Case Study in Building Local Workforces
Health System & Community College Partner to Grow Local Health Workforce
Originally published in EdNC
Emily Thomas, October 28, 2024
CarolinaEast Health System identified a need for more nurses in Craven County and partnered with Craven Community College to expand its nursing programs. Below are key themes from their work to address local healthcare workforce shortages:
- Funding Challenges and Solutions: The expansion of the nursing program required additional faculty, which posed financial challenges. CarolinaEast addressed this by providing a $150,000 grant to hire a full-time nursing instructor, with the goal of the program’s growth generating future funding.
- Program Expansion: The initial grant allowed the college to add seats to both the ADN and LPN programs, increasing enrollment and ultimately leading to more nursing graduates. A second, larger grant of $336,000 further supported the expansion by funding additional instructors and allowing for a spring cohort for ADN students.
- Sustainability and State Funding: The program expansion led to increased enrollment, generating more state funding through FTEs, making the program financially sustainable without needing ongoing grant support.
- Collaboration and Impact: The partnership not only helped expand nursing education but also facilitated further collaboration between the college and the health system to address the broader healthcare workforce needs in the community.
- Statewide Funding and Policy Initiatives: The collaboration underscores the funding challenges faced by North Carolina’s community colleges and highlights new state funding initiatives, like the “Propel NC” model, aimed at supporting high-demand healthcare programs.
- Start with a Specific Deal: Begin with one focused agreement and deliver on it to build trust, leading to future collaboration opportunities.
- Workforce Development Focus: Community colleges, as key workforce engines, should align their programs with the needs of local employers, like hospital systems.
- “Yes, We Can Help”: Both organizations prioritize flexibility and a “can-do” attitude to meet each other’s needs. Michael Smith, CEO of CarolinaEast
- Over-Communicate: Regular communication between both organizations, even if not always formal, is essential to addressing needs and problem-solving.
- Effective Communication Channels:
- The hospital promotes academic opportunities via email and word-of-mouth among current employees.
- Informational sessions and press releases help the community and students learn about healthcare career pathways.
- Relationships Matter:
- Cross-board representation allows both organizations to understand each other’s challenges and collaborate on solutions.
- College leaders participate in hospital events like nursing student pinning ceremonies, reinforcing the partnership and creating networking opportunities for students.
- Creative Solutions to Logistical Challenges:
- Coordinating clinical space and adjusting the nursing program schedule (e.g., moving maternal-child content to LPN’s third semester) was key to program expansion.
- The introduction of a spring cohort for ADN students increased capacity, allowing for 80 graduates annually.
- Accommodating Growth:
- The college adapted by creating new classroom and office spaces to handle increased enrollment.
- Transitioned part-time roles to full-time to support the growing health care program, ensuring better student advising.
Recommendations for Scaling Academic Programs and Supporting Health Care Workforce Development:
- Evaluate Programs and Hiring Standards in High-Need Areas:
- Quickly adapt programs to meet urgent workforce needs (e.g., using workforce development programs for surgical technology instead of traditional degree programs).
- Offer accelerated training (e.g., 9-month certification vs. 2-year degree) to reduce time to workforce entry.
- Revise hiring requirements (e.g., eliminating degree requirements for certain roles) to align with program offerings.
- Seek Out Additional Funding:
- Use philanthropic and grant funding not only for faculty salaries but also for student support (e.g., covering tuition, transportation, child care).
- Provide financial assistance for non-traditional students who face financial barriers, such as part-time workers or those without employer reimbursement.
- Invest in expanding other high-need health care programs to meet local workforce demand.
- Generate Interest in Health Care Professions Before High School:
- Engage students early (e.g., through seminars, career guidance, dual enrollment programs) to generate interest in health care careers.
- Promote opportunities for high school students to earn college credits and complete health care prerequisites through programs like Career and College Promise (CCP).
- Evaluate Efforts to Retain Hospital Employees:
- Focus on employee retention through professional development, growth opportunities, and targeted scholarships.
- Conduct surveys to identify areas for employee academic development and program interest, adjusting offerings to meet these needs (e.g., evening/weekend LPN cohorts).
- Address barriers hospital staff face in pursuing education (e.g., flexible schedules, financial assistance).
- Look for Ways to Partner Beyond Funding:
- Collaborate on providing clinical training spaces and access to hospital technology systems for students, ensuring they are workforce-ready.
- Share resources, such as operating suites for surgical technology students, to facilitate hands-on training.
- Assess Programs and Monitor Outcomes:
- Continually assess and adapt programs to ensure they meet current healthcare demand and industry standards.
- Partner with health systems to align curriculum with real-world skills and ensure graduates are fully prepared for their careers.
Key Points:
- Ongoing Partnership: CarolinaEast and Craven Community College plan to continue their partnership, problem-solving and adapting to community and workforce needs as they arise.
- Expanding Areas of Collaboration: Leaders are exploring new areas of partnership beyond patient care, including technology, human resources, health information management, and pharmacy technicians.
- Statewide Growth of Similar Partnerships: Other North Carolina community colleges, such as Blue Ridge, Davidson-Davie, Durham Technical, Wayne, and Surry, have launched similar partnerships with healthcare systems.
- Example of New Partnerships: In 2024, Wayne Community College partnered with UNC Health Wayne to hire a clinical nursing instructor for a five-year period.
- NC AHEC Nursing Instructor Program: The North Carolina Area Health Education Centers (NC AHEC) created a program to increase nursing faculty by partnering with practice organizations. The program trains RNs with a BSN or higher to serve as clinical nursing instructors while continuing in their practice roles.
- Addressing Health Care Worker Shortages: These partnerships are part of a larger statewide effort to address health care workforce shortages through collaboration between community colleges and health care systems.
- Value of Relationships: Craven Community College President Dr. Ray Staats highlights the importance of strong relationships in driving the success of these partnerships, calling relationships the “magic of our system.”
This program is similar to resources provided by the NC AHEC Clinical Instructor Partnership program.
Learn more about that here.