Feb 26, 2025 Texas Statewide Health Coordinating Council Texas Center for Nursing Workforce Studies Advisory Committee

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GOOD MORNING EVERYONE. I AM DOCTOR CAROL BOSWELL, AND AS CO-CHAIR REPRESENTING THE STATEWIDE HEALTH COORDINATING COUNCIL,

[1. Welcome and Introductions]

BEFORE WE START, I'D LIKE TO INTRODUCE A FEW NEW MEMBERS JOINING US TODAY.

LAURA CORNELSEN IS THE NEW TEXAS HOSPITAL ASSOCIATION REPRESENTATIVE.

ARE YOU JOINING? AND WOULD YOU LIKE TO INTRODUCE YOURSELF? SHE'S NOT ON. OKAY. CYNTHIA O'NEILL IS THE NEW MEMBER REPRESENTING EDUCATION OF NURSING.

CAN YOU PLEASE INTRODUCE YOURSELF? MY NAME IS CYNTHIA O'NEILL, AND I AM THE ASSOCIATE DEAN FOR UNDERGRADUATE STUDIES AT UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER IN SAN ANTONIO, AND I'M EXCITED TO BE A PART OF THE GROUP.

I'VE SPENT A LOT OF TIME IN IN NURSING, ACADEMIA, AND I HOPE I CAN CONTRIBUTE.

THANK YOU. YVONNE SHEAFFER IS REPRESENTING EMPLOYEES OF NURSING SPECIALIZING IN LONG TERM CARE.

ARE YOU ON AND CAN YOU PLEASE INTRODUCE YOURSELF? YES. YES, I'M YVONNE SIEFERT. I HAVE BEEN I AM THE VICE PRESIDENT OF CLINICAL SERVICES FOR METHODIST RETIREMENT COMMUNITIES.

I'VE BEEN IN THE LONG TERM CARE SPACE AND POST-ACUTE FOR 30 YEARS NOW.

BUT WELCOME ABOARD. THANK YOU. ALSO REPRESENTING EMPLOYERS OF NURSING, SPECIALIZING IN HOSPITALS.

WOULD YOU LIKE TO INTRODUCE YOURSELF? I THINK IT WAS A LITTLE HARD TO HEAR.

I THINK YOU SAID KAREN, RIGHT? I'M KAREN WRIGHT.

I'M THE SENIOR DIRECTOR OF NURSING PRACTICE AND RESEARCH AT PARKLAND HEALTH AND EXCITED TO BE PART OF THIS GROUP TO LEARN AND CONTRIBUTE.

WELL. WELCOME ABOARD. TWO ADDITIONAL MEMBERS HAVE BEEN APPOINTED TO THE COMMITTEE BUT ARE UNABLE TO ATTEND TODAY.

DOCTOR HOLLY WAY WILL REPRESENT NURSE RESEARCHERS AND KATHY LYDERHORN, OUR NEW LVHN REPRESENTATIVE. WE WILL HAVE THEM INTRODUCE THEMSELVES NEXT TIME.

SO PAM WILL NOW BE DOING A ROLL CALL TO DETERMINE WHICH ADVISORY COMMITTEE MEMBERS ARE PRESENT.

[2. Establish Quorum and Approval of Excused Absences]

WE ARE GOING TO ENABLE EVERYONE'S CAMERAS SO THAT YOU CAN SHOW YOUR FACE WHEN YOU SPEAK.

WE NEED EVERYONE TO HAVE THEIR CAMERA ON. SO JUST GIVE US A MOMENT AND I WILL START WITH A ROLL CALL.

IF YOU WOULD JUST UNMUTE YOURSELF AND SAY THAT YOU'RE PRESENT, PLEASE.

ANGEL ANKO BARRERA. ANGEL. I SEE THAT YOU'RE ON.

CAN YOU HEAR ME? CAN YOU HEAR ME? I SEE THAT YOU'RE ON.

WOULD YOU PLEASE UNMUTE YOURSELF? YOURSELF? AND IT'S REALLY HARD TO HEAR.

I WASN'T SURE IF YOU WERE CALLING ME AGAIN. THIS IS ANGEL CRESCENT.

OKAY. ARE YOU HAVING TROUBLE HEARING ME, ANGEL? ACTUALLY YOU SOUND LOUDER NOW, BUT IT WAS. OKAY, I WILL SPEAK DIRECTLY INTO THE MIC THIS TIME.

OKAY. ANGEL IS PRESENT. THANK YOU, DOCTOR CHRISTINE BENTON.

THANK YOU, CAROL BOSWELL. PRESENT. THANK YOU.

SERENA. BUMPUS. YES. SHE IS NOT PRESENT. DONNA KARLIN.

PRESENT. THANK YOU. CORY. CHURCH. PRESENT. THANK YOU.

APRIL. ERNST. ARTIST PRESENT. THANK YOU, NORA FRAZIER.

OKAY. SHE SAID SHE WOULD BE ATTENDING A LITTLE LATE, SO WE WILL HOLD OFF ON HER FOR NOW.

KATHY LYDERHORN. SHE SAID SHE WOULD NOT BE ABLE TO MAKE IT TODAY.

CYNTHIA O'NEILL. YES. I'M HERE. TOOK ME A MINUTE TO UNMUTE.

MY APOLOGIES. THAT'S ALL RIGHT. THANK YOU SO MUCH. CORA RABE.

PRESENT. THANK YOU. LINDA ROUNDS. PRESENT. AND, PAM, TEAMS WON'T ALLOW ME TO TURN MY CAMERA ON, SO I'M GOING TO ENABLE IT FOR EVERYONE. JUST GIVE ME A MOMENT.

OKAY. SUSAN. RUPERT. SHE SAID SHE WAS NOT GOING TO BE ABLE TO MAKE IT TODAY.

RENE SCHUMANN HERE. YVONNE SEIFERT HERE. THANK YOU.

LISA TAYLOR I'M HERE. OKAY. THANK YOU. LAURA CORNELSEN, SHE IS PRESENT IN THE ROOM.

[00:05:08]

GRACE WORKEL. I'M HERE. THANK YOU. AND SALLY WILLIAMS HERE.

THANK YOU. WE DO HAVE A QUORUM, DOCTOR BOSWELL.

THERE ARE A FEW ADMINISTRATIVE ITEMS THAT NEED TO BE COVERED.

FIRST, EVERYONE NEEDS TO BE AWARE THAT THIS MEETING IS BEING RECORDED AS REQUIRED BY THE ADMINISTRATIVE PROCEDURE ACT AND THE OPEN MEETING RULE ACT.

BEFORE WE BEGIN, I WOULD LIKE TO REMIND THE MEMBERS TO STATE THEIR NAME.

FOR THE RECORD, WHEN MAKING MOTIONS, COMMITTEE MEMBERS, PLEASE MUTE YOUR LINE UNLESS YOU ARE SPEAKING TO ANY GUEST FROM THE PUBLIC.

PLEASE MUTE YOURSELF UNTIL THE PUBLIC COMMENT AGENDA ITEM.

SINCE. SINCE OVER 50% OF THE CURRENT MEMBERSHIP IS PRESENT, A QUORUM IS ESTABLISHED.

SERENA BUMPUS, KATHY HORN, SUSAN RUPPERT, AND HOLLY WAY ALL REQUESTED AN EXCUSED ABSENCE.

WE HAVE A FEW MEMBERS WHO INDICATED THEY MAY HAVE TO EXIT THE MEETING EARLY.

PLEASE LET US KNOW IN THE CHAT BEFORE YOU EXIT THE MEETING SO THAT WE CAN THAT IT CAN BE DOCUMENTED FOR THE MINUTES AND TO MAKE SURE WE MAINTAIN A QUORUM. MAY I HAVE A MOTION TO APPROVE THIS? OKAY. OKAY, I'LL GET THE MIC A LITTLE CLOSER.

MAY I HAVE A MOTION TO APPROVE THE REQUEST OF THESE MEMBERS FOR EXCUSED ABSENCE? THIS IS KRISTEN. SO MOVED. THIS IS KRISTEN BENTON AND I.

SO MOVE. DO I HAVE A SECOND, DONNA? SECOND. THE MOTION HAS BEEN MADE AND SECONDED.

IS THERE ANY FURTHER DISCUSSION? HEARING NONE.

DOES ANYONE OPPOSE THIS MOTION? ARE THERE ANY ABSTAINS FROM THIS MOTION? THE MOTION PASSES. THE AGENDA WAS SENT TO ALL COMMITTEE MEMBERS ELECTRONICALLY.

[3. Review of February 26, 2025, Agenda]

[4.A. Minutes of November 20, 2024, meeting]

ARE THERE ANY CHANGES OR CORRECTIONS TO THE MINUTES? I DID OFFER ONE BECAUSE MY CREDENTIALS LEFT OFF ONE CREDENTIAL, SO I'VE GIVEN THAT TO PAM. ANY OTHER CHANGES TO THE MINUTES? HEARING NOTHING.

MAY I HAVE A MOTION FOR APPROVAL OF THE MINUTES OF THE NOVEMBER 2024 MEETING? THIS IS COREY. I SO MOVE. DO I HAVE A SECOND TO THAT MOTION? LISA TAYLOR SECOND. THANK YOU FOR THAT. THE MOTION HAS BEEN MADE AND SECONDED.

IS THERE ANY OTHER DISCUSSION? HEARING NONE. ARE THERE ANY OPPOSED TO THE MOTION? ARE THERE ANY ABSTAINING FROM THE MOTION? THE MOTION PASSES.

THE NEXT THING ON OUR AGENDA IS THE 2024 NURSING EDUCATION PROGRAM INFORMATION SURVEY REPORT WILL NOW DISCUSS THAT REPORT.

[4.B. 2024 Nursing Education Program Information Survey Reports]

YOU WILL HAVE OPPORTUNITY TO ASK QUESTIONS AT THE END OF EACH REPORT, AND THEN WE WILL ACT ON EACH SET OF REPORTS.

WE WILL BEGIN WITH THE V AND REPORT FOLLOWED BY THE RN AND THEN THE FACULTY PROFILES.

CAN EVERYONE HEAR ME? OKAY. ALL RIGHT. GREAT.

[00:10:04]

THIS INCLUDES 80 GENERIC PROGRAMS AND FOUR MULTIPLE ENTRY EXIT PROGRAMS. THE REPORTING PERIOD WAS ACADEMIC YEAR 2023 TO 2024, WHICH WAS FROM SEPTEMBER 1ST, 2023 THROUGH AUGUST 31ST, 2024. GOING ON THE GEOGRAPHIC LOCATION AND PROGRAM SETTING OF THE PROGRAMS, 60.7% OF PROGRAMS WERE LOCATED IN A METRO NON BORDER AREA, WHILE 28.6% WERE LOCATED IN A NON METRO NON BORDER AREA, AND THE PROGRAMS OPERATING IN TEXAS WERE CLASSIFIED AS 81. PERCENT OF THEM WERE COMMUNITY, STATE AND TECHNICAL COLLEGES AND 19% WERE PRIVATE, INDEPENDENT INSTITUTIONS FOR HIGHER EDUCATION.

THERE WERE FOUR PROGRAM CLOSURES BETWEEN 2023 AND 2024, AND TWO NEW PROGRAMS OPENED, AND IN THE PAST TEN YEARS THERE HAS BEEN A NET REDUCTION OF SEVEN PROGRAMS. 84.5%, OR 71 OF THE PROGRAMS WERE 12 MONTHS IN LENGTH, AND 52.4% OF PROGRAMS INDICATED THAT THEY OFFER NURSING COURSES VIA ONLINE TECHNOLOGY, WITH 36 PROGRAMS OFFERING HYBRID COURSES, WHICH IS AN INCREASE FROM 34IN 2023.

THERE IS A BOARD OF NURSING RULE THAT STATES THAT FACULTY HAVE DOCUMENTED COMPETENCIES SPECIFIC TO ONLINE EDUCATION, AND TABLE THREE SHOWS PROGRAM RESPONSES. AS YOU CAN SEE THAT WE RECEIVED 51 RESPONSES AND LISTED IN THE TABLE.

THIS IS BECAUSE A LOT OF PROGRAMS LISTED NOT APPLICABLE, MEANING THAT THEY DO NOT OFFER ONLINE COURSES.

AND SO MOST PROGRAMS SAID THAT THEY REQUIRE THEIR FACULTY TO COMPLETE A TRAINING ON A LEARNING MANAGEMENT SYSTEM SUCH AS CANVA OR BLACKBOARD ULTRA SORRY, CANVAS. MOST PROGRAMS 66.7% REPORTED USING A BLOCK CURRICULUM, AND 75% OF PROGRAMS DID NOT IMPLEMENT A PERMANENT CURRICULUM.

CURRICULUM CHANGE FOR ACADEMIC YEAR 2023 TO 2024.

FIGURE TWO SHOWS THE MEAN AND MEDIAN DIDACTIC AND CLINICAL CONTACT HOURS REPORTED BY VOCATIONAL NURSING PROGRAMS. AND TABLE FIVE COMPARES THE MEAN CONTACT HOURS BETWEEN 2023 VERSUS 2024, AND YOU CAN SEE ACROSS ALL CONTACT TYPES.

IT HAS STAYED RELATIVELY SIMILAR BETWEEN LAST YEAR AND THIS YEAR.

PROGRAMS WERE ASKED TO INDICATE WHETHER THEY USED DEDICATED EDUCATION UNITS AS A CLINICAL FORMAT, AND EIGHT PROGRAMS STATED THAT THEY DO USE D USE, WHICH IS AN INCREASE FROM 5 IN 2023.

YOU GO UP A TINY BIT. THANK YOU. AND TABLE SIX SHOWS THE PERCENTAGE OF HANDS ON CLINICAL TIME SPENT BY SETTING.

AND THE HIGHEST MEAN AND MEDIAN PERCENT OF TIME WAS SPENT IN ACUTE CARE.

THE 2024 NEP IS ASKED HOW MANY HANDS ON CLINICAL CONTACT HOURS IN THE PROGRAM WERE DEVOTED TO THE NURSING CARE OF CHILDREN AND MATERNITY NURSING.

AND SO FOR NURSING CARE OF CHILDREN, THE MEAN HOURS WAS 35.9 AND MEDIAN WAS 30.

AND FOR MATERNITY NURSING, THE MEAN WAS 35.8 HOURS AND A MEDIAN OF MEDIAN OF 32.

TABLE SEVEN SHOWS THE PERCENT OF HANDS ON SIMULATION AND OTHER CLINICAL LEARNING EXPERIENCE HOURS SPENT WITH DIFFERENT POPULATIONS.

THIS IS AN ADDITIONAL QUESTION THAT WE SENT OUT TO PROGRAMS AFTER THE NEP HAD ALREADY CLOSED.

THIS IS A QUESTION THAT WILL BE INCLUDED IN THE NEP IS FROM NOW ON, AND THIS ANALYSIS IN THE TABLE SHOWS RESPONSES FROM 78 PROGRAMS. WE DID NOT RECEIVE RESPONSES FROM TWO PROGRAMS, AND THEN MEAT PROGRAMS WERE NOT INCLUDED IN THIS ANALYSIS DUE TO THE DIFFERENCE IN STRUCTURE AND DELIVERY OF THOSE TYPE OF PROGRAMS. AND SO WE CAN SEE ACROSS HANDS ON SIMULATION AND OTHER HOURS MEDICAL SLASH SURGICAL HAD THE HIGHEST MEAN PERCENT AND MEDIAN PERCENT OF TIME SPENT. PROGRAMS WERE ASKED TO INDICATE WHETHER THEY PARTNERED WITH

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ONE PROGRAM REPORTED HAVING A TRACK THAT GIVES ACTIVE DUTY FORMER OR RETIRED MILITARY PERSONNEL NURSING CREDIT FOR ALLIED HEALTH CARE, TRAINING AND OR EXPERIENCE. AND IT'S IMPORTANT TO NOTE THAT WHILE THIS TRACK IS OFFERED, THERE IS CURRENTLY ZERO STUDENTS IN IT.

AND THAT'S THE END OF THE CHARACTERISTICS REPORT.

