educational pathways for the incumbent nursing workforce - dell oliver, hca

HCAHospital Corporation of AmericaSM








Dell Oliver, MBA, MSN, RNAVP E ti D l t HCAAVP Executive Development-HCA

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Educational pathways for the Educational pathways for the incumbent nursing workforceincumbent nursing workforceincumbent nursing workforceincumbent nursing workforce

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Historyy► Founded in 1968► Corporate office Nashville, TN► 163 hospitals 109 freestanding surgery centers in 20► 163 hospitals,109 freestanding surgery centers in 20

states and England► Employs approximately 200,000 people. ► Employs > 60 000 Nurses► Employs > 60,000 Nurses► Treats >14 million patients annually ► Delivers approximately 4% to 5% of all inpatient care

i th U Sin the U.S ► Mission

► Above all else, we are committed to the care and ,improvement of human life.

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History◦ Founded by 19 Governorsy◦ Supported by 20 major corporationsMissionMission◦ Improve quality and accessibility of

hi h d ihigher education.

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Accredited

Affordable

OnlineOnline

Private, Non-Profit

Growing over 30% annuallyGrowing over 30% annually

Technology-based online university

C t b dCompetency-based

Self-paced learning

A Unique Model in Higher Education6









Robert Wood Johnson FoundationBill & Melinda Gates Foundation

AT&TDell Computer CorporationGoogle IncLumina Foundation

Alfred P. Sloan FoundationMarriott Foundation

Google, Inc.Hewlett Packard Company Foundation

Marriott FoundationMicrosoft CorporationHospital Corporation of America

Simmons Media Group

SunGard Higher Education

Sun MicrosystemsTenet HealthcareOracle Corporation

Sun Microsystems

Zions Bank

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Regionally Accreditedg y◦ Northwest Commission on Colleges and Universities

(NWCCU).Nationally AccreditedNationally Accredited ◦ Distance Education and Training Council (DETC).Teachers College◦ National Council for Accreditation of Teacher Education◦ National Council for Accreditation of Teacher Education

(NCATE).Nursing programs◦ Commission on Collegiate Nursing Education (CCNE).◦ Commission on Accreditation for Health Informatics and

Information Management (CAHIIM).

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Full range of Undergraduate and Graduate Degrees► School of Business

► Undergraduate: Business Management, HR Management, Accounting, Sales and Sales Management, Marketing Managementg , g g

► Graduate: MBA , MBA IT Management, MBA Healthcare Management

► School of Information Technology ► Undergraduate: Networks, Security, Databases, IT Management, Software,

Health Informatics

► Graduate: M.S. Information Security and Assurance, M.S Network y ,Management, M.B.A IT Management

►College of Health Professionals

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RN to BSN Completion Program (12 to 18 Months)

MSN (24 to 30 Months)Ed i◦ Education◦ LeadershipRN to MSN Bridge ProgramRN to MSN Bridge ProgramBS in Health InformaticsPrelicensure RN ProgramPrelicensure RN ProgramMBA in Healthcare Management

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d d f d d h i l kill ( i f lIncreased need for advanced technical skills (Meaningful Use, Evidence-Based Practice, Electronic Health Record, etc. )Requirements for the Magnet journeyRequirements for the Magnet journeyDemand for nurse leaders: ◦ Develop new strategies for delivering care ◦ Design new care delivery systemsNeeded nurse leaders: retirement of 55% of healthcare workers mostly nurse managers between 2011 and 2020workers, mostly nurse managers between 2011 and 2020Flexible education: less than 20% of working nurses return to school to obtain a BSN or MSN (mostly due to current work demands)

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Since 1998:►90 new drugs on the market ►124 new uses for existing drugs►344 generic equivalentsg q►7 new over-the-counter drugs►5000 new medical device applications►5000 new medical device applications

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CDER 1998 Report to the Nation, Center for Drug Evaluation and Research, FDA; Office of Device Evaluation, Annual Report, FY98.









Education for HCAEducation for HCA► Helps HCA move forward towards it’s nursing education

goals in common with the Institute of Medicine: ► Key Message #2: Nurses should achieve higher levels of

education and training through improved education system that promotes seamless academic progressionthat promotes seamless academic progression.

► Recommendation 4: Increase the proportion of nurses with baccalaureate degree to 80% by 2020.

► Recommendation 6: Ensure that nurses engage in lifelong learning.

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Education by WGUEducation by WGU► Students can enroll any month ► Competence must be demonstrated – by what you know

and b hat o can do rather than acc m lating aand by what you can do – rather than accumulating a certain number of credit hours.

