CSPCN Minutes

Implementation Oversight Committee

CIC Annual Site Visit

March 7, 2001 Harris Ranch, Coalinga

Present: S. Keating, E. Lewis, K. Sechrist, D. Jones, P. Gonzalez-Leiva, S. Ruh, P. McFarland, J.Harlow, D. Harms, S. Fox, I.Tenzer, A.Sargent, A. Whatley, S. Ruh, P. de la Cruz, D. Rutledge, B.Rice (CIC), J.E. Koerner (CIC) , Ann Schuman, Polly Walker, and Pilar DeLa Cruz

Call to order at 9:00 a.m. (S. Keating)

Welcome to visitors (S. Keating)

Approval of minutes of December 7, 2001

Financial Report

CSPCN (P. McFarland) – $38,138. Occasionally Phase II reports are sold; have 3 boxes of each report at the ACNL office. Kaiser made a $10,000 Donation to CSPCN in December 2000.

RWJF (E. Lewis) – $20,297 ; received $10,000 grant from OSHPD in Jan. 2001

Project Director’s Report (E. Lewis)

Report available.

• The Chairman of the Academic Senate of the UCI College of Medicine sent a letter of concern to Governor Davis regarding the nursing shortage and requested that he establish a taskforce to work in collaboration with CSPCN. They received a response from the Department of Consumer Affairs indicating they would take their suggestion under consideration. Jean Harlow indicated that the BRN is hoping that legislation will pass that provides for data collection every three years instead of every eight (current).
• In a conversation with Cathryn Nations (UC Presidents’ office, VP Health Affairs), E. Lewis shared that the UC Office of the President will be establishing committees to study manpower needs of all health professions and what role the university will have in education of all health care professionals. The first professional group to be examined will be Nursing because of the acute shortage. E.Lewis has been asked to participate in this process. Assemblywoman Helen Thompson will be conducting a hearing in March and Kay Baker from UCLA will represent UC system. Need to reaffirm commitment related to Scott Bill. CSPCN continues to support efforts that would result in each UC campus with a medical school and center maintaining or establishing a baccalaureate program in Nursing. In addition, E Lewis reminded Dr. Nations that NP programs in medical schools without schools of nursing do not receive state funds, yet the graduates of these programs work predominately in underserved areas.
• At recent CHA meeting, the CEO of CHA announced that UCLA would be reopening their baccalaureate Nursing program in 2003.
• AB338 – proposes $2 million from state with matching funds from hospitals in Orange County to facilitate work between CSU and local community colleges to increase the number of graduates from community colleges and eliminate redundancy in AA to BSN programs.

Project Investigator’s Report (K. Sechrist)

• The 3^rd round of CSPCN data is being collected. Surveys (2-page survey) have been sent out to hospitals in the state. A February reminder post card increased activity on survey return. Next follow-up will be a personal phone call. Pat McFarland has a contact who would be able to call northern CA names. Karen to do others. Aim is to get a 50% response rate.
• WIN paper submitted and accepted. CIC regional workforce issues meeting to follow presentation It is expected that the States of Washington and Oregon will attend.
• CSPCN to do no additional surveys to schools since BRN includes intention data. There is a need to assess the need for faculty. Jean Harlow to check on whether this is currently evaluated or needs to be added to a survey.

Update on Political/Policy Initiatives (D. Harms)