IF ANYBODY HAS ANY COMMENTS OR QUESTIONS. MADAM CHAIR, THANK YOU FOR THIS SUMMARY ON PAGE TWO UNDER THE AND THIS IS KRISTEN BENTON UNDER THE HEADING ONLINE AVAILABILITY OF THE PROGRAMS. I JUST HAVE A MINOR CORRECTION. THERE'S A RULE CITED THAT SPEAKS TO THE REQUIREMENT FOR COMPETENCIES OF FACULTY.

IT SHOULD BE TWO 14.9 B3 INSTEAD OF 215.

THAT'S NOTED, DOCTOR BENTON, AND WE WILL CHANGE IT IN THE TEXT.

IT LOOKS LIKE THE REFERENCE IN THE NOTES IS CORRECT, SO WE'LL MAKE SURE THEY MATCH. THANK YOU.

ANY OTHER COMMENTS? I SEE ANGEL.

I'M NOT HEARING YOU AT THIS POINT.

WE CANNOT HEAR YOU ANGEL. IT DOES SHOW THAT YOUR MIC IS UNMUTED, BUT THERE'S NO SOUND COMING THROUGH.

CAN YOU HEAR ME NOW? NOW WE CAN HEAR YOU. OKAY.

SORRY ABOUT THAT. JUST A MINOR TYPO ON PAGE SIX.

AFTER THE TWO BULLETS THE HIGH SCHOOL IS HIGH.

IS MISSPELLED. ON THE FIRST LINE, AFTER THE SECOND BULLET ON THE LEFT SIDE. UNDERWEAR THAT'S HIGHLIGHTED.

YEAH. THANK YOU FOR THAT. ANY OTHER COMMENTS? OKAY. CAN WE MOVE ON TO THE NEXT PART? SO SO THE NEXT REPORT IS ADMISSIONS, ENROLLMENT AND GRADUATION OF VN PROGRAMS. TABLE ONE LISTS DATA ON QUALIFIED APPLICATIONS AND ADMISSIONS TO THE PROGRAMS FROM 2015 THROUGH 2024.

SEATS FOR NEW STUDENTS INCREASED BY 659 BETWEEN 2023 AND 2024, AND THERE WERE 7222 QUALIFIED APPLICATIONS IN 2024, WHICH IS A DECREASE OF 590, OR 7.6%, FROM 2023.

6170 QUALIFIED APPLICATIONS WERE OFFERED ADMISSION IN ACADEMIC YEAR 2023 TO 2024.

THIS WAS A 9.4% DECREASE FROM THE PREVIOUS ACADEMIC YEAR, AND IN 2024, 44 OR 52.4% OF PROGRAMS OFFERED ADMISSION TO ALL QUALIFIED APPLICATIONS. THIS NUMBER HAS INCREASED SINCE 2021, AS SHOWN IN FIGURE ONE.

THE 40 PROGRAMS THAT DID NOT ACCEPT ALL QUALIFIED APPLICATIONS WERE ASKED TO RANK THE IMPORTANCE OF REASONS WHY QUALIFIED APPLICATIONS WERE NOT ACCEPTED.

TABLE TWO PRESENTS THE RANK AND THE MEAN RANK SCORE ASSIGNED BY PROGRAMS. A LOWER RANK SCORE INDICATES A HIGHER LEVEL OF IMPORTANCE, AND SO LOOKING AT TABLE TWO, WE CAN SEE THAT THE HIGHEST RANKED REASONS WHY QUALIFIED APPLICATIONS WERE NOT ACCEPTED WAS A LACK OF CLINICAL SPACE AND LIMITED CLASSROOM SPACE.

THIS WAS A LITTLE BIT DIFFERENT THAN 2023, WHERE LACK OF CLINICAL SPACE WAS RANKED ONE THEN AS WELL.

HOWEVER, A LACK OF QUALIFIED FACULTY WAS RANKED TWO.

[00:20:07]

AND FROM 2023 TO 2024, THE NUMBER OF NEWLY ENROLLED STUDENTS HAS INCREASED BY 8.5%, AND 2024 IS THE FIRST YEAR SINCE 2020 THAT THERE WAS AN INCREASE IN THE NUMBER OF NEWLY ENROLLED STUDENTS.

AND TABLE FOUR SHOWS SEATS FOR NEW STUDENTS AND NEWLY ENROLLED STUDENTS.

AND I JUST WANT TO POINT OUT THAT THE SEATS UNFILLED PERCENTAGE FOR 2024 IS AT 29%, WHICH IS A LITTLE BIT HIGHER THAN 2023.

FIGURE THREE SHOWS THE NUMBER OF UNFILLED SEATS FOR NEW STUDENTS FROM 2015 TO 2024, AND BETWEEN 2023 AND 2024.

THE NUMBER OF UNFILLED, UNFILLED SEATS FOR NEW STUDENTS HAS INCREASED BY 14.8%, AND THE NUMBER OF UNFILLED SEATS FOR STUDENTS HAS INCREASED BY 5% OVERALL FROM 2015 TO 2024. AND CAN YOU GO UP A LITTLE BIT? THANK YOU. OF THE 84 VN PROGRAMS, ONLY 11 REPORTED ZERO SEATS UNFILLED, WITH THE MEDIAN BEING EIGHT SEATS UNFILLED.

41 PROGRAMS REPORTED MORE THAN EIGHT SEATS UNFILLED.

THE NEXT SECTION IS TOTAL ENROLLMENT. 99.2% OF ENROLLED STUDENTS WERE IN GENERIC PROGRAMS, AND THE TOTAL NUMBER OF STUDENTS ENROLLED IN VN PROGRAMS HAS DECREASED BY 12.4% BETWEEN 2015 AND 2024, AS SHOWN IN FIGURE FOUR. THE NEXT SECTION IS GRADUATES FROM VN PROGRAMS. THERE WAS A TOTAL OF 3298 STUDENTS GRADUATED IN 2024, WHICH IS AN INCREASE OF 2.5% FROM 2023.

THE TOTAL NUMBER OF GRADUATES DECREASED BY 27.5% BETWEEN 2015 AND 2024, SHOWN IN FIGURE FIVE.

PROGRAMS WERE ALSO ASKED TO LIST BARRIERS THAT THEY FACED IN INCREASING GRADUATES IN ACADEMIC YEAR 2023 TO 2024.

63 PROGRAMS IDENTIFIED HAVING BARRIERS TO INCREASING THE NUMBER OF GRADUATES, AND SOME OF THESE BARRIERS ARE INCLUDED IN THE BULLETS BELOW, SOME OF WHICH ARE STUDENTS EXITING PROGRAMS DUE TO FINANCIAL OR PERSONAL EXTENUATING CIRCUMSTANCES.

LACK OF READINESS. LACK OF FACULTY. PROGRAMS WERE ALSO ASKED TO RANK THE PERCEIVED DIFFICULTY THEIR GRADUATES HAD WITH RESPECT TO FINDING A JOB IN NURSING, AND MOST PROGRAMS PERCEIVED THAT IT WAS EASY OR VERY EASY FOR THEIR GRADUATES TO FIND JOBS.

NEXT IS ON THE MILITARY BASE VOCATIONAL NURSING PROGRAM.

THERE WERE 569 QUALIFIED APPLICATIONS IN 2024, AN INCREASE OF 43.3% FROM 2023.

ALL QUALIFIED APPLICATIONS WERE OFFERED ADMISSION IN 2024.

THERE ARE 569 NEWLY ENROLLED STUDENTS, WHICH WAS ALSO THE NUMBER OF TOTAL ENROLLED STUDENTS FOR THE MILITARY BASE VM PROGRAM IN 2024.

THERE WERE 184 GRADUATES, WHICH REPRESENTED A 28.1% DECREASE IN GRADUATES FROM 2023.

AND THAT'S THE END OF THE REPORT FOR THE ADMISSION, ENROLLMENT AND GRADUATION. IF THERE ARE ANY COMMENTS OR QUESTIONS.

ARE THERE ANY COMMENTS OR QUESTIONS ABOUT THIS PART OF THE REPORT? SEEING NONE AND HEARING NONE. THEN WE'LL GO ON TO THE NEXT PART OF THE REPORT.

ALL RIGHT. THE NEXT REPORT WILL BE STUDENT DEMOGRAPHICS IN VN PROGRAMS. THE GRADUATES FROM VN PROGRAMS WERE PREDOMINANTLY FEMALE AT 89.6%, WITH THE MAJORITY 63.6% OF GRADUATES BEING 30 YEARS OR YOUNGER, AND FIGURE ONE SHOWS THE BREAKDOWN OF AGE OF GRADUATES.

FIGURE TWO, WHICH IS ON THE PAGE BELOW, SHOWS THE RACIAL ETHNIC DISTRIBUTION OF 2024 GRADUATES COMPARED TO THE 2024 TEXAS WORKFORCE AND THE 2024 PROJECTED TEXAS POPULATION. AND SO LOOKING AT FIGURE TWO, WE CAN SEE THAT WHITE CAUCASIAN AND BLACK AFRICAN AMERICAN GRADUATES IS AT A LOWER PERCENTAGE THAN THE OVERALL WORKFORCE AND THE PROJECTED TEXAS POPULATION, WHILE HISPANIC OR LATINO GRADUATES IS A HIGHER PERCENTAGE THAN THE WORKFORCE AND THE PROJECTED TEXAS POPULATION.

[00:25:01]

IN FIGURE THREE.

NEXT IS THE MILITARY BASED VN PROGRAM. GRADUATE DEMOGRAPHICS.

THE MAJORITY OF GRADUATES, 77.7%, WERE 30 YEARS OLD OR YOUNGER.

MILITARY VN GRADUATES, WHO WERE 17 TO 20 YEARS COMPRISED 21.7%, COMPARED TO 8.5% IN THE NONMILITARY PROGRAMS. FIGURE FOUR SHOWS THE RACE ETHNICITY OF MILITARY OF THE MILITARY BASE VN PROGRAM GRADUATES VERSUS THE TEXAS VN WORKFORCE AND THE PROJECTED TEXAS POPULATION, AND COMPARED TO THE NONMILITARY VN PROGRAM GRADUATES.

THE PROPORTION OF WHITE CAUCASIAN MILITARY GRADUATES WAS HIGHER THAN THE PROPORTION OF NONMILITARY WHITE CAUCASIAN GRADUATES, AND THE PROPORTION OF HISPANICS LATINO MILITARY GRADUATES WAS LOWER THAN NONMILITARY HISPANIC LATINO GRADUATES.

AND THAT'S THE END OF THE DEMOGRAPHICS REPORT.

IF THERE ARE ANY COMMENTS OR QUESTIONS. DO WE HAVE ANY COMMENTS OR QUESTIONS ABOUT THIS PART OF THE REPORT? HEARING NONE. WE'LL MOVE ON TO THE NEXT PART.

ALL RIGHT. SO THIS WILL BE THE LAST REPORT FOR THE VN.

AND THIS IS VOCATIONAL NURSING EDUCATION FOR HIGH SCHOOL STUDENTS.

THIS UPDATE PRESENTS DATA FOR THE FIVE VOCATIONAL NURSING PROGRAMS IN TEXAS THAT OFFERED OPTIONS FOR HIGH SCHOOL STUDENTS DURING THE 2024 REPORTING YEAR.

IT SHOULD BE NOTED THAT THESE FIVE PROGRAMS ARE NOT IDENTICAL TO THE EIGHT PROGRAMS THAT OFFERED OPTIONS FOR HIGH SCHOOL STUDENTS IN 2023.

IN 2024, FOUR OF THE EIGHT PROGRAMS FROM 2023 CLOSED AND ONE NEW PROGRAM OPENED.

THREE OF THE FIVE PROGRAMS WERE LOCATED IN A NON-METRO NON-BORDER COUNTY, AND YOU CAN VIEW WHERE THEY ARE LOCATED IN TEXAS IN THE FIGURE.

AND FOUR OF THESE WERE COMMUNITY, STATE, OR TECHNICAL COLLEGE.

PROGRAMS WERE ASKED TO WHEN THE HIGH SCHOOL TRACK BEGINS.

TWO OF THEM BEGAN IN THE SENIOR YEAR AND THREE BEGAN IN THE JUNIOR YEAR.

FOUR PROGRAMS ALLOW STUDENTS TO COMPLETE THE NURSING PROGRAM CURRICULUM AFTER HIGH SCHOOL GRADUATION, AND TWO PROGRAMS RESPONDED THAT STUDENTS WOULD BE ELIGIBLE TO APPLY TO TAKE THE NCLEX RN EXAM UPON HIGH SCHOOL GRADUATION.

WHILE THREE PROGRAMS RESPONDED THAT STUDENTS WOULD BE ELIGIBLE TO APPLY AFTER ADDITIONAL NURSING COURSEWORK IS COMPLETED FOLLOWING THEIR HIGH SCHOOL GRADUATION.

AS FOR ADMISSION, ENROLLMENT, AND GRADUATION IN THE HIGH SCHOOL TRACKS, SEATS FOR NEW STUDENTS DECREASED BY 23.1% FROM 2019 TO 2024.

THERE WERE 885 QUALIFIED APPLICATIONS IN 2024, WHICH IS AN INCREASE OF 23.2 FROM 2023, AND THIS CAN BE VIEWED IN TABLE THREE.

AND THAT'S THE END OF THE HIGH SCHOOL REPORT.

IF THERE ARE ANY QUESTIONS OR COMMENTS DO WE HAVE ANY QUESTIONS OR COMMENTS? THIS IS JAN HOOPER. I'M A CONSULTANT AT THE BOARD OF NURSING.

I APPRECIATE THIS REPORT VERY MUCH. I DID WANT TO UPDATE YOU ON.

THERE IS CURRENTLY MORE INTEREST IN PROVIDING SOME COURSES IN HIGH SCHOOL TO FACILITATE NURSES GOING.

STUDENTS GOING INTO NURSING PROGRAMS ARE FEW, HAVE A COMPLETE PROGRAM.

SO AS WE MOVE FORWARD, I'M SURE WE'LL HAVE MORE QUESTIONS AND MORE INFORMATION.

THANK YOU. THANK YOU FOR THAT COMMENT. ANY ADDITIONAL COMMENTS? HEARING NONE. THEN WE'LL MOVE TO THE R N. MATERIAL.

IT'LL TAKE JUST A SECOND FOR THE REPORT TO LOAD.

BEFORE WE MOVE ON TO THE HN REPORTS, THIS IS PAM LAUER, AND I JUST WANTED TO RECOGNIZE ALL THE HELP THAT GOES INTO GETTING THESE REPORTS DONE.

THIS PROJECT, OF COURSE, IS A COLLABORATION WITH THE TEXAS BOARD OF NURSING.

SO WE WORK VERY CLOSELY WITH THE EDUCATION CONSULTANTS ON THE DEVELOPMENT OF THE SURVEY INSTRUMENT, THE OPERATIONAL DEFINITIONS, THE IMPLEMENTATION OF THE SURVEY.

SO WE COULDN'T GET ANY OF THIS DATA COLLECTED WITHOUT THEM.

[00:30:03]

THEY ALSO REVIEW THE REPORTS AND PROVIDE FEEDBACK.

WE ALSO WORK WITH THE EDUCATION SUBCOMMITTEE OF THE NURSING ADVISORY COMMITTEE.

SEVERAL MEMBERS REVIEW THE REPORTS, PROVIDE FEEDBACK, ALSO PROVIDE FEEDBACK ON THE INSTRUMENTS WHEN WE GET THEM UPDATED.

SO WE WANT TO THANK THEM AS WELL FOR THEIR EFFORTS IN THAT.

OKAY. IT LOOKS LIKE THE REPORT IS READY, BUT I JUST WANTED TO SAY THAT AT THE END OF THESE REPORTS, IF ANYONE ELSE WANTS TO MAKE ANY COMMENTS ABOUT THAT, FEEL FREE TO DO SO.

EVERYONE HAS HAD AN OPPORTUNITY TO REVIEW THEM AND THEY'VE PROVIDED A LOT OF HELPFUL FEEDBACK.

SO THANK YOU.

OKAY. GOOD MORNING, TEXAS CENTER FOR NURSING WORKFORCE STUDIES ADVISORY COMMITTEE.

MY NAME IS GRACIA AND I AM A RESEARCH SPECIALIST FOR AT THE NWS.

