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					                   KENNESAW STATE UNIVERSITY
            GRADUATE PROGRAM/CONCENTRATION PROPOSAL
                                                FORM 11/04/02


PROGRAM OR CONCENTRATION NAME:MSN in Advanced Care Management and Leadership
DEPARTMENT:_Nursing
PROPOSED EFFECTIVE DATE: Fall 2004


Check One or More of the Following and Complete the Appropriate Sections

                                                                      Sections to be Completed
__X___New Program Proposal**                                                    All
_____Change in Program/Concentration/Degree Requirements                        III - VII
_____New Concentration Proposal                                                 I - VII

**A new course proposal is required for each new course that is part of the new program




         Submitted by:                    ______________________________________________________
                                         Faculty Member                                 Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         Department Curriculum Committee                Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         Department Chair                               Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         School Curriculum Committee                    Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         School Dean                                    Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         GPCC Chair                                     Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         Dean, Graduate Studies                         Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         Vice President for Academic Affairs            Date

    ___ Approved ___ Not Approved         ______________________________________________________
                                         President                                      Date
                       UNIVERSITY SYSTEM OF GEORGIA

                    NEW GRADUATE PROGRAM PROPOSAL



                   Advanced Care Management and Leadership




                               Kennesaw State University

                                     March 14, 2003

                                   School of Nursing

                         College of Health & Human Services




                            Proposed Start Date: Fall 2004

                                      CIP: 511699




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I.       Program Description

The proposed MSN in Advanced Care Management and Leadership, a 40 semester hour cohort
program prepares the experienced professional registered nurse to practice in a variety of
leadership positions in the ever changing health care environment. Grounded in clinical practice
and guided by health care theory and research, this advanced practice nurse will demonstrate an
in-depth understanding of complex clinical problems as well as possessing the knowledge and
skills to manage and improve client care. Courses will focus on clinical leadership, ethics, health
policy, finance and budgeting, information technology, conflict management, organizational
effectiveness, resource allocation, and best practices in the health care setting.

Unique Aspects of Program

Unique aspects of the proposed MSN in Advanced Care Management and Leadership include the
following:

        Although all of the students are prepared to assume leadership roles in advanced care
         management, they may specialize in the practicum courses based on their specific areas
         of interest and professional goals. A student who wishes to sit for the certification
         examination as a clinical nurse specialist in medical-surgical nursing may choose
         practicum experiences that are primarily comprised of extensive hands-on complex
         clinical activities. Others, who are interested in the over-all management of client care,
         may choose practicum experiences with a broader focus. This flexibility will allow
         students to customize their educational experiences to best meet their learning needs and
         overall professional goals.
        Students will have the opportunity to complete practicums in clinical agencies that are
         geographically located where the student lives and works. A staff member of the School
         of Nursing, the Graduate Programs Support Manager, will work with each student
         individually to secure locally based practicum sites. This feature of the program
         eliminates the costly burden of traveling to distant clinical sites in terms of both time and
         money and provides the student with the opportunity to work in local agencies that
         present potential employment opportunities.
        Delivery of the proposed program, in both on-ground and on-line formats, is designed to
         accommodate the working professional nurse with ongoing career commitments. The on-
         ground class delivery will based on the model that has been successfully utilized in the
         WellStar Primary Care Nurse Practitioner Program since 1996 with classes held on
         alternate weekends and in intensive instructional retreats. The on-line platform to be
         utilized allows for asynchronous delivery so that the student is afforded flexibility in
         completion of coursework from home or workplace. Both the on-ground and on-line
         formats will provide students with the opportunity to complete an advanced degree with a
         minimum of career disruption.
        Students may also take advantage of the School of Nursing strong international and
         multicultural focus. They will have opportunity to participate in clinical practicums in
         Oaxaca, Mexico, Cuba, and Haiti. They may also choose to work with the Latino
         migrant farm workers in Moultrie, GA.


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Institutional Importance of the Program

Inherent in the University’s mission is its commitment to providing programs that prepare
students well for the advancement of professional pursuits in facilitative collegiate environment
that fosters high quality academic preparation. This preparation includes critical thinking,
effective communication and interpersonal skills, leadership development, social responsibility,
and lifelong learning. The curriculum of the proposed MSN in Advanced Care Management and
Leadership is built around these concepts and will further Kennesaw State University’s mission
by preparing experienced professional registered nurses to assume leadership roles in advanced
care management in a variety of health care settings and adds to the array of professionally
oriented graduate programs at KSU.

KSU's Strategic Plan

As cited in Kennesaw State University’s Strategic Plan, graduate programs will continue to be a
development priority in terms of academic program initiatives. The proposed MSN in Advanced
Care Management and Leadership is consistent with the University’s goal of continuing to
develop professionally oriented graduate programs that are applied in nature. In preparing them
for leadership positions, the program will provide the student with the skills and knowledge
needed to positively impact the ever-evolving health care arena and the greater community of
which they are a part.

System and State of Georgia Goals

The proposed MSN in Advanced Care Management and Leadership Program will serve to fulfill
the goals of both the University System and the State of Georgia by preparing already highly
qualified experienced registered professional nurses to serve in leadership roles in health care
settings throughout the state.

Staffing, Facilities and Enrollment

The proposed MSN in Advanced Care Management and Leadership will be staffed by members
the current faculty of the School of Nursing who possess the knowledge and expertise necessary
to implement the curriculum. In addition, two of the proposed courses will be taught by faculty
from the MS in Conflict Management Program and the Executive MBA Program. As the current
graduate nursing program, the WellStar Primary Care Nurse Practitioner Program has been in
place since 1996, the support services and staff needed for the proposed program, such as
graduate admissions, advisement, clinical placements, and computer services, are already well
established. The six core courses of both the proposed program and the WellStar Primary Care
Nurse Practitioner Program will be jointly taught.

