****************************************************************************** RECOMMENDED ACTION OF THE EXECUTIVE DIRECTOR

Authorize USD to offer the Paramedic Specialization within the BS in Health Sciences at

the Health Sciences Center in Sioux Falls, SD, as described in Attachment I.

SOUTH DAKOTA BOARD OF REGENTS

Committee on Academic and Student Affairs

AGENDA ITEM: III – C (1)

DATE: December 3-4, 2014

****************************************************************************** SUBJECT: New Site Request: USD Paramedic Specialization in the BS in Health

Sciences offered at Sioux Falls

The University of South Dakota (USD) requests authorization to deliver the Paramedic specialization within the Bachelor of Science (BS) in Health Sciences at the Health Sciences Center in Sioux Falls, SD. Offering the specialization in Sioux Falls aligns with the demographics of students and faculty currently involved in the specialization as most reside in the Sioux Falls area. In addition, the facilities and faculty available at the Sioux Falls site provide access to improved laboratory and simulation experiences for students.

USD is currently the only school in the Regental system authorized to provide the

specialization. USD estimates graduating forty students per year after full implementation. USD is not requesting new state resources to deliver the program; however, USD is

requesting authorization to charge the state-support tuition rate (based on student residency) plus delivery fee (the same tuition and fee structure charged to other programs/credits delivered from this campus). A chart showing the comparison is below:

HSC Major Paramedic Specialization

State-Support $138.80 $138.80 USF $90.30 $0.00 GAF $38.30 $0.00 Delivery Fee $0.00 $128.60 Total $267.40 $267.40

South Dakota Board of Regents

New Site: Request to Offer an Existing Degree Program

University University of South Dakota

Degree(s) and Program Bachelor of Science in Health Sciences Paramedic

Specialization

New Site(s) Health Sciences Center, Sioux Falls

Proposed Implementation (term) Spring 2015

University Approval

To the Board and the Executive Director: I certify that I have read this request, that I believe it to

be accurate, and that it has been evaluated and approved as provided by university policy.

10/27/2014

President of the University Date

After approval by the President, a signed copy of the proposal should be transmitted to the Executive

Director. Only after Executive Director review should the proposal be posted on the university web site

and the Board staff and the other universities notified of the URL.

1. What is the need for this program in this site (these sites)? What is the expected demand

for graduates in the site(s)?

The University of South Dakota seeks approval to offer the Paramedic Specialization, an option

for students in the Bachelor of Science, Health Sciences program, at the Health Sciences/Sanford

School of Medicine building in Sioux Falls. The Paramedic Specialization is made possible

through an academic partnership with Sanford USD Medical Center’s Center for Pre-Hospital

Care and the University of South Dakota School of Health Sciences. Offering the specialization

at the Health Sciences Center in Sioux Falls will afford students the opportunity to learn in a

professionally engaging environment. As all laboratory/simulation experiences and clinical

learning experiences will occur within the hospital setting and with ambulance runs originating

out of Sioux Falls, the learning experience will uniquely prepare students in their field of

professional practice while providing direct contact with those currently in the field. Students

indicating interest in the Paramedic Specialization as well as the faculty team for the

specialization are from Sioux Falls and its surrounding communities. The teaching faculty and

supervising physicians are all employees of Sanford Health. Center support staff responsible for

providing administrative assistance to the Paramedic faculty, are also located in Sioux Falls.

Thus offering the specialization at the Health Sciences Center in Sioux Falls would reduce travel

time and expenses for students, faculty and staff.

ATTACHMENT I 2

The Sanford Center for Pre-hospital Care has provided comprehensive support, services and

education to EMS agencies since 2001, reaching more than 100 communities and over 121,000

providers within the state of South Dakota. The Sanford Center for Pre-hospital Care, in

partnership with the Department of Public Safety, has provided learning and development

opportunities for South Dakota EMT’s as part of their monthly training program. Community

EMS responders have the opportunity to participate in didactic-based and/or skills-based

education to maintain a current knowledge base and skill proficiency. In collaboration with the

Department of Public Safety Office of EMS, the Center for Pre-hospital Care delivers an

education agenda that fulfills all aspects of the South Dakota EMT recertification requirements.

The quality of educational experiences provided by The Sanford Center for Pre-hospital Care has

grown into a first-rate reputation amongst the EMS community of South Dakota. The center’s

presence in the community and its support of the ambulance services and personnel has

generated an environment of trust that has resulted in ongoing requests for additional learning

opportunities. As the instructors of the Center for Pre-hospital Care have traveled and conducted

classes, they have observed stark shortages of EMTs and Paramedics across the State of South

Dakota. Rural ambulance services in South Dakota have declared a hardship, i.e., they no longer

have enough people to run the ambulance calls in their town. Many of the current EMTs

practicing in our rural towns are in their upper 40’s and 50’s with no succession plans in place to

assure viability for the future needs of emergency services within their communities. A number

of current EMTs have approached the staff members of the Sanford Center for Pre-hospital care

with requests to offer the Paramedic Specialization in Sioux Falls. The paramedic specialization

will serve the region and state of South Dakota well, as it addresses a critical need in meeting

emergency medical services in our rural state.