AND I'LL BE SUMMARIZING THE THE REPORTS TODAY.

SO I'LL GO AHEAD AND START WITH THE CHARACTERISTICS OF PROFESSIONAL NURSING PROGRAMS. THERE WAS A TOTAL OF 129 PRE-LICENSURE REGISTERED NURSING PROGRAMS IN TEXAS DURING THE 2024 REPORTING YEAR.

THAT INCLUDED ONE DIPLOMA PROGRAM, 67 ASSOCIATE DEGREE IN NURSING PROGRAM, INCLUDING 55 GENERIC ADN PROGRAMS AND 12 LICENSED VOCATIONAL NURSE TO 80 AND STANDALONE PROGRAMS, 59 BACHELORS OF SCIENCE IN NURSING PROGRAMS, AND TWO MASTER'S OF SCIENCE IN ALTERNATE NURSING ALTERNATE ENTRY PROGRAMS. SO AS FAR AS THE GEOGRAPHIC LOCATIONS, 75.2% OF THESE PROGRAMS WERE LOCATED IN METROPOLITAN NON-BORDER COUNTIES AND 1.6 WERE LOCATED IN NON-METROPOLITAN BORDER COUNTIES. AND DURING ACADEMIC YEAR 2023 TO 2024, THREE NEW PROGRAMS OPENED, TWO PROGRAMS CLOSED, AND THREE PROGRAMS WERE CONSOLIDATED INTO A SINGLE PROGRAM.

AS FAR AS THE INSTITUTION TYPES FOR THESE PROGRAMS ARE LOCATED, THERE ARE 54 COMMUNITY COLLEGES, TWO STATE COLLEGES, TWO TECHNICAL COLLEGES, 43 UNIVERSITIES, SIX HEALTH RELATED INSTITUTIONS, 17 FOR PROFIT COLLEGES AND UNIVERSITIES AUTHORIZED BY CERTIFICATE, AND FIVE OTHER INSTITUTIONS AUTHORIZED BY CERTIFICATE.

THE ASIDE FROM THE ONE DIPLOMA PROGRAM BSN PROGRAMS HAD THE LONGEST AVERAGE CURRICULUM LENGTH, WITH AN AVERAGE OF 23.7 MONTHS, AND LVN TO 18 PROGRAMS HAD THE SHORTEST CURRICULUM LENGTH WITH AN AVERAGE OF 13.7 MONTHS.

AS FAR AS PROGRAM TRACKS, IN ADDITION TO THE 12 STANDALONE LVN TO 18 PROGRAMS, 48 PROGRAMS OFFERED AN LVN TO 18 TRACKS, AND IN ADDITION TO THE FOUR STANDALONE ARM TO BSN PROGRAMS, 53 PROGRAMS OFFERED AN RN TO BSN TRACK, INCLUDING 44 PROGRAMS THAT OFFER THE ENTIRE DIDACTIC PORTION ONLINE, AND 20 PROGRAMS OFFERED A PARAMEDIC EMT TO ADN PROGRAM. AND PROGRAMS WERE ASKED IF THEY OFFERED A TRANSITION TRACK FOR ACTIVE DUTY, FORMER AND RETIRED MILITARY PERSONNEL, AND FOR PROGRAMS OFFERED SUCH A TRACK, WHICH WAS THE SAME NUMBER OF PROGRAMS THAT OFFERED THIS TRACK IN 2023, AND NO PROGRAMS REPORTED HAVING OPTIONS FOR HIGH SCHOOL STUDENTS, WHICH WAS THE SAME CASE AS 2023.

78. OUT OF THE 129 PROGRAMS OFFER ADVANCED PLACEMENT FOR STUDENTS, AND THE MOST WIDELY USED MECHANISM TO GRANT ADVANCED PLACEMENT TO THESE STUDENTS WAS EXCUSE ME, WAS OFFERING PRE-LICENSURE NURSING STUDENTS ACROSS ALL PROGRAM TYPES, AND THAT IS 65.4% OF THEM.

AND TABLE SIX SUMMARIZES WHAT TYPE OF ADVANCED PLACEMENTS THEY OFFER.

56 PROGRAMS OFFER ADVANCED PLACEMENT TO LVNS, AND 42 PROGRAMS OFFER ADVANCED PLACEMENT TO STUDENTS WITH PRIOR AND NURSING EDUCATION, AND 51 PROGRAMS DID NOT GRANT ADVANCED PLACEMENT.

THEN TABLE SEVEN SHOWS WHICH TYPE OF STUDENT IS REQUIRED TO TAKE A TRANSITION TO BRIDGE OR BRIDGE COURSE TO QUALIFY FOR ADVANCED PLACEMENT, AND 3918 PROGRAMS TO LVN TO ADN PROGRAMS AND THREE BSN PROGRAMS THAT OFFER ADVANCED PLACEMENT REQUIRE THE LVN TO RN

[00:35:08]

60 PROGRAMS OFFERED TO SELECT COURSES ONLINE.

66 OFFERED BLENDED OR HYBRID COURSES, OR COURSES PARTIALLY ONLINE AND PARTIALLY FACE TO FACE, AND 36 PROGRAMS HAD NO ONLINE COURSE AVAILABILITY.

AND FROM 2015 TO 2024, THE PROGRAM THE PERCENT OF PROGRAMS THAT OFFERED THE ENTIRE DIDACTIC CURRICULUM ONLINE HAS DECREASED BY 4.2% TO 0.8% IN 2024. HOWEVER, THE PERCENT OF PROGRAMS OFFERING SELECT COURSES ONLINE HAS INCREASED FROM 39.5% IN 2015 TO 46.5% IN 2024. AND TABLE NINE SUMMARIZES THE REQUIREMENTS THAT PROGRAMS HAVE OF FACULTY TEACHING ONLINE COURSES AND SAME AS IN PROGRAMS. THE MOST COMMON ONE WAS COMPLETING A TRAINING ON LEARNING MANAGEMENT SYSTEM THAT WAS THE SECOND MOST COMMON, AND COMPLETING A COURSE ON ONLINE OR DISTANCE LEARNING PROVIDED BY THE EDUCATIONAL INSTITUTION.

AND FOR CURRICULUM AND PROGRAM HOURS, PROGRAMS WERE ASKED WHAT TYPE OF CURRICULUM THEY USED 50.4% USED A BLOCK CURRICULUM, 20.2% USED AN INTEGRATED CURRICULUM, 14% OFFER A CONCEPT BASED CURRICULUM, AND 10% USE THE TEXAS MODEL OF A CONCEPT BASED CURRICULUM AND PROGRAMS WERE ALSO ASKED IF THEY IMPLEMENTED A PERMANENT CURRICULUM CHANGE, AND 75.2% DID NOT IMPLEMENT A PERMANENT CURRICULUM CHANGE.

THEN, PROGRAMS WERE ASKED ABOUT THEIR DIDACTIC AND CLINICAL HOURS AND THE HOURS.

THE DIDACTIC HOURS REPORTED BY PROGRAMS RANGED FROM 123 TO 1512 HOURS.

FOR COMPUTER LAB, 109 PROGRAMS REPORTED HAVING COMPUTER LAB, AND THESE RANGED FROM 1 HOUR TO 770 HOURS, AND THE MEDIAN NUMBER OF HOURS FOR COMPUTER LAB HAS INCREASED FROM 30 TO 70, OR BY 51.6%. THEN FOR NURSING SKILLS LAB THERE WAS THE EXCUSE ME.

THE SKILLS LAB REPORTED RANGED FROM 4 TO 484 HOURS, AND THE MEDIAN NUMBER OF NURSING SKILLS LAB HOURS WAS 124.5. AND THIS HAS DECREASED FROM 128 AND 2015 TO 120 4.5.

THEN, FOR HIGH FIDELITY SIMULATION, LAB, 126 PROGRAMS REPORTED HAVING SIMULATION LAB HOURS, AND THE MEDIAN NUMBER HAS INCREASED FROM 69IN 2015 TO 101IN 2024, AND THE NUMBER OF PROGRAMS, OR THE PERCENT OF PROGRAMS OFFERING SIMULATION LAB HOURS, HAS INCREASED FROM 90.4 TO 97.7.

THIS YEAR, WE ALSO COMPARED THE HOURS OF THE PREVIOUS ACADEMIC YEAR, AND OF THE 125 PROGRAMS THAT REPORTED HAVING SIMULATION HOURS DURING BOTH ACADEMIC YEARS, 34 INCREASED THEIR NUMBER OF SIMULATION HOURS AND 31 PROGRAMS DECREASED THE NUMBER OF SIMULATION HOURS AND THE MEAN NUMBER OF HOURS INCREASE WAS 32.9. THEN, FOR PATIENT CARE CLINICAL SITUATIONS, IT RANGED FROM 289 TO 1214 HOURS. THE MEDIAN NUMBER OF HOURS HAS INCREASED, HAS DECREASED FROM 60 656IN 2015 TO 535IN 2024. ONE PROGRAM DID NOT REPORT HANDS ON CLINICAL PRACTICE HOURS BECAUSE THEY ENROLLED THEIR FIRST COHORT IN FALL 2024, AND WE ASKED ABOUT THE PREVIOUS ACADEMIC YEAR.

THEN, FOR TOTAL CLINICAL CONTACT HOURS, THE MEDIAN SEEING.

THEREFORE, DIPLOMA PROGRAM, BECAUSE THERE IS ONLY ONE, IS THE NUMBER OF TOTAL CLINICAL CONTACT HOURS THAT THEY REPORTED, OR 675 HOURS. AND THE MEAN CLINICAL CONTACT HOURS FOR BSN PROGRAMS WAS 960.1 BSN.

PROGRAM HOURS RANGE FROM 616 TO 1848, AND 18 PROGRAMS REPORTED A MEDIAN OF 864 AND A MEAN OF 869.2 HOURS. AND THEN PROGRAMS ARE ALSO ASKED WHERE THEY THE PERCENT OF HANDS ON CLINICAL PRACTICE TIME THAT THEIR STUDENTS SPEND IN A VARIETY OF SETTINGS,

[00:40:08]

THE MEAN PERCENT OF TIME IS 77.9% AND THE MEDIAN IS 79.4%, AND LONG TERM CARE IS THE SECOND MOST COMMON SETTING, WITH 5.5%. ON AVERAGE, 5.5% OF THEIR TIME IS SPENT THERE, AND A MEDIAN OF 3.2% OF THEIR TIME IS SPENT THERE.

THEN THIS YEAR, WE ASKED ABOUT THEIR HOW MANY HOURS STUDENTS SPEND WITH DIFFERENT POPULATIONS AND FOR HANDS ON CLINICAL HOURS. SIMULATION. HOURS AND OTHER HOURS, WHICH INCLUDE LAB, COMPUTER OR STANDARD PATIENTS.

THE MOST COMMON POPULATION THAT WAS SPENT TIME ON WAS MEDICAL SURGICAL, WHERE 50.7% OF TIME AND 51.9% ON WAS THE MEDIAN OF HOURS SPENT FOR HANDS ON CLINICAL HOURS.

FOR SIMULATION HOURS, IT WAS 46.5% AND A MEDIAN OF 44.2% OF THEIR TIME SPENT WITH MEDICAL, SURGICAL, AND FOR OTHER HOURS IT WAS 40.7% AND 29.9% OF TIME SPENT ON MEDICAL SURGICAL. THEN PROGRAMS WERE ALSO ASKED IF THEY USE AN OUTSIDE VENDOR FOR SERVICES SUCH AS RECRUITING STUDENTS, MARKETING AND ASSISTANCE WITH ONLINE FORMATTING AND 21 PROGRAMS, OR 16.3% REPORTED USING AN OUTSIDE VENDOR FOR SUCH SERVICES.

PROGRAMS WERE ALSO ASKED ABOUT ANY IF THEY PARTNERED WITH HEALTH CARE FACILITIES, AND A CLINICAL AGREEMENT TO ALLOW STUDENTS AN OPPORTUNITY FOR AN ENRICHED AND CONCENTRATED CLINICAL EXPERIENCE, AND 67 PROGRAMS INDICATED PARTNERING WITH HEALTH CARE FACILITIES, WHICH IS AN INCREASE FROM 53 PROGRAMS THAT REPORTED HAVING A CLINICAL AGREEMENT THE PREVIOUS ACADEMIC YEAR. AND TABLE 13 SHOWS THE NUMBER OF PROGRAMS BY THE NUMBER OF SITES THAT THEY HAVE PARTNERSHIPS WITH.

MOST OF THE PROGRAMS THAT HAVE A CLINICAL AND ACADEMIC PRACTICE PARTNERSHIP HAD SOME AGREEMENTS WITH 1 TO 20 FACILITIES, AND THE NUMBER OF PARTNERSHIPS RANGED FROM 1 TO 203.

AND OF THE 67 PROGRAMS, 16 INDICATED THAT THEIR STUDENTS WERE PAID FOR THIS.

FOR THESE EXPERIENCES AND SOME OF THESE PROGRAMS, A LITTLE OVER HALF OF THEM WERE B.S.N.

PROGRAMS, AND THE REMAINING WERE 80 IN PROGRAMS. AND ALL 67 PROGRAMS INDICATED THAT THEY EVALUATED THEIR CLINICAL EXPERIENCES.

AND THE MOST FREQUENT METHOD FOR EVALUATING THESE EXPERIENCES WAS A CLINICAL OR EVALUATION EVALUATION TOOL OR FORM.

AND THAT IS ALL FOR THE PROGRAM CHARACTERISTICS OF PROFESSIONAL NURSING PROGRAMS. ARE THERE ANY QUESTIONS OR COMMENTS? THIS IS DONNA CARLIN.

I THINK THAT THE TABLE THAT SHOWED THE TOTAL NUMBER OF CLINICAL HOURS PER PROGRAM LIKE FOR AN RN, BSN, ETC. IS REALLY INFORMATIVE. I'M WONDERING IF GOING FORWARD WE CAN COMPARE THAT TO THE PRIOR YEAR.

I THINK IT WOULD BE HELPFUL TO KNOW IF THERE'S BEEN AN INCREASE OR DECREASE IN THE TOTAL NUMBER OF CLINICAL HOURS.

DO YOU MEAN FIGURE TWO? FIGURE THREE. FIGURE THREE.

THIS ONE. FIGURE THREE. YEAH. AND I'M SURE YOU HAVE THAT INFORMATION TO COMPARE IT TO LAST YEAR.

I'M JUST SAYING THAT GOING FORWARD, I THINK IT WOULD BE HELPFUL IF WE HAD THE PRIOR YEARS INCLUDE THE PRIOR YEAR INCLUDED WITH THAT.

SO WE CAN SEE IF THERE'S BEEN AN OVERALL INCREASE OR DECREASE IN THE TOTAL CLINICAL HOURS.

OKAY. WOULD YOU LIKE TO HAVE THAT INCLUDED IN THE REPORT THIS YEAR? I WOULD I DON'T KNOW IF ANYBODY ELSE IS INTERESTED IN THAT.

THIS IS KRISTEN BENTON. YEAH, I THINK THAT'S A GREAT IDEA.

OKAY. THANK YOU. ANY OTHER COMMENTS OR QUESTIONS? HEARING NONE. WE'LL MOVE ON. THANK YOU. ALL RIGHT.

AND THIS NEXT FACT SHEET IS THE ADMISSIONS, ENROLLMENT, AND GRADUATION TRENDS IN PROFESSIONAL NURSING PROGRAMS. SEATS FOR NEW STUDENTS INCREASED BY 4.2% COMPARED TO THE PREVIOUS ACADEMIC YEAR.

AND THE NUMBER OF QUALIFIED APPLICATIONS DECREASED BY 6442, OR 16.1%, FROM THE COMPARED TO THE PREVIOUS ACADEMIC YEAR.

