CON 2013-2016 Strategic Plan

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Strategic Plan

UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING COLLEGE OF NURSING STRATEGIC PLAN 2013-2016

MISSION AND VISION

The Mission of the College of Nursing is to improve the health of Nebraska through premier nursing education programs, innovative research, the highest quality patient care, and service to underserved populations.

The Vision of the College of Nursing is to be a vital part of a world-renowned health sciences center and to:

• Deliver state of the art nursing education blending traditional learning approaches with emerging learning technologies;
• Offer health care and health systems solutions grounded in leading-edge nursing science;
• Promote health, reduce the burden of illness, and lessen health disparities in Nebraska and beyond.

The mission and vision of the College of Nursing are accomplished through leadership by faculty, staff, and students. The leadership philosophy of the College embraces resiliency, shaping positive change, pro-active thinking, effective partnerships, and risk-taking toward creative possibilities.

A:   UNMC will be learning-centered in education

College of Nursing Long Range Plan: Offer high quality, cost-effective educational programs that prepare nurse leaders to shape a preferred health care future.

VISION:   Be architects and scholars of innovative models of learning

Overall Accountability: Karen Grigsby

Goal 1:

Foster a climate of life-long learning and innovation.

Leaders: Karen Grigsby, Department Chairs, Assistant Deans, Undergraduate Curriculum Chair, Professional Graduate Nursing Programs Curriculum Chair, Chair of PhD Advisory Committee

Milestones and target dates:

1. Establish planning committee to reconceptualize delivery of MSN courses to meet the demands of health care reform and emerging new models of education including BSN-DNP (Sept 2013).
2. Establish partnerships to deliver education efficiently and effectively (June 2014)
3. Develop and implement an ongoing faculty development program for the area of education.
   • Planning team convened (Fall 2013).
   • Needs assessment completed (January 2014).
   • Develop plan, objectives, and outcomes presented to Executive Council (March 2014).
4. Create a Center for Excellence in Teaching and Technology.
   • Planning to begin Fall 2013;
   • Fully implemented Fall 2017.
5. Create a position for and develop plan to raise funds for an endowment for a chair for teaching excellence and innovation. (June, 2014)

Measurable Outcomes:

1. Complete development of faculty development program beginning with online orientation site, and at least four offerings or components.
2. Complete feasibility assessment and planning for Center for Excellence in Teaching and Technology.
3. Hire an endowed chair for teaching excellence and innovation (Fall 2015)
4. Number of partnerships developed that facilitate delivery of programs (June 2014)
5. Graduate curriculum revisions completed (June 2014)

Goal 2:

Create a premier institute to prepare health professions leaders for a dynamic interprofessional work environment.

Leaders: Mary Cramer, Connie Miller, Dee Ernesti

Milestones and target dates:

1. Planning committee established. Vision, mission, design, operational framework including personnel and budget, learning objectives, outcomes, and potential modules, and identification of potential funding sources (June 2013).
2. Funding obtained (2013-2014).
3. Initiation of institute (Spring 2014).
4. Establish at least one interprofessional rural clinical experience (June 2014).
5. Establish at least one interprofessional rural clinical experience (June 2014).

Measurable Outcomes:

1. Plan completed for interprofessional institute (June, 2013).
2. Clinical experience established, implemented, and evaluated (Dec. 2014).

Goal 3:

Collaborate with the UNMC School of Allied Health Professions and the University of Nebraska-Kearney to complete a building plan for the new Health Sciences Education building on the UNK campus and expansion of the nursing and allied health programs at that site.

Leaders: Steve Pitkin, Kelly McDonald, Julie Sebastian

Milestones and target dates:

1. Develop interprofessional learning opportunities and expanded clinical site placements (June, 2014).
2. Identify faculty interests in interprofessional learning experiences and opportunities for “flipped” classroom learning (Dec. 2013)
3. Establish a mechanism for coordinating and sharing clinical sites for expanded numbers of students in nursing and allied health (June 2014).
4. Implement plan to raise funds for a Fund for Excellence for this initiative (December, 2013).

