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ATRIUM October 19, 2 October 19, 2018 Board of Regents Meeting - Public Session Agenda BOARD OF REGENTS University System of Maryland at Hagerstown 32 West Washington Street, Hagerstown, MD -- ATRIUM October 19, 2018 AGENDA FOR PUBLIC SESSION 8:30 A.M. Call to Order Chairman Brady Welcome from University System of Maryland at Hagerstown Mr. Mark Halsey Educational Forum – Strengthening Maryland’s Health Care Workforce Dr. Jay Perman President University of Maryland, Baltimore Chancellor’s Report Chancellor Caret 1. Report of Councils a. Council of University System Faculty Dr. Westerman b. Council of University System Presidents Dr. Perman c. University System of Maryland Student Council Mr. Prouty d. Council of University System Staff Mr. Freeman 2. Consent Agenda Chairman Brady a. Committee of the Whole i. Approval of meeting minutes from September, 21 2018 Public and Closed Sessions (action) ii. Approval of meeting minutes from October 1, 2018 Public and Closed Sessions of a Special Board Meeting (action) b. Committee on Organization and Compensation i. Approval of meeting minutes from October 11, 2018 Public and Closed Sessions (action) ii. Status of Work Plan on Executive Compensation and Governance (information) c. Committee on Finance i. Approval of meeting minutes from September 13, 2018 Public and Closed Sessions (action) ii. University System of Maryland: Official Intent Resolution on Reimbursement of System Cash Balances Spent on Revenue Bond-Authorized Projects (action) 1 4 October 19, 2018 Board of Regents Meeting - Public Session Agenda iii. University of Maryland, College Park: Establishment of $25M Quasi- endowment to Provide Matching Fund for Maryland Promise Fund (action) iv. University of Maryland, Baltimore: Renovation of 16 S. Poppleton Street, Baltimore (action) v. Frostburg State University 2018 Facilities Master Plan (information) 3. Review of Items Removed from Consent Agenda 4. Committee Reports a. Committee of the Whole Chairman Brady i. UMCES Joint Chairmen’s Report (action) ii. Universities at Shady Grove Renaming Request for the Camille Kendall Building (action) 5. Reconvene to Closed Session (action) Chairman Brady 2 5 October 19, 2018 Board of Regents Meeting - Public Session Agenda Strengthening Maryland’s Health Care Workforce JAY A. PERMAN, MD, CHAIR USM HEALTH CARE WORKFORCE WORKING GROUP Ι OCTOBER 2018 6 October 19, 2018 Board of Regents Meeting - Public Session Agenda 2 WORKING GROUP: CHARGE Convened in summer 2016, the working group was charged with: 1. Examining USM’s role in preparing a robust and highly trained health care workforce for the state. 2. Identifying factors that limit USM’s ability to supply that workforce. 3. Recommending ways to enlarge our production capacity and enhance the quality of our academic programs. 7 October 19, 2018 Board of Regents Meeting - Public Session Agenda 3 WORKING GROUP: LEADERSHIP u Jay Perman (chair) University of Maryland, Baltimore u Michelle Gourdine USM Regent u Juliette Bell University of Maryland Eastern Shore u Janet Dudley-Eshbach Salisbury University u Ronald Nowaczyk Frostburg State University u Kim Schatzel Towson University u Kurt Schmoke University of Baltimore u Maria Thompson Coppin State University u Joann Boughman USM Senior Vice Chancellor for Academic Affairs 8 October 19, 2018 Board of Regents Meeting - Public Session Agenda 4 ISSUES FOR EXAMINATION u Nursing articulation and collaboration u Simulation facilities u Interprofessional education u Clinical partnerships and placements u Health care workforce diversity u P-20 education pipeline 9 October 19, 2018 Board of Regents Meeting - Public Session Agenda 5 ISSUES FOR EXAMINATION u Sufficiency of primary care providers u Medically underserved areas u Sufficiency of teaching faculty u Institutional collaboration, esp. with community colleges u Program quality and course design u Case management in team-based care u Sufficiency of facilities u Technology systems u Sharing resources across USM u Stackable credentials 10 October 19, 2018 Board of Regents Meeting - Public Session Agenda 6 High-Demand Health Care Occupations and Need Met by USM 9000 Demand met: 35% 8000 8,070 7000 6000 Demand met: 38% MARYLAND HEALTH CARE Demand met: 40% 5000 5,270 4,860 WORKFORCE DEMAND 4000 3000 2,801 2000 1,944 2,005 1000 0 2005 2009 2015 USM Degrees Produced Maryland Job Openings Note: In 2015, all Maryland colleges and universities (USM and 4-year non-USM) met 53% of the demand for health care jobs listed in the state’s top 200 occupations. Sources: 1) Maryland Dept. of Labor, Licensing and Regulation; 2) Institutional reporting to the Maryland Higher Education Commission; 3) University System of Maryland 11 October 19, 2018 Board of Regents Meeting - Public Session Agenda 7 NURSING ARTICULATION AND COLLABORATION: FINDINGS 1. Nursing workforce projections vary depending on timeframe. 