[00:45:02]

THERE WAS 24,352 QUALIFIED APPLICATIONS, WHICH WAS A 7.1% DECREASE FROM THE PREVIOUS ACADEMIC YEAR, AND IN 2024, 56 PROGRAMS OFFERED ADMISSION TO ALL QUALIFIED APPLICATIONS, WHICH WAS THE SAME NUMBER OF PROGRAMS THAT OFFERED ADMISSION TO ALL QUALIFIED APPLICATIONS AS THE PREVIOUS ACADEMIC YEAR. AND THEN PROGRAMS WERE ASKED ON PROGRAMS THAT DID NOT ADMIT ALL QUALIFIED APPLICATIONS, WERE ASKED WHY THEY DID NOT ACCEPT ALL QUALIFIED APPLICATIONS AND TO RANK THE REASONS FOR THIS.

AND THE TWO HIGHEST RANKED REASONS WERE LACK OF CLINICAL SPACE AND A LACK OF QUALIFIED FACULTY AND PROGRAMS WERE ASKED ON SPECIFIC REASONS FOR NOT HAVING ENOUGH CLINICAL SPACE, AND SOME REASONS WERE.

CAN YOU SCROLL DOWN? THANK YOU. SOME OF THE SPECIFIC PROGRAMS WERE COMPETITION WITH OTHER PROGRAMS, BSN PROGRAMS RECEIVING PRIORITY FOR SPACE OVER ADN PROGRAMS, AND THE LIMITED AVAILABILITY OF PRECEPTORS AND SPECIFIC PROGRAMS CITED TO RELATED TO LACK OF QUALIFIED FACULTY APPLICANTS INCLUDED A NONCOMPETITIVE SALARY, NO APPLICANTS WITH SUFFICIENT EXPERIENCE, AND THE CAMPUS BEING IN A RURAL LOCATION. AND THEN FOR THE TOTAL NUMBER OF NEWLY ENROLLED STUDENTS, IT INCREASED BY 2.9% COMPARED TO THE PREVIOUS ACADEMIC YEAR, AND BY 42.6% FROM 2015 TO 2024.

TABLE THREE SHOWS THE NUMBER OF NEWLY ENROLLED STUDENTS BY PROGRAM TYPE, AND NEWLY ENROLLED STUDENTS INCREASED IN BSN AND ADN TO LV AND ADN AND LVN TO ADN PROGRAMS. THEN FOR SEATS UNFILLED DESPITE INCREASES IN ENROLLMENT 20.7% OF SEATS REMAINED UNFILLED, WHICH IS A 1% HIGHER THAN THE PREVIOUS ACADEMIC YEAR.

AND THE NUMBER OF SEATS UNFILLED INCREASED BY 9.3% COMPARED TO THE PREVIOUS ACADEMIC YEAR, AND BY 235.8% FROM 2015 TO 2024. AND OF THE 129 PROGRAMS, ONLY 11 REPORTED ZERO SEATS UNFILLED AND THE SEATS UNFILLED RANGED FROM 1 TO 428, AND THE MEDIAN NUMBER OF SEATS UNFILLED WAS 14 AND 63.

PROGRAMS REPORTED HAVING MORE THAN 14 SEATS UNFILLED AND OR MORE THAN THE MEDIAN, AND OF THESE 63 PROGRAMS, 36 REPORTED FEWER QUALIFIED APPLICATIONS THAN SEATS FOR NEW STUDENTS AND 22 REPORTED MORE QUALIFIED APPLICATIONS THAN SEATS FOR NEW STUDENTS, AND OF THOSE 22 THAT REPORTED MORE THAN 14 SEATS UNFILLED SITTENFELD, AND MORE QUALIFIED APPLICATIONS AND SEATS FOR NEW STUDENTS.

TEN PROGRAMS REPORTED THAT THE NUMBER OF STUDENTS OFFERED ADMISSION WAS LESS THAN THEIR NUMBER OF SEATS FOR NEW STUDENTS, AND NINE PROGRAMS REPORTED THAT THEIR NUMBER OF STUDENTS OFFERED ADMISSION WAS MORE THAN THEIR NUMBER OF SEATS FOR NEW STUDENTS.

THIS IS DONNA KARLIN. CAN I ASK A QUESTION NOW? SURE, YES. ON THAT 428 UNFILLED SEATS, WAS THAT VERIFIED? BECAUSE THAT DOESN'T SOUND RIGHT. YES IT WAS.

WE ASKED PROGRAMS TO VERIFY FIRST ALL OF THEIR DATA AND THEN ALL OF THEIR ADMISSIONS, ENROLLMENT, AND GRADUATION DATA. HOWEVER, WE CAN ALWAYS GO BACK AND MAKE SURE THAT THAT IS CORRECT AND GET BACK TO YOU VIA EMAIL TO CONFIRM.

OKAY.

AND THEN FOR TOTAL ENROLLMENT THERE WAS THREE 35,144 STUDENTS ENROLLED IN ALL PROGRAMS. AND SINCE 2015, PROFESSIONAL NURSING PROGRAM ENROLLMENT HAS INCREASED BY 53.5%, AND FROM THE PREVIOUS ACADEMIC YEAR, TOTAL ENROLLMENT HAS INCREASED BY 9.4%.

[00:50:02]

AND AMONG THE 126 PROGRAMS THAT REPORTED GRADUATES ON BOTH THE 2023 AND 2024 NYPD'S 63.

65 OR 5.4%. EXCUSE ME 50.4%. INCREASE THEIR NUMBER OF PROFESSIONAL NURSING GRADUATES.

AND PROGRAMS. THE MAJORITY OF THE PROGRAMS, OR THE MAJORITY OF GRADUATES IN PROGRAMS WERE UNLICENSED STUDENTS, AND THEY REPRESENTED 80% OF ALL GRADUATES.

AND PROGRAMS WERE ALSO ASKED ABOUT THEIR BARRIERS TO INCREASING THEIR GRADUATES.

AND 27 PROGRAMS STATED A LACK OF FACULTY AND 23 PROGRAMS CITED A LACK OF CLINICAL SPACE.

AND OF THE 52 PROGRAMS THAT REPORTED THAT THEY DID NOT HAVE ANY BARRIERS THERE WAS 27 BSN PROGRAMS, 1889 PROGRAMS, AND SEVEN LVN TO ADN PROGRAMS. AND PROGRAMS WERE ALSO ASKED ON HOW DIFFICULT IT IS FOR THEIR STUDENTS TO FIND A JOB AFTER GRADUATION, AND 55.8 PROGRAMS REPORTED THAT IT WAS VERY EASY, AND 38% OF PROGRAMS REPORTED THAT IT WAS EASY FOR THEIR GRADUATES TO FIND A JOB IN NURSING. AND THAT IS THE END OF THE ADMISSIONS, ENROLLMENT, AND GRADUATION FACT SHEET.

ARE THERE ANY COMMENTS OR QUESTIONS? SEEING NONE. GO AHEAD AND CONTINUE. OKAY. THIS FACT SHEET IS ON THE DEMOGRAPHICS OF THE GRADUATES OF PROFESSIONAL NURSING PROGRAMS. THE POPULATION WAS PREDOMINANTLY FEMALE WITH 85.4% SAYING THAT THEY ARE FEMALE AND THE AGE GROUP THAT HAD THE LARGEST PROPORTION FOR GRADUATES WAS BETWEEN 21 AND 25 YEARS OF AGE, WHICH WAS 45.9% OF GRADUATES.

THEN. FIGURE TWO SHOWS THE COMPARISON OF THE DEMOGRAPHICS OF GRADUATES AND THE PROJECTED TEXAS POPULATION AND THE WORKFORCE, AND THEN FIGURE THREE SHOWS THE TRENDS IN RACE ETHNICITY OF R.N.

GRADUATES FROM 2015 TO 2024, AND WHITE OR CAUCASIAN GRADUATES HAVE DECREASED, WHILE HISPANIC OR LATINO, BLACK OR AFRICAN AMERICAN, ASIAN AND OR OTHER AND OTHER RACE OR ETHNICITY HAS INCREASED AMONG GRADUATES.

AND AS FAR AS INTERNATIONAL GRADUATES, 1.3% 8% OF OUR GRADUATES WERE INTERNATIONAL, AND THIS PROPORTION HAS REMAINED RELATIVELY CONSISTENT WITHIN THE PAST YEAR PAST YEARS.

AND THAT IS ALL FOR THE STUDENT DEMOGRAPHICS.

ARE THERE ANY COMMENTS OR QUESTIONS? SEEING NONE, YOU CAN CONTINUE. OKAY. AND THE LAST REPORT IS ON OUR RN TO BSN EDUCATION PROGRAMS. THIS UPDATE PRESENTS DATA FOR 54 PROFESSIONAL NURSING PROGRAMS THAT INDICATED THAT THEY HAD A POST-LICENSING POST-LICENSURE R.N.

TO BSN PROGRAM TRACKED DURING THE 2024 REPORTING YEAR, AND THIS INCLUDES FOUR PROGRAMS THAT HAD A STANDALONE R.N.

TO BSN PROGRAM. AND THIS REPORT ONLY INCLUDES STUDENTS IN TEXAS ENROLLED IN TEXAS PROGRAMS, NOT STUDENTS AND OTHER STATES ENROLLED IN TEXAS PROGRAMS. IN THE 2024 ARM TO BSN BASIN PROGRAMS WERE ASKED TO REPORT THE NUMBER OF SEMESTER CREDIT HOURS FOR UPPER DIVISION NURSING AND THE LENGTH OF TIME FOR PROGRAM COMPLETION IN MONTHS, AND THE MEDIAN NUMBER OF SEMESTER CREDIT HOURS WAS FROM 20 WAS 30, AND THE RANGE WAS FROM 21 TO 120.

THE MEDIAN LENGTH OF PROGRAM COMPLETION WAS 12 MONTHS.

AND THEN PROGRAMS WERE ALSO ASKED IF THEY OFFERED NURSING COURSES VIA ONLINE TECHNOLOGY, AND THEY COULD CHOOSE MULTIPLE OPTIONS, AND ALL PROGRAMS OFFERED COURSES VIA ONLINE TECHNOLOGY, AND THEY WERE OFFERED IN THE FOLLOWING WAYS.

42 PROGRAMS OFFERED THE ENTIRE DIDACTIC PROGRAM CURRICULUM ONLINE, TEN PROGRAMS OFFERED SELECT COURSES ENTIRELY ONLINE, AND SEVEN PROGRAMS OFFERED HYBRID NURSING COURSES AND FOR WORK EXPERIENCE PROGRAMS ARE ASKED TO REPORT THE PERCENTAGE OF STUDENTS WHO HAVE LESS THAN TWO YEARS OF WORK

[00:55:05]

THEN, FOR ADMISSIONS, THE NUMBER OF SEATS FOR NEW STUDENTS INCREASED BY 10.3% COMPARED TO THE PREVIOUS ACADEMIC YEAR, AND THERE WERE TWO PROGRAMS WITH AN UNLIMITED CAPACITY.

AND OF THE 50 OF THE 53 PROGRAMS THAT ARE REPORTING ADMISSIONS DATA, OFFERED ADMISSION TO ALL QUALIFIED APPLICATIONS IN 2024 AND THE ONE PROGRAM THAT DID NOT THAT WE DO NOT HAVE DATA ON IS A STANDALONE PROGRAM AND 4172 PROGRAM, OR 4172 REGISTERED AND ENROLLED STUDENTS IN POST-LICENSURE AREN'T BSN PROGRAMS. AND THIS REPRESENTS AN INCREASE FROM THE PREVIOUS ACADEMIC YEAR, WHEN 58.2% OF APPLICANTS OFFERED ADMISSION ACTUALLY REGISTERED AND ENROLLED, AND OF THE QUALIFIED APPLICANTS NOT OFFERED ADMISSIONS, THERE WERE 22 QUALIFIED APPLICATIONS NOT OFFERED ADMISSIONS, WHICH IS AN INCREASE FROM THE 15 QUALIFIED APPLICATIONS NOT ADMITTED IN 2023.

AND OF THE NEWLY ENROLLED STUDENTS, THERE WAS A TOTAL OF 4172 NEWLY ENROLLED STUDENTS, AND THIS IS AN INCREASE OF 7.9% COMPARED TO THE PREVIOUS ACADEMIC YEAR. THEN, FOR TOTAL ENROLLMENT, THERE WAS ENROLLMENT INCREASED BY 75 STUDENTS, OR 1.4%, COMPARED TO THE PREVIOUS ACADEMIC YEAR.

AND FIGURE TWO SHOWS THE GRADUATES TRENDS IN NUMBER OF GRADUATES IN POST-LICENSING LICENSURE PROGRAMS. AND THERE WAS A 2.6% INCREASE TO THE PREVIOUS ACADEMIC YEAR IS 79 MORE GRADUATES AND OF THE 49 ARE INTO BSN PROGRAMS. THAT REPORTED GRADUATES IN BOTH ACADEMIC YEARS.

THEY WERE ASKED TO DESCRIBE ANY BARRIERS THEY FACED IN INCREASING TO BSN GRADUATES, AND PROGRAMS COULD REPORT MORE THAN ONE BARRIER.

FIVE PROGRAMS REPORTED AN INSUFFICIENT APPLICANT POOL.

FIVE PROGRAMS CITED COMPETITION WITH OTHER BSN PROGRAMS, FOUR CITED COMPETING WORK OR SCHOOL COMMITMENTS AND THREE CITED COSTS OF ATTENDING, AND THREE ALSO CITED COMPETITION WITH COMMUNITY COLLEGES OFFERING BSN PROGRAMS. THEN FOR THE DEMOGRAPHICS OF THE BSN GRADUATES, 85.8% OF GRADUATES WERE FEMALE AND 35.3% OF GRADUATES WERE AGES 31 TO 40 YEARS OLD. THEN.

FIGURE FOUR SHOWS THE COMPARES THE RACE AND ETHNICITY OF RN TO BSN GRADUATES AND PRE-LICENSURE GRADUATES, AND THE PROJECTED TEXAS POPULATION AND WHITE OR CAUCASIAN GRADUATES MADE UP A HIGHER PROPORTION OF RN TO BSN GRADUATES THAN PRE-LICENSURE GRADUATES, AND. FIGURE FIVE SHOWS THE TRENDS OF AUNT, BSN, GRADUATE, RACE OR ETHNICITY, AND THE PROPORTION OF WHITE OR CAUCASIAN AREN'T BSN GRADUATES HAS DECREASED. THE PROPORTION OF BLACK OR AFRICAN AMERICAN AUNT BSN GRADUATES HAS DECREASED COMPARED TO THE PREVIOUS ACADEMIC YEAR, AND THE PROPORTION OF HISPANIC OR LATINO AUNT BSN GRADUATES HAS DECREASED HAS INCREASED SINCE THE PREVIOUS ACADEMIC YEAR, FROM 20.6% TO 30.7%, AND THERE WAS A TOTAL OF 43 GRADUATES WHO WERE INTERNATIONAL STUDENTS OR INTERNATIONAL STUDENTS, OR 1.4% OF ALL POST-LICENSURE ARTIBEUS GRADUATES.

AND THAT IS ALL FOR THE RN TO BSN REPORT. ARE THERE ANY QUESTIONS OR COMMENTS? HEARING NONE, WE WILL MOVE ON TO THE FACULTY PROFILE.

SORRY. IT'S ANGEL. JUST A QUICK NOTE ON ONE OF THE FOOTNOTES FOR THE RN.

THE LAST ONE ON PAGE FIVE, I THINK IT WAS DUPLICATED ON FOOTNOTE FIVE, THE THE WEBSITE LINK.

OKAY. WE WILL REMOVE THAT. THANK YOU.

[01:00:01]

AND NOW WE'LL START WITH THE FACULTY PROFILE.

THIS YEAR'S FACULTY PROFILE IS ON DATA OF 252 NURSING PROGRAMS, INCLUDING 84 VOCATIONAL NURSING PROGRAMS, 129 PRE-LICENSURE REGISTERED NURSING PROGRAMS, AND 39 GRADUATE NURSING PROGRAMS. EACH PROGRAM WAS ASKED FOR THE NUMBER OF FILLED AND VACANT POSITIONS, AS WELL AS THE NUMBER OF RESIGNATIONS, RETIREMENTS, AND NEW APPOINTMENTS DURING THE REPORTING YEAR.

AND TABLE ONE HAS THESE RESPONSES BROKEN DOWN BY PROGRAM LEVEL AND FACULTY TYPE.

THERE WAS 3,831.5 FTES REPORTED BY ALL PROGRAMS, AND FTES OR FULL TIME EQUIVALENTS ARE CALCULATED.

