Michigan

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Michigans Clinical Management System
Michigan Center for Health Professions and the
Michigan Center for Nursing
Susan Sanford Michigan Health Council
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Strategic Plan for the Centers and MHC

• Develop strategies for increasing the supply of
  healthcare professionals throughout Michigan.
• Share information, resources and develop
  collaborative initiatives.

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We know..

• More then 4000 qualified applicants were turned
  away from nursing programs across the state.
• 287 admission slots in nursing education programs
  went unfilled in the 2006 school year
• The primary reasons were lack of faculty and lack
  of clinical spots.

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What we can do.

• Create a clinical management system in 2 phases.
• Phase I Clinical Placement System (2007)
• Phase II Clinical Passport System (2008)

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Michigans Clinical Placement System

• Create a statewide regionalized clearing house
  for all student clinical placements.
• This system will
• Increase utilization of clinical sites filling
  empty slots
• Increase number of sites create a master
  schedule for clinical experiences
• Have one contact point for requesting clinical
  training fostering regional and statewide
  collaboration

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Whats in it for the colleges?

• Redirect faculty and administrative staff
  currently working on scheduling student clinical
  rotations back to teaching and administrative
  duties.
• Conservative estimate of 1.5 FTE at each of the
  schools in southeast Michigan (15) is 2,100,000
  spent yearly on scheduling.
• Enhanced student clinical experiences in the
  specialty areas i.e. pediatrics
• Contain scheduling conflicts/overlaps

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Whats in it for the clinical sites?

• Redirect staff currently working on scheduling
  student clinical rotations to other work.
• Enhanced utilization of clinical sites, reducing
  overlaps and crowding.

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Michigans Clinical Placement System

• Will provide a one point of contact Manager for
  the system
• Regional and statewide coordinator meetings
• Michigan will have a network of 10 other states
  to collaborate with about the system.
• Michigans system will include nursing and other
  health professions

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Why we are using the Student Maxx System

• Student Maxx was created by the Oregon Center for
  Nursing and has been operational for 4 years they
  have experienced a 74 increase in clinical
  capacity
• Student Maxx is being utilized in 10 states
• Tennessee has been operational for only one year
  and has already experienced a 28 increase in
  clinical sites and 21 increase in capacity.
• The system brings a collaborative of 10 states
  all working to enhance the system and share
  experiences.

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What about the existing regional systems?

• Those regions who have a system already in place
  may wish to maintain their system but subscribe
  to the statewide system for specialties and hard
  to find placements, or subscribe as a region to
  the statewide system and not have to maintain
  their own system.

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Michigans Clinical Passport System

• Creates a common learning platform
• Assess, certify and track the orientation core
  courses a student has completed.
• Results would include
• Increase the time a students spends in the
  clinical rotation and not in orientation
• Reduces redundancy in content and paperwork
• Freeing faculty time and hospital staff time

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Michigans Clinical Passport System

• Use of the system would be accepted and required
  by all clinical training sites to meet their
  requirements for training regarding
• HIPPA
• Standard precautions (blood borne pathogens)
• Safety-OSHA
• This system can be expanded to teachSexual
  Harassment, Right to Know, National Patient
  Safety Goals, Cultural Competency, etc.

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Partners for This Pilot Project

• The Southeast Michigan HR group has been meeting
  with MHC to create this system. Our partners
  include
• Henry Ford Health System
• Oakwood
• Beaumont
• Trinity (pending)
• DMC
• St. John Health System
• Michigan Department of Community Health

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Implementation

• The plan is to have the placement system
  functional by Fall 2007 and fully operational by
  January 2008 to begin Fall 2008 scheduling.
• Building of Phase II (Passport) will begin Fall
  2007

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Sustainability

• The system must be self-sustaining after the
  pilot funding. This will be accomplished by
  subscriber/membership fees.
• Fees for the clinical agencies will be based on
  number of beds. In Ohio, Oregon and Tennessee
  these fees range from 1750 to 6000. The fees
  for schools are based on numbers of students in
  the programs with a range of 1000 to 5000.

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When all is said and done we will have the
necessary infrastructure collaboration to help
Michigan reach our health manpower goals

• Ideal Clinical Passport System
• Web based system
• Individual standard health safety requirements
  (health, vaccinations, background checks)
• Uniform core orientation content acceptable to
  all health care providers (HIPAA ? Natl Pt Safety
  Goals)
• Shared operations costs (education, provider,
  government)

• Ideal Clinical Placement Consortia
• Web-based systems where providers and educators
  slot students
• Uniform clinical evaluation form procedures
• All health professionals (Currently only nursing)
• 10 states have (FL,IA, KS, MO, MN, MS, OR, TN,
  TX, WA)
• Shared operations costs (education, provider,
  government)

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• QUESTIONS?