Nurse Education, Practice, and Retention NEPR Program

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Nurse Education, Practice, and Retention (NEPR)
Program

• Technical Assistance Workshops
• September 15-16, 2008 (San Antonio, TX)
• September 23-24, 2008 (Washington, DC)
• CAPT Catherine Rupinta, MSN, CFNP, Nurse
  Consultant
• CDR Daniel Reed, MPH, Sr. Program Management
  Officer
• US Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Health Professions

2
NEPR Legislative Intent

• To strengthen the capacity for basic registered
  nurse education, practice, and retention
• To address the shortage of registered nurses in
  the healthcare workforce

3
Title VIII Legislation

• Nursing Education and Practice Improvement Act of
  1998
• Public Law 105-392
• Nurse Reinvestment Act of 2002
• Public Law 107-205
• Amends Public Law 105-392

4
History of NEPR Awards

• FY 2007 2008
• Applications reviewed 177 149
• Applications approved 104 83
• Awards funded 39 29
• FY 08 average award amount (1st yr of 3 yr grant)
  -250,000
• Total new/continuing NEPR Grants 2007 - 134
• 2008 - 120

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Eligible Applicants

• Schools of Nursing
• Nursing Centers
• Academic Health Centers
• State or local governments
• Tribes and tribal organizations
• Other public or private entities, for profit or
  not for profit entities, e.g. faith-based and
  community-based organizations

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Applicant Accreditation

• Schools of Nursing must be accredited by a
  national nurse education accrediting agency or
  State approval agency recognized by the Secretary
  of the U.S. Department of Education

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Applicant Accreditation

• These agencies include the Commission on
  Collegiate Nursing Education (CCNE), National
  League for Nursing Accrediting Commission
  (NLNAC), and six State Boards of Nursing
  Kansas, Maryland, Missouri, Montana, North
  Dakota, New York, the Division of Accreditation
  of the American College of Nurse-Midwives, and
  the Council on Accreditation of Nurse Anesthesia
  Programs of the American Association of Nurse
  Anesthetists

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Applicant Accreditation (cont.)

• Applicant must submit documentation providing
  proof of accreditation with the NEPR grant
  application
• Failure to provide proof of accreditation in the
  application will render the application
  non-responsive, and it will not be considered for
  funding under this announcement

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Applicant Accreditation (cont.)

• New programs that are not yet accredited must
  provide documentation that indicates reasonable
  assurance that the program will meet the
  accreditation standards of CCNE, NLNAC, or the
  State Boards of Nursing, prior to the beginning
  of the academic year following the normal
  graduation date of students in the first entering
  class
• Documentation of the assurance must be submitted
  with the NEPR application

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Priority Areas

• Three priority areas
• Education (Purposes E1, E2, E3)
• Practice (Purposes P1, P2, P3, P4)
• Retention (Purposes R1 R2)
• Each priority area has a specific purpose, for a
  total of nine program purposes

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Education

• E1 Expanding enrollment in baccalaureate
  nursing programs
• Note Schools of Nursing which offer a Bachelor
  of Science in Nursing (BSN) degree are the only
  eligible applicant organizations for Purpose E1

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Education (cont.)

• E2 Developing and implementing internships and
  residency programs
• E3 Providing education in the area of new
  technologies, including distance learning
  methodologies

13
Practice

• P1 Establishing or expanding nursing practice
  arrangements in non- institutional settings
• P2 Providing care for underserved populations
  and other high risk groups

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Practice (cont.)

• P3 Providing managed care, quality improvement,
  and other skills needed to practice in existing
  and emerging organized health care systems
• P4 Developing cultural competencies among
  nurses

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Retention

• R1 Career ladder bridge programs which promote
  career advancement for nursing personnel
• -Focus on either continuing education/specialty
  training, or education to enter the nursing
  profession

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Retention (cont.)

• R2 Enhancing patient care delivery systems
  through improving retention of nurses and
  enhancing patient care
• -Must address two nurse retention core
  measures and four patient care core indicators,
  with baseline data

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Funding Preference

• A funding preference will be granted to
  qualified applicants with projects that
• - Substantially benefit rural populations
• - Substantially benefit underserved
  populations and/or
• - Help meet public health nursing needs in
  state or local health departments

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Funding Preference (cont.)

• For consideration for the statutory funding
  preference the applicant must specifically
  request one of the three preferences and document
  evidence of the preference need.

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General Information

• All NEPR applicants must select one purpose for
  which to apply. Selecting more than one purpose
  will render the application ineligible.
• The Project Director (PD) must be credentialed
  minimally as a Registered Nurse

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General Information (cont.)

• Purposes P1 and R2 new awards are five year
  grants. All others are three year grants
• All applications/proposals should provide
  assurance that projects will be operational by
  January 31st following receipt of the Notice of
  Grant Award (NGA)

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General Information (cont.)

• The following are not allowed
• - Trainee expenses
• - Accreditation fees or expenses
• - Work release time
• - Proposals for the sole purpose of setting up a
  skills lab
• - Proposals for the sole purpose of research

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General Information (cont.)

• Proposals that include setting up skills labs
  must not have a skills lab budget that exceeds
  50 of the total budget amount
• Skills lab and nursing curricula must be linked

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Application Program Narrative

• Applicants must use the following section
  headings for the Program Narrative
• Introduction
• Needs Assessment
• Methodology
• Work Plan

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Application Program Narrative (cont.)

• The following headings must be used for the
  Program Narrative
• Resolution of Challenges (Competing Continuation
  grants only)
• Evaluation and Technical Support Capacity
• Organizational Information

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Review Criteria

• Criterion 1A Need
• New 20 points
• Competing Continuation 15 points
• Criterion 1B Progress Report Summary
• New NA
• Competing Continuation 15 points

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Review Criteria (cont.)

• Criterion 2 Response
• New 25 Points
• Competing Continuation 20 points
• Criterion 3 Evaluative Measures
• New 10 Points
• Competing Continuation 10 points

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Review Criteria (cont.)

• Criterion 4 Impact
• New 20 Points
• Competing Continuation 20 points
• Criterion 5 Resources/Capabilities
• New 15 Points
• Competing Continuation 15 points

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Review Criteria (cont.)

• Criterion 6 Support Requested
• New 10 Points
• Competing Continuation 5 points

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NEPR Grantee Reporting Requirements

• Annual Reports
• Progress Reports
• Financial Status Reports
• Final Report

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Application Deadline

• All applications must be electronically submitted
  by 8 PM EST, on November 2, 2008
• Late applications and those which exceed 10 MB or
  80 pages when printed by HRSA will not be
  accepted

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NEPR Program Contact Information

• Individual technical assistance is available from
  the
• Division of Nursings NEPR staff at (301)
  443-6193 or
• via e-mail
• CAPT Catherine Rupinta...crupinta_at_hrsa.gov
• CDR Daniel Reeddreed1_at_hrsa.gov
• Dr. Janice Youngjyoung2_at_hrsa.gov

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Thank You!
Division of Nursing INTERNET ADDRESS http//www.b
hpr.hrsa.gov/nursing