Cche book 9 26 12

The Center for

Collaborative Healthcare Education

A joint project by the

University of Central Arkansas and

Conway Regional Health System 1

table of contents 3 About the Center for Collaborative Healthcare Education 4

Uniqueness of the CCHE

5 Collaboration 6

Community Education

7 Classrooms 8

Simulation Center

10 Conway Regional Health System 14 University of Central Arkansas 2

About the Center for Collaborative Healthcare Education The Center for Collaborative Healthcare Education

Arkansas (UCA) and Conway Regional Health System

(CCHE) will be an academic-healthcare partnership

(CRHS), partnering to address improvement of the

that promotes quality healthcare and the improved

quality of healthcare through collaborative education.

health of individuals and communities. Through enhanced education in a unique facility, the CCHE will

The CCHE will provide an ideal setting for the

encourage collaboration among academic and practice

education of students, staff, and citizens. Students

professionals. Leading healthcare groups such as the

of UCA and staff members of both UCA and CRHS

National Institute of Medicine, Robert Wood Johnson

will be together in the center, observing and learning

Foundation, Josiah Macy Jr. Foundation, and others have

from each other in both formal and informal settings.

called for a breakdown of barriers between education

Citizens and community members will also be in the

and practice and an increased emphasis on health and

center, interacting with students and staff in an in-

wellness of citizens as an important means of improving

house bistro and community garden, and participating

American healthcare. The CCHE will be a model of

in planned programs including support groups, classes,

two independent institutions, the University of Central

health fairs, and other activities.

3

Uniqueness of the CCHE To our knowledge there is not another facility in the nation that has brought together the three aims of the

4

CCHE: academic nursing education, staff education,

The CCHE will be a national model for breaking down

and community health education. While some

the barriers that have separated the education of

academic nursing programs share a simulation lab

students, staff, and the public. The center will model

with other academic programs and/or hospital, we have

the joining of academic and practice components of

found none that have shared offices, classrooms, and

healthcare for the purpose of improving healthcare

a simulation center and have brought the education of

and enhancing the education of students and staff, as

the community into the facility as well.

well as improving the health of the community.

4

Collaboration The spaces of the CCHE will be shared by CRHS and

research in both facilities that is

UCA. The UCA nurse administrator and CRHS staff

relevant to the improvement of patient care.

education administrator will share the same office suite close to the entrance of the center. The UCA nursing

Several UCA nursing faculty already practice on a part-

faculty and CRHS staff education faculty will share the

time basis in CRHS, while several CRHS staff members

same office area and break room. The simulation lab

teach on a part-time basis for UCA. The two programs

will have a staff of several individuals who will assist

have also co-sponsored a number of conferences for

both CRHS and UCA. Working in close proximity will

practicing nurses and other health professionals.

encourage the sharing of ideas, joint problem-solving

These arrangements are expected to increase,

and collaboration, promoting best practices in the

including joint-appointments as more faculty members

classroom and patient care areas, and encouraging

and staff members become engaged in collaboration.

5

Community Education

A primary focus of the CCHE is community health and wellness education. Spaces within CCHE will be used for a variety of community-related functions, including cooking demonstrations, professional workshops and conferences, forums, and health fairs. A variety of

In 2011, Arkansas was ranked 48th in the nation in

healthy lifestyle classes and services will be provided

terms of overall population health, according to the

for community members such as healthy eating,

Agency for Healthcare Research and Quality (U.S.

hypertension, tobacco cessation, and diabetes awareness.

Department of Health and Human Services). The

Support groups will meet in the center including infant

report also showed that the state was rated as very

bereavement support, spouse bereavement support,

weak in the area of preventive (health and wellness)

Alzheimer caregiver support, and others. The CCHE will

care. The CCHE will serve as a model for Arkansas in

also serve as a community resource center for promoting

promoting preventive health care through education

health and wellness for employers and their workforces,

and partnership with health care providers and

by bringing together area employers to share ideas,

educational institutions.

education programs and resources.

6

tiered classroom rendering

Classrooms The CCHE will house state-of-the-art facilities,

Two classrooms promote group work for projects

providing a variety of formats for different uses.

involving collaboration. Each round table, seating eight,

From formal classrooms to informal gathering places

will have its own projector and will interface with the

to simulation labs - students, staff and community

main classroom projector. The instructor can bring

members will increase their knowledge and skills to

the attention of all class members to the work of a

improve the quality of patient care and improve the

particular table or the front of the classroom where the

health of their own lives and their families.

work of the groups can be presented and critiqued.

