CSPCN

Implementation Oversite Committee Minutes

March 10, 2000 UCIrvine

Present: S. Keating, E. Lewis, K. Sechrist, D.Jones, M. Lowe, P. Gonzalez-Leiva, D. Duell, S. Ruh Mearns, P. McFarland, D. Welch, S. Fox, J. Martin-Holland, J.Dahle, A. Whatley, J. Papenhausen, A. Shuman, J. Harlow, R.A. Terry, C. Comeau

Regrets: P. Walker, D. Harms and L. Stevens

Call to order by Sarah Keating 9:30 AM

Welcome and Introduction of New Members (S. Keating)

Approval of minutes of January 7, 2000. Moved to approve.

Financial Report

• CSPCN (P. McFarland) – report, net $32,000 in account; sold 50 reports in 2 months; lots of interest from NE, Canada, NH for documents; 5 boxes left in Sacramento; Pat will mail the final Helene Fuld Trust report, Strategies for Educational Mobility in Nursing, A Report of the California Educational Mobility Project, to members of Phase II EII Committee. Others can order this document using the order form on the website; initially, received $100,000 from Helene Fuld Trust. A small amount of monies were not used ($5207) and were returned to the Trust.
• RWJF (E. Lewis) – $35,614 available as of March 8, 2000. OSPHD monies will be exhausted as of March 30,2000. E. Lewis is presently negotiating a new contract with the BRN for support of project investigator.

Project Director’s Report (E. Lewis)

• Quarterly Colleagues in Caring conference call was conducted 2-29-00 with the national project office. The Annual Colleague in Caring Site Visitors' Report was received and will be available on the web.
• Tracy Bechtold has compiled a report of the successes from the press release following the first AB655 Commission meeting. This report will be mailed to IOC committee members.
• E. Lewis recommended to the IOC committee that we continue to utilize Bechtold to assist with press related to AB655. Also, the IOC decided that it was not their decision to determine if Press would receive a "Pre-report" before the final commission meeting. Ruthann Terry recommended that the Members of the commission should make that decision. This matter will be brought to the commission at the March 20^th meeting.
• Ellen Lewis is still receiving calls from students of the Statewide Nursing program for the competencies document – she informed instructor that monies from sales of the report support this project and sent her several complementary copies; group decided the document should not be put back on the web, but allowed a student rate ($25); order form on web will be changed

Project Investigator’s Report (K. Sechrist)

• Letter of intent to Fuld Trust for a Leadership Development proposal sent February 15.
• Much of her time in the past 2 months has been related to AB655. Dr. Sechrist is utilizing several data sources to project the additional RNs needed in California (see compilation of CSPCN data from Phase II, document adding other data). These sources include EDD, BRN, and CSPCN. Information on costs is very difficult to deal with because of the number of assumptions that have to be dealt with. There is also the issue of specialty education vs. general students. In 1992, cuts in nursing education program budgets have not been reconciled. The commission members feel strongly that new projections should be based off of the 1992 base. Need faculty/allied health monies (differential such as that for engineering faculty). Faculty shortage may be the crux!
• Karen Sechrist will attend the National Council State Boards of Nursing regional meeting in Jackson Hole WY and present CA data; grid of all states; emphasis is on approach and CSPCN data. Other CIC projects in the region will also be reporting.
• Chris Latham – reported on CSUF to legislators, need for CSUF to be moving to a basic baccalaureate program; ready to do so.
• Healthy People 2010 documents available (http://www.health.gov/healthypeople/Document/HTML/Volume1/Opening.htm )
• Cultural Diversity manuscript – Karen discovered the American Medical Association initiative on the web, good resources, links and summaries at http://www.ama-assn.org/ethic/diversity/contents.htm (many monographs available).

Team Reports:

Career Mobility Implementation Team (CMI) – Sherry Fox, Diane Welch. Document (Strategies for Educational Mobility in Nursing, A Report of the California Educational Mobility Project) available using order blank on web or by calling ACNL. Report re: 1998-99 Fuld objectives (see report).

