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Status of California State University Health Professions Programs

Status of California State University Health Professions Programs. Presentation to CHPC, April 30, 2009 Jeri Echeverria, Associate Vice Chancellor for Academic Affairs Christine Hanson, Academic Dean Elizabeth Ambos, Assistant Vice Chancellor for Research Initiatives and Partnerships.

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Status of California State University Health Professions Programs

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  1. Status of California State University Health Professions Programs Presentation to CHPC, April 30, 2009 Jeri Echeverria, Associate Vice Chancellor for Academic Affairs Christine Hanson, Academic Dean Elizabeth Ambos, Assistant Vice Chancellor for Research Initiatives and Partnerships

  2. Presentation Outline • Budget impacts on CSU Programs • Overview of California State University contributions to Health Professions • Current Initiatives • Doctorate of Nursing Practice • Broadening Access to Health Professions Careers

  3. CSU’s Role in California’s Workforce: Numbers and Diversity The CSU is the largest, most diverse, public higher education system in the United States: with close to 450,000 students in 2008. The CSU granted close to 90,000 degrees in 2006-2007. The CSU graduates more African American, Hispanic, and American Indian students than all other California universities combined. 3

  4. CSU Budget Status • National context: state funding of higher education is declining • State context: ALL public higher education segments affected • CSU System context: • Instability of funding a major concern • Raising student fees a major concern • Major cuts have been made in CSU budget over last few years • Focus is to maintain access and quality, and support students in degree and certificate programs • Cuts are not “one size fits all” -- different campuses making different choices on budget management

  5. CSU Budget Status (continued) The current fiscal impact to the CSU adds up to $600 million in cuts and cost obligations that the state was unable to provide funding for over two fiscal years, 2008-09 and 2009-10   • CSU will likely receive $268M in federal ARRA state fiscal stabilization funds (SFSU); a one-time, partial restoration of state budget cuts to CSU • CSU SFSF funds will go toward preserving jobs, and providing vital student services and academic programs

  6. California State University: Health Professions Degree Programs and Workforce Development CSU prepares 44% of the state’s bachelor’s degree graduates in the life sciences, which include such fields as biotechnology and a variety of health professions. CSU contributes the majority of the state’s graduates in health professions’ related fields: 92 % in health professions and related sciences 64% in nursing The CSU also contributes to the state’s future doctors, dentists, pharmacists, nurses, and other highly trained health professionals in terms of sending its well-qualified graduates on to medical, dental, nursing, pharmacy, and other health professions schools 6

  7. CSU Undergraduate Biological Sciences and Health Professions Degree Programs: Numbers and Demographics After declines in the early 2000’s, we are again witnessing increases in the numbers of students completing these degrees 7

  8. Diversity of CSU Health Professions Degree Holders: 1996-1997 Compared to 2006-2007 Health Professions Degree Holders Have Largely Increased in Diversity, particularly with respect to Asian and Hispanic Degree Holders 8

  9. CSU Nursing Degree Programs2007-2008 BS Nursing (Pre-License) BS Nursing(RN to BS) MS Nursing(Entry-Level) MS Nursing (RN to MS) 18 programs 24 programs 9 programs 17 programs 1664 graduates 284 graduates 183 graduates 340 graduates 2,471 Graduates Source: CSU Analytic Studies

  10. Pre-Licensure Degree Programs2007-2008 CSU BS Nursing (Pre-License) CSU MS Nursing(Entry-Level) 18 programs 9 programs 1664 graduates 183 graduates 78% of RN production in public BS/MS programs Source: CSU Analytic Studies

  11. California Nursing Programs 2007-2008 17.9% increase in qualified applications received 60.7% of qualified applications were rejected Only 4% more students were admitted in ’07-’08 than in ’06-’07 California must better meet the demand for nursing education Source: CA Board of Registered Nursing2007-2008 Annual School Report

  12. Meeting the Demand for Nursing Enrollments Resources needed • Funding for expensive programs • Classroom and laboratory space • Clinical opportunities • Faculty 73% of nursing schools say faculty shortages are the reason for limiting enrollment AACN “Nursing Shortage” Fact Sheet http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm; retrieved 1/10/07

  13. Meeting the Demand for Nursing Enrollments Resources needed—State Funding It costs more to educate each nursing student than the state pays to the CSU Nursing expansion funding must be in Governor’s budget as a direct allocation full-cost marginal cost funding AACN “Nursing Shortage” Fact Sheet http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm; retrieved 1/10/07

  14. Resources needed—Faculty CSU Doctor of Nursing Practice Train future faculty for CSU and CCC Train advanced practice nurses Educate nursing professionals to the terminal degree Draw on existing resources in MSN programs Source: CA Board of Registered Nursing2007-2008 Annual School Report

  15. Introduction to the CSU “Health Professions Pipeline” ProjectFunding Provided by the California EndowmentGrant #20072095

  16. Project Overview: Timeline and Deliverables Spring-Summer 2008: Project initiation: Funded by California Endowment Development of regional project centers Project Director, Northern California: Dr. Barry Rothman, SFSU Project Director, Southern California: Dr. Linda Reid Chassiakos, CSUN Statewide Nursing and Allied Health Project Leadership: Dr. Judy Papenhausen, CSUSM 16

