UH Systemwide Nursing Proposal

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UH Systemwide Nursing Proposal

• Presented to the
• Council of Chancellors
• University of Hawaii
• March 17, 2004
• Revised March 31, 2004
• (upon request of the Council)

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UH Systemwide Nursing Faculty Consortium
University of Hawaii at Manoa University of
Hawaii at Hilo Hawaii Community College Kapiolani
Community College Kauai Community College Maui
Community College
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University of Hawaii Mission
The common purpose of the University of Hawaii
system is to serve the public by creating,
preserving, and transmitting knowledge in a
multi-cultural environment. the system supports
the creation of quality jobs and the preparation
of an educated workforce to fill them.
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University of HawaiiPurposes

• High quality college and university education and
  training
• Variety of entry pointsto meet individual
  educational and professional goals
• Distinctive pathways to excellence fostering a
  cohesive response to state needs and
  participation in the global community

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Background Information The Nursing Profession

• Registered Nurses (RNs) provide direct care in
  hospitals, long term care, hospice, community
  health, schools and home care settings.
• RNs complete a 2-year Associate Degree or a
  4-year Bachelors degree prior to passing a
  national licensing examination.
• Nurses are the backbone of healthcare with over
  10,000 RNs licensed in Hawaii.

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Background Information Hawaiis Demographics

• Residents of Hawaii increased 12 between
  1990-2002 1
• Hawaiis population is projected to grow 33
  between 2000 and 2020 2
• In 2000, the elderly represented 17 of the total
  population 3
• By 2020, it is projected that 1 in every 4
  individuals will be over the age of 60 3
• Growing elderly population use more health care
  than a younger population
• 1 Hawaii Health Care Trends in Hawai'i,
  6th ed. HMSA Foundation, 2003
• 2 Bureau of the Census, 1997
• 3 Hawaii Executive Office on Aging, 2003

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Growing Elderly Population in Hawaii Comparison
Increase in Population
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Background Information Efforts of Nursing Units
and the Community

• Community Initiative on Nursing of Hawaii Project
  funded by the Robert Wood Johnson Foundation,
  Colleagues in Caring
• Additional student cohorts supported by the
  Queens and Hawaii Pacific Health Systems
• Various training and research grants submitted
  and funded
• Part-time ADN Program funded by Dept of Labor
  Rural Development Project (MCC)
• Hawaii State Center for Nursing established at
  the UH Manoa
• Nursing Shortage Task Force established

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CURRENT PROBLEM

• Nursing shortage impacts availability of health
  care for residents and visitors
• UH System nursing programs have more qualified
  applicants than they can admit
• Faculty shortage limits number of students
  accepted

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Nursing Shortage

• Average age of nurses in Hawaii is 46 years old
  (44 in U.S.) 4
• 80 of Hawaiis current nursing workforce will
  retire by 2026 4
• 340 RN vacancies are projected in Hawaii annually
  from 2000 2010 5
• In 2000, Hawaii experienced a shortage of 1,041
  RNs and is expected to grow to 1,518 by 2005, and
  2,267 by 2010 6
• 4 Community Initiative on Nursing
  of Hawaii, 2003
• 5 State of Hawaii Department of
  Labor, 2003
• 6 US DHHS HRSA Bureau of Health
  Professions, 2003

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Hawaiis Registered NursesSupply and Demand
Source US DHHS, HRSA, Bureau of Health
Professions, 2003
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Our Future Nurses Are Being Turned Away

• 11,000 qualified students were turned away
  nationally due to limited numbers of faculty7
• UH nursing programs turned away 243 qualified
  applicants in Fall 2003
•  7 American Association of Colleges
  of Nursing, 2003

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Qualified Students Turned Awayfrom UH Nursing
Programs
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Faculty Shortage

• Average age of nursing faculty in Hawaii is 48.8
  years old 8
• 17 faculty are projected to retire in 5 years and
  39 in 10 years
• Nursing faculty salaries are considerably lower
  than that of nurses in Hawaiis healthcare
  industry (approximately 20,000 less) 9
• 8 Community Initiative on Nursing of
  Hawaii, 2003
• 9 Hawaii Nurses Association

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UH Nursing Faculty Retirements Openings
(projected)
103 Faculty Positions Must Be Filled Over Next 10
Years
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Support Needed to Fulfill the Universitys Mission

• Goal 4 Invest in Faculty, Staff, Students, and
  Their Environment
• Recognize and invest in human resources as the
  key to success and provide them with an inspiring
  work environment

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SOLUTIONS

• Provide state funding for additional faculty
  positions on all campuses
• Improve salaries for recruitment of new faculty
• Improve salaries for retention of current nursing
  faculty

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Additional Nursing Faculty Positions Request for
Biennium 05-07
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Proposed Salary Goals

• Minimum nursing faculty salaries (9 months)
• Instructor 60,000
• Assistant Professor 70,000-75,000
• Associate Professor 80,000-85,000
• Professor 90,000-95,000

• The industry benchmark for instructor and
  assistant professor is a masters prepared
  clinical nurse specialist or nurse practitioner.
  The annualized salary range is 81,000- 93,700.
  The prorated 9-month salary range is 67,230 -
  77,771.
• The industry benchmark for associate and full
  professor is upper level nursing administrator.
  The annualized salary range of 110,000-150,000.
  The prorated 9-month salary range is 91,300 -
  124,500.

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Salary Adjustments for Current Nursing Faculty
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Total 2005-07 Biennial Budget Request
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Funding Strategies

• Legislative general fund appropriation due to the
  states nursing shortage
• Possibility of federal training grants for
  expansion (temporary)
• Increase tuition and/or fees
• Currently, UH Manoa assesses undergraduate
  nursing students a 500 professional fee per
  semester

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SUMMARY

• Recruit and Retain Nursing Faculty
• Increase Qualified Students Admitted
• Address Nursing Shortage
• Provide quality nursing and health care for
  Hawaiis residents and visitors