There are adequate facilities and informational resources available to prepare students to meet
the standards for leaders in today’s ever-changing health care environment. The School of
Nursing is housed in the Nursing Building which contains model classrooms, a state-of-the-art
computer lab, and a nursing skills lab. The Nursing Building also houses nursing faculty and

Advanced Care Management and Leadership
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staff offices, workrooms, a conference room, and a seminar room. Community partners of the
School of Nursing will also provide facilities to further enhance student learning in real world
settings that include hospitals, clinics, hospices, and public health departments that will provide
them with opportunities to best meet their individual learning needs and achieve their
professional development goals. Kennesaw State University is strategically located to take
advantage of several premier health care institutions that can provide exemplary clinical sites and
preceptors that are experts in their fields.

The first class admitted to the MSN in Advanced Care Management and Leadership will be
comprised of a cohort of 10 students with approximately 8-10 expected to complete the program
in the scheduled four semesters. The number (40) of nurse practitioner students traditionally
admitted to graduate study will be decreased by 10 so that the new program may be implemented
without additional resources. The size of subsequent classes will depend on program demand and
available resources. The administration has committed to providing one additional faculty in
support of the program.




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II Objectives of the Program

The MSN in Advanced Care Management and Leadership Program builds upon the
competencies established in baccalaureate nursing education and prepares the professional
registered nurse to practice in leadership positions in a variety of health care organizations. A
nurse who completes the program may also choose to sit for the certification examination as a
clinical nurse specialist in medical-surgical nursing. A graduate of the program will have
achieved the following learning outcomes:

   1. An understanding of a variety of ethical systems, the importance of ethics in health care,
      and the ability to infuse them into the organizational culture.

   2. The ability to anticipate, recognize, and resolve organizational problems in responsible
      and ethical ways.

   3. An understanding of and a commitment to human resource management within a health
      care organization.

   4. The acquisition of the knowledge and skills needed to oversee budgets and participate in
      financial planning.

   5. The ability to evaluate, utilize, and conduct various types of research.

   6. Competence in the utilization of information resources and analytical tools including
      qualitative and quantitative analysis, logic, and reasoning to predict and solve
      organizational problems.

   7. The ability to provide culturally competent age specific care to diverse clients based on a
      strong theoretical and research foundation thereby improving health care delivery and
      client outcomes.

   8. An understanding of normal and abnormal human physiologic responses to pertinent
      pathologic conditions in order to successfully intervene and improve client care
      outcomes.

   9. An understanding of pharmacological principles, including pharmacokinetics and
      pharmacodynamics in order to improve client care outcomes.

   10. The demonstration of leadership in roles as divergent as clinician, educator, advocate,
       and manager in a variety of areas such as practice, education, and community health
       programs by influencing health care delivery systems as shaped by health care policy and
       societal norms and expectations.




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III Justification and Need for the Program

The shortage of hospital- based nurses has reached epidemic proportions in Georgia with an
estimated 2,300 unfilled hospital-based nursing positions in metropolitan Atlanta. According to
the listed 2001 Hospital Vacancy Rates for Registered Nurses in State Service Delivery Area #3,
14.5% of registered nursing positions were unfilled. Many factors have resulted in this shortage,
but one factor that cannot be ignored is that many expert nurses leave hospital nursing out of a
perceived lack of career mobility and the opportunity for advancement.

Although the proposed program will not increase the overall number of nurses in the market, it
will provide many highly qualified nurses already employed in hospital settings located in
KSU’s target area the means to achieve an advanced degree that will enhance their careers in
hospital nursing. This opportunity for career advancement may serve to prevent them from
pursuing other nursing positions or leaving the profession altogether. These nurses who are
prepared as expert clinicians and leaders may also serve as role models and mentors to new
nurses who have recently entered the workforce.

The School of Nursing frequently receives inquiries from nurses in our community who are
employed in hospital settings regarding the availability of a non-nurse practitioner MSN
program. These are registered professional nurses who are interested in pursing graduate
education, but who do not wish to leave the acute care setting to become primary care providers.
Based these inquiries and other anecdotal information, the School of Nursing conducted a survey
of our graduates and other nursing leaders in our community to elicit information regarding their
interest in attending such a program. This survey resulted in an extremely positive response with
65.5 percent of the respondents expressing interest in attending the proposed program. The
advisory boards of the College of Health & Human Services, the School of Nursing, and the
WellStar Primary Care Nurse Practitioner Program also expressed enthusiastic support for the
program. Members of these boards include representatives of Children’s Health Care of Atlanta,
Piedmont Hosptial, Northside Hospital, Emory Crawford Long Hospital, Emory Cartersville
Medical Center, Fulton County Health Department, and the Cobb-Douglas Health Department.

Representatives of the WellStar Health System, the largest corporate health care provider in our
target area, are especially supportive of the program. Ms. Sheila Blake, Vice President for
Patient Services, has indicated that the graduates of the program are particularly needed to fill
positions within the System’s care models for the management of chronic diseases such as
pediatric asthma and diabetes mellitus. These are nurse-managed systems are designed to
enhance client care and improve clinical outcomes while minimizing costs. Since their
inception, these models have resulted in a dramatic decrease in both emergency room visits and
hospital admissions. Ms. Blake believes that nurses who complete the MSN in Advanced Care
Management and Leadership will possess the knowledge and expertise needed to improve and
enhance the positive outcomes that result from the advanced care management of chronic
disease.

And, while WellStar has assumed leadership in our area in the establishment of nurse-managed
care models related to chronic diseases, the development and implementation of similar models
is a growing trend throughout the health care industry. At the present time, there are no

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programs available in Georgia to prepare nurses to assume leadership roles in direct care
management. We believe that the MSN in Advanced Care Management and Leadership will
provide nurses with the knowledge and skills necessary to become leaders in the ever-changing
environment of patient care and disease management.

