ANNUAL DEPARTMENT/PROGRAM REPORT Department/Program: Respiratory Therapy I. Department/Program Vision, Mission, Philosophy and Description A. Vision Statement The respiratory therapy program will create an educational environment that provides academic and clinical excellence to the respiratory therapy community. The program will accomplish this through the following means: a. Offer an integrated and advanced level of clinical and academic curriculum. b. Meet employment needs of the profession regionally and State wide. c. Maintain national accreditation status by the Commission of Accreditation Respiratory Care (CoARC). B. Mission Statement To provide education to produce competent respiratory therapists for immediate employment or advanced education, by offering high quality educational and clinical experience. C. Philosophy 1. Teaching Philosophy & Pedagogy Student learning is a partnership among the teaching instructors, the community of clinical preceptors and the student. Each should strive to do their respective parts to promote, and facilitate student learning 2. Digital Learning Philosophy We are currently not involved in distance education but secondary to being the only program in the State we feel we may provide this service in the future 3. Dual Enrollment Philosophy N/A D. Articulation Agreements The Casper College Respiratory Therapy Program utilizes several clinical sites in which the students learn and practice the skills encompassing the practice of respiratory care. Clinical agreements exist with Wyoming Medical Center, Memorial Hospital of Converse County, Memorial Hospital of Campbell County, Mountain View Medical Center, Cheyenne Regional Medical Center, Cheyenne VA, Regional West Medical Center, St. Johns Medical Center, Ivinson Memorial Hospital, and Billings Clinic After students have completed their first year, they are eligible for a Spring neonatal level III nursery clinical rotation in St. Vincent Hospital in Billings Montana. Approximately 16-22 students a year benefit from these agreements. In 2013 we signed an articulation agreement with Boise State University. This agreement will allow our graduates who have passed the RRT exam to continue their education towards a Baccalaureate of Science in Respiratory care. E. Advisory Committee Membership and Function (if applicable)
Function of the advisory committee is to meet at least annually to review the programs measured outcomes in relation to the programs goals and objectives. To make recommendations towards program improvements. The members are as follows Program Director- Doug Neubert, RRT Clinical Director Alexia Johnson RRT Medical Director- Mark McGinley Pulmonologist Dean of the School of Health Science- Tammy Frankland Clinical site representative- Karen Clinical site representative- Linda Ducello Clinical site representative- Rick Starkey Student Representative- Sarah Thomas Community Representative- Anna Wilkinson Clinical site representative- Suzanne Townsend Clinical site representative- Karen McVay Clinical site representative Wanda Hulit Clinical site representative Gail Parker Clinical site representative Bob Downing F. Special Events or Activities The Respiratory Therapy program has been active in our community and well as our State by helping sponsor events such as Blue Envelope Health Fair, and a Halloween Carnival. We have been involved educationally in attendance at the Wyoming Society of Respiratory Care convention as well as a sponsor of Asthma Camps. Last year we participated in the relay for life as well as the communities reindeer run. COPD awareness events. G. Personnel 1. Full-Time Faculty (include degrees & qualifications) Full time faculty are hired not appointed. Doug Neubert Program Director, BS RRT Alexia Johnson Clinical Education Director 2014, BS RRT 2. Part-Time Faculty (include degrees & qualifications) Nicole Alexander WMC critical care preceptor 2015/2016, AS, RRT Aaron McIntire WMC preceptor and simulation lab 2015/16, AS RRT 3. Other Personnel Clinical preceptors are established at each clinical site. Clerical help provided by the School of Health Sciences H. Enrollment Trends Data (Past 5 years) 2009-11 12 applicants 9 students accepted into program 7 students graduated 2010-12 14 applicants 13 accepted into program
7 Students graduated 2011-13 19 applicants 15 students accepted into program 11 Students graduated 2012-14 19 applicants 12 students accepted into program 2013-15 15 applicants 12 students accepted into program 2014-16 10 applicants 10 students accepted into program 2015-17 15 applicants 15 students accepted into program II. Program Strategic Planning Report Summary A. Department Goals for 2016-17 Offer an integrated and entry level of clinical and academic curriculum. Meet the employer needs for the profession in Casper and State of Wyoming. Training and mentorship of new Director of Clinical Education, Alexia Johnson. Work on long term succession planning with Alexia towards becoming the Program Director. Enhance recruitment strategies local and State Wide. B. Department Strengths 1. Casper College s infrastructure of educational learning resources and student support services. 2. Casper College s commitment to the community of interest and students in which it serves to provide and promote a high quality program. -By providing state of the art respiratory therapy equipment for clinical simulation -By providing adequate space towards the housing of classrooms and students. -By hiring qualified Respiratory Therapy educators who possess strong clinical and teaching expertise. -By committing to the accreditation process -By tracking outcome data that remains good -By demonstrating high employment of all graduates -By demonstrating higher than national average pass rate of the Certification National Board -By receiving good employer satisfaction scores of graduate students -By receiving good graduate student satisfaction scores 3. Market advantage in that we are the only respiratory therapy program in the State of Wyoming. 4. Geographic location, in that we are centrally located in the State of Wyoming.