WERE CALCULATED A BIT DIFFERENTLY THIS YEAR THAN THE PREVIOUS YEAR, WHERE THIS YEAR WE THE FTES ARE CALCULATED BY ADDING THE NUMBER OF FULL TIME AND PART TIME FACULTY IN ORDER TO AVOID CHANGING THE TRENDS, SINCE IN PREVIOUS YEARS, BEFORE 2023, WE DID NOT ASK TO SEPARATE ADJUNCT AND PART TIME FACULTY.

SO THERE WAS 2623 ADJUNCT FACULTY ALONG FROM ASIDE FROM THE 3,831.5 FTES REPORTED, AND THE NUMBER OF FILLED FTES INCREASED BY 10.5% AND VDN PROGRAMS 6.6% AND RN PROGRAMS, AND DECREASED BY 12.7% IN GRADUATE PROGRAMS. AND THERE WAS A TOTAL OF 1739 NEW APPOINTMENTS ACROSS ALL NURSING PROGRAMS. AND THEN FIGURE ONE AND TABLE TWO BELOW IT DISPLAY THE PROPORTION OF FULL TIME AND PART TIME FACULTY ACROSS NURSING PROGRAMS OVER TIME.

ADJUNCT FACULTY WERE INCLUDED IN PART. AS I MENTIONED BEFORE, THEY WERE INCLUDED IN PART TIME POSITIONS, BUT THEY WERE ASKED TO SEPARATE IT. STARTING IN 2023.

SO IN OUR IN PROGRAMS, FULL TIME FACULTY REPRESENT 61.5% OF FACULTY IN RN PROGRAMS, 47.2% ARE FULL TIME AND IN GRADUATE PROGRAMS, 46.1% ARE FULL TIME.

AND ACROSS ALL PROGRAMS, 48.9% OF FACULTY IS FULL TIME, AND PROGRAMS WERE ALSO ASKED FOR THE NUMBER OF FACULTY WHO TAUGHT CLINICAL COURSES, DIDACTIC COURSES OR BOTH, AND DATA WAS MISSING FOR 0.1% OF FACULTY.

IN VN PROGRAMS, 56.8% OF FACULTY TEACH BOTH DIDACTIC AND CLINICAL COURSES AND PROGRAMS, 36.0% OF FACULTY TEACH BOTH DIDACTIC AND CLINICAL COURSES, AND IN GRADUATE PROGRAMS, 34.7% OF FACULTY TEACH BOTH.

AND PROGRAMS ARE ALSO ASKED TO REPORT IF THEIR FACULTY ARE REQUIRED TO TAKE GRADUATE COURSES IN EDUCATION, AND PROGRAMS COULD CHOOSE MORE THAN ONE OPTION.

OUT OF 84 VN PROGRAMS, TWO REQUIRED THEIR FULL TIME FACULTY TO TAKE GRADUATE COURSES IN EDUCATION, AND ONE REQUIRED IT FOR THEIR ADJUNCT FACULTY.

NO PROGRAMS WERE REQUIRED FOR THEIR PART TIME FACULTY OUT OF 129 ARE IN PROGRAMS. 31 HAD THIS REQUIREMENT FOR FULL TIME FACULTY, TEN REQUIRED PART TIME FACULTY, AND 19 REQUIRED ADJUNCT FACULTY, AND 30 OUT OF THE 39 GRADUATE PROGRAMS, EIGHT HAD THE REQUIREMENT FOR FULL TIME FACULTY, FOUR REQUIRED PART TIME FACULTY, AND FOUR REQUIRED IT FOR THEIR ADJUNCT FACULTY.

THIS NEXT SECTION COVERS VACANCY RATES, WHICH ARE CALCULATED BY DIVIDING THE TOTAL NUMBER OF VACANT FTES OVER THE NUMBER OF BUDGETED FTES. END TABLE. FIGURE TWO AND TABLE THREE SUMMARIZE THE BREAKDOWN OF THE VACANCY RATES AND VACANCY RATES INCREASED FOR RN AND GRADUATE PROGRAMS FROM THE PREVIOUS ACADEMIC YEAR TO THIS CURRENT YEAR, AND VACANCY RATES IN RN PROGRAMS AND GRADUATE PROGRAMS INCREASED BY 5.7% AND 41%, RESPECTIVELY.

AND THEN PROGRAMS ARE ALSO ASKED HOW MANY WEEKS IT TAKES TO FILL VACANT FULL TIME POSITIONS AND BEGIN PROGRAMS. FULL TIME POSITIONS REMAINED VACANT FOR A MEDIAN OF SIX WEEKS AND A MEDIAN OF 11.8 WEEKS, AND ARE IN PROGRAMS.

[01:05:05]

AND PROGRAMS ARE IN PROGRAMS AND GRADUATE PROGRAMS. REPORTED USING ONLINE OR WEB BASED METHODS TO RECRUIT FACULTY AND WORD OF MOUTH TO RECRUIT FACULTY AS THE TWO MOST FREQUENT STRATEGIES. AND OTHER STRATEGIES USED BY PROGRAMS ARE FLEXIBLE SCHEDULING, BENEFITS PACKAGE AND FUNDING FOR RESEARCH PROGRAMS WERE ALSO ASKED FOR THE LENGTH OF THEIR CONTRACT FOR FULL TIME FACULTY AND INDIAN PROGRAMS, 59.5% OF FULL TIME FACULTY, OR 59.5% OF PROGRAMS, REPORTED THAT THE CONTRACT LENGTH IS 12 MONTHS.

OUR OWN PROGRAMS AND GRADUATE PROGRAMS MOST FREQUENTLY REPORTED THAT THE LENGTH OF THEIR CONTRACT IS NINE MONTHS.

THEN THIS SECTION COVERS TURNOVER. AND TURNOVER IS CALCULATED BY DIVIDING THE TOTAL NUMBER OF VOLUNTARY AND INVOLUNTARY RESIGNATIONS DURING THE REPORTING YEAR, AND THE TOTAL NUMBER OF FILLED POSITIONS AS OF SEPTEMBER 30TH FROM THE PREVIOUS REPORTING YEAR, AND TURNOVER RATES FOR ALL PROGRAM LEVELS WERE HIGHER THAN IN THE PREVIOUS ACADEMIC YEAR.

AND EXCUSE ME. FOR GRADUATE PROGRAMS AND FOR MW PROGRAMS, THE TURNOVER RATE DID NOT CHANGE AND WHEN CALCULATED BY PROGRAM TYPE, ADN PROGRAMS HAD HIGHER RATES COMPARED TO THE PREVIOUS ACADEMIC YEAR, AND BSN PROGRAMS HAD LOWER TURNOVER RATES COMPARED TO THE PREVIOUS ACADEMIC YEAR.

AND TURNOVER RATES RANGED FROM 0 TO 175% FOR VN PROGRAM, 0 TO 160% FOR RN PROGRAMS, AND 0 TO 100% FOR GRADUATE PROGRAMS. THIS NEXT SECTION SUMMARIZES NURSING PROGRAM.

FACULTY DEMOGRAPHICS. THERE WAS A TOTAL OF 6911 FILLED FACULTY POSITIONS REPORTED, AND AFTER REMOVING DUPLICATES, THERE WAS A TOTAL OF 5890 FACULTY. IN TEXAS, THERE WERE 40 FACULTY THAT WERE NOT NURSES, AND SEVEN OF THOSE FACULTY WERE LISTED IN MORE THAN ONE PROGRAM'S FACULTY PROFILE. AND THE DEMOGRAPHICS DISPLAYED BELOW CONTAIN DATA FROM THE TEXAS BOARD OF NURSING LICENSURE RENEWAL DATABASE FOR THE FACULTY MEMBERS WHO HELD TEXAS NURSING LICENSE EXCEPT FOR HIGHEST DEGREE, WHICH WAS OBTAINED FROM THE FACULTY PROFILE REPORT.

OF THE TOTAL UNDUPLICATED FACULTY, THERE WAS 703 FACULTY THAT WERE NOT MATCHED TO THE LICENSURE FILE, AND WE DO NOT HAVE DEMOGRAPHIC DATA ON THEM. AFTER REMOVING THOSE THAT WERE NOT MATCHED, DID NOT HAVE A TEXAS LICENSE, AND WERE NOT NURSES. FACULTY DEMOGRAPHICS WERE BASED ON 5282 FACULTY, SO OF THESE FACULTY, 90% IN 2024 ARE FEMALE, WHICH IS SIMILAR TO THE PERCENTAGE REPORTED IN 2023.

AND FOR WHEN WE LOOK AT IT BY PROGRAM LEVEL, THERE WAS A HIGHER PROPORTION OF MALE FACULTY AMONG THE FACULTY WHEN COMPARED TO NON GRADUATE FACULTY. AND FULL TIME FACULTY HAVE A HIGHER PROPORTION OF FEMALE FACULTY COMPARED TO PART TIME AND ADJUNCT FACULTY.

AND FOR AGE THE BIGGEST TWO BIGGEST AGE GROUPS WERE 46 TO 55 YEARS OF AGE AND 36 TO 45 YEARS OF AGE. AND FACULTY AGES RANGED FROM 23 TO 89 YEARS OLD.

THE MEDIAN AGE OF FACULTY WAS 49 YEARS OLD, WHICH IS THE SAME MEDIAN AGE AS IN 2023 AND 2022, AND THE MEDIAN AGE OF FACULTY IN VN PROGRAMS WAS 49 YEARS OLD, AND OUR PROGRAMS ALSO 49 YEARS OLD AND 50 YEARS 52 YEARS OLD FOR GRADUATE PROGRAM FACULTY. AND FOR RACE OR ETHNICITY. THERE WAS DATA MISSING FOR 0.8% OF FACULTY, AND THE MAJORITY OF OUR NURSING FACULTY WERE WHITE OR CAUCASIAN, AS IS SEEN IN FIGURE FIVE, WHICH COMPARES RACE AND ETHNICITY OF FACULTY OF THE NURSING WORKFORCE AND THE PROJECTED TEXAS POPULATION.

[01:10:07]

THE PROPORTION OF NURSING FACULTY WHO WERE HISPANIC OR LATINO WAS LESS THAN THE 2020 FOR RN WORKFORCE, AND THE PROPORTION OF THE TEXAS POPULATION THAT IS CONSIDERED HISPANIC OR LATINO, AND THE PERCENTAGE OF FACULTY WHO WERE ASIAN WAS LESS THAN THE 2024 RN WORKFORCE, BUT GREATER THAN THE 2024 TEXAS POPULATION. AND WHEN RACE AND RACE AND ETHNICITY IS LOOKED AT BY PROGRAM LEVEL, THERE IS A MARKED DIFFERENCE BETWEEN THE PROPORTION OF ASIAN AND GRADUATE PROGRAM FACULTY WHO ARE WHITE OR CAUCASIAN, WHERE 48.3% OF THE FACULTY IS WHITE OR CAUCASIAN, AND 63.4% OF GRADUATE FACULTY IS WHITE OR CAUCASIAN, AND THE PROPORTION OF HISPANIC FACULTY MEMBERS IN PROGRAMS IS GREATER THAN THE PROPORTION IN PROGRAMS AND GRADUATE PROGRAMS. THEN FIGURES SEVEN THROUGH NINE SHOW THE CHANGE IN FACULTY BY PROGRAM LEVEL FROM 2015 TO 2024 FOR ORANGE AND VINE PROGRAMS, AND FROM 2016 TO 2020 FOR IN GRADUATE PROGRAMS. AND IN THESE GRAPHS ASIAN IS PUT TOGETHER WITH OTHER RACE OR ETHNICITY.

BECAUSE IN PREVIOUS YEARS THAT'S HOW IT WAS GROUPED.

AND IN ORDER TO BE ABLE TO COMPARE IT, AND THE PROPORTION OF FACULTY THAT IS BLACK OR AFRICAN AMERICAN HAS INCREASED BY 62.3% IN VA PROGRAMS, 50.5% IN RN PROGRAMS, AND 46% IN GRADUATE PROGRAMS. THEN, THE PROPORTION OF FACULTY THAT HAVE HISPANIC OR LATINO HAS INCREASED AMONG ALL PROGRAM LEVELS FROM 2015 TO 20 24 OR 20 16 TO 2024, AND THERE HAS BEEN A DECREASE IN THE PROPORTION OF FACULTY THAT IS OTHER RACE OR ETHNICITY AMONG VIETNAM AMONG FACULTY, AND AN INCREASE IN RN AND GRADUATE PROGRAM FACULTY.

FOR EDUCATIONAL PREPARATION OF FACULTY, THE MAJORITY, OR 60.7%, HELD A MASTER'S DEGREE.

MASTER'S IN NURSING DEGREE AND DEGREE DATA WAS MISSING FOR 0.7% OF FACULTY.

AND FIGURE 11 SHOWS THE TRENDS IN NURSING DOCTORAL DEGREES, AND THE PERCENT OF FACULTY WITH PHDS IN NURSING HAS DECREASED BY 50.9% FROM 2015 TO 2024, AND THE PERCENTAGE OF FACULTY WHOSE HIGHEST DEGREE IS A DNP HAS INCREASED BY 124.3%.

AND THERE WAS IN 2024, 1265 FACULTY THAT HELD NURSING DOCTORAL DEGREES.

AND THEN FIGURES 13 THROUGH 15 DISPLAY THE CHANGES IN PROPORTION OF FACULTY WHOSE HIGHEST DEGREES ARE BSNS, MSNS, AND NURSING DOCTORAL DEGREES OR OTHER DEGREES FROM 2015 TO 2024.

FOR PROGRAMS AND FROM 2016 TO 2024 FOR GRADUATE PROGRAMS. AND AND WHEN WE LOOK AT EDUCATION BY TYPE OF FACULTY POSITION, ALL THREE POSITION TYPES AND THE MAJORITY OF FACULTY HELD AN MSN FULL TIME FACULTY HAD A HIGHER PROPORTION OF INDIVIDUALS WHOSE HIGHEST DEGREE IS A NURSING DOCTORAL DEGREE COMPARED TO PART TIME, AND ADJUNCT FACULTY AND PART TIME FACULTY HAD A HIGHER PROPORTION OF INDIVIDUALS WHOSE HIGHEST DEGREE WAS A BSN COMPARED TO FULL TIME AND ADJUNCT FACULTY, AND THAT IS THE LAST PAGE FOR THE FACULTY PROFILE.

ANY QUESTIONS OR COMMENTS ON IT? THIS IS CAROL BOSWELL, AND I JUST WANTED TO BRING TO YOUR AWARENESS ON TABLE TWO, PAGE TWO. UNDER PROFESSION, THERE'S ONE COLUMN THAT DOESN'T HAVE A TITLE.

I THINK IT'S SHOULD BE ADJUNCT JUST TO BE CONSISTENT.

THANK YOU. WE WILL MAKE A NOTE OF THAT. ANY OTHER COMMENTS OR QUESTIONS? I HAVE A COMMENT FOR JUST FOR THE ADVISORY COMMITTEE MEMBERS THAT ARE REVISING IT IN PERSON, THE NUMBERS ON DEMOGRAPHICS MIGHT LOOK DIFFERENT, AND THAT IS BECAUSE WE HAD BEEN WORKING ON MATCHING MORE FACULTY TO THE LICENSURE DATABASE. SO THAT'S WHY THOSE NUMBERS ARE DIFFERENT.

ANY OTHER COMMENTS QUESTIONS. HEARING NONE. THAT IS OUR REPORTS.

DO I HAVE A MOTION TO ACCEPT THESE REPORTS? RENEE SCHUMANN SO MOVED.

I HAVE A MOTION. DO I HAVE A SECOND? THIS IS COREY CHURCH, I SECOND.

[01:15:06]

IS THERE ANY FURTHER DISCUSSION? HEARING? NONE.

ARE THERE ANY OF THE COMMITTEE MEMBERS WHO ARE OPPOSED TO ACCEPTING THESE REPORTS? ARE THERE ANY THAT ARE ABSTAINING FROM THE REPORTS? THEN THE REPORTS ARE PASSED. NOW WE WILL REVIEW THE 2024 GOVERNMENT

[4.C. 2024 Governmental Public Health Nurse Staffing Study Reports]

YOU HAVE. YOU WILL HAVE OPPORTUNITY TO ASK QUESTIONS AT THE END OF EACH REPORT.