Measurable Outcomes:

1. Meeting project timelines.
2. Availability of system for coordinating and sharing clinical sites.
3. Fund raising success for Kearney Division Fund for Excellence.

Goal 4:

Complete fund raising for new building for Lincoln Division.

Leaders: Julie Sebastian, Jana Pressler, Sarah Carlson

Milestones and target dates:

1. Finalize composition of fund raising committee (Sept., 2013).
2. Work with faculty, staff, students, and UNMC PR to develop and implement communications plan related to the Lincoln Division and the new building (Oct., 2013).
3. Work with NU Foundation to contact potential donors and secure commitments (Jan., 2013).

Measurable Outcomes:

1. Successful achievement of fund raising goal.
2. Implementation and evaluation of communication plan.

Goal 5:

Create innovation in the recruitment, admission, progression, and retention strategies including diversity to optimize success in the baccalaureate program to meet the needs of the state of Nebraska.

Leaders: Liane Connelly, Rolee Kelly, Barb Wehrman

Milestones and target dates:

1. Recruitment
   • Develop an overall recruitment plan (December 2013) - Rolee Kelly, Liane Connelly
   • Establish a network of high schools and community organizations for recruitment activities, to include strategies for recruiting a diverse student body (May 2014) - Rolee Kelly, Liane Connelly
2. Admission
   • Develop admission criteria that support admission of a student body reflective of the population we serve. (January 2014)
   • Explore and evaluate measures to assess “soft” skills. (May 2014) Barb Wehrman
3. Progression
   • Develop a task force to evaluate competency-based programming in other schools and determine how that might work for UNMC CON (October 2013) Liane Connelly
   • Develop a task force to evaluate alternate delivery models (i.e., MOOC) to support flexibility in movement through the curriculum (October 2013)
4. Retention
   • Develop a program to engage students prior to matriculation (December 2013)
   • Do a Pareto analysis to determine major retention issues (February 2014)

Measurable Outcomes:

1. Demographics of the undergraduate student body.
2. Retention rate.
3. First time NCLEX pass rates.
4. Job placement rates.

B:    INCREASE PROMINENCE AS A RESEARCH HEALTH SCIENCES CENTER

College of Nursing Long Range Plan: Achieve and sustain a pervasive culture of research and scholarship throughout the College of Nursing.

Overall Accountability: Marlene Cohen

Goal 1:

Increase our capacity in conducting research aimed at promoting health, reducing risk, and managing chronic conditions and delivering interventions and monitoring outcomes to rural and underserved populations using technology.

Leaders: Marlene Cohen, Department Chairs and Assistant Deans

Milestones and target dates:

1. Identify and facilitate faculty in developing a program of research in promoting health, reducing risk, and managing chronic conditions
   • Identify appropriate workload to include research activity and accountability for goals. (Sept., 2013)
   • Assist junior faculty in identifying teams and mentors for their program of research. (Dec., 2013)
   • Offer R course to faculty who are ready to write a grant proposal. (Spring, 2014)
2. Recruit faculty members
   • Create competitive recruitment packages for new faculty. (Sept., 2013)
   • Continue recruitment to have at least 6 new research active faculty members (June, 2015).

Measurable Outcomes:

1. At least five R-series grant proposals or R-series equivalent proposals submitted by June, 2014
2. Recruitment of 6 research active faculty members by August, 2015.

Goal 2:

Increase our prominence in research related to promoting health, reducing risk, and managing chronic conditions.

Leaders: Marlene Cohen, Carol Pullen, Lani Zimmerman, Bernice Yates

Milestones and target dates:

1. Identify wider range of funding opportunities. (Sept., 2013)
2. Support P20 pilot projects as needed to yield at least two R series grant submissions or other major grants (June, 2014).
3. Submit at least one R01 proposals (October, 2013).
4. Submit at least one R01 proposals (June, 2014).
5. Submit P30 and/or T32 proposals related to rural health or symptoms (June, 2015).
6. Determine strategies for using the EPIC Electronic Health Record in clinical research (June, 2014).