• CHA has hired Janet Richmond, RN, JD to focus on nursing shortage. She works on legislative issues.
• 2 new bills - SB 317 (Ortiz) – At a recent press conference, S.Ruh spoke. Many inquiries have followed. This Bill proposes expansion of the Song Brown program to include pre-licensure undergraduate nursing program (where educational programs apply for funds). This program has 25 years of success in educating FNP’s, PAs , and Medical Residents. CSPCN opposes these new funds being a part of the Song Brown structure for authorizing the funds. Certainly it can be under the auspices of OSHPD, but not under the current board of commissioners. Problem is that the governor may not support if it is separate. Priscilla volunteered to meet with Janet to share her expertise and the concern about how funds are appropriated. The current plan is for incremental funding up to $120 million.
• SB 457 (Scott) – aims to standardize all nursing program prerequisites between community and baccalaureate programs and to serve as an information source on statewide nursing program vacancies. Discussion - state doesn’t mandate curriculum for other disciplines; Sherry’s group will have report on progress with articulation around June; can community colleges implement their piece given current BRN and local college prerequisite requirements (e.g., General Biology for Anatomy & Physiology). Tracking would be a benefit to students who don’t get into impacted systems. Bill authors need to look at demonstration projects (Sacramento, Fullerton) and at BRN requirements for nursing requirements and determine if in fact there are too many requirements in ADN programs for nursing.
• Non CHA-sponsored bills: 1. Pooghiagian, SB 664 - $5 million for community college education in nursing. 2. AB 87 (3^rd year it has come up), CNA sponsorship - To provide training for licensed nurses and specialty training; no upper division credit.
• Tobacco tax bill – to fund school nurses for all schools.
• Karen Sechrist did a recent search of proposed CA bills and found that 45 bills contained something concerning nursing.

What can we do to support these bills? They need to be cleaned up. SB 317 is CHA\ACNL. Stay focused on key bills, not spot bills which will change over time. Needs:

• Increased funding for nursing education.
• Education/institution partnerships.
• Communication.

Sacramento group to send Dana information as it becomes available for website posting. When something is posted, Dana to email IOC and others requesting specific support.

Center for Health Professions – new report (Feb); how important is this to future of nursing in CA? They will be taking positions on bills; they are not taking same position as CSPCN; concern about statements about educational requirement for pre-licensure, length of shortage, and need for any kind of nurses irrespective of education.

Discussion about articulation between AD and BS programs – need to assess prerequisite situation. May need to look at other state programs (2 years = AD). Look at other professions such as police, fire dept re: rewarding for education, emphasizing retirement.

Update on Nursing Institute (D. Jones)

Deloras Jones updated the IOC on the proposed development of a Nursing Institute in CA. Deloras indicated that momentum building and she will soon be meeting with Ruthann Terry and her colleagues at the Wellness Foundation.

 BRN Report (J. Harlow)

Working on issues: 1. data–gathering – Omnibus Bill to enable q3 yr surveys (current requirement q8yrs); should go through; survey 2002; checking out survey to assure comparability over time; 2. Midyear – advisory committee to the BRN (smaller than IOC) to sustain efforts

Team Reports:

Career Mobility Implementation Team (CMI) – Sherry Fox

• Handouts shared (drafts of website content with sample pages, position statement on educational mobility, delineation of public health/community health competencies).
• Group meeting by conference call; full day meeting in January (Sacramento); goal to get website connection up and running; worked on differentiation between AD, BS levels for community and public health competencies; position statement draft – when completed, to go on website; introduction to website - working on content now; goal to have up on CSPCN website by summer.
• Have lost one of their service representatives (Gloria Williams from Valley Children’s) and actively seeking another.
• When funded by Helene Fuld, group focused on LVN to Masters; now, need to include nursing assistants and other interested pools for nursing (make career pathways evident); would like to feature success stories on website; Inez – funding for some unique tracks (look at CO webpage for nursing assistants), Kansas City career track (CIC)
• Sherry working on CSU prerequisite project

Competency-based Role Differentiation Implementation Team – Arlene Sargent, Polly Walker

December meeting, conference call February – working on pilot project (Sacramento, Fresno, San Bernadino); Sarah is Project Director; toolkits have been sent to each pilot sites, being modified as necessary to meet site needs; IRB reviews in process; data collection – unique by site; goal of alpha phase is to determine whether competencies exist in the work setting and whether they be differentiated. Goals for year – to collect data, analyze, preliminary recommendations based upon findings. Hopefully a summit will be held in 2002 to disseminate findings? The Tripartnerships and CBPPSIT will meet December 4^th in Ontario to discuss project work to date.