2. Is any regental university authorized to offer a similar program at the new site(s)? Is

any non-system institution offering a similar program at the new site(s)? If either answer is

“yes,” identify the institution(s) and program(s) and explain why authorization is

requested.

No other Regental university is authorized to offer the paramedic specialization.

There are two Associate of Applied Science paramedic programs offered by the technical

institutes in South Dakota, one at Lake Area Technical Institute in Watertown and one at

Western Dakota Technical Institute in Rapid City. USD holds program-to-program articulation

agreements with these two programs. Western Iowa Technical and Community College in Sioux

City, Iowa also has a paramedic program leading to an associate degree. USD holds a program-

to-program articulation agreement with this program as well. This Paramedic Specialization

offers interested students a new opportunity to earn credit hours as a component of a bachelor’s

degree. Students are seeking the new approved specialization through USD because of a desire

to earn university credit with plans to progress to graduate education. Many express an interest

in the physician assistant (PA) program.

ATTACHMENT I 3

3. Are students expected to be new to the university or redirected from other programs or

both? Complete the table and explain how the estimates were developed. How will the new

site(s) affect enrollments in other campus and off-campus programs in the regental system?

A cohort of 15 is estimated to begin in FY16 and new cohorts of 20 per year in subsequent years.

The paramedic specialization is a two year track thus 40 annual enrollments are anticipated by

FY18.

Fiscal Years1

1st 2nd 3rd 4th

Estimated FY16 FY17 FY18 FY19

New to the university 15 35 40 40

Total in the Program at this site 15 35 40 40

Credit hours, majors in specialization**

Paramedic Specialization (state-support) 315 750 860 860

* Do not include current year.

** This is the total number of credit hours generated by the specialization in the required or elective

program courses. The same numbers are used in Appendix B – Budget.

Impact on Existing Programs

This request is to offer the paramedics specialization at the Health Sciences/Sanford School of

Medicine building in Sioux Falls. The specialization is expected to attract new students to USD

who are currently EMTs in rural communities around Sioux Falls and who wish to become

paramedics. The only impact on any existing programs would be to the health sciences major

itself. The paramedic specialization offers interested health sciences students an avenue to

complete the specialization as a University of South Dakota student, rather than to transfer to a

technical institute or community college.

4. Complete the table and explain any special circumstances. Attach a copy of the program

as it appears in the current catalog. If any program modifications are requested, attach that

form. Explain how the new courses will be delivered. Attach the new course request forms.

Degree and title Credit

hours

Courses

currently

available from

this university

at this site

Courses

currently

available from

other

universities

available at

this site

Courses

currently

available via

distance

Courses

new to

this

university

System General Education Requirements *27 27 0

Institutional Graduation Requirements

Information Technology Literacy

Requirements

Subtotal, Degree Requirements

Required Support Courses

Major Requirements 44 44

ATTACHMENT I 4

Major Electives or Minor (Paramedic

Specialization)

43 43

Subtotal, Requirements of Proposed Major 114

Free Electives 6 6

Total, Degree with Proposed Major 120

*The eight (*) science laboratory credit hours are included as a requirement of the major.

5. How will you provide student services comparable to those available for students on the

main campus?

The Paramedic Specialization faculty and staff are located in Sioux Falls. The Paramedic

Specialization program director will establish, post, and be available regular office hours

for student appointments. The advisor is located on the university campus in Vermillion

and has experience working with online students, thus will appropriately advise students

of general education requirements as well as graduation requirements. The advisor will

schedule advising days in Sioux Falls each fall and spring to assure student needs are

met. The existing Wegner Library will be readily accessible to students as will USD’s

main library via its infrastructure to serve off-campus and distance learners (full-text

online journals, interlibrary loan, etc.).

6. Is this program accredited by a specialized accrediting body? If so, address any program

accreditation issues and costs related to offering the program at the new site(s).

Accreditation will be sought through the Commission on Accreditation of Allied Health

Education Programs (CAAHEP) for the Emergency Medical Services Professions. CAAHEP

accredits programs upon recommendation of the Committee on Accreditation of the Educational

Programs for the Emergency Medical Services (CoAEMSP). Program costs, including all

expenses related to accreditation are the responsibility of Sanford Health.