The MSN in Advanced Care Management and Leadership will meet the growing need for highly
qualified nurses in the following ways:

       Appropriate specialization

        The curriculum of the MSN in Advanced Care Management and Leadership will prepare
        the graduates to be expert clinicians as well as outstanding leaders who possess the
        knowledge and skills to manage and improve client care outcomes. Students will have
        the opportunity to focus on their specific area of interest via the advanced practice
        management courses. In these courses, students will be placed in appropriate sites with
        preceptors who possess expertise in the area of specialization in which the student is
        interested.

       Quantity of graduates

       As previously noted, the first class admitted to the MSN in Advanced Care Management
       and Leadership will be comprised of a cohort of 10 students with approximately 8-10
       expected to complete the program in the scheduled four semesters. The number (40) of
       nurse practitioner students traditionally admitted will be reduced by 10 so that the new
       program may be implemented without additional resources. The size of subsequent classes
       will depend on program demand and available resources. As with the WellStar Primary
       Nurse Practitioner Program, student retention and success will be a priority, and it is
       expected that the majority of students admitted will graduate in a timely manner with the
       cohort in which they entered.

       Productivity

       The success of the current graduate program, the WellStar Primary Care Nurse Practitioner
       Program, with it’s overall attrition rate of approximately 1% since its inception in 1996,
       may be cited as a predictor of the probable success of the proposed MSN in Advanced
       Care Management and Leadership program. The historical success of the School of
       Nursing in managing a graduate program with a large annual enrollment (approximately 40
       students in each cohort) that produces significant numbers of graduates serves as a positive
       indicator that the new program will result in a sufficient number of graduates to justify
       commitment of needed resources. In addition, in an effort to maximize resources, the six
       core courses, NURS 7715 – Professional Advanced Practice Role Development and
       Health Care Issues, NURS 7735 – Advanced Health Assessment, Health Maintenance,
       and Health Promotion, NURS 7755 – Pharmacology for Advanced Practice Nursing,
       NURS 7765 – Pathophysiology for Advanced Practice Nursing, NURS 7725 – Health
       Care Theory, and NURS 7745 - Research Applications and Outcome Evaluations in
       Advanced Practice Nursing, will be taught jointly to the students enrolled in both the

Advanced Care Management and Leadership
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       proposed program and the WellStar Primary Care Nurse Practitioner Program. These
       courses previously existed and have been taught since the inception of the current nurse
       practitioner program. They have been revised to also reflect the proposed program’s focus
       and are being submitted with the proposal as new courses with new course numbers.

       Partnering

       The State University of West Georgia houses a Master of Science in Nursing Program that
       is comprised of an education track with a focus on preparing nurse educators and a health
       systems leadership track that is designed primarily to prepare nurse administrators. The
       proposed MSN in Advanced Care Management and Leadership has neither of these areas
       as its primary focus. The goal, instead, is to prepare those nurses who desire an advanced
       degree, but wish to remain involved in direct patient care or in a leadership role in the
       clinical management of that care with the option of being certified as a clinical nurse
       specialists. Although the proposed MSN and the existing program at West Georgia have
       different overall goals, overlaps exist in selected core courses with similar content and
       objectives. These include courses with content pertaining to health care delivery systems,
       nursing and health care theory, and research methods. In order not to duplicate effort and
       to better serve the students enrolled in both programs, we have reached an agreement with
       the nursing faculty of West Georgia to jointly offer these courses. The West Georgia and
       KSU nursing faculties believe that this collaboration strengthens both programs by better
       utilizing our existing resources. We also believe that collaborating to provide advanced
       preparation for the nurses in our region will serve to better meet the health care needs of
       our communities.

       In addition to partnering with a sister institution, we are also drawing on the academic
       strengths present within our own University in the collaborative development and
       implementation of two of the proposed program’s courses. The first course, NURS/GBA
       6150 – Analytical Business Applications for Advanced Practice Nurses was developed
       in collaboration with faculty from the Executive MBA Program in the Cole’s College of
       Business. A second course, NURS/CM 7791 - Seminar in Principles of Conflict for
       Advanced Practice Nurses was developed utilizing the expertise of a faculty member
       from the MS in Conflict Management Program in the College of Humanities and Social
       Science. Both of these courses will be taught by faculty from these programs.

       Since its inception, the current graduate nursing program, the WellStar Primary Care Nurse
       Practitioner Program has been based on extensive community partnerships. Ongoing
       development and maintenance of these partnerships has resulted in strong alliances with
       health care agencies and providers throughout Georgia. The proposed MSN in Advanced
       Care Management and Leadership will greatly benefit from the alliances already formed,
       and faculty and staff will continue to in development and maintenance of additional
       partnerships as the new program is implemented. These collaborative partnerships will
       provide the program with a rich resource for clinical preceptors and sites, expert guest
       lecturers, adjunct faculty, opportunities for faculty service, scholarship, and practice.



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      Placement

       With the ever-increasing need for highly skilled nurses both at the bedside and in
       leadership positions, it is anticipated that the program’s graduates will have employment
       opportunities throughout the state. As previously stated, our commitment to placing
       students in clinical practicums located where they live and work provides them with the
       opportunity to complete program requirements in local clinical settings that represent
       potential employment opportunities.

IV Procedures Used to Develop the Program

The idea and philosophy of the MSN in Advanced Care Management and Leadership evolved in
an effort to meet the local health care community’s expressed need and desire for a graduate
nursing program designed to prepare experienced professional registered nurses for leadership
roles in advanced client care management. With that goal in mind, the proposed program was
developed to provide already highly qualified nurses employed in hospital settings with the
opportunity to achieve an advanced degree while maintaining their ongoing career commitments.