Because of the interactive nature of education today,

A variety of classrooms will be available that will

these two classrooms are expected to be in high

accommodate large classes or small seminar groups.

demand. CRHS may use this classroom to address

One of the large classrooms will be a case-study design

quality improvement initiatives, dividing staff members

used in law schools. In this classroom, the faces of

into small groups to address particular cases, while

approximately two-thirds of the other students are

UCA could use the classroom for student groups

visible, thus enhancing class discussions.

developing a research project.

7

Simulation Center

In the simulation center, individuals as well as groups

A state-of-the-art simulation laboratory will be shared

competence, and engage in patient simulation cases.

by UCA and CRHS. The simulation lab will consist of

For instance, a group of nursing students can learn

fully equipped hospital rooms, a simulated surgical unit,

a new procedure under the direction of an instructor,

exam rooms, an apartment to simulate independent

individual students or small teams might return to

living, and teaching labs. A variety of models and

the simulation lab on their own time to continue their

manikins will be available for simulation. High-fidelity,

practice; later they can be tested for their competence

life-like manikins that can moan, sweat, and have a

in performing the skill. Students are allowed to see the

variety of vital signs responding to treatment or the lack

outcomes of their decisions, including worsening of

of treatment will be available. Other life-like manikins

the patient’s condition, in this controlled environment,

can simulate infants, children, the elderly and childbirth

allowing them to ‘re-live’ the scenario with improved

delivery. The lab rooms will have audio and visual

critical thinking, resulting in better outcomes. As

recording abilities so staff and students can practice,

students progress in the program, complex patient

then review their performance, assessing for areas of

care simulations will assess their critical thinking and

needed improvement. Electronic medical records and

care coordination. In addition to the manual skills,

medication systems will be available. To the highest

communication skills and interactions may be practiced

extent possible, the environment and equipment in the

as live actors assume the roles of family members, the

simulation center will be the same as that in the hospital.

patient or other healthcare team members.

8

can learn new skills, refine procedures, be assessed for

Hospital staff members will use the simulation lab in a variety of ways. For instance, employees are required to demonstrate skill competency. When new equipment is purchased, staff can come to the center to familiarize themselves with it. If an employee is having difficulty with a skill or procedure, that individual can practice the skill

does not end with graduation but continues throughout

until she/he meets the required standard. Nearby, a

professional life. Other professionals such as first-

multidisciplinary team working with a high-fidelity

responders will use the simulated apartment to practice

manikin in cardiac arrest might use the simulation lab

rescue, while students from other health-related

to practice responding to situations they are likely to

programs will join nursing students to practice inter-

face in practice. Team members can then view the

professional teamwork in various scenarios.

video, identify areas for improvement, and go through additional simulations until they are able to respond

Through the numerous uses of the simulation lab, the

accurately and efficiently.

quality and safety of patient care will be continuously improved. Patients and the patients’ families will benefit

Working in a lab room next to the nursing student

from the staff members’ and the students’ engagement

could be staff members from the hospital, perfecting

in learning that allows them to improve skills and critical

or refining their care. The student will see that learning

thinking prior to their application to patients.

9

Conway Regional Health System Conway Regional Health System is a comprehensive

health services, an imaging center, a fitness center, and

healthcare delivery entity operating in Conway, Ark.,

rehabilitation center. The health system recently added

and serving the city and a five county service area of

an 85,000-square-foot surgery and obstetrics area

Faulkner County, Van Buren County, Perry County,

that provides eight large operating rooms and houses

Conway County, and Cleburne County along with the

some of the state’s

city of Maumelle. The health system initially began in

most advanced surgical

1923 as Conway Memorial Hospital. Since that date,

equipment, including

the CRHS has grown to operate a medical center/

the Da Vinci robotic

hospital, various clinics, outpatient facilities, home

surgery system.

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CRHS Patient Care

2011 numbers

4 Conway Regional Medical Center treated 8,128

CRHS Community Outreach The number of community outreach programs that

inpatients and 122,624 outpatients.

4 Another 36,193 patients were treated and discharged

from the Emergency Department.

CRHS provides has grown over the years. Currently

4 Conway Regional’s four clinics with locations in Conway,

outreach programs include diabetic education,

Greenbrier, Mayflower and Clinton reported 32,297

newborn/neonatal bereavement, dementia support,

patient visits.

and a speaker’s bureau on topics pertaining to health, wellness, and immunization. In addition, Conway Regional is a leader in Get Smart and Get Healthy

4 The Conway Regional Home Care staff made 18,227

visits to 783 patients.

