the massachusetts centralized clinical placement system© building a statewide nursing education...

The Massachusetts Centralized Clinical Placement System©

Building a Statewide Nursing Education FrameworkNovember 11, 2011

Maine Partners in Nursing

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Plans for Today’s Session

• Overview of the Massachusetts CCP Model.

• Review components of the MCCPS© Web Site

• Plans for Expansion

MASSACHUSETTS DEPARTMENT OF HIGHER EDUCATION

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Mass Centralized Clinical Placement System

• Established in 2005.

• Goals of the MCCPS© are to: – Facilitate the efficient placement of nursing students into clinical

sites.

– Expand the number of clinical sites for nursing students.

• Clinical Placement Process:– Nursing programs request a clinical placement;

– Health care organizations accept or reject that request.


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OverviewWhere Massachusetts began

2005 DHE Nursing Education/Practice Partnership Survey

• Clinical Placements identified as significant issue in improving the quality of nursing education across the state.

• Time in arranging and managing clinical placements was seen as burdensome to facilities and schools of nursing.

• Statewide, there is an inadequate number of clinical sites in Pediatrics, Obstetrics and Behavioral/Mental Health.

• The competition for sites between schools of nursing was a major issue in every region of the state.


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The Research

Following Partnership Survey, the DHE commissioned a Report of National Current Best Practices in Centralized Clinical Placements.

• Used a structured interview process to gain an in-depth understanding of each model.

• Four models in the country were operational:• Arizona • Oregon• San Diego, California• San Francisco Bay Area, California


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19 States / Regions Developing CCP Programs

Alabama

Colorado

Florida

Hawaii

Idaho

Kansas

Michigan

Minnesota

Mississippi

Missouri

Nebraska

Ohio

Oklahoma

Oregon

Tennessee

Texas

Utah

Washington

Wisconsin


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Research Findings:A Set of Common Goals

• Ensure adequate supply and quality of clinical placements.

• Streamline the process and decrease the stressors of requesting and approving clinical placements for both schools of nursing and health care agencies.

• Implement an operating framework that based on collaboration, cooperation and teamwork.

• Ensure that established relationships are maintained.


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Research Findings:A Set of Common Practices

• Regionally Based• Schools propose or request a clinical placement• Health care agencies accept or reject the request• Use specific data-collection templates & forms.• Web-based• Defined Operating Principles for:

– Decision making– Conflict resolution– Regulatory requirements– Contracts

• Report found at: www.mass.edu/nursing


http://www.mass.edu/nursing

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Sharing the Research in Massachusetts

• Focus Group of principal stakeholders convened to:• Share the Report

• Gain feedback/reaction

• Enlist their participation to develop Massachusetts model

• Stakeholders Included:• Massachusetts Board of Registration in Nursing

• Department of Higher Education

• Massachusetts Center for Nursing

• Deans & faculty from nursing programs – 2 and 4 year

• Nurse Executives

• Clinical Placement Directors & Coordinators from hospitals


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Research to Reality Stepping Stones

• Statewide Approach• Northeast-Central region as pilot• 4 regions operational by 2008 (NH added 2009)• Participation is voluntary• Regional groups involving all participating healthcare

organizations and nursing programs in the region.

• Role of the Regional Groups:• Decision making body for the regional CCP model.• Reviews & implements operating framework for the region.• Populates & implements database component of MCCP© • Develops regional enhancements as determined by Group.• Expand the number of clinical sites for nursing students.


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Mass Centralized Clinical Placement System©

• Current Staffing for the CCP Project– Project Leader – Assistant Nurse Coordinator– Technical Support

• 5 Regions now fully operational• Boston• Northeast/Central• Southeast• West• New Hampshire


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Mass Centralized Clinical Placement System ©

System Includes:• An operating structure that supports collaboration, cooperation &

teamwork.

• RN, LPN and CNA programs

• In and out-of-state nursing program partners

• Acute, post-acute, long-term care & outpatient placements

• Group & preceptorship clinical placements

• Online Orientation Program for students and faculty

• Password-protected, searchable database; web-based communication.


Outcomes to Date

• MA – 3,532 placements• 2,686 are filled & 846 are open• Managing 22,554 student- placements

• 90 health care facilities and 72 nursing programs• 66% increase in open placements (2008 – 2010)• Using the Online Orientation system

• NH - 472 placements• 416 are filled and 56 open• Managing 3,294 student-placements

• 13 health care organizations and 19 nursing programs• 25% increase in total placements listed (2010 – 2011)• Began using the Online Orientation system Aug. 1, 2011• Will remain on MA system

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Overview of the Online Orientation Program

• Implemented to:

• Increase amount of time students spend in the patient care setting by

decreasing amount of time spent in repetitive orientation sessions.