In the initial stage of program development, interested School of Nursing faculty members were
invited to participate in the design of the curriculum and the development of courses in their
specific area of expertise. Collaboration and input was also sought from faculty members from
the MS in Conflict Management Program and the Executive MBA Program. The curriculum
was then developed based the national standards for advanced practice nursing education and
practice. From the beginning, the program developers subscribed to the American Association
of the Colleges of Nursing’s (AACN) Essentials of Master’s Education for Advanced Practice
Nursing (1996) and to the National Association of Clinical Nurse Specialists (NACNS)
Statement on Clinical Nurse Specialist Practice and Education (1998). The program’s
curriculum is also consistent with the advanced practice standards outlined in the American
Nurses Association’s (ANA) Code of Ethics for Nurses (2001) and Scope and Standards of
Advanced Practice Registered Nurses (1996). In addition, the curriculum adheres to the
accreditation requirements of the Commission on Collegiate Nursing Education (CCNE) and to
the American Nurses Credentialing Center Commission on Certification (ANCC) (2003)
guidelines for certification eligibility.

 Once developed, the curriculum was presented to the members of the advisory boards of the
College of Health & Human Services, the School of Nursing, and the WellStar Primary Care
Nurse Practitioner Program, and other local nursing leaders. Their response to the curriculum
and the program’s design was overwhelming positive. Consultation was also sought from Dr.
Timothy Porter-O’Grady, a nationally recognized expert in leadership in nursing. His response
to the program was also extremely positive with a minimum of suggestions for change.




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V. Curriculum: Degree Program Requirements

  The Master of Science in Nursing in Advanced Care Management and Leadership Program
  prepares the experienced professional registered nurse to practice in a variety of leadership
  positions in the ever changing health care environment. Guided by health care theory and
  research, the graduate of this program will demonstrate an in-depth understanding of complex
  clinical problems as well as possessing the knowledge and skills to manage and improve
  client care. Graduates may also choose to sit for certification as a clinical nurse specialist in
  medical-surgical nursing.

Program Admission Requirements:

   1. Baccalaureate degree in nursing from a nationally accredited institution
      with a satisfactory GPA of at least 3.0.
   2. A minimum of three years full-time professional experience as a registered nurse as
      documented in a professional resume.
   3. Current RN licensure in the state of Georgia.
   4. A minimum combined total score of 800 in the verbal and quantitative categories and a
      minimum of 3.5 in the analytical writing category on the General Test of the Graduate
      Record Examination.
   5. A formal statement of personal goals for the program not to exceed one typed page.
   6. An undergraduate physical assessment course.
   7. An undergraduate research course.

Course Offering Schedule and Plan-of-Study

The program will be offered in a cohort model of curriculum instruction over 4 consecutive
semesters beginning each fall term. Program classes will be scheduled on alternate weekends to
allow the working professional nurse to pursue advanced preparation with a minimum of
disruption to ongoing career commitments. The curriculum is comprised of 40 semester hours
divided into graduate core content, advanced practice nursing content, and precepted practicum
experiences. The plan-of-study is as follows:

Fall

NURS 7715 – Professional Advanced Practice Role Development and Health Care Issues (2-0-2)
NURS 7735 – Advanced Health Assessment, Health Maintenance, and Health Promotion
(2-6-4)
NURS 7755 – Pharmacology for Advanced Practice Nursing (2-0-2)
NURS 7765 – Pathophysiology for Advanced Practice Nursing (2-0-2)

Total – 10




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Spring

NURS 7725 – Health Care Theory (2-0-2)
NURS 7745 – Research Applications and Outcome Evaluations in Advanced Practice Nursing
(2-0-2)
NURS 7770 - Advanced Care Management Models I (1-0-1)
NURS 8860 – Advanced Care Management Practicum I (3-9-3)
NURS 7780 – Ethics of Leadership for Advanced Practice Nursing (2-0-2)

Total – 10

Summer

NURS 7775 – Advanced Care Management Models II (1-0-1)
NURS/GBA 6150 – Analytical Business Applications for Advanced Practice Nursing (4-0-4)
NURS 8861 – Advanced Care Management Practicum II (4-12-4)
NURS/CM 7791 – Seminar in Principles of Conflict Management for Advanced Practice
Nursing (1-0-1)

Total – 10

Fall

NURS 7790 – Innovative Teaching Strategies in Advanced Care Management (2-0-2)
NURS 7785 – Health Policy and Finance (2-0-2)
NURS 8862 – Advanced Care Management Practicum III (4-12-4)
NURS 8863 – Advanced Care Management Project (2-6-2)

Total – 10

Growth and Flexibility

  The first class admitted to the MSN in Advanced Care Management and Leadership will be
  comprised of a cohort of 10 students with approximately 8-10 expected to complete the
  program in the scheduled four semesters. The number (40) of nurse practitioner students
  traditionally admitted will be decreased by 10 so that the new program may be implemented
  without additional resources. The size of subsequent classes will depend on program demand
  and available resources. Should the demand for this program increase, it is possible that the
  number of students admitted to the WellStar Primary Care Nurse Practitioner Program will be
  further decreased in order to admit more students into this program. An additional faculty
  line would permit an increase in the proposed program’s admissions while maintaining the
  nurse practitioner program’s admissions at a steady state. The administration of Kennesaw
  State University has committed to providing an additional faculty line as needed for program
  support.


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Course Descriptions

NURS 7715 – Professional Advanced Practice Role Development and Health Care Issues
(2-0-2)
Prerequisite: Admission to the MSN Program.
Within this course, role theory, change theory, and leadership theory as they apply to advanced
practice nursing are examined. The issues related to the role of the advanced practice nurse in
today’s health care environment are explored. Ethical and legal decision-making processes are
investigated. The standards and regulations governing advanced practice nursing are examined.

