A Strategic Plan for the State of Texas To Meet Nursing Workforce Needs of 2013 Developed by:
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1 A Strategic Plan for the State of Texas To Meet Nursing Workforce Needs of 2013 Developed by: Alexia Green, RN, PhD, FAAN Co-Leader for Team & Professor - Texas Tech University Health Sciences Center February 23,2010 Presentation to 81st Legislature Senate Committee on Health & Human Services Interim Hearing 1
2 Texas Team Created Spring 2008 Appointed by Governor in Response to Center to Champion Nursing Call to Action (AARP/RWJ Initiative) Ten Member Team - Reps from Nursing Schools, State Agencies, Associations (THA/TNA) & Rep. Donna Howard TX already had history of strong collaboration across state Nursing (TNA & TX Deans & Directors) and others (THA) working together since 1999 to address shortage 2
3 Challenge: Meeting Demand for Nursing Workforce by 2020 Sources: Texas Center for Nursing Workforce Studies and Coordinating Board. *Numbers are based on a simple regression formula of actual graduation data reported from 2002 to Graduation numbers do not include those from programs that have not yet produced graduates. **U.S. Health Resources and Services Administration, Supply Model. 3
4 State s s health regions have populations comparable to those of many states Vermont Delaware South Dakota Wyoming PHR ,800 Nevada PHR ,900 PHR ,100 West Virginia PHR ,300 PHR 08 2,321,000 PHR 11 1,965,000 PHR 03 6,220,000 PHR 04 1,067,800 PHR 07 2,565,600 PHR 06 5,416,800 PHR ,100 Indiana Maryland Utah Hawaii Alaska 4
5 Texas Team Map Seven Regions WT NT URG CT ET GC ST 5
6 Insufficient Capacity in Schools Sources: Texas Center for Nursing Workforce Studies and the Texas Department of State Health Services. 6
7 Strategic Plan for the State of Texas to Meet Nursing Workforce Needs of 2013 Developed Dec & endorsed by Texas Deans and Directors & other stakeholders Plan updated in 2009 & 2010 (in process) cnws/default.shtm 7
8 Texas Team Strategic Plan: Three Goals Goal 1: Support growth & accountability Goal 2: Develop regional academic partnerships Goal 3: Leverage new partnerships 8
9 Regional Strategies Programs within regions share: Curriculum Faculty & faculty development efforts Clinical simulation instruction Clinical placement & scheduling Administrative & academic functions Clinical & community resources 9
10 Regional Strategy #1 Sharing Curriculum/Curriculum Redesign The epicenter for all regional sharing Enhances transfer / pipeline issues Sharing of best practices & faculty Models: Oregon, California, North Carolina Texas Regional Innovators: 2010 Nursing Innovation Grant Program (NIGP) Competition 10
11 Regional Strategy #2 Sharing Faculty & Faculty Development Minimizes nursing faculty shortage Encourages grow your own Promotes academic specialization Model: North Carolina Texas Regional Innovators: North Central, Gulf Coast and East Texas Regions 11
12 Exemplar: Sharing Faculty & Faculty Development Central Texas Region developing 100 faculty specialists in simulation focusing on: Expertise in debriefing facilitation Simulation scenario development Curriculum integration Scheduling Equipment & technology use Lead Schools: Texas A&M University HSC Texas State University Blinn College Temple College Funded by: TWC/ARRA Funds 12
13 Exemplar: Sharing Faculty & Faculty Development North Texas Region developing a common web site for Faculty Resource Center: Share faculty with specific expertise Share clinical faculty Will be managed by DFW Hospital Council Lead Schools: Texas Christian University University of Texas Arlington Funded by: TWC/ARRA Funds 13
14 Regional Strategy #3 Sharing Clinical Simulation Resources Reduces equipment costs Consolidates faculty & technical curricular expertise Reduces number / use of clinical sites Model: South Carolina Texas Regional Innovators: Upper Rio Grande, Central and Gulf Coast Regions 14
15 Exemplars: Sharing Clinical Simulation Resources Central Texas Large hospital based CS Center shared by 8 schools Roving van for outlying schools/hospitals Funded by Seton HC System & Local Foundations Gulf Coast Region Common website to access curricular resources & equipment inventory for 15 schools - Funded by TWC/ARRA Funds Upper Rio Grande Region 3 hospitals & 3 Nursing Schools (UTEP, EPCC, TTUHSC) Funded by Hospitals & TWC/ARRA Funds 15
16 Regional Strategy #4 Sharing Clinical Placement & Scheduling Maximizes administrative efficiency Increases availability of clinical sites Strengthens partnerships Texas Regional Innovators: North, Gulf Coast and Central Texas Regions 16
17 Regional Strategy #5 Sharing Common Administrative & Academic Functions Reduces costs of common functions (applications, admissions, recruiting faculty and students) Enhances development of tracking systems Texas Regional Innovators: East, West and North Texas 17
18 Exemplar: Sharing Retention Initiatives East Texas Region Common identification of at risk students Assessment of all students reading skills Guided intervention with Rocket Reader Tracking of improvements in reading & retention Regional Leads: University of Texas Tyler Stephen F. Austin State University Funded by: TWC/ARRA Funds 18
19 Exemplar: Common Application Portal West Texas Region Common application All applicants apply via one web portal Allows region to assure all applicants admitted Transitioned to national model Regional Leads: Texas Tech University Health Sciences Center Permian Basin & El Paso Community College Funded by: THECB NIGP Funds 19
20 Regional Strategy #6 Develop Clinical and Community Resources and Partnerships Expands resources for student financial aid and clinical faculty Promotes work-study opportunities Builds community support Texas Regional Innovators: West and North Texas 20
21 Exemplars: Hospitals Providing Support for Enrollment Expansion West Texas Region - Abilene Hendrick Health Care System Financial Support, Scholarships & Physical Facilities for TTUHSC Expansion Upper Rio Grande Region El Paso University Medical Center Hospital Financial Support, Scholarships & Physical Facilities for TTUHSC Expansion 21
22 Summary & Questions Contacts: Texas Team Leaders Alexia Green RN, PhD, FAAN Sondra Flemming The Honorable Donna Howard Legislative Director: Scheleen Walker 22
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