1. Integrate differentiated practice competencies into an articulated nursing education model.
2. Identify the curricula for LVN, AND, BSN, MSN practice.
3. Create a seamless articulation plan among the nursing education programs.
4. Promote involvement…

These were "lofty" objectives; momentum was gained using strategies in back of document; EII members interested, 2 workshops were held in the north, plus 1 in the south, teleconference; total of about 100 interested persons across the state.

CMI - small central team to function as steering committee; 2 LVN reps, 2 ADN reps, 2 BSN reps, 2 service, 2 board reps (Ann Shuman, Jean Harlow); conference call in February (minutes available); listserve set up; need tasks set up; key strategy will be having a web site (educational mobility) that will link with CSPCN website.

Concern about curricular issues:

• • Bridging the Gap, 1991; agreed upon as guidelines by many educators but the document needs to be updated to reflect current needs - e.g., the nurse in the community setting (Chair, Sandra DeBella);
  • service incentives need to be addressed

Competency-based Role Differentiation Implementation Team – A. Sargent

Team on March 3, 2000 (actual minutes)

After several hours of discussion related to pilot site selection the committee decided on the following:

• We will either have a team of committee members do the analysis of the tools or hire a researcher to do this for us. The $12,000 will be utilized for this purpose.

*Sites should be participants with CALNOC. CalNoc is currently

collecting data on nursing education preparation and years of service. This data is also relevant to CBPPSIT. There may be opportunities around data collection between CalNoc and CBPPSIT.

Much discussion ensued. Concerns discussed:

• Need for focus.
• Where is LVN in this work?
• Need to make being part of the pilot attractive… having to change job descriptions not a good "carrot."
• Agreement that pilot projects may not be realistic given size of task and monies available at this time.
• Keep objective and use up to $3000 of matching funds outside of RWJF to fund the evaluation of job descriptions/evaluation tools - this step seen as important for future work. Should find some agencies that might be ready to implement competency-based practice, and thus be pilot sites.
• Rebudget and roll over $12,000 of the RWJF 2000 monies to year 2001.
• Look towards new Fuld effort (intention letter) to potentially fund further pilot site work.

Recruitment Team (RT) – S. Keating, /J.Martin-Holland

1. Judy: Information re: available materials for those who want recruitment information. ANA and CNSA/ NSNA have generic brochures, videos now – for non-nurse audiences. However, there is a need to develop speaker packets for people talking about nursing to various groups.

RT meeting (January, Oakland) Members: Ann Shuman, Judy, Frank Deloramo, Marie Deora (UCSF), Fem Ramirez (Oakland). Brainstorming on ideas RT will need to follow-up. These include: (1) new recruits – summer internships to new/interested students; to try to gather information about these programs and their availability; insure more connections between high school and jr high students; counselors unaware; need some education; foster partnerships; promote broad admission criteria; (2) retention/career mobility – maintain active status; funding sources; building mentorship programs on campuses; (3) image – directions in career mobility; work of CNCC; letters to the editor re: nurses role; help foster NSNA materials

Follow-up – to write up and disseminate; identify smaller local groups who can implement.

1. Arlene: CNCC Coalition for Nursing Careers in California is focusing on image; $50,000 obtained as start up funds; then, consultant who is fund-raising; first proposals just going out; using CSPCN data on shortage; all day retreat soon – grant writers and how to work with foundations; desire to do focus groups – slogan development ; would like CSPCN to write a letter of support when CNCC goes searching for funding
2. Priscilla put together a report of OSPHD funding ($35,000 maximum) for Nurse Outreach Grant Awards, predominately for disadvantaged/ethnic minority recruitment, also proposals.