NURS 7735 – Advanced Health Assessment, Health Maintenance, and Health Promotion
(2-6-4)
Prerequisite: Admission to the MSN Program.
This course is designed to develop the student’s skill and critical appraisal of the history and
physical examination of clients. Health promotion, risk screening, and disease prevention are
emphasized while clinical strategies and interventions are critiqued utilizing research and
theoretical data. A clinical practicum provides experiences in health promotion and
maintenance allowing students to develop their assessment, interpretive, and diagnostic
competencies.

NURS 7755- Pharmacology for Advanced Practice Nursing (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course expands the experienced professional nurse’s understanding of pharmacological
principles, including pharmacokinetics and pharmacodynamics. Emphasis is placed on
enhancing the knowledge necessary to improve client care outcomes.

NURS 7765 – Pathophysiology for Advanced Practice Nursing (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course is designed to provide the experienced professional nurse with advanced content
concerning normal and abnormal human physiologic responses to pertinent pathophysiologic
conditions. Emphasis is placed on the clinical manifestations of these conditions may
successfully intervene in a variety of advanced practice clinical settings.

NURS 7725- Health Care Theory (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
Theories from health care, nursing, and related fields are analyzed and critiqued from the
perspective of theory development and utilization. Theoretical concepts are considered as they
apply to the advanced practice nursing in research, communication, practice, and professional
autonomy.




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NURS 7745- Research Applications and Outcome Evaluations in Advanced Practice
Nursing (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course builds upon the student’s basic knowledge of the research process. It explores
research design, methodology, data analysis, and outcome evaluation for relevant problems
encountered by the advanced practice nurse. Both quantitative and qualitative methods are
examined. Students will critique relevant studies in an area of interest and develop a proposal
related to a topic in their specific area of interest.

NURS 7770 – Advanced Care Management Models I (1-0-1)
Prerequisite: NURS 7735. Corequisite: NURS 8860
This is part one of a two-part course. Part I focuses on the advanced care management of
individuals and populations in an acute care or other appropriate setting. Principles of advanced
care management including clinical pathways and care mapping in the managed care
environment are emphasized.

NURS 8860- Advanced Care Management Practicum I (3-9-3)
Prerequisite: NURS 7735. Corequisite: NURS 7770.
This course consists of an introductory practicum with a preceptor/site identified as being
appropriate for the student’s area of interest and approved by the faculty. Advanced care
management skills are the focus of the course with students analyzing and evaluating clinical
care models and participating in their implementation in the delivery of client care. The theory
component emphasizes case study presentation and critique.

NURS 7780- Ethics of Leadership for Advanced Practice Nursing (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course engages the student in exploration of the ethical and legal frameworks, theories, and
applications that relate to leadership, management, and decision-making in health care
organizations. Case analysis and presentation will be used to emphasize the student’s ability to
identify ethical and legal problems and work with others to resolve them.

NURS 7775- Advanced Care Management Models II (1-0-1)
Prerequisite: NURS 7770. Corequisite: NURS 8861
This is part two of a two-part course. Part II continues to focus on the advanced care
management of individuals and populations in the acute care or other appropriate setting.
Emphasis is placed on clinical outcomes, documentation, and evaluation in the managed care
environment. Each student develops a proposed advanced care management model.

NURS/GBA 6150 – Analytical Business Applications for Advanced Practice Nursing (4-0-4)
Prerequisite: Admission to the MSN Program or permission of the program director
The course provides the advanced practice nurse with foundation business knowledge and
analytical skills needed in the economic environments of health care organizations. The focus is
on the skills needed for the successful creation, distribution, and management of health care
services.



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NURS 8861 – Advanced Practice Management Practicum II (4-12-4)
Prerequisite: NURS 8860. Corequisite: NURS7775.
This course is a continuation of the practicum experience with appropriate preceptors/sites.
Advanced practice management skills continue to be the focus of the course with greater
expertise an expectation. The case study methodology and critique is continued.

NURS/CM 7791 – Seminar in Principles of Conflict Management for Advanced Practice
Nursing (1-0-1)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course introduces advanced practice nurses to the principles, theories, and skills of conflict
management. Students will explore the application of these concepts and skills to health care
issues, including patient care, patient safety, and the creation of a workplace environment that
supports quality care.

NURS 7790 – Innovative Teaching Strategies in Advanced Care Management (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course is designed to assist the in understanding the development and implementation of
educational courses, seminars, workshops, or community programs for staff, students, clients, or
community members. The content will focus on classroom, clinical, and online settings. The
student will consider several best practice strategies as well as the use of technology to enhance
or present content. A course or a workshop that may be used in a practice setting will be
developed.

NURS 7785 – Health Policy and Finance (2-0-2)
Prerequisite: Admission to the MSN Program or permission of the program director.
This course is designed to provide the student with an overview of the factors involved in
understanding the current state of health care policy in the United States. Various methods of
health care financing, organization, role of government in health care, and an historical
perspective will be explored. Issues such as access, the roles of health care providers, primary
care, and organizational structures will be discussed.

NURS 8862 – Advanced Care Management Practicum III (4-12-4)
Prerequisite: NURS 8861. Corequisite: NURS8863.
A continuation of the practicum experience in which students synthesize all elements of their
advanced care management skills in the implementation of clinical care models in a variety of
appropriate settings. Competence in advanced care management is an expectation.

NURS 8863 – Advanced Care Management Project (2-6-2)
Prerequisite: NURS 7745. Corequisite: NURS 8862.
This course is a experience that provides the student with the opportunity to synthesize and apply
acquired knowledge and skills in a focused project related to the role of the advanced practice
nurse in advanced care management. The student identifies a problem/need and designs a
project that will enhance care management in a selected practicum site.




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VI INVENTORY OF FACULTY DIRECTLY INVOLVED

The following School of Nursing faculty will be participate in the curriculum delivery of the
MSN in Advanced Care Management and Leadership. (Faculty vita are included as
attachments).

