Educational Pathways for the Incumbent Nursing Workforce - Dell Oliver, HCA
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Dell Oliver, HCA - Speaker at the marcus evans National Healthcare CNO Summit 2012 held in Hollywood, FL, April 26-27, 2012, delivered his presentation on the topic Educational Pathways for the Incumbent Nursing Workforce
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Educational Pathways for the Incumbent Nursing Workforce - Dell Oliver, HCA
- 1. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Dell Oliver, MBA, MSN, RN AVP E ti D l t HCA AVP Executive Development-HCA 1
- 3. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Educational pathways for the Educational pathways for the incumbent nursing workforce incumbent nursing workforce incumbent nursing workforce incumbent nursing workforce 3
- 4. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` History y ► 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 S in the U.S ► Mission ► Above all else, we are committed to the care and , improvement of human life. 4
- 5. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` History ◦ Founded by 19 Governors y ◦ Supported by 20 major corporations ` Mission ` Mission ◦ Improve quality and accessibility of hi h d i higher education. 5
- 6. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` Accredited ` Affordable ` Online ` Online ` Private, Non-Profit ` Growing over 30% annually ` Growing over 30% annually ` Technology-based online university C t b d ` Competency-based ` Self-paced learning ` A Unique Model in Higher Education 6
- 7. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ¾ Robert Wood Johnson Foundation ¾ Bill & Melinda Gates Foundation ¾ AT&T ¾ Dell Computer Corporation ¾ Google Inc ¾ Lumina Foundation ¾ Alfred P. Sloan Foundation ¾ Marriott Foundation ¾ Google, Inc. ¾ Hewlett Packard Company Foundation ¾ ¾ Marriott Foundation ¾ Microsoft Corporation ¾ Hospital Corporation of America ¾ Simmons Media Group ¾ SunGard Higher Education ¾ Sun Microsystems ¾ Tenet Healthcare ¾ Oracle Corporation ¾ Sun Microsystems ¾ Zions Bank 7
- 8. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` Regionally Accredited g y ◦ Northwest Commission on Colleges and Universities (NWCCU). ` Nationally Accredited ` Nationally 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). 8
- 9. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 9
- 10. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Full range of Undergraduate and Graduate Degrees ► School of Business ► Undergraduate: Business Management, HR Management, Accounting, Sales and Sales Management, Marketing Management g , 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 10
- 11. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` RN to BSN Completion Program (12 to 18 Months) ` MSN (24 to 30 Months) Ed i ◦ Education ◦ Leadership ` RN to MSN Bridge Program ` RN to MSN Bridge Program ` BS in Health Informatics ` Prelicensure RN Program ` Prelicensure RN Program ` MBA in Healthcare Management 11
- 12. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM d d f d d h i l kill ( i f l ` Increased need for advanced technical skills (Meaningful Use, Evidence-Based Practice, Electronic Health Record, etc. ) ` Requirements for the Magnet journey ` Requirements for the Magnet journey ` Demand for nurse leaders: ◦ Develop new strategies for delivering care ◦ Design new care delivery systems ` Needed nurse leaders: retirement of 55% of healthcare workers mostly nurse managers between 2011 and 2020 workers, mostly nurse managers between 2011 and 2020 ` Flexible education: less than 20% of working nurses return to school to obtain a BSN or MSN (mostly due to current work demands) 12
- 13. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ` Since 1998: ►90 new drugs on the market ►124 new uses for existing drugs ►344 generic equivalents g q ►7 new over-the-counter drugs ►5000 new medical device applications ►5000 new medical device applications 13 CDER 1998 Report to the Nation, Center for Drug Evaluation and Research, FDA; Office of Device Evaluation, Annual Report, FY98.
- 14. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Education for HCA Education 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 progression that 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. 14
- 15. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Education by WGU Education 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 a and 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 l class 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 15
- 16. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Personal Mentoring by WGU Personal 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 16
- 17. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 65% of Working nurses report cost of school as their number one X WGU’s tuition is $6,500 per year 65% of Working nurses report cost of school as their number one barrier: X Flat rate = more courses without more cost X Average cost for RN to BSN - $9,000 X Average cost for RN to BSN $9,000 X WGU-HCA partnership offers HCA employees tuition discounts as well as opportunities for tuition discounts as well as opportunities for scholarships, making advanced education even more affordable affordable. 17
- 18. Summary of HCA aggregate enrollments Aug 2011 to March 2012 College of Health Professions Program Title Number of Students enrolled % increase enrollment in 8 months Aug‐11 Mar‐12 Aug 11 Mar 12 RN 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 months Aug‐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% 18 Total HCA employee enrollments 270 412 52.59%
- 19. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 140 160 100 120 RN to BSN Prelicensure 60 80 BSN 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 0 August '11 October '11 April '12 19
- 20. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM Summary of Chart and Graph findings X 93.9% increase in RN to BSN enrollments in 8 months X 70% overall increase of nursing enrollments in 8 months g X Increased enrollments in every nursing program and dramatic increase in RN to MSN Education (138%) X 32% overall increase of enrollments in Business and IT degrees X 47% increase in MBA Health Administration enrollments X 91.6% increase in BS in Health IT enrollments X Increased Business and IT enrollments in every program except Oth G d t D Other Graduate Degrees X 52.5% increase in overall HCA employee enrollments or 142 enrolled students in 8 months (over 17 new students per month) 20
- 21. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 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. 21
- 22. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 2011 Survey on 3,979 Graduates Conducted by Lighthouse 2011 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 22
- 23. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM ►One Year Retention Rate – 75% ►Student Satisfaction – 96% ►Students in Good Academic Standing – 83% ►Students Who Would Recommend WGU-97% 23
- 24. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM American Military University, WV Baylor University, TX Boise State University, ID Boston University, MA University of Illinois Urbana-Champaign, IL University of Michigan, MI University of Minnesota, MN University of New England ME y Bowling Green State University, OH Brigham Young University, UT Cornell University, NY Georgia State University, GA G 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, WA Kansas State University, KS Lamar University, TX Lewis & Clark, OR Northeastern University MA University of Utah, UT University of Virginia, VA University of Washington Tacoma, WA Villanova University, PA Northeastern University, MA The University of Alabama, AL University of North Carolina, NC University of Houston, TX Villanova University, PA Virginia Tech, VA West Virginia University, WV Wharton Business School, PA 24
- 25. HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM HCA Hospital Corporation of AmericaSM 25