AND THEN WE WILL ACT ON THE SET OF REPORTS. ISOBEL SCHWARZER WILL GO OVER THE DRAFT REPORT THAT WAS WERE DISTRIBUTED WITH THE MEETING MATERIALS.

ALL RIGHT. SO I WILL BE GOING OVER THE 2024 TEXAS GOVERNMENTAL PUBLIC HEALTH AGENCIES REPORTS FROM THE NURSE STAFFING STUDIES, AND THE FIRST REPORT WILL BE AGENCY CHARACTERISTICS.

WE ADMINISTERED THE GOVERNMENTAL PUBLIC HEALTH NURSE STAFFING STUDIES TO 74 LOCAL HEALTH DEPARTMENTS AND EIGHT PUBLIC HEALTH SERVICE REGIONS.

A TOTAL OF 31 RESPONSES WERE COLLECTED, FOR A RESPONSE RATE OF 37.8.

DSHS AND HHS CENTRAL OFFICES IN AUSTIN WERE ALSO SURVEYED IN A TOTAL OF 13 RESPONSES WERE COLLECTED.

THESE AGENCIES AND PROGRAMS CHANGE YEAR TO YEAR, AND THE TOTAL NUMBER OF PROGRAMS IS UNKNOWN, SO THERE IS NO RESPONSE RATE REPORTED. IT IS IMPORTANT TO NOTE THAT THOSE RECEIVING THE SURVEY FOR DSHS AND HHS CENTRAL OFFICES WERE INDIVIDUAL PROGRAMS UNDER THESE AGENCIES, AND THEREFORE DO NOT REPRESENT THE AGENCIES AS A WHOLE.

THE FIRST SECTION IS GEOGRAPHIC CHARACTERISTICS OF AGENCIES.

WEST TEXAS HAD THE HIGHEST RESPONSE RATE, WITH 50% OF AGENCIES IN THE REGION COMPLETING THE SURVEY.

TABLE ONE SHOWS THE RESPONSE RATE FOR LOCAL HEALTH DEPARTMENTS AND PUBLIC HEALTH SERVICE REGIONS BY REGION.

AND JUST TO NOTE THAT DSHS AND HHS CENTRAL OFFICES ARE NOT INCLUDED IN THE TABLE ABOVE OR IN THE MAP.

TABLE TWO SHOWS THE RESPONSE RATE BY GEOGRAPHIC DESIGNATION.

THE HIGHEST RESPONSE RATE WAS FROM THE METRO BORDER DESIGNATION, WITH FOUR OUT OF SEVEN AGENCIES RESPONDING.

AND TABLE THREE SHOWS THE RESPONSE RATE BY AGENCY TYPE.

THERE WERE 25 RESPONDENTS IN LOCAL HEALTH DEPARTMENTS, SIX IN PUBLIC HEALTH SERVICE REGIONS AND 13 IN DSHS AND HHS CENTRAL OFFICES. AGENCIES WERE ASKED IF THEY HAD A POSITION DESIGNATED WITH OVERALL ADMINISTRATIVE RESPONSIBILITY FOR NURSING SERVICES. OF THE 44 AGENCIES THAT RESPONDED TO THIS QUESTION, 32 SAID THEY HAD A DESIGNATED POSITION.

LIKE PREVIOUS ITERATIONS OF THE SURVEY, WE ASKED RESPONDENTS IF THEY HAD ANY RN MEMBERS ON THEIR ORGANIZATION'S BOARD.

SEVEN OF 43, OR 16.3% OF AGENCIES REPORTED HAVING A RN ON THEIR BOARD.

ALL OF THE RESPONDENTS WHO DID HAVE RN BOARD MEMBERS REPORTED THE RN HAD VOTING PRIVILEGES, WHICH IS SHOWN IN TABLE FOUR. THAT'S THE END OF THE AGENCY CHARACTERISTICS CHARACTERISTICS REPORT. IF THERE ARE ANY COMMENTS OR QUESTIONS ON THIS ONE.

HEARING NO QUESTIONS, WE'LL GO AHEAD. THE NEXT REPORT IS ON STAFFING.

OVERALL, NURSES REPRESENTED 13.6% OF ALL FULL TIME EMPLOYEES AND 11.8% OF ALL PART TIME EMPLOYEES.

AMONG RESPONDING GOVERNMENTAL, PUBLIC HEALTH AGENCIES AND PROGRAMS. RNZ MADE UP THE MAJORITY OF THE NURSING STAFF MIX IN 2024 AT 62.4%, WHICH IS A DECREASE FROM 72.4% IN 2022. TABLE TWO SHOWS THE NURSING NURSING STAFF MIX BY AGENCY TYPE, AND WE CAN SEE THAT RNZ MADE UP 52.4% OF THE NURSING STAFF MIX IN LOCAL HEALTH DEPARTMENTS, 85.9% IN DSHS PUBLIC HEALTH REGIONS AND 76.5% IN DSHS AND HHS CENTRAL OFFICES. MOST AGENCIES REPORTED NO CHANGE IN FTES OVER THE PAST TWO YEARS AMONG

[01:20:02]

AGENCIES WERE ASKED IF THEY HAVE A TRAINING PROGRAM FOR A NEWLY LICENSED NURSES.

32 OUT OF THE RESPONDING 43 AGENCIES REPORTED HAVING A PROGRAM.

AGENCIES WERE ALSO ASKED IF THEY HIRE NEWLY LICENSED RN'S, RNS AND 18 OUT OF 42 RESPONDING AGENCIES SAID THAT THEY DO HIRE NEWLY LICENSED RNS.

AGENCIES WERE ALSO ASKED IF THEY COMPLETE A NEEDS ASSESSMENT OF SKILLS FOR NEWLY LICENSED NURSES TO DETERMINE TRAINING NEEDS.

NINE OF 42 RESPONDING AGENCIES OR PROGRAMS SAID THAT THEY COMPLETE AN ASSESSMENT EVERY YEAR.

TEN COMPLETING ASSESSMENT AS NEEDED TWO COMPLETE AN ASSESSMENT EVERY TWO YEARS, AND 21 SAID THAT THEY DO NOT COMPLETE AN ASSESSMENT.

IN ADDITION, 13 AGENCIES WROTE AN OPEN ENDED RESPONSE ON THE SKILLS THAT ARE LACKING AMONG THEIR NURSING STAFF, AND THE MOST COMMONLY LISTED WERE COMMUNICATION SKILLS, CRITICAL THINKING, TIME MANAGEMENT, AND GENERAL PUBLIC HEALTH KNOWLEDGE. AGENCIES WERE ASKED HOW LONG IT TOOK FOR THEIR VACANT NURSING POSITIONS TO BE FILLED.

LESS THAN 10% OF AGENCIES SAID THEY WERE ABLE TO FILL THEIR RN POSITIONS IN THE FIRST MONTH.

28.6% OF AGENCIES SAID IT TOOK LONGER THAN THREE MONTHS TO FILL OUR RN POSITIONS.

TABLE SIX SHOWS ISSUES FILLING VACANT NURSING POSITIONS.

THE NUMBER ONE ISSUE STATED WAS NON COMPETITIVE PAY AT 79.4% OR 27.

AGENCIES. AGENCIES WERE ASKED TO SELECT CONSEQUENCES THEIR AGENCY EXPERIENCED IN THE PAST YEAR DUE TO INADEQUATE SUPPLY OF NURSING PERSONNEL. 29 OF 42 RESPONDING PUBLIC HEALTH AGENCIES OR PROGRAMS REPORTED INCREASED WORKLOAD AS A CONSEQUENCE OF INADEQUATE STAFFING.

THE SECOND HIGHEST SELECTED CONSEQUENCE WAS AN INABILITY TO EXPAND SERVICES, AND THE THIRD HIGHEST SELECTED CONSEQUENCE WAS LOW NURSING STAFF MORALE.

AGENCIES WERE ASKED TO SELECT WHICH RECRUITMENT AND RETENTION STRATEGIES THEY UTILIZE FOR THEIR NURSING STAFF.

95.1% OF RESPONDING AGENCIES SAID THEY OFFER PAID VACATION DAYS AND HEALTH INSURANCE.

ALMOST ALL AGENCIES SAID THEY OFFER A RETIREMENT PLAN AND THESE ARE SHOWN IN TABLE EIGHT.

THOSE WHO LISTED OTHER STRATEGIES INCLUDED REIMBURSEMENT FOR NURSING LICENSE FEES, LEADERSHIP ROUNDING, AND A DISCRETIONARY PAY INCREASE EXCEEDING THE MAXIMUM IN HIGHER RATE.

AGENCIES WERE ALSO ASKED TO RANK THE IMPACTFULNESS OF FIVE DIFFERENT RECRUITMENT STRATEGIES.

28 OR 71.8% OF RESPONDING AGENCIES MARKED PAY INCREASE AS THE MOST IMPACTFUL RECRUITMENT AND RETENTION STRATEGY.

AND THAT'S THE END OF THE STAFFING REPORT. IF THERE ARE ANY COMMENTS OR QUESTIONS.

THIS IS COREY CHURCH. I HAVE A COMMENT REGARDING THE NEWLY LICENSED NURSES SECTION.

I THINK THE HEADER FOR THAT SAYS TRAINING PROGRAM FOR NEWLY LICENSED NURSES, BUT IT'S ONLY REGARDING NEWLY LICENSED REGISTERED NURSES.

AND GIVEN THAT THE REPORT HAS BOTH OR ALL THREE LEVELS, I WAS WONDERING IF WE COULD CLARIFY IN THE TITLE.

YEAH, WE CAN DO THAT. THANK YOU. THANK YOU FOR POINTING THAT OUT.

ANY OTHER COMMENTS? THEN PROCEED.

THE NEXT REPORT IS ON VACANCY AND TURNOVER. TABLE ONE SHOWS THE STATEWIDE VACANCY RATES AMONG RESPONDING AGENCIES BY NURSE TYPE AND THE STATEWIDE POSITION.

VACANCY RATE FOR RNS WAS 13.4%, LVNS WAS 10.9%, AND APRN WAS 16.7%.

THE NUMBER OF AGENCIES THAT REPORTED ZERO VACANCIES FOR RNS WAS 30, LVNS WAS 18, AND APRN WAS EIGHT.

FIGURE ONE REPRESENTS THE POSITION VACANCY RATES FOR TEXAS FROM 2015 THROUGH 2024 BY NURSING STAFF TYPE.

[01:25:01]

AND WE CAN SEE THAT THE POSITION VACANCY RATE FOR NS AND LOCAL HEALTH DEPARTMENTS WAS 10.8, AND THE POSITION VACANCY RATE FOR DSHS AND HHS CENTRAL OFFICE PROGRAMS WAS 23.5.

NEXT IS VACANCY RATE BY REGION. CENTRAL TEXAS REPORTED THE HIGHEST VACANCY RATES FOR NS AND LVNS OUT OF ALL PUBLIC HEALTH REGIONS, AND THE RIO GRANDE VALLEY REPORTED THE HIGHEST VACANCY RATE FOR APNS, SHOWN IN TABLE FOUR.

NEXT SECTION IS TURNOVER. THE MEDIAN AGENCY TURNOVER BY NURSE TYPE WAS 0% ACROSS ALL NURSE TYPES, AND THE NUMBER OF AGENCIES THAT REPORTED ZERO SEPARATIONS WAS 19 FOR SNS.

32 FOR LVNS AND NINE FOR APNS.

THE MEDIAN TURNOVER RATE FOR SNS WAS 0% FOR ALL AGENCY TYPES EXCEPT FOR DSHS PUBLIC HEALTH REGIONS, WHICH WAS 14.6%. AS FOR TURNOVER RATE BY PUBLIC HEALTH SERVICE REGION, NORTH TEXAS HAD THE HIGHEST MEDIAN TURNOVER RATE FOR SNS AT 32.1%.

AND THAT'S THE END OF THE VACANCY AND TURNOVER REPORT.

IF THERE ARE ANY COMMENTS OR QUESTIONS. YES. ANGEL? YES. I HAVE MORE OF A CURIOUS QUESTION. ON THE TURNOVER ON TABLE FIVE.

AND THIS DOES MEAN THAT FOR THE LVNS THE TURNOVER BECAUSE IT SAYS 32 AGENCIES REPORTED ZERO SEPARATIONS SO THAT 19 SEPARATIONS IS FOR TWO AGENCIES THEN. ANGEL, THIS IS PAM. THAT IS WHAT THAT INDICATES. BUT WE CAN GO BACK AND DOUBLE CHECK TO MAKE SURE THAT THAT'S ACCURATE.

SO WE'LL FOLLOW UP BY EMAIL AFTER WE CHECK THE RESPONSES AND CONFIRM THAT IT'S JUST FROM THOSE TWO AGENCIES.

OKAY. THANK YOU. ANY OTHER COMMENTS? HEARING NONE. DO WE WANT TO MOVE ON TO HIGHLIGHTS AND RECOMMENDATIONS.

SO THE LAST REPORT IS HIGHLIGHTS AND RECOMMENDATIONS.

THESE RECOMMENDATIONS ARE THE SAME AS LAST YEAR, SO I'LL JUST READ THEM THROUGH AND THEN JUST OPEN IT UP TO THE FLOOR FOR ANY COMMENTS.

IN TERMS OF REVISIONS YOU WOULD LIKE TO BE MADE, OR CHANGING ANY OR ADDING ANY RECOMMENDATIONS.

YOU KEEP GOING DOWN. YEAH. SO RECOMMENDATION ONE IS TO EVALUATE THE IMPACT OF PUBLIC HEALTH NURSE STAFFING AND PUBLIC HEALTH NURSE STAFF TURNOVER ON THE PUBLIC'S HEALTH AT THE COMMUNITY AND STATE LEVEL.

OTHER AREAS FOR EVALUATION SHOULD INCLUDE THE EFFECT OF PUBLIC HEALTH, NURSING STAFF TURNOVER ON ECONOMIC AND NON-ECONOMIC ISSUES, EFFECT OF INCREASING WORKLOAD AS AN INTERIM STAFFING METHOD, AND HOW THIS AFFECTS GOVERNMENTAL PUBLIC HEALTH, NURSING SAFETY, QUALITY OF WORK AND RECRUITMENT AND RETENTION AND ANALYSIS OF CHANGES IN PUBLIC HEALTH.

NURSE STAFFING NEEDS TO ASSESS TRENDS IN POSITION.

AVAILABILITY, TURNOVER AND SUFFICIENCY IN MEETING DEMAND.

RECOMMENDATION TWO IS TEXAS. DSHS SHOULD CREATE AN EXECUTIVE LEVEL POSITION FOCUSED ON NURSING AND LED BY A PUBLIC HEALTH NURSE WITHIN LHO TO FOSTER COLLABORATION AMONG DIFFERENT HEALTH CARE PROFESSIONS AND PROMOTE THE HEALTH OF COMMUNITIES THROUGH PUBLIC HEALTH NURSING.

CURRENTLY, THE DON DOES NOT HAVE AUTHORITY OVER NURSES IN THE FIELD.

GIVING THE DON AUTHORITY OVER NURSES IN THE FIELD WOULD HELP WITH PLANNING, FUNDING AND OPTIMAL NURSE STAFFING ROLES AND RESPONSIBILITIES IN PUBLIC HEALTH AGENCIES, AND TO USE AS A REFERENCE WHEN DETERMINING THE FRAMEWORK.

SEE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE OF NURSING GOALS AND RESPONSIBILITIES.

RECOMMENDATION THREE IS WITH A FOCUS ON CONTINUOUS QUALITY IMPROVEMENT.

TEXAS DSHS SHOULD PURSUE ACCREDITATION THROUGH THE PUBLIC HEALTH ACCREDITATION BOARD TO BECOME A HIGH RELIABILITY GOVERNMENTAL PUBLIC HEALTH AGENCY.

[01:30:01]

AND IMPORTANT MEASURES OF FOCUS SHOULD INCLUDE DOCUMENTING THE DISTRIBUTION OF INFORMATION TO THE PUBLIC ABOUT THE ROLE AND VALUE OF PUBLIC HEALTH.