C. Department Challenges 1. The development of comprehensive lesson plans that are effective towards learning objectives and the successful preparation of the development of a competent Respiratory therapist. 2. The continued development of clinical affiliate sites. Clinical site on board with the mentoring of students Clinical sites that have the staff who are well educated in the standards of care in relation to respiratory therapy. Uniform understanding of clinical competences and the student check off process Uniform understanding and reinforcement of the programs policies and procedures 3. Wyoming Medical Center our only primary clinical site, is not able to provide preceptors for a large group of students. 4. Clinical site expansion throughout the State could cause dilution of program standards Development of Digital Learning for preceptors and students through Moodle and Simulation Center. Increasing number of respiratory therapy students in the program -meets the respiratory care needs of Wyoming, thus helping solidify Casper College as being the only program in the state, and increasing the financial viability of the program D. Department Resource Needs for Next Year 1. Facilities No change at this time 2. Equipment Would like to re-submit for a Non-Invasive Ventilator for this year s capital equipment 3. Personnel Would like to continue with our clinical instructors to help with clinical education at Wyoming Medical Center. Two clinical educators performing duties that account for approximately 38 hours per/week or 150 hours per month.
4. Budget and Request for next year* Budget Line Item 2015-16 Amount 2016-17 Request 9110-education supplies 337.00 337.00 9117-Subscriptions 9118-Books 9120-Office Supplies 150.00 150.00 9122- Medical supplies 700.00 700.00 9123-Software 400.00 400.00 9145-Graduation 9212-Advertising 9214-Accreditation 2,300.00 2,300.00 9218-Laundry 9220-Professional 9221-Speaker Fees 200.00 9232-Repairs/equipment 500.00 487.00 9310-Dues/membership 9311-Registation fees 1,250.00 1,250.00 9320-Employee travel in state 1,200.00 1,200.00 9330-Employee travel out of state 1,500.00 1,500.00 9371-Recruitment 1,500.00 1,500.00 9378-Other operating cost 600.00 600.00 9820-Lab/classroom 9830-Computer equipment 10,637.00 10,424.00 *Explain and/or justify any significant changes to the budget requested. Decrease of 2% or 213.00 Dollars. As requested by administration. Budget line item 9221- reduction of 200.00 dollars Budget line item 9232-reduction of 13.00 dollars.
III. Assessment Updates (3 levels of assessment General Education, Degree/Certificate, and Department/Program) A. Executive Summary (bullet points) 1. Major take aways from general education outcomes assessment Faculty o Questions need to be written for higher levels of analysis and critical thinking. o Provide incentives for students to demonstrate additional knowledge and application o More authentic application 2. Major take aways from degree/certificate or program-level assessments. Of all graduates of 2015, 100% meet the criteria of learning outcomes measured by our Lindsey Jones learning modules, as well as data ark clinical competency documentation. This has been the first time that I have used these assessment vehicles towards measuring student learning outcomes.. B. General Education Outcomes Assessment Describe changes to instruction, program, advising or strategy as a result of the last General Education Outcomes Assessment results (updated each fall and spring.) As graduates of Casper College, students will be able to 1. Demonstrate effective oral and written communication 2. Use the scientific method 3. Solve problems using critical thinking and creativity 4. Demonstrate knowledge of diverse cultures and historical perspectives 5. Appreciate aesthetic and creative activities 6. Use appropriate technology and information to conduct research 7. Describe the value of personal, civic, and social responsibilities 8. Use quantitative analytical skills to evaluate and process numerical data I had the opportunity to work on General Education Assessment outcome # 8 Use quantitative analytical skills to evaluate and process numerical data. Secondary to this assessment initiative I have decided to evaluate mechanical ventilation analytical skill in a more controls way. To measure the following date. 1. Analytical skill in regards to Respiratory Therapy calculations. 2. Critical thinking in regards to application of analysis. C. Department/Program Name: Respiratory Therapy
List the Degrees/Certificates awarded by the Department/Program: AS Respiratory Therapy D. Student Learning Outcomes and Assessment by Degree/Certificate Degree or Certificate: AS Respiratory Therapy Learning Outcomes Review Data in the Patient Record Collect & evaluate clinical information Obtain Additional Data Manipulate equipment Ensure infection control Perform quality control procedures Maintain records & communicate info A How/Where is outcome learned? B Evidence/ Indicator(s) of Learning Entire program Direct 1.Data Arc 2.Lindsey J. 3.SAE (student assessment exam) Indirect 1.Graduate & employer surveys C Collection method(s) for each source of evidence Data review of each graduation class Data collection will occur during the spring semester of classes second year and conclude 8 months after graduation(graduate and employer surveys) D Analysis method(s) for each source of evidence Data will be analyzed by the program director. Analysis technique will comprises 1. Directmathematical success rate % Indirect Likert scale analysis E Feedback Procedures (Faculty, staff & students) Accreditation Body and Advisory Board
Maintain airways Remove bronchopulm onary secretions Achieve adequate respiratory support Evaluate & monitor patient s responses Modify therapeutic procedures Recommend modification s in the care plan Determine appropriate care Conduct techniques in emergencies Assist the Physician Conduct rehabilitatio n & home care E. Assessment Activities and Results (raw data reports) Of all nine graduates of 2015 100% meet the criteria of learning outcomes measured by Lindsey Jones learning modules, data ark clinical competency documentation and Student Assessment testing. Graduating class of 2015 experienced a 100% pass rate on both the National board of respiratory care on the following tests Certification Respiratory Therapy 100% pass rate Written Registry 100% Clinical Simulation 100.% pass rate F. Assessment Analysis What changes have you made or do you plan to make in this degree or certificate based on your assessment data?
