Michigan’s Clinical Management System

1. Michigan’s Clinical Management System Michigan Center for Health Professions and the Michigan Center for Nursing Susan Sanford Michigan Health Council

2. Strategic Plan for the Centers and MHC • Develop strategies for increasing the supply of healthcare professionals throughout Michigan. • Share information, resources and develop collaborative initiatives.

3. We know….. • More then 4000qualified applicants were turned away from nursing programs across the state. • 287 admission slots in nursing education programs went unfilled in the 2006 school year • The primary reasons were lack of faculty and lack of clinical spots.

4. What we can do…. • Create a clinical management system in 2 phases. • Phase I Clinical Placement System (2007) • Phase II Clinical Passport System (2008)

5. Michigan’s Clinical Placement System • Create a statewide regionalized clearing house for all student clinical placements. This system will: • Increase utilization of clinical sites filling empty slots; • Increase number of sites; create a master schedule for clinical experiences; • Have one contact point for requesting clinical training; fostering regional and statewide collaboration

6. What’s in it for the colleges? • Redirect faculty and administrative staff currently working on scheduling student clinical rotations back to teaching and administrative duties. • Conservative estimate of 1.5 FTE at each of the schools in southeast Michigan (15) is $2,100,000 spent yearly on scheduling. • Enhanced student clinical experiences in the specialty areas i.e. pediatrics • Contain scheduling conflicts/overlaps;

7. What’s in it for the clinical sites? • Redirect staff currently working on scheduling student clinical rotations to other work. • Enhanced utilization of clinical sites, reducing overlaps and crowding.

8. Michigan’s Clinical Placement System • Will provide a one point of contact Manager for the system • Regional and statewide coordinator meetings • Michigan will have a network of 10 other states to collaborate with about the system. • Michigan’s system will include nursing and other health professions

10. Why we are using the Student Maxx System • Student Maxx was created by the Oregon Center for Nursing and has been operational for 4 years they have experienced a 74% increase in clinical capacity; • Student Maxx is being utilized in 10 states • Tennessee has been operational for only one year and has already experienced a 28% increase in clinical sites and 21% increase in capacity. • The system brings a collaborative of 10 states all working to enhance the system and share experiences.

11. What about the existing regional systems? • Those regions who have a system already in place may wish to maintain their system but subscribe to the statewide system for specialties and hard to find placements, or subscribe as a region to the statewide system and not have to maintain their own system.

12. Michigan’s Clinical Passport System • Creates a common learning platform; • Assess, certify and track the orientation core courses a student has completed. Results would include: • Increase the time a students spends in the clinical rotation and not in orientation • Reduces redundancy in content and paperwork; • Freeing faculty time and hospital staff time;

13. Michigan’s Clinical Passport System Use of the system would be accepted and required by all clinical training sites to meet their requirements for training regarding: • HIPPA • Standard precautions (blood borne pathogens) • Safety-OSHA This system can be expanded to teach:Sexual Harassment, Right to Know, National Patient Safety Goals, Cultural Competency, etc.

14. Partners for This Pilot Project • The Southeast Michigan HR group has been meeting with MHC to create this system. Our partners include: • Henry Ford Health System • Oakwood • Beaumont • Trinity (pending) • DMC • St. John Health System • Michigan Department of Community Health

15. Implementation • The plan is to have the placement system functional by Fall 2007 and fully operational by January 2008 to begin Fall 2008 scheduling. • Building of Phase II (Passport) will begin Fall 2007

16. Sustainability • The system must be self-sustaining after the pilot funding. This will be accomplished by subscriber/membership fees. • Fees for the clinical agencies will be based on number of beds. In Ohio, Oregon and Tennessee these fees range from $1750 to $6000. The fees for schools are based on numbers of students in the programs with a range of $1000 to $5000.

17. Ideal Clinical Passport System: Web based system Individual standard health & safety requirements (health, vaccinations, background checks) Uniform core orientation content acceptable to all health care providers (HIPAA  Natl Pt Safety Goals) Shared operations costs (education, provider, government) Ideal Clinical Placement Consortia: Web-based systems where providers and educators “slot” students Uniform clinical evaluation form & procedures All health professionals (Currently only nursing) 10 states have (FL,IA, KS, MO, MN, MS, OR, TN, TX, WA) Shared operations costs (education, provider, government) When all is said and done we will have the necessary infrastructure collaboration to help Michigan reach our health manpower goals;

18. QUESTIONS?