DEVELOPING PARTNERSHIPS WITH EDUCATION PROGRAMS TO PROMOTE PUBLIC HEALTH AS A CAREER, AND DEVELOPING A HEALTH DEPARTMENT SPECIFIC WORKFORCE DEVELOPMENT PLAN.

RECOMMENDATION FOUR IS TEXAS. DSHS SHOULD EVALUATE THE EFFECT OF PUBLIC HEALTH, NURSING COMPENSATION AND PROMOTION OPPORTUNITIES.

PUBLIC HEALTH AGENCIES SHOULD IMPLEMENT FORMAL CAREER LADDERS AND COLLABORATIVE, COLLABORATIVE GOVERNANCE STRUCTURES THAT PROVIDE EXPERIENCED PUBLIC HEALTH NURSES WITH GREATER AUTONOMY AND RESPONSIBILITY AND OPPORTUNITIES TO SERVE IN LEADERSHIP ROLES IN CONJUNCTION WITH FORMAL CAREER LADDERS.

DSHS SHOULD INCLUDE NURSE LEADERS ON EXECUTIVE LEVEL MANAGEMENT TEAMS. TEAMS. PUBLIC HEALTH AGENCIES SHOULD SUPPORT PROFESSIONAL DEVELOPMENT, LEADERSHIP TRAINING, AND OPPORTUNITIES FOR NURSES TO FURTHER THEIR FORMAL EDUCATION.

PUBLIC HEALTH AGENCIES SHOULD IMPLEMENT STANDARDIZED PAY AND THEN RECOMMENDATION FIVE.

GOVERNMENTAL PUBLIC HEALTH AGENCIES SHOULD INCLUDE EDUCATION ON WHAT PUBLIC HEALTH IS AS A REQUIREMENT FOR THE ONBOARDING, ORIENTATION AND TRAINING PROCESS FOR NURSES NEW TO PUBLIC HEALTH.

AND LASTLY, RECOMMENDATION SIX PUBLIC HEALTH AGENCIES SHOULD SEEK NEW SUSTAINABLE FUNDING SOURCES TO CREATE A LONG TERM MECHANISM TO HIRE AND RETAIN NURSES IN GOVERNMENTAL PUBLIC HEALTH NURSING. THIS IS PAM, AND THIS IS JUST A REMINDER THAT THE RECOMMENDATIONS COME STRICTLY FROM THE NURSING ADVISORY COMMITTEE. THEY ARE PUT TOGETHER BY THE TASK FORCE FOR THIS PROJECT, WHICH IS COMPRISED OF BOTH MEMBERS OF THE ADVISORY COMMITTEE AND EXTERNAL SUBJECT MATTER EXPERTS. SO PLEASE CONSIDER THAT AS YOU REVIEW THESE RECOMMENDATIONS AND TAKE ACTION ON ON THE REPORT.

SO DO WE HAVE ANY COMMENTS FROM THE COMMITTEE? LAURA NELSON WITH THE TEXAS HOSPITAL ASSOCIATION.

CAN YOU HEAR ME NOW? NO. HOW ABOUT NOW? OKAY.

PERFECT. LAURA NELSON WITH THE TEXAS HOSPITAL ASSOCIATION.

THIS IS MY FIRST MEETING, SO I APOLOGIZE IN ADVANCE FOR PERHAPS A ROOKIE QUESTION.

THIS IS JUST CURIOUS AND WONDERING. THIS IS SUCH AN IMPORTANT DATA, AND I KNOW A LOT OF WORK GOES INTO THIS.

I'M WONDERING IF THERE'S EVER BEEN CONVERSATION AROUND COMPARING THIS DATA TO PROJECTIONS WITH POPULATION GROWTH, WITH CHANGING AND DEMOGRAPHICS IN OUR COMMUNITIES TO BE ABLE TO SHOW THE DELTA OF, YOU KNOW, MAYBE SOME KEY ASPECTS OF THE DATA THAT'S CURRENTLY BEING COLLECTED.

THIS IS PAM. SO DO YOU MEAN PROJECTIONS THAT WE ALREADY HAVE THAT WE REPORT ON, LIKE PROJECTIONS FOR THE NURSES, OR DO YOU ARE YOU REFERRING TO OTHER TYPES OF PROJECTIONS? I THINK IT WOULD WARRANT A CONVERSATION AS TO WHAT PIECES WOULD MAKE THE MOST SENSE.

BUT AS I WAS WALKING THROUGH THIS, I WAS THINKING ABOUT BEING ABLE TO ADVOCATE FOR YOU KNOW, MORE FACULTY BEING ABLE TO ADVOCATE FOR, YOU KNOW, SOME OF THE THINGS THAT, FROM A LEGISLATIVE PERSPECTIVE, EVEN SOME OF THE REPAYMENT PROGRAMS AND SO FORTH, IF WE HAD PROJECTIONS TO SHOW, I MEAN, WE HAVE WE HAVE CURRENT DATA, BUT WE DON'T HAVE, YOU KNOW, IF OUR POPULATION KEEPS PACING AT THIS PERCENTAGE IN 2027, 2030, WE ANTICIPATE THERE BEING THE DELTA OF THIS. AND SO I THINK IT COULD PERHAPS ADD STRENGTH TO ADVOCACY EFFORTS.

SO WE DO HAVE PROJECTIONS FOR THE GROWTH OF THE DEMAND FOR NURSES IN TEXAS, AS WELL AS THE SUPPLY OF NURSES.

WE DON'T HAVE IT BROKEN DOWN NECESSARILY BY, YOU KNOW, HOW MANY FACULTY OR NURSES IN SPECIFIC SETTINGS, ALTHOUGH WE DO HAVE SOME PROJECTIONS RELATED TO DEMAND FOR NURSING SERVICES BY SETTING.

SO SOME OF THAT DATA ALREADY EXISTS. AND CERTAINLY THE DATA THAT WE COLLECT THROUGH OTHER SURVEYS HELPS SUPPORT THE NEED FOR ADDITIONAL NURSES TO FILL IN THOSE GAPS. AND I'LL BE HAPPY TO SEND YOU THE PROJECTIONS, DATA THAT WE HAVE SO THAT YOU HAVE THAT.

AND YES, THERE'S PROBABLY AN OPPORTUNITY FOR US TO PUT SOMETHING TOGETHER THAT KIND OF BRINGS ALL OF THE DIFFERENT DATA TOGETHER AT ONE TIME.

AND WE HAVE IN THE PAST, I THINK, PUT SOME SUMMARY INFOGRAPHICS TOGETHER THAT KIND OF TIE ALL THE DATA TOGETHER.

AND IT'S PROBABLY ABOUT TIME FOR US TO UPDATE THAT.

SO THAT'S CERTAINLY A RECOMMENDATION THE ADVISORY COMMITTEE CAN MAKE SO THAT WE ADD IT TO OUR WORK.

OUR WORK. Q. IF WE ADD THAT TO, WILL THAT NEED TO BE ADDED TO THEM WHAT WE'VE JUST GONE THROUGH? NO, THIS IS A SEPARATE REPORT.

[01:35:04]

I CAN CERTAINLY SEND TO THE COMMITTEE. THE LAST ONE THAT WE UPDATED TO SEE IF THAT'S SOMETHING WE WANT TO UPDATE AGAIN.

AND I THINK WHEN WE DEVELOPED THAT ONE, WE TOOK ALL OF THE DATA FROM NURSING EDUCATION, THE STAFFING STUDIES, THE PROJECTIONS, AND KIND OF PUT IT INTO ONE HIGHLIGHT SUMMARY SORT OF THING.

AND THEN THE COMMITTEE DEVELOPED SOME ADDITIONAL RECOMMENDATIONS THAT WERE PUT INTO THAT DOCUMENT.

SO I CAN CERTAINLY SHARE THAT. AND THEN WE CAN GET FEEDBACK FROM EVERYONE VIA EMAIL AND WORK ON THAT.

OKAY. THANK YOU. SO FOR THIS STAFFING REPORT.

NOW WE NEED TO VOTE ON IT. RIGHT. OKAY. GOOD QUESTION.

SO WE HAVE ANOTHER QUESTION FIRST. THIS IS KRISTEN BENTON.

I'M INTERESTED IN SOME OF THE BACKGROUND ON THE RECOMMENDATIONS.

I NOTICED UNDER RECOMMENDATION NUMBER TWO ON PAGE THREE, THERE'S A REFERENCE TO THE GEORGIA DEPARTMENT OF PUBLIC HEALTH OFFICE. I GUESS I WANT TO JUST. I DON'T KNOW WHICH MEMBERS WERE ON THE TASK FORCE THAT CREATED THESE RECOMMENDATIONS.

I WANT TO UNDERSTAND THAT A LITTLE BIT BETTER.

HOW THAT STRUCTURE OPERATES AND AND MAYBE THIS IS FOR ANOTHER TIME.

BUT YOU KNOW, HOW HOW OTHER STATES USE THIS STRUCTURE AND THE BENEFITS OF THAT, BECAUSE CLEARLY THERE ARE BENEFITS BECAUSE IT'S BEEN RECOMMENDED.

WE CAN CERTAINLY GO BACK TO THE TASK FORCE AND HAVE THEM ADD THAT ADDITIONAL INFORMATION ABOUT WHY THEY SELECTED THAT SPECIFIC FRAMEWORK.

I DO RECALL FROM THEIR CONVERSATION THAT I GUESS THE NATIONAL ORGANIZATIONS HAVE IDENTIFIED THAT AS BEST PRACTICE.

THAT STATE IS HAVING A BEST PRACTICE. AND SO THAT'S WHY THAT SPECIFICALLY WAS SELECTED.

BUT I WILL GO BACK TO THEM AND SEE IF WE CAN ADD SOME ADDITIONAL LANGUAGE TO THAT PART OF THE RECOMMENDATION SO THAT THAT IS CLARIFIED.

ANY FURTHER DISCUSSION? YES. THIS IS DONNA. KARLYN, COULD YOU GO TO RECOMMENDATION NUMBER FOUR IF YOU COULD BRING THAT UP? THE THE ONE ABOUT THE LAST BULLET THERE. PUBLIC HEALTH AGENCIES SHOULD IMPLEMENT STANDARDIZED PAY FOR ALL INDIVIDUALS HOLDING A NURSING LICENSE. COULD THAT BE COULD THE WORD PAY SCALE BE ADDED TO THAT? BECAUSE ON ITS FACE, IT LOOKS LIKE WE WANT EVERYBODY PAID THE SAME.

AND MAYBE IT'S JUST SEMANTICS, BUT I THINK I WONDERED THIS.

YEAH, THE SAME THING. DONNA. THIS IS KAREN, RIGHT? AND WHETHER THAT IS LOOKING AT MARKET. YOU KNOW, WITHIN THE MARKET BENCHMARK OR SOME SORT OF A QUALIFICATION OF THAT, I THOUGHT TO YES, WE CAN ADD PAY SCALE, THAT WOULD BE WE CAN MAKE THAT CHANGE OR IMPLEMENT A STANDARDIZED PAY SCALE. OKAY. SOUNDS GOOD. OKAY.

ALL RIGHT. ANY OTHER COMMENTS OR QUESTIONS? MOTION TO ACCEPT. LAURA. CORNELL. CYNTHIA. OKAY.

I HAVE A MOTION. DO I HAVE A SECOND? THIS IS CYNTHIA O'NEAL. I SECOND. OKAY. I HAVE A MOTION AND A SECOND TO ACCEPT THIS REPORT AND THE RECOMMENDATIONS.

IS THERE ANY FURTHER DISCUSSION? HEARING NONE.

ALL THOSE IN FAVOR THAT ARE OPPOSED TO ACCEPTING THIS REPORT AND THE RECOMMENDATIONS, PLEASE SAY AYE.

ANY THAT ARE ABSTAINING. HEARING NONE, THE MOTION PASSES.

WE'LL NOW HAVE. GRACIE DALY WILL GIVE AN UPDATE ON A NEW PROJECT THAT THE NURSING WORKFORCE TEAM IS WORKING ON RELATED TO EARLY CAREER

[4.D. Update on Early Career Nurses Survey]

[01:40:06]

MEG. HELLO. GOOD MORNING. AND MY NAME IS GRACIA DHALLA, AND I WILL BE SPEAKING ON AN UPDATE OF THE EARLY CAREER NURSES SURVEY.

THE SURVEY POPULATION IS ANYONE WITH AN ACTIVE LVN OR RN LICENSE THAT WAS LICENSED IN THE PAST FIVE YEARS, AND WE HAVE BEEN WORKING ON DEVELOPING THE SURVEY WITH THE TASK FORCE IN THE PAST COUPLE OF MONTHS.

AND THESE THE SURVEY INCLUDES QUESTIONS ON PARTICIPATING IN TRANSITION TO PRACTICE PROGRAMS, PRIOR EXPERIENCE IN HEALTHCARE, WORKPLACE SETTING, INTENT TO STAY IN THERE AND INTENT TO STAY IN THEIR CURRENT WORKPLACE AND THE NURSING PROFESSION. ASIDE FROM DEMOGRAPHICS AND A FEW QUESTIONS ON THEIR EDUCATIONAL BACKGROUND AND THE DRAFT OF THE SURVEY WAS SENT FOR A SECOND REVIEW TO TASK FORCE MEMBERS EARLIER THIS WEEK.

AND IN THE COMING WEEKS, WE WILL BE BETA TESTING OR SENDING THE SURVEY OUT TO A FEW TO A FEW EARLY CAREER NURSES OR NURSES THAT WERE LICENSED IN THE PAST FIVE YEARS ARE INTERESTED IN GIVING FEEDBACK ON THE QUESTIONS AND THE SURVEY OVERALL, AND THE SURVEY WILL BE AVAILABLE FROM MID-APRIL TO MID-JUNE.

AND WE HAVE A COUPLE OF TASK FORCE MEMBERS ACTUALLY ON THE ADVISORY COMMITTEE, INCLUDING INCLUDING DOCTOR COREY CHURCH, WHO IS OUR TASK FORCE CHAIR. AND IF YOU HAVE ANY QUESTIONS OR COMMENTS ON THE SURVEY, PLEASE FEEL FREE TO SPEAK.

THIS IS PAM LAUER. I JUST WANTED TO PROVIDE SOME ADDITIONAL INFORMATION.

SO LIKE GRACIA SAID, THIS IS GOING TO GO OUT TO ALL LVNS AND RNS WHO HAVE BEEN LICENSED WITHIN THE LAST FIVE YEARS.

THIS IS GOING TO BE A SURVEY THAT WE COLLECT STRICTLY ONLINE.

SO WE'RE GOING TO SEND A POSTCARD TO ABOUT 70,000 NURSES THAT MEET THE CRITERIA FOR FOR THIS SURVEY.

AND THROUGH THAT POSTCARD, THEY'LL GET A QR CODE WHERE THEY CAN SCAN ON THEIR PHONE AND TAKE THE SURVEY ON THEIR PHONE.

THE SURVEY SHOULD ONLY TAKE ABOUT 15 MINUTES TO COMPLETE IF THAT LONG, AND WE'LL COLLECT ALL THESE RESPONSES.

THIS WILL BE THE FIRST TIME THAT WE DO A SURVEY WHERE WE COLLECT THE DATA ONLINE FROM INDIVIDUAL NURSES, SO WE'RE EXCITED TO SEE HOW THAT GOES. WE'LL BE WORKING ON MARKETING THE SURVEY.

AND WE'LL ONCE EVERYTHING'S READY, WE'LL SEND OUT AN EMAIL TO THE ADVISORY COMMITTEE MEMBERS.

AND WE ASK YOU TO HELP DISSEMINATE INFORMATION ABOUT THE SURVEY AS WELL, SO THAT THOSE EARLY CAREER NURSES HEAR ABOUT IT FROM DIFFERENT PLACES AND KNOW THAT THIS IS A GREAT SURVEY FOR THEM TO FILL OUT. AND LIKE GRACIA SAID, WE HAVE SEVERAL MEMBERS FROM THE ADVISORY COMMITTEE ON THAT TASK FORCE.