Measurable Outcomes:

1. Submission of at least two R01 proposals and two other major grants (June, 2014).
2. Maintain or improve NIH ranking (academic analytics).
3. Submit T32 or P30 (June, 2015).
4. Submit at least two grants to new funding agencies. (June, 2014)

Goal 3:

Support new and ongoing translational research that is interdisciplinary, multi-site, multi-campus and that includes the use of technology

Leaders: Lani Zimmerman and new Associate Dean for Transformational Practice

Milestones and target dates:

1. Participate in the development of the UNMC practice-based research networks (June, 2014)
2. Hold Research Seminars on establishing and maintaining interdisciplinary multi-site, multi-campus and practice collaboration. (June, 2014)
3. Develop a plan for supporting these collaborations. (June, 2014)
4. List the populations included, faculty involved, and research goals. (June, 2014)
5. Expand use of rural technology core (from P20) to a core facility for the entire UNMC campus in order to facilitate interdisciplinary multi-site, multi-campus practice and research collaborations. (June, 2014)

Measurable Outcomes:

1. Identify key patient oriented data elements of a PBRN
2. Increase number of new interdisciplinary collaborations by at least four.
3. Increase the number of research projects that use technology by at least two.

Goal 4:

Continue developing and using comprehensive faculty development plan for research

Leaders: Marlene Cohen and research committee

Milestones and target dates:

1. Continue to implement comprehensive plan (June, 2014)
   • elements included are mentoring, just-in-time pilot funding, mock reviews, and research consultation
   • semiannual meetings with faculty, Department Chairs or Assistant Dean, consultant, and Associate Dean for Research
     1. use goals in evaluation and promotion and tenure reviews
     2. Monitor and evaluate productivity of each individual faculty who is research active (publications and additional grant submissions).
     3. Develop action plans with faculty to enhance productivity.
2. Create a plan to identify faculty members to attend conferences or NIH workshops on a variety of types of research to develop competency with different approaches (e.g., Dissemination & Implementation science, palliative care research) with an expectation of sharing information and consulting with others. (June, 2014)
3. Encourage faculty sabbatical to re-tool in a new area of research as feasible based on budget. (June, 2014)
4. Sponsor seminars after faculty attend conferences to share information learned. (June, 2014)

Measurable Outcomes:

1. Increase in the number of mentor-mentee teams formed over FY13
2. Increase in number of just-in-time grants funded over FY13
3. Increase in number of mock reviews held over FY13
4. Increase in number of research consultations over FY13
5. Number of semiannual meetings held
6. Evidence of plans for faculty sabbatical if feasible
7. Increase in number of seminars held by faculty attending conferences over FY13
8. Increase in number of publications and quality of journals published in (i.e., impact factor) over FY13
9. Increase in number and types of grant submitted over FY13
10. Level of faculty satisfaction with workload and consistency with their research goals
11. Increase in the number of faculty who attend faculty research and/or scholarship development offerings by at least 20%

C:    ADVANCE COMMUNITY/CAMPUS PARTNERSHIPS FOR HEALTH

College of Nursing Long Range Plan: Reduce health disparities in Nebraska and the region through faculty practices and community partnerships that focus on health promotion and disease prevention, chronic care management, behavioral/mental health services, and other emerging health issues.

Overall Accountability: Linda Sather

Goal 1:

Pilot a new interprofessional practice model focused on health promotion, health coaching and wellness education (nutrition, physical activity, stress reduction, as examples) with academic educational outcomes and research components.