► Working students can carry a full-time load, still take a l i d lif f fi i l id d lclass at a time and qualify for financial aid and employee

education assistance. ► Learning takes place when the student engages, whether 5

am or 7 pm at night, making learning very flexible for HCA employees as well as any working adult.

► Acceleration is possible – not guaranteed.p g

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Personal Mentoring by WGUPersonal Mentoring by WGU► Dedicated mentor assigned to each student

Regular communication by phone and e mail (every► Regular communication by phone and e-mail (every two weeks minimum)

With the mentor each student builds a personalized► With the mentor, each student builds a personalized graduation plan which establishes pacing through the program

► Mentors are full-time WGU faculty

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65% of Working nurses report cost of school as their number one

WGU’s tuition is $6,500 per year

65% of Working nurses report cost of school as their number one barrier:

Flat rate = more courses without more costAverage cost for RN to BSN - $9,000Average cost for RN to BSN $9,000WGU-HCA partnership offers HCA employees tuition discounts as well as opportunities fortuition discounts as well as opportunities for scholarships, making advanced education even more affordableaffordable.

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Summary of HCA aggregate enrollments Aug 2011 to March 2012College of Health Professions

Program Title Number of Students enrolled % increase enrollment in 8 months

Aug‐11 Mar‐12Aug 11 Mar 12RN to BSN 66 128 93.94%Prelicensure 5 6 20.00%BSN to MSN, Education 20 25 25.00%BSN to MSN, Leadership 25 38 52.00%

RN to MSN. Leadership 17 20 17.65%

RN to MSN, Education 13 31 138.46%Subtotal 146 248 69.86%

Other Degree Professions

Program Title Number of Students enrolled % increase enrollment in 8 monthsAug‐11 Mar‐12

BS Mgnt 26 33 26.92%MBA Hlth Admin 34 50 47.06%BS Hlth IT 12 23 91 67%BS Hlth IT 12 23 91.67%Business or IT 35 51 45.71%Business or IT 17 7 ‐58.82%

Subtotal non‐nursing 124 164 32.26%

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Total HCA employee enrollments

270 412 52.59%









140

160

100

120

RN to BSN

Prelicensure

60

80BSN to MSN Nsg Ed

BSN to MSN Ldrshp

RN to MSN Nsg Ed

RN to MSN Ldrshp

20

40

RN to MSN Ldrshp

MBA Hlth Admin

0August '11 October '11 April '12

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Summary of Chart and Graph findings

93.9% increase in RN to BSN enrollments in 8 months 70% overall increase of nursing enrollments in 8 months gIncreased enrollments in every nursing program and dramatic increase in RN to MSN Education (138%)32% overall increase of enrollments in Business and IT degrees 47% increase in MBA Health Administration enrollments91.6% increase in BS in Health IT enrollmentsIncreased Business and IT enrollments in every program except Oth G d t DOther Graduate Degrees 52.5% increase in overall HCA employee enrollments or 142 enrolled students in 8 months (over 17 new students per month)

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2011 Survey of Employers by Harris Interactive

►98% agree that WGU graduates meet or exceed their expectations.p

►100% would not hesitate to hire another WGU graduate.

►97% rate WGU graduates as equal to or better than graduates of other universities.

►98% consider WGU graduates strongly prepared for their jobs.

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2011 Survey on 3,979 Graduates Conducted by Lighthouse2011 Survey on 3,979 Graduates Conducted by Lighthouse Research and WGU

►94% would choose WGU if making the choice again.

►96% would recommend WGU to others.

►73% found the competencies they gained at WGU directly related to their work.

►65% got a raise, promotion, or new job responsibility as a result of their WGU degree

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►One Year Retention Rate – 75%

►Student Satisfaction – 96%

►Students in Good Academic Standing – 83%

►Students Who Would Recommend WGU-97%

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American Military University, WVBaylor University, TX Boise State University, ID Boston University, MA

University of Illinois Urbana-Champaign, IL University of Michigan, MIUniversity of Minnesota, MN University of New England MEy

Bowling Green State University, OH Brigham Young University, UT Cornell University, NY Georgia State University, GAG U i it WA

University of New England, ME University of New Mexico, NM University of the Pacific - McGeorge School of Law, CA

Gonzaga University, WAKansas State University, KS Lamar University, TX Lewis & Clark, OR Northeastern University MA

University of Utah, UTUniversity of Virginia, VAUniversity of Washington Tacoma, WAVillanova University, PANortheastern University, MA

The University of Alabama, ALUniversity of North Carolina, NC University of Houston, TX

Villanova University, PAVirginia Tech, VAWest Virginia University, WVWharton Business School, PA

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