Dr. Richard L. Sowell, Professor
Dr. Vanice Roberts, Professor
Dr. David Bennett, Professor
Dr. Regina Dorman, Professor
Dr. Annette Bairan, Professor
Dr. Marie Bremner, Professor
Dr. Margaret Kosowski, Professor
Dr. Lois Robley, Professor
Dr. Jane Brannan, Associate Professor
Dr. Mary Ann Camann Associate Professor
Dr. Cecilia Tiller, Associate Professor
Dr. Kevin Smith, Associate Professor
Ms. Janice Long, Assistant Professor
Ms. Tricia Hart, Assistant Professor

Faculty from the MS in Conflict Management Program housed in the College of Humanities and
Social Science and the Executive MBA Program housed in the Cole’s College of Business will
also participate in the delivery of selected courses.

Faculty Member; MS in Conflict Management Program
Faculty Member; Executive MBA Program




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 COURSE/INSTRUCTOR SUPPORT DEPTH

 The following table lists the courses that comprise the curriculum of the MSN in Advanced Care
 Management and Leadership Program and the faculty who possess the knowledge and expertise
 to deliver the course content. All faculty listed will have instructor responsibilities in the
 program.

COURSE                                                    FACULTY EXPERTISE
NURS 7715 – Professional Advanced Practice Role
Development and Health Care Issues                        Dorman
NURS 7735 – Advanced Health Assessment,
Maintenance, and Promotion                                Bennett
NURS 7755 – Pharmacology for the Advanced Practice
Nursing                                                   Smith
NURS 7765 – Pathophysiology for the Advanced Practice
Nurse                                                     Smith
NURS 7725 – Health Care Theory                            Kosowski
NURS 7745 – Research Applications and Outcome
Evaluations in Advanced Practice Nursing                  Sowell; Roberts
NURS 7770 – Advanced Care Management Models I             Bremner
NURS 7775 – Advanced Care Management Models II            Bremner
NURS 8860 – Advanced Care Management Practicum I          Hart; Long
NURS 8861 – Advanced Care Management Practicum II         Hart; Long
NURS 8862 – Advanced Care Management Practicum III        Hart; Long
NURS 8863 – Advanced Care Management Project              Bairan
NURS 7780 – Ethics of Leadership for Advanced Practice
Nursing                                                   Robley
NURS /GBA 6150 – Analytical Business Applications for
Advanced Practice Nursing                                 Faculty; Executive MBA Program
NURS/CM 7791 – Seminar in Principles of Conflict          Faculty; MS in Conflict Management
Management for Advanced Practice Nursing                  Program
NURS 7790 – Innovative Teaching Strategies in
Advanced Care Management                                  Brannan
NURS 7785 – Health Policy and Finance                     Camann




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   FACULTY DEVELOPMENT

School of Nursing faculty are supported in their professional development through budgetary
resources and activities planned by the Faculty Development Committee. Funding to support
travel to international, national, and local meetings for professional enrichment and the
presentation of papers is available and adequate. Faculty are also given release time to attend
professional and/or scholarly conferences. Currently, fourteen faculty are trained as on-line
course facilitators, and the School of Nursing has committed funds for training additional faculty
as needed to support the on-line offerings of the proposed program.

FACULTY RESEARCH AND SCHOLARSHIP

School of Nursing faculty who teach in MSN in Advanced Care Management and Leadership
Program must qualify for graduate faculty status and will be expected to participate in research
and scholarly activities. As with all graduate faculty at Kennesaw State University, these
activities will be supported with a reduced teaching load assignment. While the standard
teaching load assignment in the School of Nursing is 12 contact hours, these faculty will carry a
9 contact hour teaching assignment. This reduced teaching load is made to ensure that there is
adequate time for the faculty to engage in meaningful scholarship activities. Presented below are
selected faculty scholarly/research activities.

Dr. Richard Sowell, PhD, RN, FAAN has done extensive work in AID’s care management with
numerous presentations and publications. He is also the editor of the Journal of Nurses in AID’s
Care.
Dr. David Bennett,PhD, RN & Dr. Regina Dorman, PhD, APRN, BC, FNP have long been
involved in the management of care delivery to the underserved and indigent populations and
have presented their work numerous times.
Dr. Margaret Kosowski, PhD, RN & Dr. Vanice Roberts, DSN, RN have presented and
published their work regarding intuition and knowing in advanced practice nurses.
Dr. Mary Ann Camann, RN, PhD, CS has published her work in the area of outcome
management.
Ms. Janice Long, RN, MSN, CNS & Ms. Patricia Hart, RN, MSN, CNS recently received a
$200,000 grant from the Georgia Healthcare Foundation to fund their project entitled Initiative
for Diabetes Education Advancement for Latinos. This project is designed to improve the
management of diabetic care of indigent Latinos in our community.
Dr. Lois Robley, RN, PhD has done extensive work in the area of end-of –life care and ethical
decision-making with numerous presentations and grant proposals.

VII Outstanding programs of this nature at other institutions.

This section compares the proposed Master of Science in Nursing in Advanced Care
Management and Leadership with other MSN degree programs offered across the state. Because
KSU’s proposed program is the only known program to focus on advanced care management and
leadership as well as provide the student with the option to prepare as clinical nurse specialist
(CNS), a review the programs cited below highlighted the uniqueness of the proposed program.


Advanced Care Management and Leadership
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       Armstrong Atlantic State University offers an MSN Adult Health Clinical Nurse
        Specialist track that prepares the student with advanced practice nursing skills based on
        pathophysiology and advanced health assessment techniques. Emphasis is also placed on
        an understanding of nursing theory and its application to CNS practice. Students may
        attend part-time and take up to 7 years to complete the program.

       Georgia Southern University’s program focuses on preparing registered nurses for the
        role as a rural community health nurse specialist with emphasis on rural health and
        wellness. The program is only offered when demand is sufficient.

