Funding Proposal

Fiscal Year 2015-2016

Title of Project: Enhancingthe ND Work Environment for Nurses

Originating Home Group Area: Workplace Planning

Overall Project Goal: Work to retain talent through the development strategies including examining the potential for transition to practice programs, examining and the development of interventions for the workplace environment.

Overall Outcome Measures: # of facilities in pilot programs, # of FTE nurses employed at pilot facilities, # of beds in pilot programs, satisfaction of participants, pre- and post-assessment of strategies, baseline and multi-year turnover rates in pilot facilities, development of LPN recruitment and retention strategies

Brief Summary of Need for Project: North Dakota continues to experience high levels of nurse staffing turnover in addition to the maldistribution of nursing supply and projected shortages of LPNs. This turnover results in high recruitment costs, per diem and traveling nurse expenses and instability in the workplace.

Current Status and Outcomes from Year Two of Project: The ND Pathways to Excellence Pilot Hospital Program was launched in the fall of 2014. The pilot hospitals include Fargo VA Health System, Pembina County Memorial Hospital, Jamestown Regional Health Center, Altru Health System, Sanford Mayville Medical Center and Cavalier County Memorial Hospital. Information has been collected from NDONE and ND-NADONA, Long Term Care facilities and LPNS to assist in developing future strategies for long term care and LPN recruitment and retention.

Plans for Year 3 of Project: Continuation and expansion of Pathways to Excellence Pilot Program to include six long term care facilities. Continue networking calls for Pilot Program Hospitals and Long Term Care facilities and track outcomes. Hold LPN stakeholder meeting in Fall, 2015 to review data and develop strategies for recruitment and retention. Evaluate overall effectiveness of project.

Proposed Budget

Year / Annual Goal / Annual Estimated
Personnel Expenses / Annual Estimated
Operating Expenses / Annual Estimated Revenue and Source / Annual
Estimated In-Kind Contributions
2015-2016 / Continuation and expansion of Pathways to Excellence Pilot Program to LTC. Hold LPN stakeholder meeting. Evaluate effectiveness of project. / ED- 10% FTE
Individual consulting teleconference calls for each site and/or for each strategy $800 each (2 hours) X $4,800 / Introductory Pathways webinars $100/person X 3 people at each site= $1,800
Networking teleconference calls between participants $200
LPN Stakeholder Meeting Food and other expenses including travel stipends for LPN participants ($100 each X 5) $1,500 / In-kind time

2015-2016 Budget Summary

Annual Estimated
Personnel Expenses / Annual Estimated
Operating Expenses / Total Program Expenses / Estimated Revenue / Net Program Cost
$17,652.42 / $3,500 / $21,152.42 / $0 / $21,152.42

2015-2016 Workplan: Group Meetings in August & December 2015 and March 2016

Strategies / Activities / Month
Responsible Person(s) / Activity Completion Status
Continuation and expansion of Pathways to Excellence Pilot Program to long term care faciliites. / Create password protected website for hosting powerpoint presentations and other materials from consulting calls. / April- May 2015
Patricia Moulton
Kyle Martin / 25% / 50% / 75% / 100%
Develop marketing and application materials for pilot long term care program. / June-July 2015
Patricia Moulton
Workgroup / 25% / 50% / 75% / 100%
Collect applications, determine criteria for selecting 6 long term care to include in program. Have MOA signed for each pilot facility.
Networking for current hospitals / August 2015
Patricia Moulton
Workgroup / 25% / 50% / 75% / 100%
Initial teleconference call with all participants- talk about developing smart goals and selecting strategies to work on. / September2015
Patricia Moulton / 25% / 50% / 75% / 100%
Launch program including webinars and on-going support. Collect pre-assessment and baseline data from each facility including strategies and smart goals. / October 2015-June 2016
Patricia Moulton ANNC / 25% / 50% / 75% / 100%
Hold periodic networking calls for pilot hospitals to share and problem solve. / May 2015-December 2015
Patricia Moulton / 25% / 50% / 75% / 100%
Develop strategies for LPN recruitment and retention in urban and rural facilities in ND. / Develop report utilizing collected LPN demographic and data about best practices. / May- September 2015
Patricia Moulton / 25% / 50% / 75% / 100%
Develop list of invitees for stakeholder meeting. Determine logistics for meeting- where will it be held, when, draft agenda etc. / June-August, 2015
Patricia Moulton
Workgroup / 25% / 50% / 75% / 100%
Hold stakeholder meeting. / October- November 2015
Patricia Moulton
Workgroup / 25% / 50% / 75% / 100%
Evaluate meeting and determine next steps. / November-December 2015
Patricia Moulton
Workgroup / 25% / 50% / 75% / 100%
Evaluate effectiveness of project. / Collect and analyze outcome measures and / May- December 2015
Patricia Moulton / 25% / 50% / 75% / 100%
Write report on effectiveness of project with recommendations for next strategic plan. / January-March 2016
Patricia Moulton / 25% / 50% / 75% / 100%

2015-2016 Communications and Marketing Plan for Work Environment Project

Year/Annual Goal / Activities / Month/Responsible Person(s) / Activity Completion Status
Feature Pilot Pathways Program Hospitals in Enewsletter articles / Schedule interviews with each hospital and add to newsletters. / May-July 2015
Kyle Martin / 25% / 50% / 75% / 100%
Feature Pilot Pathways Program Long term care facility participants in enewsletter articles / Schedule interviews with each hospital and add to newsletters. / May-July 2016
Kyle Martin / 25% / 50% / 75% / 100%