7. Does the University request any exceptions to Board policy for delivery at the new

site(s)? Explain requests for exceptions to Board policy. If no exceptions are requested, enter

“None.”

The University of South Dakota intends to offer the Paramedics Specialization at USD’s Health

Sciences and Medical School’s Sioux Falls Campus (HSC) at the state-support tuition rate (based

on student residency) plus delivery fee. This is the same tuition and fee structure charged to

other programs/credits delivered from this campus, including the MD program, MSW and

Nursing.

8. Costs, Budget & Resources Related to New Courses at the Site: Explain the amount and

source(s) of any one-time and continuing investments in personnel, professional

development, release time, instructional technology and software, other O&M, facilities,

student services, etc needed to implement the program at the new site(s). Complete Appendix

B – Budget using the system form.

ATTACHMENT I 5

9. Additional Information.

Appendix A

Approved Curriculum Bachelor of Science in Health Sciences (BSHS) with Paramedic Specialization

Pre

Num

Title

Cr Hrs

HSC 110 The Interprofessional Team 3*

*Health Career Advancement Studies Students will select one HSC 3 credit hour elective in place of HSC 110

HSC 305 Professional Communication and Relationship-Centered Care 3

HSC 310 Health Care Delivery 3

HSC 350 Principles of Health Care 3

HSC 360 Technology in Care Delivery 3

HSC 380 Health Literacy and Culture Care (See Footnote 1) 3

HSC 385 Healthcare Field Experiences 3**

HSC 450 Patient Safety- Quality Improvement

3

HSC 460 Leading Change 3

**Health Career Advancement Studies students select one HSC 3 credit hour elective in place of HSC 385

Health Sciences Majors select one of the following courses (3 cr.) For students opting to complete the Paramedics Specialization, select courses at the 400 level.

ADS 116 Study of Alcohol Use and Abuse

ADS 117 Study of Drug Use and Abuse

HSC 275 Comparative Cultures, Theory and Leadership in Healthcare

3 HSC 475 Process & Outcomes Evaluation

LDR 404 Leadership Communication and Conflict Resolution

NURS 430 Interdisciplinary Evidence- Based Care

Select one of the following science sequences (8 cr.)

PHGY 220/220L Human Physiology and Integrated Anatomy I

8

PHGY 230/230L Human Physiology and Integrated Anatomy II

or

HSC 280/280L Essentials of Human Anatomy and Physiology

HSC 281 Human Disease

Select one of the following courses (3 cr.) For students opting to complete the Paramedics Specialization, select courses at the 300 level.

HSAD 305 Health Services Systems (C)

3

HSAD 325 Gerontology and Long Term Care

HSAD 350 Health Care Law

HSC 375 The United States and Global Healthcare Systems

NATV 330 Native People’s Health Care, Promotion and Policy

SOCW 200 Field of Social Work

Select one of the following courses (3 cr.) For students opting to complete the Paramedics Specialization, select courses at the 300 or 400 level.

SPCM 440 Health Communication

3

SPAN 120 Medical Spanish I

SPAN 121 Medical Spanish 2

SPAN/HSC

306 Spanish for Healthcare Workers

HSC 440 Major Issues in Health and Human Services

NATV 350 Native Women

Subtotal:

44

ATTACHMENT I 6

Paramedic Specialization The paramedic specialization is optional, however, students wishing to add the specialization must: 1. have instructor/Health Sciences permission due to need for certification requirements (BLS for healthcare provider and EMT-

B certification) 2. be admitted to the Sanford Paramedics Program In order to meet the degree requirement of completing a minimum of 32 cr. hrs. at the 300 and 400 level, when presented with a choice of courses in the Health Sciences major, paramedic students must select upper-level coursework.

HSC 100 Intro to Advanced Life Support 1

HSC 101 Emergency Medical Services Anatomy and Physiology 2

HSC 102 Emergency Medical Services Clinical I 2

HSC 201 Advanced Airway Management 2

HSC 205 Patient Assessment 3

HSC 210 Emergency Medical Services Pharmacology 2

HSC 210L Emergency Medical Services Pharmacology Lab 2

HSC 211 Emergency Medical Services Clinical II 3

HSC 240 Medical Emergencies I 2

HSC 240L Medical Emergencies I Laboratory 1

HSC 241 Medical Emergencies II 2

HSC 241L Medical Emergencies II Laboratory 1

HSC 244 Cardiac Emergencies 3

HSC 246 Emergency Medical Services Clinical III 2

HSC 254 Trauma Emergencies 3

HSC 254L Trauma Emergencies Laboratory 1

HSC 264 Emergency Medical Services Clinical IV 2

HSC 265 Emergency Medical Services Operations 3

HSC 270 Paramedic Professional Development 1

HSC 270L Paramedic Professional Development Lab 2

HSC 296 Paramedic Field Experience 3

Paramedic Specialization 43

Total number of major hours required = 44 Credit Hours

General Education Requirements = 27 Credit Hours

Paramedic Specialization = 43 Cr. Hrs.