       Georgia State University offers an adult health advanced practice option that focuses on
        the preparation of CNS’s with advanced competencies. Students may choose full- or
        part-time study, and the program may combined with a Graduate Certificate in
        Gerontology.

       Valdosta State University offers an MSN with Advanced Nursing of Adults and
        Advanced Nursing of Growing Families tracks. Students may enroll full- or part-time and
        must choose one role and one clinical option. Common core courses include
        pathophysiology, research, theory, and issues.

Unique Features of KSU’s program:

In addition those described earlier, the following unique features characterize KSU’s proposed
MSN in Advanced Care Management and Leadership:

       KSU’s proposal is the only one to allow students to choose whether or not to prepare for
        CNS certification.
       KSU’s proposal is the only one utilizing a cohort-learning model.
       KSU’s proposal is the only one to provide courses in conflict management and business
        applications taught by content experts.
       KSU’s proposal is the only one with a primary focus on the development of leadership
        skills.




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VIII Inventory of pertinent library resources

The 100,00 square foot Horace W. Sturgis Library that contains the majority of the University’s
collection of nursing literature is located next to the School of Nursing Building. The library’s
collections number in excess of 600,000 volumes, covering all fields of instruction offered by the
University. There are more than 3,300 serial publications and well over 1,000,000 pieces of
microforms. The library provides extensive nursing collections with access to numerous
publications, modern technological resources, and the financial means acquire whatever
resources are needed to support nursing education. Currently, the nursing holdings number 6,938
books (nursing/health related) and 72 periodicals (nursing/health related). Access to the
collections is obtained through walk-in service, an online card catalog, and dial-up off-campus
access. Library services include extensive hours of operation and instructional programs
regarding resources and materials. The library also provides, through contractual and consortium
arrangements with the Atlanta Regional Consortium for Higher Education and the University
System of Georgia, over 10 million items for research and study purposes. The Atlanta Regional
Consortium for Higher education includes institutions such as Agnes Scott College, Emory
University, University of Georgia, Clark-Atlanta University, Spelman College, Morehouse
College, Columbia Seminary, Georgia Institute of Technology, and Georgia State University.
For research purposes, faculty and students have access to a broad array of traditional print
collections and full-text and full-image items through GALILEO, ProQuest, ERIC, and
Lexis/Nexis. The GALILEO service provides access to World Wide Web resources such as the
Library of Congress, full-text journal titles, and newspapers.

IX Facilities

There are adequate facilities and informational resources available to prepare students to meet
the standards for leaders in today’s ever-changing health care environment. The School of
Nursing is housed in the Nursing Building, which was completely renovated in the summer of
1999. The Nursing Building is comprised of 31,615 square feet of space and contains model
classrooms, a state-of-the-art computer lab, and a nursing skills lab. The nursing skills lab
houses a high-fidelity computer patient simulator (one of only two in Georgia) available for
utilization by the students in the mastery of advanced clinical skills. The College of Health &
Human Services Multimedia Computer Lab, located in the Nursing Building, houses 22
Windows 98 desktop machines, 2 laser video disc machine, a laser printer and copier, and an
extensive software collection. There is equipment for students to use in preparing Power Point
presentations, in setting up web sites, and in engaging in other technology applications. Students
who need additional technology skills can avail themselves of the classes offered by the
Educational Technology Center, which provides technology skills training for KSU faculty, staff,
and students. The classrooms in the Nursing Building are also equipped with multimedia
computer technology for faculty and student use during class sessions. Equipment is available
for making both Power Point and streaming video presentations. The Nursing Building also
contains nursing faculty and staff offices, workrooms, a conference room, and a seminar room.
Every faculty member in the School of Nursing has an up-to-date computer in his or her private
office and is knowledgeable in the use of multimedia technology to enhance instruction. Faculty
utilize their technological expertise in delivering instruction in a facility equipped with
outstanding technological teaching/learning tools.

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 The community partners of the School of Nursing will also provide facilities to further enhance
student learning in real world settings. The School of Nursing currently has contractual
education agreements with 1700+ health care agencies throughout the State of Georgia that
includes hospitals, primary care clinics, hospices, family and specialty medical practices,
indigent care clinics, and public health departments. Students enrolled in practicum courses will
complete their experiences in the health care settings that will provide them with opportunities to
best meet their individual learning needs and achieve their professional development goals.

X Administration

The MSN in Advanced Care Management and Leadership will be the second graduate program
in the School of Nursing within the College of Health & Human Services, headed by Dean
Richard Sowell. Dr. Regina Dorman currently serves as the Program Director of the first
graduate program, the WellStar Primary Care Nurse Practitioner Program and has been selected
to serve as Director of the proposed program as well. Dr. Dorman will manage the day-to-day
administration of the program including recruitment and admission of students, course
scheduling, and teaching assignments. These workload responsibilities are congruent with those
of other graduate program directors at KSU. The Program Director will report to the Chair of the
School of Nursing, Dr. David Bennett.

XI Assessment

Assessment of the proposed MSN in Advanced Care Management and Leadership will be guided
by the School of Nursing’s Comprehensive Evaluation Plan. Review and validation of the
School of Nursing’s mission, philosophy, goals, and objectives is conducted on a regularly
scheduled basis according to the Comprehensive Evaluation Plan. This plan, which was
developed and implemented by the faculty, specifies a time-line and the individual(s) and/or
committee(s) responsible for the review of all relevant aspects of the School’s programs of study,
both undergraduate and graduate. In the development and implementation of this plan, the
faculty demonstrated their commitment to continuous quality improvement and ongoing self-
assessment in the interest of continued and sustained quality, integrity, and relevance of the study
options offered by the School of Nursing.

