How To Increase Nursing Education In North Carolina

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Beverly Sullivan
5 years ago
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1 The RIBN Project

2 NC Nursing Education Programs 59 associate degree programs (ADN) 56 based in community colleges 18 pre-licensure BSN programs 1 pre-licensure MSN program 2 diploma programs 18 RN to BSN completion programs

pre-licensure BSN programs 1 pre-licensure MSN

3 RN Nursing Program Enrollments 9114 Pre-licensure Students: (NCBON Oct 1, 2009) 68% in Associate Degree programs 29% in BSN or generic MSN programs 3% in Diploma programs Ages: 69% < 30yrs; 31% >30yrs 1392 BSN Completion Students Ages: 32% < 30 yrs; 68% >30yrs

or generic MSN programs 3% in Diploma programs Ages: 69% <

4 RN Graduates in 2009 New Graduates in 2009 = 3898 (NCBON) 66.3% with associate degrees 30.5% with baccalaureate degrees 3.2% with diploma degrees RNs completing BSN degrees 672

5 NC Nursing Workforce Issues Growing and aging population in NC Aging workforce leading to future nursing shortage Large Faculty Retirements looming with decreasing pipeline Increasingly complex care needs and healthcare delivery systems

Large Faculty Retirements looming with decreasing pipeline

6 NC RN Nursing Workforce Greater than 66% of new graduates are prepared at the associate degree (ADN) level Less than 15% of ADNs ever complete a BSN; only 3% complete an MSN Decreasing pipeline for future faculty, advanced practice & leadership roles

ADNs ever complete a BSN; only 3% complete an MSN Decreasing

7 What is RIBN? New educational framework for dually admitting qualified students into a seamless community college and baccalaureate nursing education track to Regionally Increase the number of Baccalaureate-prepared Nurses in North Carolina.

8 WNC RIBN Background Partners Investing in Nursing s Future (PIN Grant) RWJF/NWHF/Jonas Center for Nursing Excellence of NYC Multi-regional, urban/rural project (NC & NYC) Adapt Oregon (OCNE) model to increase supply & distribution of BSN-prepared RNs WNC Project Partners: WCU, AB Tech, FFNE NC IOM 2004 Nursing Workforce Priority: Increase proportion of BSN-prepared nurses in NC

(OCNE) model to increase supply & distribution of BSN-prepared RNs WNC Project Partners: WCU,

9 RIBN Educational Track Partnership between community college and baccalaureate nursing programs Dual Admission Criteria and Curriculum approved by both institutions Recognized as BSN program by NC Nurse Scholars Commission Seamless Progression to BSN degree

Curriculum approved by both institutions Recognized as BSN

10 Four Year Curriculum Home-based at CC Years 1-3 Take one university course per semester to maintain admission status and earn credits toward BSN - Most university courses on-line Year 1 General education/nursing pre-reqs Years 2 & 3 - Complete ADN program; eligible for RN licensure Year 4: Complete BSN degree at university while being eligible to work as RN

on-line Year 1 General education/nursing pre-reqs Years 2 & 3 - Complete ADN program;

11 WNC RIBN Project Status Began model development Fall 2008 Hired WNC RIBN Nursing Advisor Fall 2009 student success advocate to market program to high schools, advise applicants, support students Approval of admission requirements, curriculum, financial aid arrangements by AB Tech & WCU Fall st cohort of RIBN students Fall 2010 First RIBN graduates in 2014

support students Approval of admission requirements, curriculum, financial aid

12 Expanding RIBN Across NC WNC RIBN serves as model 5 Regional RIBN Partnerships formed Charlotte, Eastern NC, Hickory, Rural Piedmont, Wilmington 5 universities, 13 CCs, 1 private ADN program 2012 First cohort of students begin RIBN 2016 First RIBN BSN graduates (~65 new grads)

Wilmington 5 universities, 13 CCs, 1 private ADN program 2012 First

13 Regional RIBN Partnerships WNC [pilot] Western Carolina University Asheville-Buncombe Technical Community College Hickory Lenoir-Rhyne University Western Piedmont Community College Wilkes Community College Caldwell Community College Catawba Valley Community College Mitchell Community College Alleghany Ashe Stokes Northhampton Gates Surry Rockingham Caswell Person Warren Granville Vance Hertford Watauga Halifax Wilkes Perquimans Yadkin Mitchell Forsyth Orange Bertie Avery Chowan Guilford Franklin Caldwell Durham Nash Alexander Yancey Davie Alamance Edgecombe Madison Iredell Davidson Martin Washington Tyrrell Burke Randolph Chatham Wake Haywood Buncombe Wilson McDowell Catawba Rowan Pitt Beaufort Swain Johnston Hyde Rutherford Lincoln Lee Greene Graham Henderson Cabarrus Montgomery Jackson Harnett Polk Cleveland Gaston Stanly Moore Wayne Lenoir Cherokee Macon Transylvania Mecklenburg Craven Clay Pamlico Cumberland Richmond Union Hoke Sampson Jones Anson Duplin Scotland Onslow Carteret Charlotte UNC Charlotte Gaston College Central Piedmont Community College College of Health Sciences at Carolinas Healthcare System Rural Piedmont Pfeiffer University Stanly Community College Tier One Counties Robeson Bladen Columbus Brunswick Pender New Hanover Eastern North Carolina East Carolina University Lenoir Community College Beaufort Community College Roanoke-Chowan Community College Pitt County Community College Dare Wilmington UNC Wilmington Cape Fear Valley Community College

Watauga Halifax Wilkes Perquimans Yadkin Mitchell Forsyth Orange Bertie Avery Chowan Guilford Franklin Caldwell Durham Nash Alexander Yancey Davie Alamance Edgecombe Madison Iredell Davidson Martin

14 Expected Outcomes Increase RN preparation for complex, hi tech, fast-paced work environment Increase RN preparation in public health, gerontology, leadership Increase # of BSNs poised for higher degrees Increase diversity of nursing workforce

public health, gerontology, leadership Increase # of BSNs

15 Expected Outcomes Increase access to BSN degrees in rural areas Resource sharing among RIBN partners faculty, labs, other learning opportunities Increase proportion of younger graduates entering workforce Economically feasible option to achieve BSN Expand RIBN to all areas of the state by 2016

Increase proportion of younger graduates entering workforce Economically

16 Questions???? Visit our website at for more information on the RIBN Project

TABLE XXXVI. EMPLOYEE/RETIREE HEALTH INSURANCE Jan-15

TABLE XXXVI. EMPLOYEE/RETIREE HEALTH INSURANCE Jan-15 Alamance 300 $20 2,000 500.00 0.00 500.00 0% ne if hired after 6/30/2008 ne if hired after 1/1/2014 Alexander 3,500 $35 4,000 512.00 0.00 512.00 0% Alleghany 1,750 $20 1,750 755.94 0.00 755.94 0% 100%