2016 data: Maryland among 4 states that will experience a shortage of 10,000+ nurses in 2025 – projected shortfall: 12,000+ nurses 2017 data: Maryland to have nurse surplus by 2030 – projected surplus: 12,000+ nurses 2. Increasing preference for baccalaureate-prepared nurses 3. Faculty salaries are not competitive 4. Initiatives underway, including Nurse Support Program II grants 5. Exam pass rates below national average at some USM schools Source: U.S. Department of Health and Human Services 12 October 19, 2018 Board of Regents Meeting - Public Session Agenda 8 NURSING ARTICULATION AND COLLABORATION: RECOMMENDATIONS 1. Grow enrollment in entry-level and graduate nursing programs – 10% enrollment growth over next 5 years – and conduct new forecast of nursing supply & demand in 2023. 2. Ensure adequacy of clinical placement sites. 3. Ensure a stable and sufficient clinical faculty corps. 4. Fund programs to improve NCLEX-RN exam pass rates. 13 October 19, 2018 Board of Regents Meeting - Public Session Agenda 9 CLINICAL PARTNERSHIPS & PLACEMENTS: FINDINGS 1. Different disciplines have different placement challenges 2. Payment for clinical placements 3. Academic institutions’ concerns include: A. Number of clinical training sites B. Number of preceptors (hosts) in specialty areas C. Competition with other schools, esp. out-of-state, offshore, and for-profit 4. Hospital and health care systems’ concerns include: A. Administrative burdens B. Decreased preceptor productivity C. Students’ lack of preparation 14 October 19, 2018 Board of Regents Meeting - Public Session Agenda 10 CLINICAL PARTNERSHIPS & PLACEMENTS: RECOMMENDATIONS 1. Alleviate shortages of clinical placements in critical practice areas. 2. Enhance preceptor productivity and mitigate burnout. 3. Streamline administrative responsibilities. 4. Commit UMMS to give priority to USM students, without compensation, and expand non-monetary compensation options. 5. Establish relationships/systems that yield predictable placement sites. 15 October 19, 2018 Board of Regents Meeting - Public Session Agenda 11 CLINICAL PARTNERSHIPS & PLACEMENTS: RECOMMENDATIONS 6. Improve coordination across health systems and academic institutions. 7. Enhance curricular collaboration between academic institutions and health care sites. 8. Support residency growth with creative funding sources and expand residencies in non-hospital sites. 9. Undertake a comprehensive assessment of clinical education. 16 October 19, 2018 Board of Regents Meeting - Public Session Agenda 17 October 19, 2018 Board of Regents Meeting - Public Session Agenda 13 SIMULATION FACILITIES: FINDINGS Key Barriers to Simulation Education 1. Well-established curriculum with shareable scenarios 2. Cost of equipment and suites 3. Faculty training 4. Research supporting simulation efficacy and best practices 18 October 19, 2018 Board of Regents Meeting - Public Session Agenda 14 SIMULATION FACILITIES: RECOMMENDATIONS 1. Establish a Center of Excellence in Simulation Education (Phase I). A. Support USM-wide coordination B. Increase training efficiency C. Open institutions’ access to best practices 2. Develop mobile simulation resources to deliver multiple simulators to universities, hospitals, and training sites (Phase II). 3. Expand existing facilities in 3 sites: Western Maryland, Central Maryland, and the Eastern Shore (Phase III). 19 October 19, 2018 Board of Regents Meeting - Public Session Agenda 15 INTERPROFESSIONAL EDUCATION: FINDINGS 1. IPE vision for Maryland A. Maryland will be a national leader in IPE. B. USM students will receive a distinctive education because of IPE. C. Maryland citizens will receive an unmatched level of care through IPE. 2. Historical barriers to IPE A. Professional cultures B. University structures and specialties C. Lack of research 20 October 19, 2018 Board of Regents Meeting - Public Session Agenda 16 INTERPROFESSIONAL EDUCATION: RECOMMENDATIONS 1. Scale select IPE activities that exist Systemwide, ensuring adequate representation of activities within the three IPE domains. A. Exposure B. Immersion C. Competence 2. Invest in ongoing research into the efficacy of IPE as a pedagogical approach and as a means of improving patient outcomes. 21 October 19, 2018 Board of Regents Meeting - Public Session Agenda One-Time Annual Topic Subtopic Costs17 Costs 15% salary differential for Adjunct II faculty Unknown Unknown 10% enrollment growth over 5 years Bowie $943,000 Coppin $1,948,000 Nursing Articulation Frostburg $217,350 & Collaboration Salisbury $1,300,000 Towson $541,000 UMUC Unknown Unknown UMB-UMSON $750,000 ESTIMATED BUDGETS Improve NCLEX-RN Pass Rates $141,256 Partnerships & Unknown Unknown Placements
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