Leaders: Linda Sather, Dept. Chairs, & Assistant Deans

Milestones and target dates:

1. Create program and identify faculty/student teams on each campus. (Dec., 2013)
2. Determine high priority academic/practice areas for which funding is needed and submit increase number of grants for these areas submitted to external agencies over FY13.
3. Submit at least one business plan to a business or governmental entity for funding for a practice initiative. (June, 2014)
4. Increase number of scholarly publications of faculty practice outcomes over FY 13. (June, 2014)

Measurable Outcomes:

1. Increase funding for faculty practice by 50%. (June 2014)
2. Increase number of new interdisciplinary collaborations and community partnerships by at least four. (June 2014)
3. Obtain at least one faculty practice project funded by business or a local or state governmental entity. (June, 2014)
4. Grow faculty practice to $1M in annual revenues within three years. (June 2016)

Goal 2:

Engage College of Nursing faculty in the UNMC/TNMC Accountable Care Alliance and others as appropriate for each of the five campuses.

Leaders: Linda Sather, Kelly McDonald

Milestones and target dates:

1. Engage at least two faculty members per division in committees related to the ACO being developed by the major clinical partner in that region. (June, 2014)
2. Establish one contract with a local ACO for a transitional care program. (June 2014)
3. Submit at least one manuscript related to professional and advanced nursing practice in ACOs. (June 2014)
4. Develop a network of advanced practice registered nurses in each region of Nebraska who are interested in participating in a PBRN. (June 2014)

Measurable Outcomes:

1. Number of faculty members per division who are members of ACO committees. (June 2014)
2. Presence of ACO transitional care contract (June 2014)
3. Number of manuscript related to nursing practice in ACOs. (June 2014)
4. Number and distribution of APRNs in Nebraska interested in PBRN. (June, 2014)

Goal 3:

Collaborate with academic and practice partners on dissemination of research and practice initiatives related to transitional care (Dec., 2014).

Leaders: Linda Sather, Faculty Practice Committee, Catherine Bevil

Milestones and target dates:

1. Co-sponsor a summit showcasing transitional care models in Nebraska (May, 2014).
2. Develop a pilot project related to transitional care with one or more partners for submission for external grant funding (May, 2014).
3. Convene a working group composed of academic and practice partners to determine best practices for aligning nursing and interprofessional care delivery across sites of care in an ACO environment (Jan., 2014).

Measurable Outcomes:

1. Evaluation outcomes of Transitional Care Summit.
2. Proposal submitted for external grant funding of a transitional care pilot project.
3. Working group established.

Goal 4:

Establish a telehealth nursing program that meets transitional and care coordination needs of a rural population.

Leaders: Linda Sather, Faculty Practice Committee

Milestones and target dates:

1. Program established and funding secured (Dec. 2014)
2. Program evaluation initiated at the beginning of the program (Dec. 2014)

Measurable Outcomes:

1. Grant funding received.
2. Numbers of unduplicated patients seen.
3. Metrics showing improvement or stabilization in health outcomes.

D:   CREATE A CULTURALLY COMPETENT ORGANIZATION

College of Nursing Long Range Plan: Increase multi-cultural presence across all Divisions of the College of Nursing. Improve faculty, staff, and students’ understanding of being a global citizen and living within the context of a global community.

Overall Accountability: Suhasini Kotcherlakota

Goal 1:

Enhance CON faculty, staff and student’s exposure to and respect for cultures other than their own.

Leaders: Suhasini Kotcherlakota, Liane Connelly, Dana Samson

Milestones and target dates:

1. Identify courses and opportunities that provide avenues to meet diverse populations and expose students to different cultures (Spring 2014)
2. Host brown bags and/or seminars with diverse populations (2013- 2014)
3. Host a student-directed diversity day on each campus and video record highlights of the diversity day (2013-2014)
4. “Adopt” a student from a diverse backgrounds or establish a peer-to-peer cultural support network (2013-2014)
5. Work with a person at the Office of Recruitment and Student Engagement to develop partnerships and resources that assist nursing students from diverse backgrounds (2013-2014).
6. Submit HRSA Workforce Diversity grant (Jan., 2014) (L. Connelly and C. Thompson)

Measurable Outcomes:

1. List of courses providing culturally diverse learning opportunities, and brown bags and seminars with a focus on diversity.
2. List of cultural events held in academic year 2013-14
3. Share diversity collaborations listed in milestone (a) across campuses in a webinar mode.