Conway, a group of key business and community

4 Conway Regional Medical Center is the flagship of

leaders seeking to promote community health and

Conway Regional Health System. The health system

wellness by engaging employers in adopting health and

provided more than $58.8 million in salaries and

wellness programs for their employees. CRHS also has

benefits to 1,227 employees in 2011, making CRHS

a history of providing health and wellness screenings

the fourth largest employer in the city.

to a number of employers and organizations as a community service.

11

C.J. Newton. MSN, RN, has been with CRHS since 1997, and has worked in professional staff development roles for

CRHS Staff Education Department STAFF

Areas of clinical expertise in the department include:

more than 20 years. Her clinical area of practice has been in cardiovascular nursing.

C.J. Newton, Director

She is active in the Arkansas Nurses Association and other

4 3 full-time RNs

4 medical-surgical nursing

nursing groups, including assuming leadership roles at the

4 3 part-time RNs

4 critical care nursing

district and state levels. She has developed the CRHS Staff

4 2 administrative

support staff

4 perinatal nursing 4 pediatric nursing

Education Department from a single position within another department that provided minimal education primarily for nursing employees, to a separate department that serves

All nurses of the staff education department have BSN

all employees, volunteers, contract staff, students and the

degrees, and three have MSN degrees. Instructors

community and is recognized in the state as a model for

in the department are also involved in the Arkansas

other staff education departments.

Nurses Association, the American Heart Association, and the March of Dimes. They are involved in a variety of community service activities.

12

Services Provided CRHS was one of the first hospitals in the state to

Classes offered to CRHS

incorporate high-fidelity simulation into educational

staff and new-hires ensure

activities. Instructors re-create actual patient scenarios

regulatory compliance and that staff have the

using manikins that simulate talking, breathing and other

skills necessary to provide high-quality care. The Staff

life-like functions. Nurses and other professionals are able

Education Department also responds to needs of the

to practice intervening, without risk to any actual patients,

organization for additional education when regulations

in situations in which the simulated patient is deteriorating.

change or when quality or safety concerns are identified. Staff members work closely with the Quality

The Staff Education Department provides orientation,

Resources Department to evaluate opportunities for

in-service, continuing education and competency

improvement, and implement necessary changes. The

assessment programs for employees, volunteers,

department staff serve as consultants on scope of

contract staff and students at CRHS. Additionally,

practice and standards of performance. The services

the department provides credentialing services for all

of the department are interwoven into the structure of

non-physicians, and serves as the liaison for all student

CRHS, and play a vital role in the overall performance

experiences within the organization.

of the organization.

13

The University of Central Arkansas Founded in 1907, University of Central Arkansas

degrees, and five doctoral degrees. With rare

strives to provide strong academic programs to

exception, classes are taught by faculty, not graduate

meet the diverse needs of those it serves. Located

assistants. Students, especially in

in Conway, “The City of Colleges,� the university

the sciences, are given research

serves as host to more than 11,000 students from 66

and publication opportunities

different countries, 39 states and enrolls students

at the undergraduate level that

from all 75 counties in Arkansas. UCA offers more

most students do not have until

than 80 undergraduate degree programs, 39 master’s

graduate school.

14

Barbara G. Williams, PhD, RN, has been chairperson of the Department of Nursing since 1990.

In addition to her administration of a successful academic unit, Dr.

UCA Nursing Department

William’s leadership experience has focused on building bridges

UCA provides a variety of courses in the healthcare field, including a comprehensive nursing program, which offers the Bachelor of Science in Nursing (BSN)

Dr. Barbara G. WIlliams Chairperson

between nursing practice and nursing education, beginning in

and Master of Science in Nursing (MSN) degrees.

1986 with assisting in the effort to establish a statewide

The BSN degree was established in 1967 and

nursing shortage. In 1990, she was asked to lead Arkansas’

accredited in 1969. The MSE was established in 1970,

articulation task force, establishing connections between

and later renamed MSN. The MSN program was

the various levels of nursing education as they forged and

accredited in 1982. The department is accredited by the

implemented a statewide articulation agreement (the second

Commission on Collegiate Nursing Education (CCNE)

state to have a statewide model). In 2001, she was selected to

and has maintained continuous accreditation.

lead the state’s legislative nursing commission examining the

organization between these two groups to address the

nursing workforce and faculty shortages. In 2010, Dr. Williams The BSN degree program offers the traditional

was appointed to the Board of Directors of Conway Regional

program for unlicensed students as well as tracks for

Health System. She is recognized for her expertise in testing

LPNs and RNs seeking the degree. The MSN degree

and assessment. Her clinical practice has been in the area of

program provides clinical tracks to prepare adult nurse

medical-surgical nursing and psychiatric mental health.

practitioners, family nurse practitioners, clinical nurse leaders, and nurse educators with a clinical specialty.

