TO: Program Planning & Development DATE: 5/25/06. For Information. For Discussion

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TO: Program Planning & Development DATE: 5/25/06 FROM: WIB Staff For Action For Information X For Discussion SUBJECT: WIA Funded Nursing Programs PROPOSED MOTION (S): Discussion DISCUSSION: In 2002, the WIB chose to expand its participation in the production of Registered Nurses from Merced College. Now, each semester 6 RNs graduate and 6 enter the pipeline. It takes 2 years or 4 semesters for a RN to graduate. The LVN program has been similar to the RN program. The WIB first supported 6 LVNs, then 10 and now 12. Schooling takes 3 semesters or 1½ years. Unlike the RNs, only one class of LVNs is supported at a time. The LVN contract will close December 31, 2006. At that time a new contract will need to be accomplished. But, the selection of new WIB sponsored students will begin in late August to early September. The decision to continue this program will need to be made during or before July 2006. Producing RNs and LVNs is expensive. Today is costs the WIB $20,000+ to produce a RN and $14,000 for the LVN. And, that cost does not include the 32% increase in next year s RN contract. Costs have continued to rise while available training dollars are declining. Using the RN program as an example: In the last 5 years the cost of the RN contract has increased 63.6%. This increase incorporates next year s 32.2% rise in cost. In the last 5 years the dollars allocated to the WIA Adult program have been reduced by 34.6%. In PY 05-06, the combined cost of RN training and supportive services represented 33.5% of the total training budget. Forecast for PY 06-07, RN cost will increase to 47.9% of the total budget. Cost is not the only factor to be considered when analyzing the impact of Nursing Programs: The RN program produces a job starting at $50,000 year + benefits. Those RN graduates who had monetary assistance from Mercy Hospital stay here in Merced County for at least a year. The LVN program produces a job starting at $31,000 + benefits. Most LVN graduates stay and work in Merced County. The Healthcare industry is a WIB chosen industry cluster. Merced has the lowest RN to 100,000 population ratio in California. The WIB has made a commitment to 24 RNs who are somewhere between their fits and last semester before graduation. Without the WIBs continued support, many could not continue their education.

If the WIB renews next year s contract, and then chooses to stop new enrollments the next year, they will have 18 RN students to support for the Fall 07 semester, 12 for Spring 08, and the final 6 for Fall 08 (Dec 08 graduation). ATTACHMENT (S): 1. RN Contract Costs /Adult Program Allocations, 02-06 2. PY 05-06 Training Breakdown 3. PY 06-07 Training Breakdown 4. Other Training Analysis 2

RN Contract Costs Year Cost % Increase Reason 02-03 $109,872 -- 2 Year Contract 03-04 109,872 -- -- 04-05 131,376 19.6 Health Insurance Workers Comp 05-06 135,926 3.4 Salary Increases 06-07 179,721 32.2 Benefits Package Salary Increases Total % Increase 63.6% Adult Program Allocations Year Allocation % Decrease 02-03 $2,285,260 03-04 1,704,305 25.4 04-05 1,699,292 0.3 05-06 1,661,856 2.3 06-07 (est 1,495,671) (est 10.0) Total % Decrease 34.6%

2005-06 Training Budget $638,150 LVN Contract SS 2.7% LVN Sup. Serv. 1.1% LVN Contract 11.2% RN Sup. Serv. 5.0% RN Contract SS 7.2% Other 51.7% RN Contract 21.1%

2006-07 Training Budget $542,428 LVN Contract 17.5% RN Sup. Serv. 6.0% RN Contract SS 8.7% LVN Contract SS 3.2% LVN Sup. Serv. 1.2% RN Contract 33.1% Other 30.3%

OTHER TRAINING Hourly wage at exit is the wage reported in JTA paid to the participant by the employer. ITA & OJT HOURLY WAGE AT EXIT By Occupation ITA OJT Occupation PY04 PY05 PY04 PY05 Administrative Accounting Clerk $ 9.00 Administrative Assistant $ 14.67 Administrative Assistant $ 20.68 Advanced Tractor Trailer Operator $ 18.00 Advanced Tractor Trailer Operator $ 13.00 Assistant Administrator $ 13.50 Assistant Administrator $ 13.50 Billing Clerk $ 8.00 Cabinet Maker $ 10.00 Cabinet Maker $ 9.00 Cabinet Maker $ 8.00 Cabinet Maker $ 8.00 Cable installer-repairer $ 10.00 Cable installer-repairer $ 10.00 Cardiology Tech $ 20.40 Computer and Office Technology $ 22.00 HVAC Tech. $ 11.00 HVAC Tech. $ 19.00 Insurance Billing Clerk $ 7.50 Loan Clerk $ 8.50 Loan Clerk $ 9.50 Loan Clerk $ 9.50 Medical Assistant $ 8.00 Medical Assistant $ 8.00 Medical Assistant $ 8.00 Medical Assistant $ 9.00 Medical Office Receptionist $ 8.42 Medical Office Receptionist $ 8.42 Pharmacy Technician $ 12.50 Pharmacy Technician $ 16.42 Pharmacy Technician $ 8.50 Pharmacy Technician $ 12.50 Pharmacy Technician $ 16.42 Physical Therapy Aide $ 8.67 Receptionist $ 8.50 Retail Store Manager $ 11.00 Retail Store Manager $ 11.00 Site Representative $ 11.50 Site Representative $ 11.50 Site Representative $ 10.25 Supervisor $ 10.80 Travel Agent $ 7.50 Truck Driver $ 9.00 Truck Driver $ 16.75 Truck Driver $ 14.00 Truck Driver $ 11.00 Truck Driver $ 12.25 Truck Driver $ 16.90 Truck Driver $ 17.00 Truck Driver Training $ 10.50 Truck Driver Training $ 10.50 Truck Driver Training $ 18.00 Welding & Industrial Maintenance $ 9.50 Welding & Industrial Maintenance $ 12.00 2

TOP FIVE OCCUPATIONS Number Employed/Unemployed at Exit Total Trained Total Exits Employed Unemployed Occupation (ITA/OJT) (ITA/OJT) ITA OJT ITA OJT Truck Drivers 46 (46/0) 11 (11/0) 10 0 1 0 HVAC 16 (14/2) 2 (1/1) 1 1 0 0 Pharmacy Techs 15 (15/0) 7 (7/0) 5 0 2 0 Medical Assistants 12 (0/12) 4 (0/4) 0 4 0 0 Insert Bindery Workers 10 (0/10) 0 (0/0) 0 0 0 0 13