Goal 2:

Develop a strategic approach for expanding global student and faculty exchange opportunities, including work with the Asia Pacific Rim Development Partnership and Oman.

Leaders: Sheila Ryan, Louise LaFramboise, and International Strategic Advisory Committee

Milestones and target dates:

1. Develop a set of proposed strategic global initiatives and share with General Faculty Organization for discussion and approval (Dec. 2013)
2. Evaluate current student exchanges and determine whether to maintain or expand (June 2013).
3. Add students exchange with university in Xian (Spring 2014)
4. Add ten RN-BSN students from Oman (Jan 2014)

Measurable Outcomes:

1. Adoption of strategic global initiatives by General Faculty Organization.
2. Successful continuation of current global student exchanges.
3. Addition of student exchange opportunity in Xian, China.
4. Admission of ten RN-BSN students from Oman.

E:   ADVANCE BIOMEDICAL TECHNOLOGIES TO IMPROVE HEALTH, DIVERSIFY UNMC REVENUES, AND CREATE ECONOMIC GROWTH IN NEBRASKA

College of Nursing Long Range Plan: Advance technologies and information systems to support education, research, practice, and administrative operations of the College.

Overall Accountability: Suhasini Kotcherlakota and Patrick Rejda

Goal 1:

Develop the College of Nursing’s E-Infrastructure to promote innovative technology use for education delivery and to help identify, implement, and share educational technology resources across education, research, and practice missions.

Leaders: Suhasini Kotcherlakota and Patrick Rejda

Milestones and target dates:

1. Create an Education Innovations and Technology Committee to explore options for: (Dec., 2014)
   • innovations in teaching and learning, including viable online technologies
   • policies and/or guidelines for educational technology use
   • the transfer of knowledge across education, research, and practice missions
   • comprehensive evaluation and/or benchmarking strategies
2. Assess faculty development opportunities related to educational technology including online courses, workshops, seminars, and/or presentations. (Dec., 2014)
3. Determine optimal strategies for coordinating faculty development related to educational technology with the College of Nursing Faculty Development initiative and with the UNMC Faculty Development program. (Dec., 2014)

Measurable Outcomes:

1. Establishment of Educational Technology Committee.
2. Inventory available listing faculty development opportunities related to educational technology.
3. List of strategies for coordinating educational technology development activities with the College of Nursing Faculty Development initiative and the UNMC Faculty Development program.

Goal 2:

Increase faculty access to and use of simulation, including virtual simulations.

Leaders: Connie Miller, Anne Wilbur

Milestones and target dates:

1. Determine student learning outcomes as a result of simulation. (Spring, 2014)
2. Grow simulation database on the CON’s web-based repository of faculty’s learner-centered educational strategies (the NEST) (Spring 2014).

Measurable Outcomes:

1. Report on student outcomes as a result of simulation.
2. Numbers and types of simulations used in academic programs.

F:   STRENGTHEN EMPLOYEE LOYALTY, SATISFACTION, AND WELLNESS

College of Nursing Long Range Plan: Strategically align faculty and staff with the missions of the College of Nursing so as to optimize their role satisfaction, talents, interests, productivity, and loyalty.

Overall Accountability: Rita Weber, General Faculty and Staff Organization Chairs

Goal 1:

Recruit and retain outstanding faculty and staff members as needed to meet the College of Nursing’s mission and strategic priorities.

Leaders: Kelly McDonald, Shirley Wiggins

Milestones and target dates:

1. Create an orientation plan for faculty and staff that is aligned with the College of Nursing Faculty and Staff Development program.
2. Implement and evaluate the faculty and staff orientation program (May 2014).
3. Define and develop a succession plan for faculty and staff (Fall 2014).