15

UCA Faculty 4 21 full-time faculty 4 41% doctoral prepared

UCA Nursing Faculty Members of the UCA nursing faculty are actively engaged in clinical practice, scholarship, and service.

They engage in practice in area hospitals, clinics, home health, and private practice in various specialty areas. They conduct cutting-edge research on topics such as complementary care, Attention Deficit and Hyperactivity Disorder, diabetic teaching, childhood obesity, elder care, licensing exam preparation, information technology, and practice simulation.

BSN Program Admissions

70 unlicensed students; 20 to 30 licensed students (LPNs and RNs)

Enrollment 350 to 375 pre-nursing students taking

courses in order to apply; ~230 BSN majors Graduation Rate

89.5% average for past 5 years

NCLEX passage rate 92.79% average for past 5 years;

State average for same period = 85.1%

MSN Program 55 students

Several are also engaged in interdisciplinary

Admissions

scholarship. Faculty members serve the community

Enrollment 175

by volunteering for health fairs, immunization drives,

Graduation Rate

wellness physicals for children; serving on various boards and organizations, leading support groups; and engaging in a variety of other service areas. UCA faculty members are deeply committed to the success of their students and have cultivated an intensive applied learning environment – providing individual attention, mentoring, and connections with leading professionals in the healthcare field.

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84.8% average for past 5 years

Certification Rate 98% average for past 5 years

100%

One hundred percent of UCA nursing graduates are employed in their fields within a year of graduation.

Floor Plan – Ground Floor

17

Floor Plan – 2ND Floor GROUP STUDY

GROUP STUDY CONTROL ROOM MEDIUM CLASSROOM

SIM APARTMENT FUNDAMENTALS

STORAGE

STORAGE

TELE ELEC

MOTHER BABY NEWBORN

ICU / CC LAB MEN

FUNDAMENTALS

STORAGE

NP ASSESSMENT

MED SURGERYMED SURGERY

WOMEN C.P.R.

TESTING

COMPUTER ROOM

UP

ELEV

ELEV

STAIR

CHASE

OPEN TO BELOW

OPEN TO BELOW

LOBBY

UP

OPEN TO BELOW

STAIR

DN

SIM SUPPORT

Department Legend

SURGERY SUITE

CIRCULATION SIM ROOM

SIM ROOM

TOILET SIM ROOM

FUNCTION

SIM ROOM

PUBLIC STORAGE

SERVICE STORAGE

DEBREIF

DEBREIF

STORAGE MEN STORAGE

STORAGE DEBREIF

DEBREIF STORAGE

PLAN NORTH

WOMEN STORAGE

0'

STORAGE SIM ROOM

SIM ROOM SIM ROOM

UP DN

STAIR

18

SIM ROOM TOILET

DN

SEMINAR

CLEANING

2'

4'

8'

16'

Floor Plan – 3RD Floor OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

CORRIDOR WAITING WORK

OFFICE

OFFICE

OFFICE

RECEPTION

OFFICE

OFFICE

OFFICE

CONFERENCE OFFICE

CONF

CONF

OFFICE

CORRIDOR OFFICE

OFFICE

OFFICE

OFFICE OFFICE

TELE ELEC WOMEN

MEN

WORK

WORK

WORK DN

COMPUTER

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE LOUNGE STAIR

ELEV

ELEV

CHASE

OFFICE

PROGRAM DIR.

OFFICE

OFFICE

PROGRAM DIR.

OFFICE

PROGRAM DIIR.

OFFICE

TOILET

OFFICE

LOBBY OPEN TO BELOW

OPEN TO BELOW

STAIR

STUDENT LOUNGE DN

SEMINAR

Department Legend ADMINISTRATION TESTING

CIRCULATION

SEMINAR

FUNCTION PUBLIC SERVICE SEMINAR

SCALE UP

MEDIUM CLASSROOM

STORAGE

PLAN NORTH

SCALE UP

0'

2'

4'

8'

16'

WORK ROOM

DN

19

The Center for

Collaborative Healthcare Education

conwayregional.org 20

uca.edu