uh systemwide nursing proposal presented to the council of chancellors university of hawaii march...
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UH Systemwide Nursing Proposal
Presented to theCouncil of ChancellorsUniversity of Hawaii
March 17, 2004
Revised March 31, 2004(upon request of the Council)
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
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.
University of HawaiiPurposes
• High quality college and university education and training
• Variety of entry points…to meet individual educational and professional goals
• Distinctive pathways to excellence… fostering a cohesive response to state needs and participation in the global community
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 Bachelor’s degree prior to passing a national licensing examination.
• Nurses are the backbone of healthcare with over 10,000 RNs licensed in Hawaii.
Background Information: Hawaii’s Demographics
• Residents of Hawaii increased 12% between 1990-2002 1
• Hawaii’s 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
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 Queen’s 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
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
Nursing Shortage
• Average age of nurses in Hawaii is 46 years old (44 in U.S.) 4
• 80% of Hawaii’s 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
Hawaii’s Registered Nurses:Supply and Demand
Figure 1Hawaii Regis tered Nurses:
Supply and Demand
0
2000
4000
6000
8000
10000
12000
14000
2000 2005 2010 2015 2020
Y ears
Supply
Demand
Source: US DHHS, HRSA, Bureau of Health Professions, 2003
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
Fall 2003 Qualified Applicants
Accepted Turned Away
UH Manoa 150 50 100
UH Hilo 30 20 10
Hawaii CC 76 30 46
Kapiolani CC 50 29 21
Kauai CC 33 27 6
Maui CC 102 42 60
Total 441 198 243
Qualified Students Turned Awayfrom UH Nursing Programs
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 Hawaii’s healthcare industry (approximately $20,000 less) 9
8 Community Initiative on Nursing of Hawaii, 2003 9 Hawaii Nurses Association
UH Nursing Faculty Retirements & Openings (projected)
Current Vacancies
Retire in 5 years
Retire in 10 years
Expansion in 10 years
UH Manoa 7 6 13 6
UH Hilo 3 0 1 4
Hawaii CC 2 2 3 2
Kapiolani CC 3 4 10 5
Kauai CC 1 4 8 2
Maui CC 2 1 4 10
Total 18 17 39 29
103 Faculty Positions Must Be Filled Over Next 10 Years
Support Needed to Fulfill the University’s 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
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
Additional Nursing Faculty Positions Request for Biennium 05-07
Campus No. Faculty Budget Requested
UH Manoa 4 $450,000
UH Hilo 2 $210,000
Hawaii CC 2 $180,000
Kapiolani CC 4 $360,000
Kauai CC 2 $180,000
Maui CC 4 $360,000
Total 18 $1,740,000
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 master’s 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.
Salary Adjustments for Current Nursing Faculty
Campus No. Faculty Adjustment 05-06
Adjustment 06-07
UH Manoa 47 $936,250 $936,250
UH Hilo 9 $238,000 $238,000
Hawaii CC 8 $155,940 $155,940
Kapiolani CC
15 $242,600 $242,600
Kauai CC 7 $ 80,900 $ 80,900
Maui CC 13 $156,608 $156,608
Total 99 $1,810,298 $1,810,298
$3,620,596
Total 2005-07 Biennial Budget Request
Campus New Faculty
Salary Adjustments
Total
UH Manoa $450,000 $1,872,500 $2,322,500
UH Hilo $210,000 $476,000 $686,000
Hawaii CC $180,000 $311,880 $491,880
Kapiolani CC $360,000 $485,200 $845,200
Kauai CC $180,000 $161,800 $341,800
Maui CC $360,000 $313,216 $673,216
Total $1,740,000 $3,620,596 $5,360,596
Funding Strategies
• Legislative general fund appropriation due to the state’s 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