OUR TASK FORCE IS, I THINK, 12 OR 13 PEOPLE. SO BESIDES ADVISORY COMMITTEE MEMBERS, WE ALSO HAVE SEVERAL EXPERTS FROM THE FIELD THAT ARE HELPING US WITH THIS PROJECT. AND WE'RE REALLY EXCITED TO GET IT OUT AND WE'RE HAPPY TO ANSWER ANY QUESTIONS.

AND OF COURSE, LIKE SHE SAID, DOCTOR CORY CHURCH IS OUR TASK FORCE CHAIR.

SO DOCTOR CHURCH, YOU'RE WELCOME TO CHIME IN IF YOU HAVE ANYTHING YOU WANT TO ADD ABOUT THIS PROJECT.

YES. THANK YOU TO YOU AND GRACIA. PAMELA, WE REALLY APPRECIATE ALL YOUR HARD WORK, AND I APPRECIATE THE WORK OF THE COMMITTEE.

WE'RE EXCITED ABOUT THE SURVEY. WE INITIALLY STARTED WITH A NEWLY LICENSED NURSES FOCUS, AND WE REALIZED THAT WE WANTED TO EXPAND IT TO EARLY CAREER NURSES. AND THIS INCLUDES VOCATIONAL NURSES AS WELL.

SO WE'RE EXCITED ABOUT THE WORK. IT'S VERY IMPORTANT THAT AS THIS ROLLS OUT, THAT WE USE YOUR HELP IN PROMOTING IT.

SO WE APPRECIATE THAT. AND THANK YOU FOR YOUR TIME ON UPDATING THE COMMITTEE ON THIS.

ANY OTHER COMMENTS ABOUT THIS PROJECT FROM THE ANY OF THE COMMITTEE MEMBERS? HEARING NONE. THANK YOU FOR THAT REPORT. WE WILL GO TO ORGANIZATIONAL UPDATES TODAY.

[4.E. Organizational Updates]

SO, DOCTOR BENTON, WILL YOU GIVE US AN UPDATE FROM THE TEXAS BOARD OF NURSING? THANK YOU, DOCTOR BOSWELL. WE ARE I'M SURE AS MANY OF YOU WATCHING THE LEGISLATIVE SESSION VERY CLOSELY.

[01:45:03]

AND JUST YESTERDAY WE PRESENTED TO THE HOUSE APPROPRIATIONS SUBCOMMITTEE THAT LOOKS AT OUR ARTICLE, ARTICLE EIGHT. GLAD TO HAVE THAT OVER WITH. SO NOW ALL THE DECISION MAKING STARTS, AND I KNOW I PRESENTED OUR OUR EXCEPTIONAL ITEMS TO THIS ADVISORY COMMITTEE LAST MEETING, SO I WON'T REPEAT ALL THOSE EXCEPT TO SAY THAT AMONG THEM IS A REQUEST TO INCREASE THE BUDGET FOR THE WORKFORCE CENTER HERE, WHICH, AS WE ALL WITNESS EVERY MEETING, DOES AMAZING WORK FOR OUR STATE. AND THEY ARE A LEADER IN THE COUNTRY FOR NURSING DATA AND WORKFORCE PROJECTIONS.

SO HOPEFULLY THAT WILL GO WELL. I KNOW THAT WE WE ASKED FOR A LOT THIS SESSION.

WE'RE LOOKING AT A HUGE IT PROJECT TO MODERNIZE SOME OF OUR PROCESSES, ALL GEARED TOWARD BEING ABLE TO EFFICIENTLY AND EFFECTIVELY EFFECTIVELY HANDLE THE INCREASED VOLUME WITH THE INCREASED NUMBER OF NURSES IN TEXAS BEING PRODUCED.

I WILL SAY ONE OF THE THE FIRST EXCEPTIONAL ITEMS THAT I SHARED LAST MEETING WAS A CONTENT, A RENEWAL OF THE FUNDING TO ASSIST OUR AGENCY WITH THE TEXAS IMPACT OF OPERATION NIGHTINGALE.

WE'RE VERY, VERY PLEASED TO SEE THAT THE FILE VERSIONS OF HOUSE BILL ONE AND SENATE BILL ONE, WHICH ARE THE BUDGET BILLS WENT AHEAD AND INCLUDED THAT AMOUNT IN OUR IN OUR FUNDING.

SO WE HOPE THAT STICKS. AND SINCE THEN, WE'VE RECEIVED TWO ADDITIONAL UPDATES FROM THE FBI THAT ANOTHER NAME WAS WAS NAMED, WHICH WE ARE NOT SURPRISED BY BECAUSE WE'VE BEEN DOING I KNOW I'VE SHARED WITH, WITH EVERYONE DOING REALLY DETAILED REVIEWS OF CERTAIN APPLICATIONS THAT COME IN TO OUR AGENCY FOR LICENSURE.

AND THAT FIRST NEW PROGRAM, WHICH IS A MED LIFE INSTITUTE IN NAPLES, FLORIDA, ADDED ANOTHER 100 CASES TO OUR OUR WORKLOAD. AND THEN JUST EARLIER THIS WEEK ON MONDAY, WE RECEIVED ADDITIONAL AFFIDAVITS FOR A DIFFERENT PROGRAM.

SO AS, AS WE EXPECTED AND UNFORTUNATELY THE THE PROBLEM CONTINUES AND WE BELIEVE WE'RE GOING TO SEE IT FOR A FEW YEARS. BUT WE'RE ON IT. SO HOPEFULLY WE'LL GET A FEW OF THE OTHER REQUESTS WE ASKED FOR.

I KNOW WE ASKED FOR A LOT, AS I SAID, BUT HOPEFULLY WE'LL GET AT LEAST SOME OF THEM.

BE GLAD TO ANSWER ANY QUESTIONS. DO WE HAVE ANY QUESTIONS FOR DOCTOR BENTON? THANK YOU FOR THAT REPORT. WE'LL MOVE TO MISS CARLIN WILL GIVE US AN UPDATE FROM THE TEXAS HIGHER EDUCATION COORDINATING BOARD.

YES. WE HAVE THREE GRANT PROGRAMS FOR NURSING THAT ARE CURRENTLY VERY CLOSE TO BEING ANNOUNCED.

TO TWO OUT OF THE THREE HAVE BEEN SELECTED. THE GRANTEES.

AND WE'RE JUST WAITING. WE'VE HAD SOME DELAYS FROM ADMINISTRATION IN GETTING, YOU KNOW, FULL GETTING THOSE ANNOUNCED.

THE OTHER ONE, THE NURSING AND ALLIED HEALTH GRANT, THOSE APPLICATIONS ARE DUE ON THIS FRIDAY.

AND THEN THE OTHER TWO GRANTS THAT I MENTIONED, THE NURSING INNOVATION GRANTS AND THE NURSING SHORTAGE REDUCTION GRANT, ARE THE ONES THAT THE GRANTEES HAVE BEEN SELECTED.

WE'RE JUST WAITING FOR FINAL APPROVAL ON THEM.

LIKE DOCTOR BENTON, WE ARE ALSO MONITORING CLOSELY LEGISLATION.

WE'RE GETTING A LOT THAT ISN'T, YOU KNOW, THAT'S REMOTELY RELATED TO HIGHER ED, LIKE VACCINES IN, IN ELEMENTARY SCHOOL AND MIDDLE SCHOOL. I DON'T KNOW HOW THAT IMPACTS HIGHER ED, BUT WE'VE GOTTEN A LOT OF, OF VACCINES THAT DON'T REALLY DO AWAY WITH VACCINES, BUT DO AWAY WITH THE THE REQUIREMENT THAT A STUDENT CAN'T START SCHOOL UNLESS THEY HAVE EITHER THEIR VACCINES OR THE WAIVER IN PLACE.

NOW, THE CHANGES THAT I'VE SEEN IN FOR BILLS ARE THAT YOU CAN'T PREVENT A STUDENT FROM STARTING SCHOOL IF THE PARENTS HAVE REQUESTED THE WAIVER FORM, WHICH TO ME LOOKS LIKE A LOT MORE MONITORING TO MAKE SURE THAT THOSE FORMS ARE COMPLETED.

AND THEN AND I'M SURE DOCTOR BENTON IS AWARE OF THE BILLS THAT WOULD EXPAND AUTHORITY FOR APNS THEIR THEIR INDEPENDENT PRACTICE AND PRESCRIPTIVE AUTHORITY INDEPENDENCE THAT WILL MONITOR THAT WE'RE MONITORING CLOSELY.

[01:50:09]

[4.F. TCNWS Update]

GOOD AFTERNOON AGAIN. THIS IS PAM LAUER WITH THE NURSING WORKFORCE CENTER.

YOU SHOULD ALL BE ABLE TO SEE A SLIDE THAT COVERS THE FEW THINGS I'M GOING TO PROVIDE AN UPDATE ON.

SO OBVIOUSLY YOU JUST REVIEWED ALL THE RN AND BN REPORTS FROM THE 2024 NURSING EDUCATION PROGRAM INFORMATION SURVEY.

AFTER THIS MEETING, OUR TEAM WILL WORK ON MAKING THE REVISIONS THAT WERE REQUESTED, LOOKING INTO ANY ADDITIONAL NUMBERS THAT WERE TALKED ABOUT, AND EVENTUALLY PUBLISHING THE REPORTS. THE GRADUATE REPORTS WILL BE READY FOR REVIEW DURING THE NEXT ADVISORY COMMITTEE MEETING, WHICH IS TENTATIVELY SCHEDULED FOR MAY 21ST. THE TEAM IS WORKING ON THE EARLY CAREER NURSES SURVEY, WHICH GRACIA GAVE AN UPDATE ABOUT. WE ALSO ARE WORKING WITH OUR GRANTEES ON THE WORKPLACE VIOLENCE GRANT PROGRAM.

I PREVIOUSLY MENTIONED THAT WE HAD FOUR GRANTEES, AND THROUGH THE GRANT PROGRAM, WE WERE REQUIRED TO PUBLISH AN ANNUAL REPORT ON OUTCOMES.

AND SO WE'LL HAVE ONE FOR 2025 THAT WILL BE PUBLISHED IN THE SUMMER.

THAT WILL JUST KIND OF HIGHLIGHT THE OUTCOMES TO DATE FOR THOSE FOUR GRANTEES.

WE'RE ALSO MONITORING LEGISLATIVE BILLS THAT IMPACT OUR PROGRAM OR THE ADVISORY COMMITTEE.

SO FAR THERE'S ONLY THREE. ONE OF THEM RELATES TO CHANGING SOME OF THE WORDING IN THE STATUTE FOR THE WORKPLACE VIOLENCE PROGRAM, THE GRANT PROGRAM. AND BASICALLY IT NOW IT PROPOSES ADDING BEST PRACTICES.

SO CURRENTLY THE GRANT PROGRAM IS FOCUSED ON INNOVATIVE SOLUTIONS FOR ADDRESSING WORKPLACE VIOLENCE.

THE PROPOSAL IS INNOVATIVE SOLUTIONS OR BEST PRACTICES.

AND THEN HOUSE BILL 2188 RELATES TO ASSESSING FEASIBILITY OF ALIGNING CERTIFICATION AND CAREER PATHWAYS FOR NURSE AIDES, MEDICATION AIDES AND PERSONAL CARE TECHNICIANS.

AND THAT ONE HAS TO AWS. I GUESS FACILITATING A WORK GROUP THAT WILL LOOK AT THAT FEASIBILITY OF ALIGNING THOSE THOSE GROUPS. AND THEN HOUSE BILL 2664 RELATES TO THE NURSING ADVISORY COMMITTEE ESTABLISHING A TASK FORCE ON RACIAL DIVERSITY IN THE NURSING WORKFORCE. AND THIS IS A REFILE FROM LAST SESSION.

AND SO THOSE ARE THE THREE THAT WE'RE LOOKING AT COMING UP NEXT.

OF COURSE, OUR SURVEY I PUT NEWLY LICENSED NURSES, BUT IT'S EARLY CAREER NURSES.

WE'RE ALSO GOING TO WORK ON UPDATING OUR EXISTING DASHBOARDS.

SO AS SOON AS WE FINALIZE THE R AND B REPORTS WE WILL START WORKING ON UPDATING THE EDUCATION DASHBOARDS THAT ARE ONLINE.

I DON'T THINK THEY'VE BEEN UPDATED IN ABOUT TWO YEARS, SO WE WILL WORK ON ADDING THE DATA THROUGH THE CURRENT DATA SO THAT THEY ARE UP TO DATE.

AND THEN, OF COURSE, WE HAVE OUR NEXT TWO MEETINGS THIS YEAR, TENTATIVELY SCHEDULED FOR WEDNESDAY, MAY 21ST, AND THEN WEDNESDAY, SEPTEMBER 24TH.

AND THEN IN THE FALL, WE PLAN TO KICK OFF THE 2026 NURSE STAFFING STUDY TASK FORCES.

SO I WILL SEND AN EMAIL AFTER THIS MEETING ASKING PEOPLE TO VOLUNTEER, EITHER FOR THE EDUCATION SUBCOMMITTEE FOR THE NEXT CYCLE OR THE TASK FORCES FOR OUR EMPLOYER NURSE STAFFING SURVEYS.

SO THOSE ARE THE THINGS WE'RE WORKING ON. I'M HAPPY TO ANSWER ANY QUESTIONS IF ANYONE HAS ANY.

ANY QUESTIONS FOR PAM? OKAY. HEARING NONE. DO WE HAVE ANY PUBLIC COMMENTS? ANY COMMENTS FROM THE PUBLIC? NOT SURE IF WE HAVE ANYONE ON FROM THE PUBLIC OR ANYONE IN THE ROOM.

DOCTOR BOSWELL AND MEMBERS I JUST WANT TO RECOGNIZE AND INTRODUCE NICOLE BUCKINGHAM, WHO IS HERE OBSERVING.

SHE IS OUR PROGRAM SUPERVISOR FOR APRN LICENSING.

AT THE BOARD OF NURSING. BUT SHE'S HERE IN THE CAPACITY OF A GRADUATE STUDENT AT TEXAS TECH.

SHE IS IN THE MASTER'S PROGRAM MAJORING IN NURSING INFORMATICS.

WELCOME. WE'RE GLAD TO SEE YOU HERE. I DID WANT TO ALSO MAKE A COMMENT THAT THE THE AMOUNT OF WORK THAT GOES INTO THESE DIFFERENT REPORTS AND THE

[01:55:02]

AND THEY REALLY WE REALLY APPRECIATE ALL OF THAT EFFORT THAT'S PUT IN.

SO IF THERE IS NO OTHER BUSINESS TO BE HAD OR TO BE ADDRESSED PAM HAS SOMETHING.

IT LOOKS LIKE WE HAVE SOMEONE WITH THEIR HAND RAISED IN THE CHAT.

SO DOCTOR VIRGINIA AYERS, I CAN. YOU CAN UNMUTE YOURSELF IF YOU'D LIKE TO SPEAK.

OH, THANK YOU. PAM, I WANTED TO FORMALLY THANK PAM AND HER TEAM FOR THEIR DILIGENCE IN DESIGNING THE QUESTIONS WITH BOARD STAFF AND DISTRIBUTING THE SURVEY AND WRITING THE REPORTS.

IT IS A MONUMENTAL TASK AND THEY ARE ALWAYS SO ACCOMMODATING.

AND BOARD STAFF UTILIZES THESE DATA ALMOST EVERY DAY WHEN WE'RE DEVELOPING A BOARD REPORT.

WHEN WE'RE PLANNING TO CONDUCT A SURVEY VISIT, WE RELY ON THESE DATA AND THEY ARE PRISTINE.

AND WE ARE JUST SO GRATEFUL TO HAVE A GROUP OF STATISTICIANS LIKE PAM AND HER TEAM.

SO THANK YOU. THANK YOU, DOCTOR AYERS. THANK YOU FOR THAT COMMENT.

ANY OTHER COMMENTS? HEARING NONE. THEN THANK YOU FOR YOUR ATTENDANCE AND CONTRIBUTION.

THERE WILL BE NO FURTHER BUSINESS. THIS MEETING IS NOW ADJOURNED.

THANK YOU FOR YOUR TIME.

* This transcript was compiled from uncorrected Closed Captioning.