• Decrease administrative burden associated with providing the orientation.

• Provide comprehensive and consistent orientation to students and faculty.


The Online Orientation Program• Online Orientation Modules valid 1 year: 8/1/2011 – 7/31/2012.

• Students/clinical faculty re-certify starting August 1 each year.

• Conduct annual review of online material– Dec – Jan: review/post updates to National Patient Safety Goals.– February - May:

• Ask users for suggestions during February CCP meetings.• Review feedback gathered from those who complete online orientation.• Review content of the centralized modules.• Share proposed updates with users during spring meetings.• Review post-test questions; add 2 new questions to each module and retire 2 “old”

questions to the Online Orientation Test Bank.

• Ask HCOs to post updates to their facility-specific by July 31.

• Post updated content to site for August 1.

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Module 1: Basics of Student Placements• Student Role & Responsibility• Patient Rights

• Patient Confidentiality & HIPAA Education

• Providing Culturally Competent Care

• Detecting and Reporting Abuse

• Workforce Violence

• National Patient Safety Goals

• Providing Population Competent Care

• Documentation

• Post-test link


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Introduction to Module Post-Tests

• Use content in the modules to answer the questions.

• Able to save & return to post-test.

• Must score 100%.• May retake a test to

achieve 100%.• Only the incorrectly

answered questions will display for correction.


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Module 2: Infection Control and Prevention

• OSHA Bloodborne Pathogens Standard

• Human Immunodeficiency Virus (HIV)

• Hepatitis

• Tuberculosis

• H1N1 Influenza Virus

• Transmission-based Precautions

• Blood &/or Body Fluid Exposure Accidents

• Personal Protective Equipment

• Hand Hygiene


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Module 3: Environment of Care

• Fire Safety

• Electrical Safety

• Medical Waste

• Emergency Codes

• Emergency Preparedness

• Hazardous Communication

• Latex Allergy

• Needlestick or Sharp Injuries


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Clinical Assignment Ticket - Participating HCO

• Participating HCO Ticket includes:– Your name, nursing program and

clinical assignment.

– Confirmation of module completion; HIPPA and Confidentially Statement, and that certification is valid.


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Clinical Assignment Ticket - Generic Ticket

• Generic Ticket includes:– Your name, nursing program

and– Student or faculty entered

HCO’s name (circled in red).– Confirmation of module

completion; HIPPA and Confidentially Statement, and that certification is valid.


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Viewing the Site

• www.mcnplacement.org


http://www.mcnplacement.org/

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Questions?


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Conclusions

• Number of open & filled clinical placements have increased.

• Majority of respondents say:– Valuable to their work– Is preferred approach– Has saved time– Is easy to use– Behavioral health, pediatric and obstetrical placements difficult to

secure.

• Transitioning to MCCPS does require orientation– Straddling 2 systems can be difficult– Comfort level with technology varies, users are working to

incorporate MCCPS into daily practice.


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Next Steps and Plans

• Increase number of participating clinical sites. • Plan for sustainability.

– Fee based on capacity or utilization – Lesser of two fees– $6.50 is multiplier– $400 minimum

• The value of the system is found in the efficiencies and outcomes.


Massachusetts CCP Operating Principles & Guidelines

• Decisions • Made by consensus of the Group members, rather than

majority rule.

• Members who are unable to attend a meeting may register their opinion by emailing the Convener prior to the meeting.

• A region may elect to use a regional negotiation meeting to review and finalize its clinical placements.

• Conflicts • Resolved on a case-by-case, issue-by-issue basis.

• Process is one of discussion and consensus. All parties work to find an acceptable solution for each other.


CCP Operating Framework and Guidelines

• The Clinical Placement Request Process• Nursing programs request a clinical placement• Health care organizations accept or reject that request.

• Contracts• Each nursing program has a contract with each health care

organization that they utilize.



• Meeting Regulatory & Educational Requirements• Shared Documents allow Group members a way to discuss

and then standardize the collection of necessary student and/or faculty data and implement student and/or faculty pre-clinical education programs.

• Adding a New Organization• As new organizations are entered into the system, existing

placements and/or relationships remain intact.



• Access to Placements • All have access to clinical placement opportunities. Health

care organizations accept or reject requests.

• Clinical Placement Opportunities • There is no informal arranging of placements. Placements

need to be listed in the database.

• System Reports• The system allows users to generate reports for the faculty

or health care facility manager.


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Placement List


the massachusetts centralized clinical placement system© building a statewide nursing education...

Documents

nursing slide

quality of nursing education

schools of nursing

clinical placement process

nursing programs

quality of clinical

massachusetts ccp model

based schools