The proposed program’s community of interest will also provide valuable feedback regarding
program quality and will be considered in ongoing program review. The community of interest
will include students, alumni, faculty, and health care providers who serve as preceptors and/or
employers. Students will provide input via standard survey instruments and through
participation on the Student Advisory Committee. Alumni and their employers will be surveyed
regarding program satisfaction as specified by the Comprehensive Evaluation Plan. Important
assessment data will also be provided by selected members of the community of interest who
serve on the School of Nursing’s Community and Clinical Advisory Boards.




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XII Accreditation

The School of Nursing and its current programs are fully accredited by the Commission on
Collegiate Nursing Education (CCNE), the accrediting body of the American Association of
Colleges of Nursing (AACN). The Commission on Collegiate Nursing Education (CCNE)
accredits baccalaureate and higher degree programs, and CCNE accreditation indicates that all
standards for quality nursing education specified by this body have been met. As previously
noted, the proposed program’s curriculum has been developed to meet CCNE requirements and
will fall under full accreditation status currently held by the School of Nursing.

XIII Affirmative Action Impact

Comparison of School of Nursing diversity statistics with national metrics reported by AACN
(2001) shows that White representation is virtually identical (77% versus 77.2% nationally).
Blacks have a much stronger representation within the SON (21% versus 8.3% nationally), while
Latinos and Asians are somewhat less represented within the SON (about 1% each versus 4.0%
and 4.7% nationally, respectively). Within the current graduate program, the WellStar Primary
Care Nurse Practitioner Program, the percentage of Blacks for each cohort had ranged from 6%
to 33%. Latino and Asian applicants for admission are rare, and these percentages are low. The
percentage of Black minority representation in the Program is nearly double the 11% for the
University as a whole. The ethnicity of nurse practitioner program graduates in 2002 was
reflective of the overall enrollment in the program. Seventy-nine percent of the graduates were
White; 18% were Black, 3% was Multiracial, and less than 1% was Asian, Latino, or Native
American. It is anticipated that the proposed MSN in Advanced Care Management and
Leadership will attract and retain minority students at similar rate.

The School of Nursing will continue to comply the affirmative action plans of Kennesaw State
University and the University System of Georgia with recruitment of minority students and
faculty an ongoing priority.

XIV Degree Inscription

The degree inscription in this program will be Master of Science in Nursing. The major will
be Advanced Care Management and Leadership. The CIP Code is 511699.




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   XV Fiscal and Enrollment Impact, and Estimated Budget

   The following enrollment projections are based on an entering cohort of 10 students in the first
   year, with an additional 10-student cohort entering the second and third years, respectively. A
   full student course load of 10 hours per semester is projected with few, if any, part-time
   enrollments.

       1. ENROLLMENT PROJECTIONS

ENROLLMENT PROJECTIONS                                           1-04           2-05         3-06
Student Majors
   Shifted for other programs                                      0             0            0
   New to institution                                             10           10 (20)      10 (20)
Total Majors                                                      10           10 (20)      10 (20)

Course Sections Satisfying Program Requirements
  Previously Existing Courses                                      6              6            6
  New Nursing Courses                                              5              9            9
  New Interdisciplinary                                            2              2            2
Total Program Course Sections                                     13             17           17

Credit Hours Generated By Those Courses
   Existing Enrollments                                           0             100          100
   New Enrollments                                               300            300          300
Total Credit Hours                                               300            400          400

Degrees Awarded                                              10 (yr. 2)      10 (yr. 3)   10 (yr. 4)

       2. COSTS

                                    1-04                      2-05                        3-06
A. Personnel (existing)     EFT        Dollars       EFT          Dollars        EFT        Dollars
Faculty                     .64      $38,489         1.32        $74,244         1.32       $74,244
Part-time Faculty           .17      $ 1,400           .17        $ 1,400         .17       $ 1,400
Graduate Assistant            0           0              0             0            0            0
Administrators             .25       $23,750          .25         $23,750         .25        $23,750
Support Staff              .25       $ 5,500          .25         $ 5,500         .25        $ 5,500
Fringe Benefits                      $20,732                      $22,273                    $22,273
Other Personnel Costs        0           0            0              0              0           0
Total (existing)           1.31      $89,871         1.99         $127,167        1.99     $127,167




   Advanced Care Management and Leadership
   New MSN Program Proposal
   3/14/03                            Page 23 of 24
                                    1-04                 2-05                    3-06
B. Personnel (new)**        EFT          Dollars    EFT       Dollars     EFT       Dollars
Faculty                      1.0       $55,000       0          0          0          0
Part-time Faculty             0            0         0          0          0          0
Graduate Assistant            0            0         0          0          0          0
Administrators                0            0         0          0          0          0
Support Staff                 0            0         0          0          0          0
Fringe Benfits                0        $16,500       0          0          0          0
Other Personnel Costs         0            0         0          0          0          0
Total (new)                  1.0       $71,500       0          0          0          0
    **This refers to new faculty line committed by KSU as needed for program support.


   C.     Start-up Costs (one time expenses) – As noted previously, the WellStar Primary Care
          Nurse Practitioner Program will the decrease number of students admitted by 10 in order
          to implement the proposed MSN in Advanced Care Management and Leadership with no
          new start-up costs incurred.

   D.     Physical Facilities: construction or major renovation – Current physical facilities are
          adequate to meet the proposed program’s needs; no new facilities will be required.

   TOTAL ONE-TIME COSTS                0

    E.    Operating Costs – As stated above, current resources will be utilized, and operating costs
                              will be absorbed in current NP program costs.


         3. REVENUE SOURCES

           A. Source of Funds – As we are reducing the number of students admitted to the
           WellStar Primary Care Nurse Practitioner Program by one-fourth, we will reallocate 25%
           of the current graduate program’s operating budget to support the proposed new program.
           As the same number of students are to be admitted, there will not be any additional funds
           available. We do not, at this time, anticipate any federal or other grant funding. There no
           new state allocation requested.




   Advanced Care Management and Leadership
   New MSN Program Proposal
   3/14/03                            Page 24 of 24

				
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