  17. Project Partners/Technical Advisors • Dr. Kevin Barnett, Public Health Institute • Jeff Oxendine, UC Berkeley School of Public Health • “Connecting the Dots” summit meeting • Extensive interviews of CSU, UC, HPEI leadership • Linkages with ongoing state, regional and institutional initiatives

  18. Project Overview: Timeline and Deliverables • Fall 2008-Winter 2009: Hold a series of planning meetings with CSU health professions advisors and partners from CCCs, UCs, and other academic, community, and health care agency partners September 5th – southern California regional meeting September 12th – northern California regional meeting • January 15th – statewide summit meeting for medical, dental, pharmacy • major focus – CSU-HPEI connections • September 25th – statewide summit meeting for nursing and allied health • major focus – CSU-CCC connections • Spring-Fall 2009: Develop an action plan for enrolling and graduating more well-qualified health professionals who reflect the full diversity of California's residents • Fall 2009-Spring 2010: Disseminate the plan to the CSU Chancellor, the California Endowment, and California stakeholder groups and partners 18

  19. January 15, 2009Recommendations: K-12 Transitions

  20. January 15th Comments: K-12 Transitions • Use technology to communicate with K-12 students about academic expectations • Although technology is a useful tool, also need personalized connections between K-12 academy faculty and CSU faculty • Need connections between K-12 academies and undergraduate programs in terms of formal agreements • Teacher training for student mentoring and career counseling is needed – at K-12 and undergraduate levels • CASM, AVID, OTTP, HOSA, CITEA, CPA, CTA are organizations/groups of professionals who work with K-12 academies; CSU should partner with them

  21. January 15th Comments: K-12 Transitions (continued) • Pre-college bridge programs highly regarded but there are $$ issues; grant funding and/or summer school funding can provide resources • Instead of statewide conferences – representatives from CSU should speak to groups (students, teachers, advisors, parents) about health professions • Use of alumnae as mentors very important – need cultural competence, awareness of family/life pressures; can tap community service students (mental health/counseling) to work with pre-health students • Formal agreements between high school academies and CSUs for early/guaranteed admission for students – would serve to motivate students

  22. Recommendations: Undergraduate Preparation

  23. January 15th Comments: Undergraduate Preparation for HP Careers • In general, there is a need for a comprehensive, structural academic and career support system, including financial aid workshops, peer mentoring, clear college-career pathways • Specific with respect to 21st century technology for advising, would like to see a web portal that includes information about coursework required, summer internship clearinghouse, entrance exams, recommended study skills, CSU MENTOR, iTunes, YouTube, pod cast, alumni discussion boards, etc.

  24. January 15th Comments: Undergraduate • Health professions conferences – YES!!! – have them rotate among CSUs, webcast to increase outreach; partner with organizations and associations such SUHA, PPHTC, etc. • Leverage CSU alumnae reach – 2 Million strong! • Need to expand post baccalaureate programs – at CSU and partner HPEIs – reduce barriers to these programs • Leverage existing health professions orientation courses, such as those supported by WAHPS • Develop “one stop shop” health professions advising capabilities on CSU campuses

  25. Recommendations: Graduate and Post-Baccalaureate Transitions

  26. January 15th Comments: Graduate and Post-Baccalaureate Transitions • A big YES to point-of-contact designation of health professions’ advisors on CSU campuses, so connections can more easily be made with HPEIs • Site visits can be of two types: (1) comprehensive sets of interviews on CSU campuses of all aspects of health professions preparation and advising, including interviews with Deans, faculty, student services professionals, career development specialists, and STUDENTS. (2) career advising workshops as part of career fairs. For both (1) and (2) need to make sure interactions with CSU students are personalized, and involve visits from “near peers” • To build alignment in expectations – “familiarity breeds success” – that CSU faculty, staff, as well as students need to have relationship building opportunities in addition to health professions advising; shared faculty research agendas, shared speaker series, etc.

  27. January 15th Comments: Graduate and Post-Baccalaureate • The ASSIST software package to post course/entry degree options for post-baccalaureate and professional degree programs • Metrics can be developed from promising data warehouse efforts: e.g. the dental pipeline study • Need professional development for CSU and HPEI faculty and administrators – many misconceptions; e.g. CSU administrators think CSU students are applying to UC – this is not the case.

  28. January 15th Comments: System • With regard to the MOU and Joint committee work, the scope of these efforts needs to be across health professions education – not just higher education: community and advocacy groups, legislative and governmental entities, etc. • Need greater clarity and understanding of what is already in place in higher education; i.e., need to do an environmental scan of health professions committees/other relevant structures within and outside of the CSU • With regard to data collection, before a system-level data warehouse, need to examine data collection efforts already developed for small programs, to determine value and scalability to system level • Build regional projected workforce needs (and funding) into MOUs between CSU and HPEIs; this will involve employers as well

  29. www.calstate.edu

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