Measurable Outcomes:

1. Faculty and staff satisfaction with orientation program.
2. Availability of feasible and strategically oriented succession plan.

Goal 2:

Create a learning organization

Leaders: Kelly McDonald, Rita Weber, Shirley Wiggins, Karen Schumacher, GSO co-chairs

Milestones and target dates:

1. Complete Organization and Structure Task force survey and assessments (Spring 2013 & Fall 2013).
2. Report results and make recommendations to faculty and staff (Spring 2013 & Fall 2013).
3. Utilize recommendations to revise the current organizational governance/structure model to improve communication, enhance efficiency/productivity of meetings, and strengthen the shared governance model (Spring 2014).

Measurable Outcomes:

1. Indications of improved satisfaction with communication, and efficiency and productivity of meetings using faculty and staff surveys.
2. Faculty Coordinating Council and General Staff Organization reports of strengthened shared governance.

Goal 3:

Create a holistic wellness program that includes UNMC CON students, staff, and faculty

Leaders: Lori Cooley, Rita Weber, Jean Allen

Milestones and target dates:

1. Implement and evaluate at least one wellness program across all 5 campuses (June 2014).
2. Involve CON students in the development and implementation of the program (June 2014).
3. Involve CON faculty who teach health promotion courses with graduate and undergraduate students to encourage a UNMC CON wellness program development as part of student learning (June 2014).

Measurable Outcomes:

1. Evaluation results from wellness program/s.
2. Student evaluations of wellness programming learning activity.

G:   POSITION THE COLLEGE OF NURSING TO PROSPER DURING HEALTH CARE REFORM

Overall Accountability: Janet Cuddigan

Goal 1:

Position CON graduates to prosper and flourish as interprofessional leaders of health care reform.

Leaders: Janet Cuddigan and Curriculum Committees

Milestones and target dates:

1. Provide ongoing education to faculty on key aspects of health care reform. (May 2014)
2. Examine undergraduate and graduate curricula to ensure that students have the knowledge, skills and competencies necessary for leadership during health care reform. (February 2014).
   1. Design the clinical experiences needed to support future leadership in health care reform. (February 2014)
   2. Identify ways for students to participate in translational research initiatives, especially those involving dissemination, implementation and evaluation of evidence-based practice in clinical settings and communities. (February 2014).
   3. Create “transitional thinkers” (i.e. nurses capable of facilitating and leading transitions for patients and populations across health care continuums and health care systems). (May 2014)

Measurable Outcomes:

1. Provision of at least one education session for faculty per semester on health care reform.
2. Undergraduate and graduate curriculum committee recommendations.

Goal 2:

Develop interprofessional practice teams to create and test innovative practice models (e.g.., medical homes, and chronic care management, health care in the home, and transitional care delivery).

Leaders: Lynne Buchanan and Kathy Morris

Milestones and target dates:

1. Collaborate with the Primary Care Center, IPE and clinical entities associated with all 5 campuses to develop interprofessional teams (June 2014).
2. Develop and pilot test innovative practice models, appropriate for different CON campuses and clinical setting (September, 2014).
3. Identify RFAs from major funding sources (e.g.., HRSA, CMS innovations, BCBS) (September, 2013).
4. Submit two interprofessional grants (February, 2014)

Measurable Outcomes:

1. Submission of two grants by February, 2014.

Goal 3:

Advocate and support the Nebraska Action Coalition in their practice, leadership, and education initiatives.

Leaders: Mary Cramer and Liane Connelly

Milestones and target dates:

1. Provide quarterly updates at GFO meetings. (AY 2013-14)
2. Solicit input from UNMC faculty and staff to foster key NAC initiatives, such as APRN practice and seamless educational models. (AY 2013-14)
3. Adopt a key initiative that is aligned with College of Nursing mission and goals and facilitate its progress. (December, 2013)

Measurable Outcomes:

1. Adoption of one key NAC initiative aligned with College of Nursing mission and goals.

Endorsed by the GFO/GSO on 8/19/13.