Electives = 6 Credit Hours

Bachelor of Science in Health Sciences = 120 Credit Hours

ATTACHMENT I 7

APPENDIX B

The University of South Dakota

BSHS - Paramedic Specialization

1st 2nd 3rd 4th

Headcount & hours from proposal FY16 FY17 FY18 FY19

Fall headcount (see table in proposal) 15 35 40 40

Program FY cr hrs, State-Support 315 750 860 860

Program FY cr hrs, Self-Support 0 0 0 0

Faculty, Regular FTE See p. 2 0.00 0.00 0.00 0.00

Faculty Salary & Benefits, average See p. 2 $0 $0 $0 $0

Faculty, Adjunct - number of courses See p. 2 0 0 0 0

Faculty, Adjunct - per course See p. 2 $0 $0 $0 $0

Other FTE (see next page) See p. 2 0.00 0.00 0.00 0.00

Other Salary & Benefits, average See p. 2 $0 $0 $0 $0

Salary & Benefits

Faculty, Regular $0 $0 $0 $0

Faculty, Adjunct (rate x number of courses) $0 $0 $0 $0

Other FTE $0 $0 $0 $0

S&B Subtotal $0 $0 $0 $0

Operating Expenses

Travel $0 $0 $0 $0

Contractual Services $69,675 $162,575 $185,800 $185,800

Supplies & materials $0 $0 $0 $0

Capital equipment $0 $0 $0 $0

OE Subtotal $69,675 $162,575 $185,800 $185,800

Total $69,675 $162,575 $185,800 $185,800

SELF-support tuition/hr, net of HEFF $0.00 $0.00 $0.00 $0.00

Self-support tuition revenue hrs x amt $0 $0 $0 $0

STATE-support tuition/hr, net of

HEFF

UG $111.04 $111.04 $111.04 $111.04

State-support tuition revenue hrs x amt $34,978 $83,280 $95,494 $95,494

Program fee, per cr hr (if any) $0.00 $0 $0 $0 $0

Delivery fee, per cr hr (if any) $128.60 $40,509 $96,450 $110,596 $110,596

University redirections $0 $0 $0 $0

Community/Employers $0 $0 $0 $0

Grants/Donations/Other $0 $0 $0 $0

Total Resources $75,487 $179,730 $206,090 $206,090

ATTACHMENT I 8

$5,812 $17,155 $20,290 $20,290

Estimated Salary & Benefits per FTE Faculty Other

Estimated salary (average) - explain below $0 $0

University's variable benefits rate (see

below)

0.0000 0.0000

Variable benefits $0 $0

Health insurance/FTE, FY13 $0 $0

Average S&B $0 $0

Explain faculty used to develop the average salary & fiscal year salaries used. Enter amount above.

Explain adjunct faculty costs used in table:

Explain other [for example, CSA or exempt] salary & benefits. Enter amount above.

Summarize the operating expenses shown in the table:

Contractual Services: Contract with Sanford Health for teaching services. The Paramedic Specialization

teaching faculty and supervising physicians are all employees of Sanford Health.

Summarize resources available to support the new program (redirection, donations, grants, etc).

State-support: Change cell on page 1 to use the UG or GR net amount.

Self-Support Tuition, HEFF & Net FY15

Rate

HEFF Net

Undergraduate $312.90 $26.60 $286.30 Change cell on page 1

Graduate $414.85 $26.60 $388.25

Externally Supported $40.00

State-support: Change cell on page 1 to use the UG or GR net amount for your university.

State-Support Tuition, HEFF & Net FY15 HEFF Net

ATTACHMENT I 9

Rate

Undergraduate - BHSU, DSU, NSU $133.10 $26.62 $106.48 Change cell on page 1

Undergraduate - SDSMT, SDSU, USD $138.80 $27.76 $111.04 to point to your net.

Graduate - BHSU, DSU, NSU $201.85 $40.37 $161.48 Change cell on page 1

Graduate - SDSMT, SDSU, USD $210.40 $42.08 $168.32 to point to your net.

Variable Benefits

Rates

Universit

y

FY15

BHSU 14.23% Change the benefits rate cell in the

table

DSU 13.85% on page 2 to point to the rate for your

NSU 13.92% university.

SDSM&

T

13.89%

SDSU 14.04%

USD 13.90%

ATTACHMENT I 10