New Business

S. Keating

1. Sarah received the document, "Health care services: Seeing red from a shortage in white: a look at rising nursing pressures" from Ing Barings (http://www.ingbarings.com); this document contains national statistics that puts CA's nursing workforce situation in a national perspective; Ing Barings is a securities firm that put this together; Marian talked with them; they had been contracted to put together recruitment plan for CA hospitals
2. Email from June Boffam (Stanislaus State University) – position paper for CA Colleges of Nursing, meeting with legislators; wanted to give position paper to CSPCN; asking for funding, esp for CSU, UC and scholarships for private schools (BSN emphasis); give recommendations to Sarah for June.

General announcement and discussion:

1. Delores Jones has been asked to sit on review committee (STTI), looking at recommendations for strategic plan for nursing education in US in next 10 years (Nsg practice and education consortium – STTI and Division of Nursing); looking at plan for all levels of education, looking at competencies, putting draft together; what is plan logic, gaps, challenges to implementation; if feasible, what is needed; funding agencies will be at meeting.
2. Deloras Jones received in mail an AONE analysis (M. Wakefield) of nursing workforce issues, draft for final review; work yet to be done; looks very helpful for AONE members, chapters to move forward; AONE study from last year got much national recognition; concern was expressed regarding statements in this report from other stakeholders about the nursing shortage (i.e., 1. NLN - nursing shortage will go away in next 3-5 years – rationale, decrease in nurses in inpt nses, not made up by nses in outpt settings; unlikely that healthcare system of 2000 will need as many nurses as that of 1990 – Commission, April 1997; write letter to Nursing and Health Care; 2. ANA – no national shortage, regional maldistribution.1999 House of Delegates report.)
3. CSPCN IOC Discussion – problem with flavor of reports, acute care emphasis, criticism, Wakefield pulled data from HRSA, based on 1996; next HRSA report, 2000; trends good, but statements made on old data; need for use of more contemporary data; send Dolores comments so she can take back to AONE, also Dolores to take two CSPCN books.

   Why is RWJF data not being used? 20 regional projects; get Becky Rice involved from RWJF; Sarah to see Becky Rice and Polly Beckman at AACD; take CSPCN reports for ANA, NLN (Shannon Perry at San Francisco State, Sarah to check?); also STTI, need copies in their library (Karen to send copies); Dolores to send copies to STTI, Mary Wakefield.

4. Pew Foundation (UCSF) Janet Coffman, scope of work looks very similar to what CSPCN has done; Dolores and Sarah will be at meeting; copies of CSPCN work already there; California Healthcare Foundation sponsoring.
5. AHA Coordinating Committee on Health Professions - going to meeting, Dr. Buzz Cooper has copies; Dolores to give copies to Dr. Jim Bentley and a letter asking for feedback on the report.
6. Carol Comeau announced that on Friday April 21, two members of the Assembly Health Committee (Assemblymen Lou Correa, Gallegos) will be at Rancho Santiago College to discuss nursing shortage; hearing-type meeting with testimony; looking at issues of differentiating funding by programs; nursing programs seen as expensive and taking funds from college infrastructure; community colleges, universities need to have infrastructure monies in spite of need for nursing education; legislation needed
7. M. Lowe (AB 389 Feb 2000) - on Web. This bill deals with existing monies that are presently available for workforce training. Perhaps there is an opportunity to use some of this for nursing education.
8. Response to AB655 - On Feb 16, there was an Advisory Session for the Scott bill where groups put their recommendations on the table. All members were there except unions (chose not to come; Jack Scott running against candidate endorsed by unions). Thus, discussion on 16^th was without union presence. AB655 Industry & Prof Assns Committee (M. Lowe) – minutes shared with group (minutes available). AB655 Education Committee (K. Sechrist; P. McFarland) no minutes yet; group discussion similar. AB655 Commission meeting will be held on March 20^th for all members.

Agenda for Next Meeting & Adjournment.

1. Meeting at Kaiser, Thursday May 18, 10 a.m – 2:30 p.m.; Dolores to check on meeting room