In 2013, we have hired a new Clinical Director. This individual should help reinforce and improve our student performance involving student clinical outcomes, student clinical competency s and preceptor training. Preceptor training will be more uniform and standardized to reinforce our programs goals. [Copy and paste parts D, E and F for each degree/certificate assessment plan in the program.] G. Department/Program Level Assessment Results & Analysis 1. External Assessment Data Relevant to the Department/Program Outcomes Evaluation System: NBRC CRT CredentialingCut Score: 80 %Analysis: Two students from the graduation class of 2012 did not pass the CRT exam. One of these students lost a parent right at finals and the other individual showed signs of struggle during the comprehensive testing all semester. All other students in that class completed both the CRT and RRT credentials..action: Continue to monitor Evaluation System: NBRC RRT CredentialingCut Score: N/A Comments: RRT Credentialing success has improved by 7.4% for this reporting three year average. Evaluation System: Attrition/Retention Analysis: For the graduation year of 2012 the programs attrition was 46.2 % and Retention was at 53.8%. For the three year average the program remains stable at 20% attrition and 80% Retention respectively.started the cohort with 13 students and graduated 7. Six students dropped out. (4 non-academic and 2 academic reasons) Action: Continue to monitor. Evaluation System: Positive Placement Analysis: 85.7% positive placement. This number has been affected or diluted secondary to two graduates from 2012 class not being CRT Credentialed. Action: Continue to monitor Evaluation System: Overall Employer Satisfaction Cut Score: 80 % Analysis: Survey return rate remains good. Overall employer satisfaction decreased from 93.3% to 92.9% over the last three year average. This percentage was attributed to one surveyor on the employee survey, and one student graduate. The deficiency was in the area of professionalism. This may have been a personality conflict issue. This evaluator has not been traditionally involved with these evaluations as well.action: Will continue to monitor Evaluation System: Overall Graduate Satisfaction Cut Score: 80 % Analysis: Graduate return rate remains somewhat low but above threshold. Of all graduates who returned a survey 100% were satisfied. Action: Continue to monitor Evaluation System: On-Time Graduation Rate Analysis: One student from this class was delayed for approximately one month for ontime graduation. This delay was secondary to incomplete work as well as showing difficulty in comprehensive testing. Respiratory Therapy Advanced Level Annual Report Outcomes Page 8 Action: continue to monitor 2. Third-Party Comments/Evaluations (if applicable, such as accreditors, community advisory boards, etc.) The Respiratory Program was Provisionally Accredited in February 2003 secondary to submitted Self Study documents. In October 2005 the Respiratory Therapy program under went a site visit occurred. The program was recommended for Initial accreditation, and voted officially by CAAHEP July 2006. With an initial accreditation, a three year review takes place (looking at my outcomes over a three year period of time via documents submitted) Our Respiratory Program passed this three year review in May 2009
Our accrediting organization changed from CAAHEP accreditation to CoARC (Commission on Accreditation for Respiratory Care) officially Nov. 12 2009, and they issued our program a new Accreditation Certificate with an expiration date of 5-31-2016 On April 16 th 2015 our program was reaccredited with an expiration date of 7/31/2025 3. Department/Program Overall Assessment Analysis Describe the changes to the department/program based on the past year s assessment activities. How has the department/program used the assessment data to celebrate student achievements and/or improve the curriculum or pedagogy in the last year? In 2014, we have hired a new Clinical Director. This individual should help reinforce and improve our student performance involving student clinical outcomes, student clinical On April 16 th, 2015 the respiratory therapy program participated in a reaccreditation site visit form CoARC (Commission of Accreditation of Respiratory Care programs) During this site visit accreditors looked at program resources, outcomes, policies and procedures. Student and graduates were interviewed. At the conclusion of this process the program receives Zero citations of performance. We Plan on celebrating this high achievement with our Advisory Board this April, 19 th 2016.