Pilar de la Cruz (Community Hospital Fresno) – pilot site; collaborative work group – CSU, City College, hospital; several units may be involved; senior students involved; Pauline Kliewer, liaison; paid data collector to be hired; instructors to observe students; 5 weeks for student observation (April); need to meet with staff nurses on purpose of project; onsite visit yesterday with CIC visitors and CSPCN project staff.

S. Keating – other 2 sites; advisory board meetings were held in January; data collection by graduate students (AD + BS + masters); enthusiastic; Fresno a step ahead; thinking about realities of data collection; possibly to have interviews and checklists, audits of records, etc. recommend that CSPCN give guidelines to sites on data collection; goal – not to compare programs; but to look at utility of model; UCDavis – staff position descriptions exactly describe positions in competency models; students not on same time frame; formative evaluation, alpha; attempt for a chat room discussion on March 2. Additional work still needs to occur related to the technical aspects of "Chatting"

IOC may want to meet December 4 meeting in Ontario with Tri-Partnerships, CBPPSIT. Hold the date.

Recruitment Team (RT) – S. Keating

Judy M-H, Donna Ver Steeg, and Lawren Askew very helpful; tape on recruitment to be redone; Received $6,000 funding from St. Johns Health Foundation for video production; spoke with senators (Ortiz); theme of videotape – diversity in broadest sense; roles, gender, ethnicity; team met with Katie Bray (CNCC); CNCC to look at image of nursing; goal – to produce the video; then, copy and disseminate to all schools of nursing with further dissemination by students, faculty, etc.; aim to get to middle schools, high schools, etc.; also need copies for hospitals

CNCC update (A. Sargent) – meeting q 3 weeks; Kaiser has given community service funds for a CNCC project director; met with president of NurseWeek; excited about project; want to partner; 2 pages to work with on (promoting image, recruitment); focus on now – special edition of NurseWeek to focus on nursing shortage; CEU program being written; unfortunately, average nurse doesn’t understand the nursing shortage; CEU will contain talking points for nurses to go out and talk about nursing; CEU will be FREE; a centerfold in the issue will promote nursing and will be removable; those who take part in the CE will have the opportunity to submit where they spoke about nursing (boy scouts, etc.); then, NurseWEEK will feature these "ambassadors in nursing"; hope to have Choose Nursing Website up in spring (choosenursing.org ); ideas – fund raising events, capitalize on entertainers who have had experiences with nurses; NurseWeek – want to have a van focusing on nursing to travel the state; CNCC.organization has minutes and some info from deans and directors; suggestion that CNCC connect with HRSA, Kids into Health Careers (kits available); CNCC has looked at promotion program of teachers (CalTEACH);other CICs with PSAs

Other

• Summit for 2002 – final phase of CSPCN/CIC; input from all work groups; last two – Firm up in June; check out March or April on availability; Pat and Jean to follow up with convention center.
• D. Jones has received support from NurseWeek and AONE to do national survey about nurses career intentions; goal – yearly times 5 years; Advisory Board – K.Sechrist, P. Buerhaus, etc.

Feedback and Updates from CIC Site Visitors: Site visitors were extremely pleased with progress of CSPCN to date in achieving goal. A written report will follow. They also discussed what was occurring nationally and indicated that grass root initiatives are being very successful in getting word to the consumers of health care that a severe nursing shortage is upon us. The Surveyors were asked to comment on whether funding would be made available for a "Phase III". They indicated a task force has been established to look at the Colleagues in Caring successes to date and then, that information will be sent forth to the Foundation.

Agenda for Next Meeting & Adjournment.

Meeting Tuesday June 26, 10 a.m – 2:30 p.m Pat McFarland to check in Sacramento for possible location and host.