ] [$21.25/credit] [Fall 2011*] CS, EE, GE, ME, MINE, MSE] Engineering BME, ENGR, CHE, CEE, CPE, $42.50/credit Fall 2012* CS, EE, GE, ME, MINE, MSE Engineering BME, ENGR, CHE, CEE, CPE, $85.00/credit Fall 2013* CS, EE, GE, ME, MINE, MSE [Engineering] [BME, ENGR, CHE, CEE, CPE, [ ] [$25.00/credit] [Fall 2011*] CS, EE, GE, ME, MINE, MSE] Engineering BME, ENGR, CHE, CEE, CPE, $50.00/credit Fall 2012* CS, EE, GE, ME, MINE, MSE Engineering BME, ENGR, CHE, CEE, CPE, $100.00/credit Fall 2013* CS, EE, GE, ME, MINE, MSE Nursing NURS ** $156.75/credit Fall 2013 Nursing NURS *** /credit Fall 2013 (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 16 of 18

17 Nevada State College Nursing- Accelerated Track Only NURS $113.25/credit Fall 2012 *Phase in of per credit fee over three years. (Added 12/10; A. 4/11, 12/11) ** Does not include NURS 300, which is a required pre-requisite course for the nursing program *** Does not include NURS 700-level courses required for the Doctor of Nursing Practice Program curriculum (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 17 of 18

18 . 2. University of Nevada, Reno PROPOSED REVISIONS P&G MANUAL CHAPTER 7, SECTION 9.2 (UNR) Special Course Fees Additions appear in boldface italics; deletions are [stricken and bracketed] NURS 318, Nursing Care of the Individual Part 1: Practice NURS 346, Care of Individuals and Family NURS 434, Care of Community, Mental Health, Chronically Ill: Practice (NURS 454, Care of Clients with Complex Health Problems: Practice) NURS 750R, Advanced Health Assessment (NURS 756, Advanced Primary Care II ($350.00/course) $200.00/course ($410.00/course) $40.00/course ($155.00/course) $5.00/course ($370.00/course) ($375.00/course) $75.00/course $320.00/course). (BOARD OF REGENTS' AGENDA 11/29/12 & 11/30/12) Ref. BOR-14, Page 18 of 18

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